title: Sexuality and mental health: Issues and what next?
abstract: Human sexuality plays a major role in an individual's existence and functioning. In addition, rightly or wrongly sexuality often defines people and also affects social attitudes. These attitudes, if negative, can contribute to stigma and prevent people from help seeking if they are suffering from mental health problems. Recent changes in policy towards same-sex relationships have been positive in many countries including the UK and the USA, whereas in others such as Russia and Uganda attitudes have become more negative and punitive. Sexual activity is seen as having both pleasurable and procreational functions which contribute to society's attitudes to homosexual behaviour. Inevitably, individual responses to their own sexuality and sexual behaviour will be influenced by social attitudes. To ensure that those with various sexual variations can access psychiatric services without discrimination, various levels of interventions are needed. Here we discuss different levels of intervention and organizational change that may make it possible. Social organization and institutional organization of services need to be sensitive, especially as rates of many mental disorders are high in individuals who may be sexually variant. Those providing services need to understand their own negative attitudes as well as prejudices to ensure that services are emotionally accessible.
authors.affiliation: a Flynn Inpatient Psychiatric Unit, La Trobe Regional Hospital (LRH), LRH Mental Health Services , Traralgon, Victoria , Australia ;
authors.forename: Gurvinder
authors.initials: G
authors.lastname: Kalra
authors.affiliation: b Department of Clinical and Experimental Medicine, University of Foggia , Foggia , Italy ;
authors.forename: Antonio
authors.initials: A
authors.lastname: Ventriglio
authors.affiliation: c Health Service and Population Research Department, Institute of Psychiatry , King's College London , De Crespigny Park, London , UK.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Bhugra
mesh_terms: D006296:Health Services / Q000592:standards*; D006801:Humans; D008603:Mental Health / Q000592:standards*; D011287:Prejudice; D019529:Sexuality
keywords: Homosexuality; mental health services; organisations; sexual variation