東華大學圖書館 |

How Do LGBT Help-Seekers Reach Mental Health Treatment, Interact with Service Providers, and Use Informal Care Options? An Examination of Health Care Access and Mental Health Outcomes Among LGBT Adolescents and Adults.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	How Do LGBT Help-Seekers Reach Mental Health Treatment, Interact with Service Providers, and Use Informal Care Options? An Examination of Health Care Access and Mental Health Outcomes Among LGBT Adolescents and Adults./
作者:	Romanelli, Meghan.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	214 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
Contained By:	Dissertations Abstracts International81-04B.
標題:	Social work. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=22623535
ISBN:	9781687939951

How Do LGBT Help-Seekers Reach Mental Health Treatment, Interact with Service Providers, and Use Informal Care Options? An Examination of Health Care Access and Mental Health Outcomes Among LGBT Adolescents and Adults.
Romanelli, Meghan.

How Do LGBT Help-Seekers Reach Mental Health Treatment, Interact with Service Providers, and Use Informal Care Options? An Examination of Health Care Access and Mental Health Outcomes Among LGBT Adolescents and Adults. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 214 p.

Source: Dissertations Abstracts International, Volume: 81-04, Section: B.

Thesis (Ph.D.)--New York University, 2019.

This item must not be sold to any third party vendors.

Sexual and gender minority (SGM) individuals experience increased risk of depression due to chronic exposure to stressors, such as structural and interpersonal discrimination. These elevated rates of depression render access to effective treatment as imperative; however, SGM communities remain underserved in health care environments and report unmet mental health (MH) needs. Using a three-paper dissertation format, three interrelated studies examined how SGM individuals: 1) reach care (Study 1); 2) are treated by providers once they reach care (Study 2), and; 3) stay healthy if they do not reach care (Study 3). Study 1: Using structural equation modeling (SEM) and multiple group solutions, Study 1 compared differences in facilitators of MH service use (e.g., mother-child communication and closeness; adolescent decision-making styles around problems; depression severity) between depressed sexual minority youth (SMY) and depressed heterosexual respondents of Add Health. Findings indicated that for both heterosexual and SMY respondents, higher levels of maternal closeness associated with increased rates of talking about problems with one's mother, which was in-turn associated with increased likelihood of counseling receipt. This association, however, appeared to be stronger among SMY. Depression severity also predicted counseling receipt for heterosexual respondents, but not SMY respondents. This may be because SMY seek counseling for a myriad of reasons outside of depression, for example for family issues, sexual minority stress, coming out information/support, support while questioning sexual identity, peer support, or dating/relationship help.Study 2: Because past research has found that transgender people are likely to experience more than one form of discrimination during health care encounters, Study 2 employed Latent Class Analysis (LCA) and data from the 2015 U.S. Transgender Survey to examine: a) patterns of health care discrimination among transgender help-seekers, and; b) predictors of class membership to identify subpopulations that might be at risk for certain typologies of health care discrimination. Results showed that experiences of health care discrimination are not homogenous across transgender communities, as three distinct classes were found: Class 1 experienced both overt discrimination and provider competency issues; Class 2 experienced provider incompetence only, and; Class 3 did not experience overt discrimination or provider competency issues. Respondents who were older, out as trans to their providers, reported suicidal thoughts, had psychological distress that interfered with life, and disabled were more likely to be members of Class 1 or 2, rather than Class 3. Low-income, Biracial, Native Alaskan/Native American, and Middle Eastern/North African respondents were more likely to be members of Class 1, rather than 3. Study 3: Using SEM, multiple group solutions, and the Add Health data, Study 3 examined if sexual minority young adults (SMYA) with depression can attain wellness through the reliance on informal care networks when they do not seek MH care. Specifically, Study 3 explored if having a mentor weakened the influence of untreated depression on later life MH. Results indicated that mentorship may act as an effective supplement to psychological counseling, but not as a compensatory resource. Depressed SMYA who received counseling and had mentorship support showed better long-term depression and psychological distress outcomes than: 1) depressed SMYA without counseling and without a mentor; 2) depressed SMYA without counseling and with a mentor, and; 3) depressed SMYA with counseling and without a mentor.Discussion and limitations of this research and implications for practice, policy, and research are discussed throughout these papers, as well as the overall dissertation conclusion.

