Social services for sexual minority youth: Preferences for what,where, and how services are delivered

As part of an internet-based study to investigate experiences of sexual minority youth in the U.S., 544 youth, ages 14–19, were surveyed about their need for services, where they preferred to receive these services, and their preferred method of service delivery. The survey was anonymous and youth were recruited from LGBTQ-specific listservs and venues as well as through social networking sites as a way of reaching youth often not represented in LGBTQ surveys. Youth highly endorsed many types of services, settings, and modes of delivery. Some subgroup differences emerged. Transgender youth and those uncertain about their gender identity expressed stronger interest than others in services to address stress, family issues, and self-defense, and in receiving support and guidance from LGBTQ adults. Few differences in service preferences along demographic lines such as race/ethnicity emerged; however, African American youth were more likely than others to prefer services offered in a place of worship. Contrary to predictions, geographic and community variables were not related to service type, delivery format, or location preferences.     

Comparison of Treatment Response among GLB and non-GLB Street Living Youth

Researchers have found that adolescents who identify as gay, lesbian, or bisexual (GLB) are at a higher risk for increased substance use and mental health symptoms. The current study is a secondary analysis of two clinical trials for street-living youth. This analysis examines self-identification as GLB as a moderator of treatment effects and addresses whether street-living GLB youth respond differently to a therapeutic intervention than non-GLB street-living youth. Comparisons were made of treatment outcomes on two categories of variables (drug use and mental health symptoms) among 244 homeless GLB and non-GLB identified adolescents. Overall, GLB and non-GLB adolescents showed similar reductions in drug use and mental health symptoms. However, compared to non-GLB adolescents, GLB adolescents showed greater improvement in reduction of drug use and internalizing and depressive symptom scores. While both groups reported less drug use and fewer mental health symptoms from baseline to post-intervention, GLB youth's scores improved more drastically. Implications of using the identified treatment intervention are discussed.     

Empowering Lesbian,Gay, Bisexual,and Transgender Youth: Lessons Learned From a Safe Schools Summit

ABSTRACT

The bullying of lesbian, gay, bisexual, and transgender (LGBT) youth in schools is a significant problem in the United States. This study examined responses of youth participants at a statewide Safe Schools Summit to a survey of their experiences with school-based violence, harassment, and discrimination, and of the effects of their attendance at the Summit. Quantitative analyses found that 92% of respondents felt “more empowered” following participation in the Summit. Qualitative analyses found several emerging themes related to respondents' experiences with victimization (leading to a sense of powerlessness and attempts at self-protection) and to their experiences at the Summit itself (leading to catharsis, strengthened skills, and a commitment to confront bullies and to make schools safer). A conceptual model of the interaction of these factors is presented and implications for further research and practice are discussed.     

Nonmetropolitan sexual and gender minority youths' friendships: Perceptions of social support among SGM and non-SGM peers

ABSTRACT

Sexual and gender minority (SGM) youth are at risk of victimization which can lead to poor outcomes. Social support can mitigate the effects of minority stressors, yet little is known about social support among nonmetropolitan SGM youth. This study utilized minority stress theory (Meyer, 2003) and Weeks' (1996) theory of how sexual minority communities are constructed to understand how nonmetropolitan SGM youth perceive the support they receive from SGM and non-SGM friends. Qualitative interviews were conducted with nonmetropolitan SGM youth. Youth received general emotional support, relationship advice, and protection from SGM and non-SGM friends. From their SGM friends, participants reported receiving greater closeness and emotional intimacy and assistance with SGM identity development. Participants indicated that receiving acceptance for their SGM identity was important from their non-SGM friends. Participants also discussed the limits to support their non-SGM friends could offer. Implications for practice and research are discussed.     

Mental health and substance use of sexual minority college athletes

ABSTRACT

Objective: Assess the mental health and substance use of sexual minority collegiate student-athletes in the United States, as compared with heterosexual college students and heterosexual student-athletes. Participants: Undergraduate students (N = 196,872) who completed the American College Health Association's National College Health Assessment (Fall 2008–Fall 2012 administrations). Methods: Written cross-sectional survey. Results: Sexual minority student-athletes had a higher risk of experiencing mental health difficulties than their heterosexual athlete peers. There were no significant differences in mental health between sexual minority male athletes and nonathletes. Sexual minority female athletes appeared to fare better than nonathlete peers. Substance use was greater among sexual minority students (athlete and nonathlete) and was mediated by mental health. Conclusions: Participation in athletics does not appear to be associated with an elevated risk of negative mental health outcomes for sexual minority participants; however, there are disparities in mental health outcomes by sexual orientation regardless of athletics participation.     

