ArticleCanadian journal of public health = Revue canadienne de sante publique2020
From silos to buckets: a qualitative study of how sexual health clinics address their clients' mental health needs.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Stakeholder barriers and facilitators to mental health service integration: a qualitative study using the theoretical domains framework.BMC health services research · 2025Article
- Exploring barriers and solutions in sexual health services: a qualitative study from Iran.Reproductive health · 2025Article
- Barriers and Facilitators to Mental Health Service Integration: A Scoping Review.International journal of mental health nursing · 2025Article
- Client Perspectives on Addressing Intimacy, Romance and Sexuality in Early Psychosis Intervention Programmes.Early intervention in psychiatry · 2025Article
- Moving toward transdisciplinary approaches to addressing HIV and psychological trauma: Barriers and facilitators to building collaborations.Journal of traumatic stress · 2023Article
- "Syndemic moral distress": sexual health provider practices in the context of co-occurring, socially produced sexual and mental health epidemics.BMC health services research · 2022Article
- Ambivalence and the biopolitics of HIV pre-exposure prophylaxis (PrEP) implementation.Social theory & health : STH · 2022Article
- Self-rated mental health among sexual health service clients during the first months of the COVID-19 pandemic, British Columbia, Canada.Preventive medicine · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the current constraints, facilitators, and future prospects for addressing mental health and substance use (MHSU) concerns within sexual health clinics in two cities in British Columbia, Canada.
methodsWe conducted in-depth interviews with 22 providers (14 nurses, 3 physicians, 3 administrators, 2 other health professionals) from six sexual health clinics.
resultsProviders consistently affirmed that MHSU-related concerns co-occur with sexual health concerns among clients presenting to sexual health clinics. Three factors constrained the providers' abilities to effectively address MHSU service needs: (1) clinic mandates or funding models (specific to sexually transmitted infections (STI)/HIV or reproductive health); (2) "siloing" (i.e., physical and administrative separation) of services; and (3) limited familiarity with MHSU service referral pathways. Mental health stigma was an additional provider-perceived barrier for sexual health clinic clients. The low barrier, "safe" nature of sexual health clinics, however, facilitated the ability of clients to open up about MHSU concerns, while the acquired experiences of sexual health nurses in counselling enabled clinicians to address clients' MHSU needs. In response to this context, participants described actionable solutions, specifically co-location of sexual health and MHSU services.
conclusionSexual health clinicians in British Columbia generally affirm the results of previous quantitative and client-focused research showing high rates of MHSU-related needs among sexual health clinic clients. Providers prioritized specific short-term (referral-focused) and long-term (healthcare re-organization, co-location of sexual and MHSU services) solutions for improving access to MHSU services for those using sexual health services.
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