Trauma-informed and affirmative mental health practices with LGBTQ+ clients.
Jill S LevensonShelley L CraigAshley AustinPublished in: Psychological services (2021)
People with diverse sexual orientations, gender identities, and gender expression are at greater risk for trauma, discrimination, and victimization than heterosexual and cisgender populations. Trauma-informed care (TIC) provides a framework for providing lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ +) mental health services. Substance Abuse and Mental Health Services Administration (SAMHSA)'s principles of TIC guide practitioners to create safety, trust, transparency, collaboration, and empowerment in helping relationships, and to ensure that services have cultural and gender relevance. This article first explores the role of trauma in contributing to behavioral health concerns presented by LGBTQ + clients. The application of TIC to mental health counseling and social services for LGBTQ + clients will then be described, with specific suggestions for translating TIC principles into affirmative practice. Through the lens of trauma, clinicians can improve clinical case conceptualization and effective treatment strategies for LGBTQ + clients. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Keyphrases
- mental health
- hiv testing
- healthcare
- men who have sex with men
- primary care
- obsessive compulsive disorder
- trauma patients
- mental illness
- hiv positive
- palliative care
- public health
- poor prognosis
- emergency department
- human immunodeficiency virus
- intimate partner violence
- affordable care act
- health insurance
- antiretroviral therapy