Building cultural competence: A systematic evaluation of the effectiveness of culturally sensitive interventions with ethnic minority youth

Growing diversity within the US population accentuates the need for the development and implementation of culturally competent services in the field of child welfare. Despite this, few studies exist that examine the effectiveness of culturally sensitive interventions (CSIs) with ethnic minority populations, who are considerably more at risk of developing psychosocial problems including substance and alcohol abuse, delinquency, low academic achievement, and poor self-esteem. With the demand for evidence-based practice it is imperative that we examine the effectiveness of CSIs designed to prevent and treat youth problems. The main goal of this review was to systematically analyze the methodology of recent CSI research with populations of ethnic minority youth in order to evaluate each intervention's ability to adhere to existing standards of evidence-based practice. The fifteen CSI studies examined in this review illustrate progress in their attempt to adhere to the methodological rigor required of evidence-based practice. This review encourages the field of child welfare to position itself analogously with and embrace the movement toward building cultural competence by further investigating the effectiveness of culturally-sensitive interventions with ethnic minority youth.     

The response of youth to racial discrimination: implications for resilience theory

This paper presents a qualitative participatory study of Canadian young people who identified themselves as visible minorities and who have experienced discrimination based on their skin colour or ethnicity. Eighteen participants aged 15–24 (12 girls and 6 boys), representing four ethnic minority groups, participated in focus groups and in-depth interviews and shared their responses to racial discrimination against them. Analysis of the data from the four discussion groups reveals that racism occurs in everyday situations and places, a lot of times manifesting itself as subtle forms of discrimination. Our findings also suggest that most of the participants tend to employ non-confrontational approaches when dealing with racial violence against them, and provide us with the rationale behind their intentions. Further, youth are not uniformly impacted by racialized events, and therefore the coping strategies they use vary based on individual and contextual factors. Three common strategies for healing can be derived from the participants’ narratives: expressive-emotional, spiritual-forgiving and communicative-relational. We discuss our findings in the light of theoretical frameworks of resilience and coping approaches and argue that young people’s subjective appraisals of racialized events as well as contextual factors need to be addressed in any discussion on coping and resilience within minority youth populations.     

Managing moods and parenting: Perspectives of former system youth who struggle with emotional challenges

Young adults who were served in public systems of care as children are much more likely than their peers to be parenting in adolescence and young adulthood. They are also more likely than their counterparts to have a history of mental health problems. This study examined the perspectives of young adult parents with mood problems who had been involved in public systems of care before age 18. Qualitative interviews with twenty-eight participants were analyzed to examine the experience of managing moods and parenting. Young parents described how their symptoms impact their parenting and how parenting impacts their coping. They also described the strengths and challenges of using mental health services while parenting. Findings highlight the need to provide interventions that include supports for both parenting and symptom management and for providers to include both tangible and emotional support in their interventions.     

Former system youth with mental health needs: Routes to adult mental health care, insight, emotions, and mistrust

Objective

Public health concern surrounding the mental health needs of former system youth is escalating. We know very little about mental health service utilization on the other side of the developmental transition to adulthood. The purpose of this study was to explore the mental health service use experiences among former system youth with childhood histories which included mental disorder, use of publicly-funded mental health services, and use of additional public systems of care.

Methods

In-depth face-to-face interviews were conducted with 60 participants currently struggling with mental health difficulties regarding their service use experiences over the transition. Participants were recruited from one Midwestern state. Multi-phase analysis was conducted utilizing immersion/crystallization, constant comparison and concept matrices.

Results

Few participants received continuous mental health care across the transition, with the majority experiencing interruptions or discontinuation of care. Important facilitators of service use emerged, such as physicians, former caseworkers and family. Health clinics and parenting programs emerged as potential entrée points for reconnecting disengaged young adults to mental health services. Insight, mistrust, and emotions emerged as novel factors associated with service utilization among young adults.

Conclusions

Mental health service utilization remains a complicated phenomenon over the developmental transition to adulthood. Future research is needed that closely examines the associations between insight, emotion, mistrust and service use among young adults.     

