{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:22:08Z","timestamp":1792758128761,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2016,5,30]],"date-time":"2016-05-30T00:00:00Z","timestamp":1464566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To develop an understanding of lesbian\u2010, gay\u2010, bisexual\u2010, transgender\u2010specific mental health and substance abuse needs in rural populations and to improve data about sexual orientation and gender identity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Existing literature on mental health needs for lesbian, gay, bisexual and transgender populations has continued to reveal higher levels of need. Research has also demonstrated that few mental health providers have expertise or comfort in treating lesbian, gay, bisexual and transgender clients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Descriptive correlational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A sample (<jats:italic>n<\/jats:italic>\u00a0=\u00a0456) of patient records admitted to a rural lesbian, gay, bisexual and transgender inpatient psychiatric clinic over 12\u00a0months were examined using descriptive statistics. Patient zip code information was used to determine the levels of rurality. Chi\u2010square analysis was used to determine relationships between sexual orientation, rural\/urban distinctions and concomitant drug use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Unexpectedly, those who identified as heterosexual were significantly more likely to concomitantly abuse alcohol and heroin than those who identified as lesbian, gay, bisexual and transgender. Patients residing in small or isolated rural areas were more likely to abuse alcohol or synthetics than those residing in urban or micropolitan areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results of this study concerning substance abuse among lesbian,\u00a0gay, bisexual and transgender individuals are not reflective of prior studies. LGBT patients did not demonstrate a higher proportion of substance abuse compared with those identifying as heterosexual. Increased substance abuse among those from rural isolated areas does support prior studies. The\u00a0context of gathering demographic information on sexual orientation was\u00a0thought by staff to increase the number of those identifying as heterosexual.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Context in which sensitive questions are asked\u00a0may affect the accuracy of demographic data. Lack of information regarding patients\u2019 sexual orientation or gender identity may impact perceived need for culturally competent care. Results suggest the need for efforts to provide training for mental health specialists in rural areas to provide sensitive care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13253","type":"journal-article","created":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T04:26:48Z","timestamp":1464668808000},"page":"3570-3576","source":"Crossref","is-referenced-by-count":6,"title":["A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs"],"prefix":"10.1111","volume":"25","author":[{"given":"Ralph","family":"Klotzbaugh","sequence":"first","affiliation":[{"name":"University of Massachusetts Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Glover","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2012.743497"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10894160903060325"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2014.872515"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2014.872486"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.3561"},{"key":"e_1_2_12_7_1","unstructured":"GrantJM MottettLA &TanisJ(2011).Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. 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