“What Works” to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach

McDermott, Elizabeth; Eastham, Rachael; Hughes, Elizabeth; Johnson, Katherine; Davis, Stephanie; Pryjmachuk, Steven; Mateus, Ceu; McNulty, Felix; Jenzen, Olu

Abstract

Despite overwhelming international evidence of elevated rates of poor mental health in LGBTQ+ youth compared to their cis-heterosexual peers, we know relatively little about effective mental health services for this population group. This study aims to produce the first early intervention model of “what works” to support LGBTQ+ youth with emerging mental health problems. Utilizing a mixed method case study, we collected data across 12 UK mental health service case study sites that involved: (a) interviews with young people, parents, and mental health practitioners (n = 93); (b) documentary analysis; (c) nonparticipant observation. The data analysis strategy was theoretical using the “explanation-building” analytical technique. Our analysis suggests an intersectional youth rights approach with 13 principles that must be enacted to provide good mental health services as advocated by the United Nations Convention on the Rights of the Child and World Health Organization. This approach should address the multiple forms of marginalization and stigmatization that LGBTQ+ youth may experience, enable informed independent decision-making, and uphold the right to freedom of safe self-expression. A rights-based approach to mental health services for LGBTQ+ young people is not prominent. This needs to change if we are to tackle this mental health inequality and improve the mental well-being of LGBTQ+ youth worldwide.

Citation

McDermott, E., Eastham, R., Hughes, E., Johnson, K., Davis, S., Pryjmachuk, S., Mateus, C., McNulty, F., & Jenzen, O. (2024). “What Works” to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach. International Journal of Social Determinants of Health and Health Services, 54(2), 108-120. https://doi.org/10.1177/27551938241230766

• Journal Article Type: Article
• Acceptance Date: Nov 6, 2023
• Online Publication Date: Feb 22, 2024
• Publication Date: 2024-04
• Deposit Date: Mar 15, 2024
• Publicly Available Date: Mar 15, 2024
• Journal: International Journal of Social Determinants of Health and Health Services
• Print ISSN: 2755-1938
• Electronic ISSN: 2755-1946
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 54
• Issue: 2
• Pages: 108-120
• DOI: https://doi.org/10.1177/27551938241230766
• Keywords: LGBTQ+, young people, mental health support, early intervention, gender minorities, sexual minorities, human rights, intersectional, youth rights
• Public URL: http://researchrepository.napier.ac.uk/Output/3564378