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Care Considerations for LGBTQ Patients in Acute Psychiatric Settings
Matthew Fadus1, Kenneth Hung1, Flávio Casoy1
1Department of Psychiatry, Massachusetts General Hospital, Boston (Fadus); Department of Psychiatry, Weill Cornell Medicine, New York, NY (Hung); LGBT Committee, Group for the Advancement of Psychiatry (Casoy).
Focus (American Psychiatric Publishing)
|November 9, 2020
Summary
This article outlines best practices for acute psychiatric care, focusing on the unique needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. It emphasizes culturally competent care from emergency arrival through discharge planning.
Area of Science:
- Psychiatry
- Health Equity
- Cultural Competency
Background:
- Acute psychiatric care requires effective risk assessment and a safe treatment environment.
- Discharge planning is crucial for successful long-term outcomes in acute psychiatric care.
- Current practices often overlook specific challenges faced by LGBTQ patients in acute settings.
Purpose of the Study:
- To highlight best practices for addressing the needs of LGBTQ patients in acute psychiatric settings.
- To improve the quality of care for LGBTQ individuals during psychiatric crises.
- To provide guidance on culturally competent care throughout the patient's hospital stay.
Main Methods:
- Review of current psychiatric practices in acute care.
- Identification of barriers faced by LGBTQ patients.
- Development of best practice recommendations for inclusive care.
Main Results:
- Current psychiatric care models inadequately address LGBTQ patient needs.
- Inclusive communication and culturally competent history taking are essential.
- Safe treatment environments and comprehensive discharge planning are vital for LGBTQ patients.
Conclusions:
- Implementing best practices ensures equitable and effective acute psychiatric care for LGBTQ individuals.
- Culturally competent approaches enhance patient safety and treatment outcomes.
- Addressing specific LGBTQ needs improves the overall quality of acute psychiatric services.
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