Strengths and coping strategies in the life narratives of sexual minority women

This study explored self-described strengths and strategies for coping with stress among sexual minority women (SMW), drawing on qualitative narratives of sexual minority and heterosexual women who were recruited from a population-based sample. In-depth follow-up qualitative telephone interviews were conducted with 48 women who had participated in the National Alcohol Survey, a U.S. population-based survey. Participants included 25 SMW and 16 matched exclusively heterosexual women. Narrative data were analyzed using inductive thematic analysis and constant comparison to explore the study aim, with an emphasis on themes that diverged or that were particularly salient for SMW relative to heterosexual women. Strengths and coping strategies that were especially meaningful in the narratives of sexual minority women emerged in two areas. First, participants described development of intrapersonal strengths through nurturing an authentic sense of self and embracing multifaceted identity. Second, participants described multiple strategies for cultivation of interpersonal resources: navigating distance and closeness with family of origin, cultivating supportive friends and chosen family, connecting to community, finding solace and joy with animals, and engaging in collective action. Findings underscore the importance of considering protective factors that are salient to SMW in developing or refining prevention and intervention efforts.     

Mental health and substance use disorders among foster youth transitioning to adulthood: Past research and future directions

At a time when there is increasing attention being given to systematically integrating the well-being of children with the goals of safety and permanence in child welfare, little is known about the psychosocial functioning of foster youth transitioning to adulthood from substitute care. This article systematically reviews 16 peer-reviewed articles and/or research reports to identify lifetime and past year prevalence rates of mental health disorders and service utilization. At ages 17 or 18, foster youth are 2 to 4 times more likely to suffer from lifetime and/or past year mental health disorders compared to transition aged youth in the general population. Findings show that mental health service use declines at ages when the prevalence rate of mental health disorders is peaking. The findings of this review suggest the need to focus future efforts in three main areas: 1) setting a common research agenda for the study of mental health and service use; 2) routine screening and empirically supported treatments; and 3) integration and planning between child and adult mental health service systems.     

Where Risks and Protective Factors Operate Differently: Homeless Sexual Minority Youth and Suicide Attempts

Using a sample of 628 homeless youth and young adults from eight US cities, this study examines whether the relationship between having been in custody of social services and suicide attempts, and the relationship between engaging in survival sex and suicide attempts differ based on sexual orientation. Findings suggest that being in custody of social services is associated with a significant increase in likelihood of suicide attempts for heterosexual youth, it does not, however, significantly change the already increased risk of suicide attempts for sexual minority youth. Engaging in survival sex appears to be associated with increased risks of suicide attempts for both heterosexual and sexual minority youth, but the increase in likelihood is much stronger for heterosexual youth than for sexual minority youth. Implications for practice and future research are discussed.

Sexuality and the city: exploring the experience of minority sexual identity through storytelling

This article explores the discursive construction of sexual identity through organizational storytelling, in the London office of a global investment bank, InvestCo. Work on the identity of sexual minorities in work organizations is rare, and even more so in the context of an institution such as a bank. Minority sexual identities have largely been ignored by the organizational studies and diversity literatures, but organizations and the researchers who study them, are starting to turn their attention to this previously silenced population. A major difficulty for researchers in this area, and one which has been well researched and documented in other areas of identity construction, is how to access and research this area. This article puts forward the idea that storytelling is an effective way of exploring this still sensitive topic. The results of the research are presented according to different ways in which minority sexual identity is constructed in organizations. This includes a discussion of social identities, displayed and hidden identities, changing identities, accepted and castigated identities and finally congruent and incongruent identities. The article also identifies themes which emerge from the stories about the stories themselves; themes of hidden identities, mistakes, victimhood and resistance. Although of relevance to those interested in the experience of sexual minorities in organizations, the storytelling discursive approach opens up the subject's experiences to a wider audience interested in diversity, discourse theory, ethnography and organizational life in general. The level of access is unusual and the double level story telling research approach could be of use in other areas.     

Factors predicting student intervention when witnessing anti-LGBTQ harassment: The influence of peers,teachers, and climate

Bullying and harassment are systemic problems in schools, especially for sexual minority youth. Previous research suggests the importance of addressing student intervention in cases of bullying, but little is known about how to encourage this kind of intervention, particularly in response to anti-LGBTQ bullying. The present study used data collected through a participatory action research project to examine three factors' impact on students' intentions to intervene: hearing homophobic language, seeing teachers intervene, and seeing other students intervene. In the final model, seeing other students intervene (β = .19, p < .001) had a more significant positive effect on a students' own likelihood to intervene than seeing teachers intervene (β = .07, p < .05). In multivariate analysis, frequency of hearing homophobic language did not impact student's likelihood to intervene. Findings suggest the importance of youth leadership in multi-level anti-bullying programs.     

