title: Mental health promotion for gay, lesbian, bisexual, transgender and intersex New Zealanders.
abstract: BACKGROUND
  A number of studies have identified that gay, lesbian, bisexual, transgender, and intersex (GLBTI) people have poorer mental health than the general population. This article describes current mental health promotion and service provision for GLBTI people in New Zealand, and the views of stakeholders on current service delivery and concerns facing the sector.
  
  
  METHODS
  An email survey of service providers gathered descriptive data about mental health promotion and services provided for GLBTI people. Data obtained from interviews with key informants and online submissions completed by GLBTI individuals were analysed thematically.
  
  
  RESULTS
  Five organisations provide clear, specific and utilised services and programmes to some or all of the GLBTI populations. Twelve GLBTI-focused mental health promotion resources are identified. The analysis of data from key informants and GLBTI respondents identified factors affecting mental health for these populations occurring at three levels-macro-social environment, social acceptance and connection, and services and support.
  
  
  CONCLUSIONS
  While GLBTI individuals have the same basic mental health promotion and service provision needs as members of the general population, they have additional unique issues. To enhance the mental health of GLBTI New Zealanders, a number of actions are recommended, including building sector capacity, allocating sufficient funding, ensuring adequate research and information is available, and reducing stigma, enhancing young people's safety, and supporting practitioners through training and resources. An important role for government, alongside GLBTI input, for improving mental health is noted.
authors.affiliation: SHORE and Whariki Research Centre, Massey University, PO Box 6137, Auckland 1141, New Zealand. j.b.adams@massey.ac.nz
authors.forename: Jeffery
authors.initials: J
authors.lastname: Adams
authors.forename: Pauline
authors.initials: P
authors.lastname: Dickinson
authors.forename: Lanuola
authors.initials: L
authors.lastname: Asiasiga
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006716:Homosexuality / Q000208:ethnology* / Q000523:psychology*; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009520:New Zealand; D011320:Primary Health Care / Q000458:organization & administration; D012929:Psychological Distance; D012931:Social Environment; D012947:Social Work / Q000458:organization & administration; D063106:Transgender Persons / Q000523:psychology*