TY - JOUR
T1 - Mental health, drug, and violence interventions for sexual/gender minorities
T2 - A systematic review
AU - Coulter, Robert W.S.
AU - Egan, James E.
AU - Kinsky, Suzanne
AU - Friedman, M. Reuel
AU - Eckstrand, Kristen L.
AU - Frankeberger, Jessica
AU - Folb, Barbara L.
AU - Mair, Christina
AU - Markovic, Nina
AU - Silvestre, Anthony
AU - Stall, Ron
AU - Miller, Elizabeth
N1 - Funding Information:
Supported by the National Institute on Drug Abuse (award F31DA037647 to Dr Coulter), the National Center for Advancing Translational Sciences (TL1TR001858 to Dr Coulter), the National Institute on Alcohol Abuse and Alcoholism (K01AA027564 to Dr Coulter), and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K24HD075862 to Dr Miller). The opinions expressed in this work are those of the authors and do not necessarily represent those of the funders. Funded by the National Institutes of Health (NIH).
Funding Information:
FUNDING: Supported by the National Institute on Drug Abuse (award F31DA037647 to Dr Coulter), the National Center for Advancing Translational Sciences (TL1TR001858 to Dr Coulter), the National Institute on Alcohol Abuse and Alcoholism (K01AA027564 to Dr Coulter), and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K24HD075862 to Dr Miller). The opinions expressed in this work are those of the authors and do not necessarily represent those of the funders. Funded by the National Institutes of Health (NIH).
Publisher Copyright:
Copyright © 2019 by the American Academy of Pediatrics.
PY - 2019
Y1 - 2019
N2 - CONTEXT: Compared with cisgender (nontransgender), heterosexual youth, sexual and gender minority youth (SGMY) experience great inequities in substance use, mental health problems, and violence victimization, thereby making them a priority population for interventions. OBJECTIVE: To systematically review interventions and their effectiveness in preventing or reducing substance use, mental health problems, and violence victimization among SGMY. DATA SOURCES: PubMed, PsycINFO, and Education Resources Information Center. STUDY SELECTION: Selected studies were published from January 2000 to 2019, included randomized and nonrandomized designs with pretest and posttest data, and assessed substance use, mental health problems, or violence victimization outcomes among SGMY. DATA EXTRACTION: Data extracted were intervention descriptions, sample details, measurements, results, and methodologic rigor. RESULTS: With this review, we identified 9 interventions for mental health, 2 for substance use, and 1 for violence victimization. One SGMY-inclusive intervention examined coordinated mental health services. Five sexual minority-specific interventions included multiple statelevel policy interventions, a therapist-administered family-based intervention, a computerbased intervention, and an online intervention. Three gender minority-specific interventions included transition-related gender-affirming care interventions. All interventions improved mental health outcomes, 2 reduced substance use, and 1 reduced bullying victimization. One study had strong methodologic quality, but the remaining studies' results must be interpreted cautiously because of suboptimal methodologic quality. LIMITATIONS: There exists a small collection of diverse interventions for reducing substance use, mental health problems, and violence victimization among SGMY. CONCLUSIONS: The dearth of interventions identified in this review is likely insufficient to mitigate the substantial inequities in substance use, mental health problems, and violence among SGMY.
AB - CONTEXT: Compared with cisgender (nontransgender), heterosexual youth, sexual and gender minority youth (SGMY) experience great inequities in substance use, mental health problems, and violence victimization, thereby making them a priority population for interventions. OBJECTIVE: To systematically review interventions and their effectiveness in preventing or reducing substance use, mental health problems, and violence victimization among SGMY. DATA SOURCES: PubMed, PsycINFO, and Education Resources Information Center. STUDY SELECTION: Selected studies were published from January 2000 to 2019, included randomized and nonrandomized designs with pretest and posttest data, and assessed substance use, mental health problems, or violence victimization outcomes among SGMY. DATA EXTRACTION: Data extracted were intervention descriptions, sample details, measurements, results, and methodologic rigor. RESULTS: With this review, we identified 9 interventions for mental health, 2 for substance use, and 1 for violence victimization. One SGMY-inclusive intervention examined coordinated mental health services. Five sexual minority-specific interventions included multiple statelevel policy interventions, a therapist-administered family-based intervention, a computerbased intervention, and an online intervention. Three gender minority-specific interventions included transition-related gender-affirming care interventions. All interventions improved mental health outcomes, 2 reduced substance use, and 1 reduced bullying victimization. One study had strong methodologic quality, but the remaining studies' results must be interpreted cautiously because of suboptimal methodologic quality. LIMITATIONS: There exists a small collection of diverse interventions for reducing substance use, mental health problems, and violence victimization among SGMY. CONCLUSIONS: The dearth of interventions identified in this review is likely insufficient to mitigate the substantial inequities in substance use, mental health problems, and violence among SGMY.
UR - https://www.scopus.com/pages/publications/85071788773
UR - https://www.scopus.com/pages/publications/85071788773#tab=citedBy
U2 - 10.1542/peds.2018-3367
DO - 10.1542/peds.2018-3367
M3 - Review article
C2 - 31427462
AN - SCOPUS:85071788773
SN - 0031-4005
VL - 144
JO - Pediatrics
JF - Pediatrics
IS - 3
M1 - e20183367
ER -