美国东南部有心理健康服务需求的LGBTQ+青少年父母的观点:改善LGBTQ+青少年和家庭支持的挑战、需求和建议

Alexandra H Bettis, Alexandra Argiros, Andrew R Kittleson, Pam Sheffer, Madison Holladay, Melissa A Cyperski, Mehak Malhotra, Arielle Moussougan, Jessica A Merritt, Kirsty A Clark
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引用次数: 0

摘要

背景:一致的证据表明,父母对LGBTQ +青少年的心理健康有显著的积极影响。然而,很少有研究调查有心理健康服务需求的LGBTQ +青少年的父母的经历,鉴于LGBTQ +青少年有心理健康困难的比例相当大,这是一个显著的文献差距。目的:本研究旨在描述LGBTQ +青少年的父母在为他们的孩子导航服务方面的经历,为未来以父母为中心的资源和干预措施的开发提供信息。方法:选取居住在美国东南部且有心理健康服务使用史的LGBTQ +儿童(9-17岁)的父母N = 12名,参与三次半结构化焦点小组访谈中的一项。对焦点小组访谈进行录音和转录;数据编码采用灵活和反身性六步专题分析方法。研究结果显示:三个关键主题:(1)家长在为LGBTQ +孩子获取和导航心理健康服务方面面临的挑战;(2)家长在应对这些挑战时对自身资源和支持的需求;(3)家长提出的改善LGBTQ +青少年和家庭支持的建议。次主题强调了父母所面临的复杂性,因为他们既要肯定孩子的身份,又要支持孩子的心理健康需求,尤其是在美国东南部的社会政治背景下。研究结果表明,美国东南部的LGBTQ +青年和家庭需要肯定和可获得的心理健康资源,也需要以家长为中心的资源,以更好地支持有心理健康问题的LGBTQ +青年的父母。基于父母的观点,我们为儿童和青少年心理保健提供者和组织提供了一套建议,以支持LGBTQ +青年和家庭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives of Parents of LGBTQ+ Youth with Mental Health Service Needs in the US Southeast: Challenges, Needs, and Recommendations for Improving LGBTQ+ Youth and Family Support.

Background: Consistent evidence finds supportive, affirming parents have a significant positive impact on LGBTQ + youth mental health. Yet few studies have examined the experiences of parents of LGBTQ + youth with mental health service needs, a notable gap in the literature given the considerable proportion of LGBTQ + youth with mental health difficulties.

Objectives: The current study aimed to characterize the experiences of parents of LGBTQ + youth in navigating services for their child to inform future parent-focused resource and intervention development.

Methods: A sample of N = 12 parents of LGBTQ + children (ages 9-17) with a history of mental health service use residing in the Southeastern U.S. were recruited to participate in one of three semi-structured focus group interviews. Focus group interviews were audio recorded and transcribed; data were coded using flexible and reflexive six-step thematic analysis approach.

Results: Three key themes emerged: (1) parents' challenges related to accessing and navigating mental health services for their LGBTQ + children, (2) parents' need for their own resources and support as they navigate these challenges, and (3) parent-identified recommendations to improve LGBTQ + youth and family support. Subthemes highlighted the complexities parents face given their dual role in both affirming their child's identities as well as supporting their child's mental health needs, particularly within the sociopolitical context of the Southeastern U.S.

Conclusion: Findings demonstrate the need for affirming and accessible mental health resources for LGBTQ + youth and families in Southeastern U.S. as well as the need for parent-focused resources to better support parents of LGBTQ + youth experiencing mental health problems. Based on parents' perspectives, we offer a set of recommendations for child and adolescent mental healthcare providers and organizations for supporting LGBTQ + youth and families.

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