Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment. Flentje, A., Livingston, N. A, Roley, J., & Sorensen, J. L J. Subst. Abuse Treat., 58:78--83, November, 2015. 00000
Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment [link]Paper  doi  abstract   bibtex   
OBJECTIVE: Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment. METHODS: Substance abuse treatment admissions data from the County of San Francisco were used in this investigation of differences in mental and physical health problems and service utilization between LGB (n=1,441) and heterosexual individuals (n=11,770). RESULTS: LGB individuals were more likely to have mental health diagnoses (adjORs ranging from 1.86 to 4.00) and current mental health prescription medications (adjORs from 1.79 to 4.99) than heterosexual counterparts. Gay and bisexual men and bisexual women but not lesbian women, were more likely to be receiving mental health treatment. Gay men and bisexual women were more likely than heterosexual counterparts to report physical health problems. Gay and bisexual men and bisexual women but not lesbian women were more likely to be receiving health care. There were no differences between LGB individuals and heterosexual counterparts in the number of emergency room visits or hospital overnight stays. DISCUSSION: This study found that LGB individuals entering substance abuse treatment have greater mental and physical health needs than heterosexual counterparts. Implications for healthcare integration, research, and practice are discussed.
@article{flentje_mental_2015,
	title = {Mental and {Physical} {Health} {Needs} of {Lesbian}, {Gay}, and {Bisexual} {Clients} in {Substance} {Abuse} {Treatment}},
	volume = {58},
	issn = {0740-5472},
	url = {http://dx.doi.org/10.1016/j.jsat.2015.06.022},
	doi = {10.1016/j.jsat.2015.06.022},
	abstract = {OBJECTIVE: Lesbian, gay, and bisexual (LGB) orientation predicts greater
substance use, treatment utilization, and poorer mental and physical
health, but health needs of LGB individuals in substance abuse treatment
remain largely unknown. The purpose of this study was to identify
differences in mental and physical health needs of LGB individuals in
substance abuse treatment. METHODS: Substance abuse treatment admissions
data from the County of San Francisco were used in this investigation of
differences in mental and physical health problems and service utilization
between LGB (n=1,441) and heterosexual individuals (n=11,770). RESULTS:
LGB individuals were more likely to have mental health diagnoses (adjORs
ranging from 1.86 to 4.00) and current mental health prescription
medications (adjORs from 1.79 to 4.99) than heterosexual counterparts. Gay
and bisexual men and bisexual women but not lesbian women, were more
likely to be receiving mental health treatment. Gay men and bisexual women
were more likely than heterosexual counterparts to report physical health
problems. Gay and bisexual men and bisexual women but not lesbian women
were more likely to be receiving health care. There were no differences
between LGB individuals and heterosexual counterparts in the number of
emergency room visits or hospital overnight stays. DISCUSSION: This study
found that LGB individuals entering substance abuse treatment have greater
mental and physical health needs than heterosexual counterparts.
Implications for healthcare integration, research, and practice are
discussed.},
	journal = {J. Subst. Abuse Treat.},
	author = {Flentje, Annesa and Livingston, Nicholas A and Roley, Jason and Sorensen, James L},
	month = nov,
	year = {2015},
	note = {00000},
	keywords = {Lesbian, gay, bisexual, Mental health disparities, Physical health disparities, Sep 20 import, Substance abuse treatment, duplicate},
	pages = {78--83}
}

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