A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities

Cathleen E. Willging, Audrey Harkness, Tania Israel, David Ley, Patricia S. Hokanson, Catherine DeMaria, Aaron Joplin, Verida Smiley

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Mental health disparities affect lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in rural America. There are few empirically-based mental health interventions for this population. This exploratory study uses a mixed-method approach to assess implementation issues related to the feasibility, acceptability, appropriateness, and preliminary impacts of a novel peer-based intervention designed to enhance support and treatment engagement among rural LGBTQ people with mental distress and/or addiction issues. Quantitative and qualitative results illuminate intervention strengths and areas for improvement. Strengths centered on enhancing social support, advocacy behaviors, and engagement in treatment. Implementation challenges and recommendations to advance the intervention model are discussed.

Original languageEnglish (US)
Pages (from-to)395-409
Number of pages15
JournalCommunity Mental Health Journal
Volume54
Issue number4
DOIs
StatePublished - May 1 2018

Keywords

  • Intervention
  • LGBTQ
  • Mental health
  • Peer
  • Rural
  • Substance use

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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