scholarly journals Health Care Experiences of Transgender Binary and Nonbinary University Students

2019 ◽  
Vol 47 (1) ◽  
pp. 59-97 ◽  
Author(s):  
Abbie E. Goldberg ◽  
Katherine A. Kuvalanka ◽  
Stephanie L. Budge ◽  
Madeline B. Benz ◽  
JuliAnna Z. Smith
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Graduate Students ◽  
Undergraduate Students ◽  
Service Providers ◽  
Health Providers ◽  
Gender Identities ◽  
Health Care Experiences ◽  
Health Service Providers ◽  
Nonbinary Gender

An increasing number of young adults identify with nonbinary gender identities. Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we aimed to understand participants’ mental health and health care experiences, and factors related to misgendering and less affirming treatment by providers. Eighty-five percent of participants reported mental health challenges, and named fear of violence and nonsupport as distal stressors. Experiences with therapists and health providers were mixed. Salient features of negative interactions were invalidation, avoidance, or overemphasis in regard to participants’ nonbinary identities. Participants viewed counseling services as more affirming than health services. Nonbinary students reported more misgendering by therapists and health providers, and less trans-affirming care by health service providers, compared to binary students. Undergraduate students reported more misgendering by therapists and health providers than graduate students.

More and More is Less and Less

1985 ◽  
Vol 146 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Alex Richman ◽  
Arthur Barry
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mentally Ill ◽  
Help Seeking ◽  
Psychiatric Care ◽  
Service Providers ◽  
Unmet Need ◽  
Health Service Providers

SummaryThe idea of massive unmet need for mental health services is a myth, generated and perpetuated by processes within the system which provides psychiatric care and within society. Diffusion of the traditional boundaries of mental health care, lack of norms and standards, medicalisation and ‘healthism’, specialoid practice and patient selection, diversion of resources from the longterm mentally ill and their absorption by better-functioning patients, substitution and development of new mental health service providers, and changes in the threshold for help-seeking all affect our assumptions of need. Needs are less massive, if the boundaries of psychiatry are defined so as to include only those disorders which the profession is best able to treat.

scholarly journals Health Care Experiences of Patients with Nonbinary Gender Identities

2021 ◽  
Author(s):  
Jay Bindman ◽  
Azze Ngo ◽  
Sophia Zamudio-Haas ◽  
Jae Sevelius
Keyword(s):  
Health Care ◽  
Gender Identities ◽  
Health Care Experiences ◽  
Nonbinary Gender

Nonbinary Gender Identities

2018 ◽  
Author(s):  
Peter Hegarty ◽  
Y. Gavriel Ansara ◽  
Meg-John Barker
Keyword(s):  
Mental Health ◽  
Social Norms ◽  
Gender Identities ◽  
Health Culture ◽  
Gender Binary ◽  
Nonbinary Gender ◽  
Language And Cognition ◽  
Binary Options ◽  
Gender Categories ◽  
Binary Gender

This chapter concerns nonbinary genders; identities and roles between or beyond gender categories such as the binary options ‘women and men,’ for example. We review the emerging literature on people who do not identify with such binary gender schemes, unpack the often-implicit logic of thinking about others through the lens of gender binary schemes, and briefly describe some other less-researched, but longstanding cultural gender systems which recognize nonbinary genders. This chapter makes the case that consideration of nonbinary genders is germane to several core topics in psychology including identity, mental health, culture, social norms, language, and cognition.

Recovery Star: validating user recovery

2012 ◽  
Vol 36 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Geoff Dickens ◽  
Judy Weleminsky ◽  
Yetunde Onifade ◽  
Philip Sugarman
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Mental Health Problems ◽  
Service Providers ◽  
Mental Health Recovery ◽  
Addictive Behaviour ◽  
Health Service Providers ◽  
The Uk

Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.

Trauma, mental health, and health care experiences of lesbian and bisexual women in Rwanda.

2021 ◽  
Author(s):  
Tonda L. Hughes ◽  
Ellen D. B. Riggle ◽  
Patricia Moreland ◽  
Rebecca White ◽  
Darius Gishoma
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Bisexual Women ◽  
Health Care Experiences ◽  
And Bisexual

Evaluation of an Online System for Routine Outcome Monitoring: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Deanna Wiebe ◽  
Pria Nippak ◽  
Julien Meyer ◽  
Shannon Remers
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Service Providers ◽  
Routine Outcome Monitoring ◽  
Completion Rates ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Online System ◽  
Health Service Providers ◽  
Outcome Monitoring

BACKGROUND The use of Routine Outcome Monitoring (ROM) in the treatment of mental health has emerged as a method of improving psychotherapy treatment outcomes. Despite this, very few clinicians regularly use ROM in clinical practice. Online ROM has been suggested as a solution to increase adoption. OBJECTIVE To identify the influence of moving ROM online on client completion rates of self-reported outcome measures and to identify implementation and utilization barriers to online ROM by assessing clinicians’ views on their experience utilizing the online system over previous paper-based methods. METHODS Client completion rates of self-reported outcome measures were compared pre and post implementation of an online system of ROM. In addition, a survey questionnaire was administered to 340 mental health service providers regarding their perception of benefits with an online system of ROM. RESULTS Client completion rates of self-reported measures increased from 15% to 54% after moving online. Fifty-eight% of service providers found the new system less time consuming than previous paper-based ROM and 64% found that it helped monitor clients. However, the perceived value of the system remains in doubt as only 23% found it helped them identify clients at risk for treatment failure, and only 18% found it strengthened the therapeutic alliance. CONCLUSIONS Although the current study suggests mixed results regarding service providers’ views on their experience using an online system for ROM, it has identified barriers and challenges that are actionable for improvement.

Sign in / Sign up

Export Citation Format

Share Document