ISBN: 9781687939951Subjects--Topical Terms:

644197
Social work.
Subjects--Index Terms:

Counseling

How Do LGBT Help-Seekers Reach Mental Health Treatment, Interact with Service Providers, and Use Informal Care Options? An Examination of Health Care Access and Mental Health Outcomes Among LGBT Adolescents and Adults.
LDR:05224nmm a2200385 4500 001 2278830
005 20210712062632.5
008 220723s2019 ||||||||||||||||| ||eng d
020 $a 9781687939951
035 $a (MiAaPQ)AAI22623535
035 $a AAI22623535
040 $a MiAaPQ $c MiAaPQ
100 1 $a Romanelli, Meghan. $3 3557229
245 1 0 $a How Do LGBT Help-Seekers Reach Mental Health Treatment, Interact with Service Providers, and Use Informal Care Options? An Examination of Health Care Access and Mental Health Outcomes Among LGBT Adolescents and Adults.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2019
300 $a 214 p.
500 $a Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
500 $a Advisor: Lindsey, Michael A.
502 $a Thesis (Ph.D.)--New York University, 2019.
506 $a This item must not be sold to any third party vendors.
520 $a Sexual and gender minority (SGM) individuals experience increased risk of depression due to chronic exposure to stressors, such as structural and interpersonal discrimination. These elevated rates of depression render access to effective treatment as imperative; however, SGM communities remain underserved in health care environments and report unmet mental health (MH) needs. Using a three-paper dissertation format, three interrelated studies examined how SGM individuals: 1) reach care (Study 1); 2) are treated by providers once they reach care (Study 2), and; 3) stay healthy if they do not reach care (Study 3). Study 1: Using structural equation modeling (SEM) and multiple group solutions, Study 1 compared differences in facilitators of MH service use (e.g., mother-child communication and closeness; adolescent decision-making styles around problems; depression severity) between depressed sexual minority youth (SMY) and depressed heterosexual respondents of Add Health. Findings indicated that for both heterosexual and SMY respondents, higher levels of maternal closeness associated with increased rates of talking about problems with one's mother, which was in-turn associated with increased likelihood of counseling receipt. This association, however, appeared to be stronger among SMY. Depression severity also predicted counseling receipt for heterosexual respondents, but not SMY respondents. This may be because SMY seek counseling for a myriad of reasons outside of depression, for example for family issues, sexual minority stress, coming out information/support, support while questioning sexual identity, peer support, or dating/relationship help.Study 2: Because past research has found that transgender people are likely to experience more than one form of discrimination during health care encounters, Study 2 employed Latent Class Analysis (LCA) and data from the 2015 U.S. Transgender Survey to examine: a) patterns of health care discrimination among transgender help-seekers, and; b) predictors of class membership to identify subpopulations that might be at risk for certain typologies of health care discrimination. Results showed that experiences of health care discrimination are not homogenous across transgender communities, as three distinct classes were found: Class 1 experienced both overt discrimination and provider competency issues; Class 2 experienced provider incompetence only, and; Class 3 did not experience overt discrimination or provider competency issues. Respondents who were older, out as trans to their providers, reported suicidal thoughts, had psychological distress that interfered with life, and disabled were more likely to be members of Class 1 or 2, rather than Class 3. Low-income, Biracial, Native Alaskan/Native American, and Middle Eastern/North African respondents were more likely to be members of Class 1, rather than 3. Study 3: Using SEM, multiple group solutions, and the Add Health data, Study 3 examined if sexual minority young adults (SMYA) with depression can attain wellness through the reliance on informal care networks when they do not seek MH care. Specifically, Study 3 explored if having a mentor weakened the influence of untreated depression on later life MH. Results indicated that mentorship may act as an effective supplement to psychological counseling, but not as a compensatory resource. Depressed SMYA who received counseling and had mentorship support showed better long-term depression and psychological distress outcomes than: 1) depressed SMYA without counseling and without a mentor; 2) depressed SMYA without counseling and with a mentor, and; 3) depressed SMYA with counseling and without a mentor.Discussion and limitations of this research and implications for practice, policy, and research are discussed throughout these papers, as well as the overall dissertation conclusion.
590 $a School code: 0146.
650 4 $a Social work. $3 644197
650 4 $a LGBTQ studies. $3 2122706
650 4 $a Mental health. $3 534751
653 $a Counseling
653 $a Discrimination
653 $a LGBTQ Communities
653 $a Mental health
653 $a Mental health services
653 $a Mentorship
690 $a 0452
690 $a 0492
690 $a 0347
710 2 $a New York University. $b Ph.D. Program. $3 1681811
773 0 $t Dissertations Abstracts International $g 81-04B.
790 $a 0146
791 $a Ph.D.
792 $a 2019
793 $a English
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=22623535