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Addressing Substance Use in Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Youth
Jenny Shen1, Skylar A Jones2, Natalia Ramos1
1Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
Abstract:
Due to myriad stressors and social determinants of health, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth are at heightened risk for substance use disorders (SUDs) compared to their cisgender, heterosexual peers. We review current literature on SUDs among LGBTQ+ youth, as well as comprehensive treatment strategies for this marginalized community. We discuss evidence-based interventions across the care continuum, including culturally responsive relapse prevention and harm reduction frameworks that prioritize engagement and safety. Our discussion highlights the critical role of prevention; trauma-informed care to address minority stress; and family-based interventions in fostering resilience alongside community supports and individual skills-building.
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