Lesbian, Gay, and Transgender Persons with Severe Mental Illness: Negotiating Wellness in the Context of Multiple Sources of Stigma

Abstract

The experiences of lesbian, gay, and transgender (LGT) individuals with severe mental illness (SMI) have received minimal attention within the clinical and research literatures despite evidence to suggest that these groups receive inadequate psychiatric services. In the present study, 11 individuals from a midsized Canadian city who self-identified as lesbian, gay, or transgender were interviewed about their experiences of sexual identity, gender, mental illness, and psychiatric services. Their narratives were analyzed using grounded theory methods. The findings highlight the complex interactions of the stigma associated with mental illness and LGT identities, as well as the illness and identity-related challenges these persons face in psychiatric services. The participant narratives also speak to resilience and wellness, suggesting that these are cultivated through connection and community. Finally, strategies that service providers can use to deliver more effective services for this population are discussed.

Keywords:

• Gay
• Lesbian
• Qualitative
• Severe mental illness
• Sexual minority
• Stigma
• Transgender

Appreciation is extended first and foremost to the participants in this study for their investment in this project and their willingness to share their stories and wisdom. Appreciation is also extended to the St. Joseph's Healthcare-Hamilton clinicians who referred clients to participate in this study, particularly to Jodi Younger and Mental Health Rehabilitation Services.