In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada

Lesbian, gay, bisexual, trans, and/or queer (LGBTQ) people face barriers to accessing mental health care; however, we know little about service experiences of low income LGBTQ people. In this qualitatively-driven mixed methods study, over 700 women and/or trans people completed an internet survey, o...

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Bibliographic Details
Published in:PloS one 2018-08, Vol.13 (8), p.e0201437
Main Authors: Ross, Lori E, Gibson, Margaret F, Daley, Andrea, Steele, Leah S, Williams, Charmaine C
Format: Article
Language:English
Subjects:
Adult
Bisexual
Bisexuality
Bisexuals
Female
Gays & lesbians
Gender identity
Health care
Health care industry
Health services
Health Services Accessibility
Humans
Income
Lesbians
Low income groups
Male
Medical personnel
Medicine and Health Sciences
Mental Disorders - epidemiology
Mental Disorders - therapy
Mental health
Mental Health Services
Methods
Middle Aged
Mixed methods research
Ontario
People and Places
Poverty
Public sector
Qualitative research
Sexual and Gender Minorities
Social aspects
Social Sciences
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Summary:Lesbian, gay, bisexual, trans, and/or queer (LGBTQ) people face barriers to accessing mental health care; however, we know little about service experiences of low income LGBTQ people. In this qualitatively-driven mixed methods study, over 700 women and/or trans people completed an internet survey, of whom 12 LGBTQ individuals living in poverty participated in interviews. Low income LGBTQ respondents saw more mental health professionals and had more unmet need for care than all other LGBTQ/income groups. Narrative analysis illustrated the work required to take care of oneself in the context of extreme financial constraints. These findings highlight the mechanisms through which inadequate public sector mental health services can serve to reproduce and sustain both poverty and health inequities.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0201437