RESUMEN
The COVID-19 pandemic necessitated an immediate response and rapid transition from traditional face-to-face behavioral health services to behavioral telehealth at an organization serving sexual and gender diverse (SGD) individuals in Chicago. In this practice innovations article, we explore the unfolding public health crisis and the impact on service delivery for SGD individuals. Using a large multi-service organization as a case study, this paper describes how key members of the staff and leadership team shifted services online as a means of responding to isolation, loneliness, and disparities in access to healthcare for Chicago SGD communities. Lessons learned and practice recommendations are presented.
Asunto(s)
COVID-19/epidemiología , Disparidades en Atención de Salud/organización & administración , Servicios de Salud Mental/organización & administración , Minorías Sexuales y de Género , Telemedicina/organización & administración , Chicago/epidemiología , Humanos , Pandemias , SARS-CoV-2RESUMEN
A large percentage of youth involved in the juvenile justice system experience mental health problems, yet many do not receive mental health care. In this study, we used a process-focused framework of mental health decision making to gain insight into the use of mental health services among these youth. In-depth interviews were conducted with nine youth and nine parents participating in a program servicing youth with mental health problems who have been in detention. Themes related to problem recognition, the decision to seek and participate in services, subjective norms, and juvenile justice system involvement emerged. Most families acknowledged their youth was having problems, but few defined those problems in mental health terms. This did not prevent them from seeking services, although some were not able to access adequate services until the justice system became involved. Participants were aware of negative attitudes about mental illness, and might have limited their social networks to shield themselves.
Asunto(s)
Delincuencia Juvenil/psicología , Trastornos Mentales/rehabilitación , Servicios de Salud Mental/estadística & datos numéricos , Relaciones Padres-Hijo , Padres/psicología , Adolescente , Toma de Decisiones , Femenino , Humanos , Masculino , Trastornos Mentales/diagnóstico , Trastornos Mentales/epidemiología , Aceptación de la Atención de Salud , Investigación CualitativaRESUMEN
Although the lesbian, gay, and bisexual (LGB) community has seen new protections and benefits in the last quarter century, LGB people continue to experience stigmatization throughout American society. Social work research that frames the LBG community and its members as disenfranchised, marginalized, and oppressed tends to support a stigmatizing attitude toward LGB people. Social work research with the LGB community and its members must shift from a focus on pathology to strengths and resources. This article examines the potential application of a strengths perspective and its usefulness in reshaping the discourse on stigmatization of the LGB community and its members.