학술논문
Multidisciplinary providers' perspectives on engaging young black, gay, bisexual and other men who have sex with men living with HIV in mental health care services.
Document Type
Article
Author
Source
Subject
*PSYCHOLOGICAL stress
*HIV infections
*PRIVACY
*BIOPSYCHOSOCIAL model
*HEALTH services accessibility
*ATTITUDES of medical personnel
*HUMAN sexuality
*SOCIAL stigma
*MENTAL health
*INTERVIEWING
*PSYCHOLOGY of gay people
*PATIENTS' attitudes
*QUALITATIVE research
*HOMOSEXUALITY
*PRIMARY health care
*HEALTH care teams
*PSYCHOSOCIAL factors
*SEXUAL minorities
*SEX customs
*MEDICAL ethics
*RESEARCH funding
*MEN who have sex with men
*INTEGRATED health care delivery
*THEMATIC analysis
*AFRICAN Americans
*BISEXUAL people
*MENTAL health services
*PSYCHOLOGY of HIV-positive persons
*COMORBIDITY
*MEDICAL needs assessment
*ADULTS
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Language
ISSN
0954-0121
Abstract
Young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) living with HIV are at high risk for psychological stressors and comorbidities. We sought to gain the perspectives of multidisciplinary providers (including HIV care, mental health care, and social service providers) on their experiences with engaging YB-GBMSM in mental health care within comprehensive HIV primary care centers that included both types of services on-site. We conducted qualitative in-depth interviews with fifteen providers in two clinics, and analyzed the qualitative data using a thematic analysis approach. Our participants described high levels of need for mental health services among YB-GBMSM living with HIV, due to psychological challenges related to living with HIV as well as other frequently occurring life stressors. At the same time, barriers to accessing these services were identified, with mental health stigma, under-recognition of symptoms and confidentiality concerns being the most commonly cited. Strategies to improve mental health service uptake in light of these needs and barriers were discussed, including re-framing of mental health services, addressing logistical barriers, and utilization of a biopsychosocial perspective. [ABSTRACT FROM AUTHOR]