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Mental Health and Addiction Services Exclusive to LGBTQ2S+ during COVID-19: An Environmental Scan

Author

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  • Michael Chaiton

    (Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3S7, Canada
    Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Rebecca Billington

    (Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Ilana Copeland

    (Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Luc Grey

    (Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Alex Abramovich

    (Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3S7, Canada
    Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada
    Department of Psychiatry, University of Toronto, Toronto, ON M5T 3S7, Canada)

Abstract

Background: Youth who are lesbian, gay, bisexual, trans, queer, 2-spirit, and of other identities (LGBTQ2S+) experience mental health disparities and higher rates of substance use when compared to their cisgender and heterosexual peers and yet also experience more barriers to access to services. The purpose of this paper is to determine the types of mental health and substance use programs and services exclusive to LGBTQ2S+ youth in Ontario during the pandemic. Methods: An environmental scan was conducted to identify existing programs and services in Ontario, Canada that offered exclusive mental health and addiction services to LGBTQ2S+ individuals aged 16–29, either by offering services to all or subgroups within the population. Organizations, services and programs were classified by the geographical distribution of services, populations served, types of programming or services, methods of service delivery, and program criteria. Results: In total, 113 organizations and 240 programs and services were identified as providing mental health and substance use services exclusively to LGBTQ2S+ youth. Identified adaptations for the COVID-19 pandemic included cancelling in-person services, increasing online and telephone services, and expansion to province wide from local availability. Conclusions: The findings highlight the importance of offering services that provide culturally inclusive care for LGBTQ2S+ youth, and these results can also be used by policy makers to inform policies. In particular, there was a lack of culturally relevant clinical services for youth requiring a greater intensity of treatment.

Suggested Citation

  • Michael Chaiton & Rebecca Billington & Ilana Copeland & Luc Grey & Alex Abramovich, 2022. "Mental Health and Addiction Services Exclusive to LGBTQ2S+ during COVID-19: An Environmental Scan," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:5919-:d:814659
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    References listed on IDEAS

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    1. Craig, Shelley L. & Austin, Ashley, 2016. "The AFFIRM open pilot feasibility study: A brief affirmative cognitive behavioral coping skills group intervention for sexual and gender minority youth," Children and Youth Services Review, Elsevier, vol. 64(C), pages 136-144.
    2. Mueller, A.S. & James, W. & Abrutyn, S. & Levin, M.L., 2015. "Suicide ideation and bullying among US adolescents: Examining the intersections of sexual orientation, gender, and race/ethnicity," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 981-985.
    3. Hatzenbuehler, M.L. & Keyes, K.M. & Hasin, D.S., 2009. "State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2275-2281.
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