Minority Stress,Emotion Regulation,and the Parenting of Sexual-Minority Youth

ABSTRACT

Despite increasing societal acceptance of sexual-minority individuals, there are still gay, lesbian, and bisexual (GLB) adolescents who experience negative mental health outcomes. Minority stress theory posits that stigma-related stress associated with sexual-minority status drives increased risk among GLB individuals. Furthermore, recent evidence suggests that minority stress impacts emotion regulation (ER), identified as a particularly important risk factor for sexual-minority youth (SMY). Current research has identified some aspects of parenting contribute to GLB youth's mental health. We review the literature in these areas, and also integrate research from the broader developmental field on families and emotion socialization in order to identify the need for studies of parenting that go beyond existing data on parental acceptance and supportiveness of youth's sexual orientation. Limitations of the current literature and directions for future research are discussed, with specific focus on implications for interventions with SMY and their families.     

Patching Holes and Integrating Community: A Strengths-Based Continuum of Care for Lesbian,Gay, Bisexual,Transgender and Questioning Youth

This article describes an integrated model of service provision called a continuum of care (CoC), and illustrates the application of this approach to working with lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth through a case example. The CoC described in this article includes provision of individual and group counseling, case management, housing/family supports, socialization events, and prevention workshops, along with relevant outcomes. The relevance of a CoC model for LGBTQ youth due to the inclusion of community context and potential to empower service users is explored. Key recommendations for CoC models with LGBTQ youth include a focus on collaboration, provider education, and affirmative practice, and incorporating service user feedback.     

Beyond resilience: Resistance in the lives of LGBTQ youth

Resilience has come to define a wide breadth of impactful research on marginalized groups, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. This resilience framework shifted the deficit “at-risk” model of research on marginalized populations to a more nuanced strengths-based perspective. In this critical review article, we examine this research trend to understand how the shift to resilience has shaped patterns of LGBTQ youth research. In doing so, this piece calls for a more sophisticated engagement with operationalizing resilience–which is vaguely defined and often upholds dominant relations in society, such as capitalistic, heteronormative values of success and happiness. We show how a shift to understanding resistance, joy, and pleasure in LGBTQ youth's lives promotes a more dynamic and complicated look at how marginalized groups navigate their social worlds and exert power in shaping these worlds. Acknowledging and uplifting LGBTQ youth's resistance and power are necessary in pushing scholarly dialogue and the possible interventions informed by research towards a more fully transformative framework in changing and dismantling oppressive societal structures.     

The mobility imperative for rural youth: the structural,symbolic and non-representational dimensions rural youth mobilities

Mobilities of money, symbols and young people themselves are central to the formation of the contemporary youth period. While rural young people remain marginal to theoretical development in youth studies, this paper shows that mobilities are especially significant for rural youth, who experience a kind of mobility imperative created by the accelerating concentration of economic and cultural capital in cities. Drawing on theory and evidence from contexts including Europe, Australia, Africa and South America, this paper explores the mobility imperative for rural youth and offers a new theoretical framework for understanding rural youth mobilities. The framework understands mobilities across three dimensions: the structural, the symbolic and the non-representational. These dimensions refer to material inequalities between rural and urban places in a global context; symbolic hierarchies that concentrate the resources for ‘youthfulness’ in cities and the affective entanglements between embodied subjectivities and spaces that emerge as young people move. The paper shows how these dimensions interact in the production and experience of the mobility imperative, offering an ontological and theoretical platform for future research into rural youth mobilities.     

Peer cultural socialisation: a resource for minority students’ cultural identity,life satisfaction,and school values

ABSTRACT

This study investigated how peers can contribute to cultural minority students’ cultural identity, life satisfaction, and school values (school importance, utility, and intrinsic values) by talking about cultural values, beliefs, and behaviours associated with heritage and mainstream culture (peer cultural socialisation). We further distinguished between heritage and mainstream identity as two separate dimensions of cultural identity. Analyses were based on self-reports of 662 students of the first, second, and third migrant generation in Germany (Mean age = 14.75 years, 51% female). Path analyses revealed that talking about heritage culture with friends was positively related to heritage identity. Talking about mainstream culture with friends was negatively associated with heritage identity, but positively with mainstream identity as well as school values. Both dimensions of cultural identity related to higher life satisfaction and more positive school values. As expected, heritage and mainstream identity mediated the link between peer cultural socialisation and adjustment outcomes. Findings highlight the potential of peers as socialisation agents to help promote cultural belonging as well as positive adjustment of cultural minority youth in the school context.