Patterns, predictors, and outcomes of mental health service utilization among lesbians, gay men, and bisexuals: A scoping review

Abstract

Using Andersen's behavioral model of health service utilization, we synthesized data from 77 articles addressing mental health service utilization by lesbians, gay men, and bisexuals (LGBs) in order to summarize findings and identify directions for future research. LGBs were found to use services more frequently than heterosexuals and display variability in satisfaction with services and treatment outcomes. LGBs present a unique range of predisposing characteristics, enabling resources and needs that predict service use. Our review demonstrates a need for intersectional approaches in LGB mental health services research that address service use among those of multiple marginalized identities, including LGB people of color, LGB immigrants, Indigenous LGBs, and LGB persons with disabilities.

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