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Implementing Behavioral Health Services at a Community-Based LGBTQ+ Clinic.

Philip A Chan1, Peter Salhaney2, Jen Etue2

  • 1Department of Medicine, Warren Alpert Medical School of Brown University; Open Door Health, Rhode Island Public Health Institute, Providence, Rhode Island.

Rhode Island Medical Journal (2013)
|May 27, 2026
PubMed
Summary
This summary is machine-generated.

Integrated behavioral health (IBH) services significantly increased for LGBTQ+ individuals in a community clinic. This program improved access to vital behavioral health care for underserved populations.

Keywords:
ImplementationIntegrated Behavioral HealthLGBTQ+ HealthMental HealthPrimary Care

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Area of Science:

  • Public Health
  • Behavioral Health Services
  • Health Equity

Background:

  • Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals experience a higher burden of behavioral health conditions compared to heterosexual individuals.
  • There is a critical need for improved access to behavioral health services within the LGBTQ+ community.
  • Integrated Behavioral Health (IBH) models coordinate primary care, behavioral health, and psychiatric services to support holistic patient well-being.

Purpose of the Study:

  • To describe the development and implementation of a comprehensive IBH program at a community-based clinic serving an LGBTQ+ population.
  • To evaluate the implementation outcomes and patient utilization of IBH services over a two-year period.
  • To assess the impact of integrated care on access to behavioral health services for LGBTQ+ patients.

Main Methods:

  • A retrospective review of demographic and clinic data from 2023-2025 was conducted for an IBH program at Open Door Health in Providence, Rhode Island.
  • Implementation outcomes were compared between Year 1 and Year 2 of the program.
  • Data included patient demographics, visit volume, and service utilization patterns.

Main Results:

  • A total of 2,914 behavioral health visits were provided to 684 unique adult patients over two years.
  • Patient volume increased by 200% from Year 1 to Year 2.
  • LGBTQ+ patients demonstrated higher utilization of IBH services, with 20.11% having five or more visits compared to 10.2% of non-LGBTQ+ patients.

Conclusions:

  • The IBH program experienced substantial growth in service delivery year over year.
  • Integrating behavioral health services within primary care at an LGBTQ+-focused clinic led to significant uptake of services.
  • This model effectively increased access to behavioral health care for patients who might otherwise face barriers to treatment.