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In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada

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  • Lori E Ross
  • Margaret F Gibson
  • Andrea Daley
  • Leah S Steele
  • Charmaine C Williams

Abstract

Lesbian, gay, bisexual, trans, and/or queer (LGBTQ) people face barriers to accessing mental health care; however, we know little about service experiences of low income LGBTQ people. In this qualitatively-driven mixed methods study, over 700 women and/or trans people completed an internet survey, of whom 12 LGBTQ individuals living in poverty participated in interviews. Low income LGBTQ respondents saw more mental health professionals and had more unmet need for care than all other LGBTQ/income groups. Narrative analysis illustrated the work required to take care of oneself in the context of extreme financial constraints. These findings highlight the mechanisms through which inadequate public sector mental health services can serve to reproduce and sustain both poverty and health inequities.

Suggested Citation

  • Lori E Ross & Margaret F Gibson & Andrea Daley & Leah S Steele & Charmaine C Williams, 2018. "In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-23, August.
    • Handle: RePEc:plo:pone00:0201437
    DOI: 10.1371/journal.pone.0201437
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    References listed on IDEAS

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    1. Borkan, Jeffrey M. & Quirk, Mark & Sullivan, Michael, 1991. "Finding meaning after the fall: Injury narratives from elderly hip fracture patients," Social Science & Medicine, Elsevier, vol. 33(8), pages 947-957, January.
    2. Noah Uhrig, S.C., 2014. "An examination of poverty and sexual orientation in the UK," ISER Working Paper Series 2014-02, Institute for Social and Economic Research.
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    Cited by:

    1. Sean Waite & John Ecker & Lori E Ross, 2019. "A systematic review and thematic synthesis of Canada’s LGBTQ2S+ employment, labour market and earnings literature," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-20, October.

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