Community Efforts to Support LGBTQ+ Youth Mental Health: Programs Objectives, Development, and Delivery

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth face disparities in mental health and substance use. LGBTQ+ community-based organizations (CBOs) offer resources that may combat stress and mental health concerns; however, limited research has examined their programs or practices. We explored the facets of youth mental health services offered by LGBTQ+ CBOs in the US. Qualitative interviews were conducted with staff at 16 LGBTQ+ CBOs in the US. Findings revealed four overarching themes. Mental health program objectives and characteristics included four sub-themes: counseling and therapy, safe spaces and community, case management, and education. Factors influencing the development of LGBTQ+ mental health programs included two sub-themes: program creation and youth influence. Factors influencing the delivery of LGBTQ+ youth mental health programs included four sub-themes: program planning and coordination, inclusive and intersectional processes, training and curriculum resources, and capacity-building resources. Implications for LGBTQ+ CBOs are discussed.