title: Challenges to and opportunities for improving mental health services for lesbian, gay, bisexual, and transgender people in Ireland: a narrative account.
abstract: The views and opinions of people who use mental health services are being increasingly acknowledged in relation to rights-based, socially-inclusive, and recovery-oriented care. However, little is known of the experiences of lesbian, gay, bisexual, and transgender (LGBT) people in this respect. The aim of the present study was to explore the experiences and needs of LGBT people in relation to mental health services. The study was an exploratory design utilizing mixed methods. Both quantitative and qualitative data were collected using a survey instrument (n = 125) and in-depth semistructured interviews (n = 20) with a sample of people who had completed the survey. This paper will report on the findings from the interview data. The data were thematically analysed, and the main themes that emerged included accessing services, treatment choices, mental health service experiences, and other supports. The findings inform the discussion, and recommendations are made in terms of future mental health practice, education, and research.
authors.affiliation: School of Nursing and Midwifery, Trinity College, University of Dublin, Dublin, Ireland.
authors.forename: Edward
authors.initials: E
authors.lastname: McCann
authors.forename: Danika
authors.initials: D
authors.lastname: Sharek
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality / Q000523:psychology*; D005260:Female; D006297:Health Services Accessibility; D018452:Homosexuality, Female / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D007494:Ireland; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards*; D008875:Middle Aged; D058996:Quality Improvement / Q000458:organization & administration; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology*; D055815:Young Adult
keywords: and transgender people; bisexual; gay; lesbian; mental health; nursing; service users