Barriers and facilitators to mental health treatment access and engagement for LGBTQA+ people with psychosis: a scoping review protocol.

Cláudia C Gonçalves, Zoe Waters, Shae E Quirk, Peter M Haddad, Ashleigh Lin, Lana J Williams, Alison R Yung

Abstract read

In one paragraph

Article in Systematic reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cláudia C GonçalvesInstitute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia. c.goncalves@research.deakin.edu.au.ORCID 0000-0001-6767-0920

Zoe WatersTelethon Kids Institute, University of Western Australia, Perth, WA, 6009, Australia.

Shae E QuirkInstitute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia.

Peter M HaddadInstitute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia.

Ashleigh LinSchool of Population and Global Health, University of Western Australia, Perth, WA, 6009, Australia.

Lana J WilliamsInstitute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia.

Alison R YungInstitute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia.

Funding

Deakin University Postgraduate Research ScholarshipNational Health and Medical Research Council 1136829National Health and Medical Research Council 1174060National Health and Medical Research Council 2010063University of Western Australia Research Training Program Scholarship

6 · The paper itself

Abstract

backgroundThe prevalence of psychosis has been shown to be disproportionately high amongst sexual and gender minority individuals. However, there is currently little consideration of the unique needs of this population in mental health treatment, with LGBTQA+ individuals facing barriers in accessing timely and non-stigmatising support for psychotic experiences. This issue deserves attention as delays to help-seeking and poor engagement with treatment predict worsened clinical and functional outcomes for people with psychosis. The present protocol describes the methodology for a scoping review which will aim to identify barriers and facilitators faced by LGBTQA+ individuals across the psychosis spectrum in help-seeking and accessing mental health support.

methodsA comprehensive search strategy will be used to search Medline, PsycINFO, Embase, Scopus, LGBTQ+ Source, and grey literature. Original studies of any design, setting, and publication date will be included if they discuss barriers and facilitators to mental health treatment access and engagement for LGBTQA+ people with experiences of psychosis. Two reviewers will independently screen titles/abstracts and full-text articles for inclusion in the review. Both reviewers will then extract the relevant data according to pre-determined criteria, and study quality will be assessed using the Joanna Briggs Institute (JBI) critical appraisal checklists. Key data from included studies will be synthesised in narrative form according to the Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. DISCUSSION: The results of this review will provide a comprehensive account of the current and historical barriers and facilitators to mental healthcare faced by LGBTQA+ people with psychotic symptoms and experiences. It is anticipated that the findings from this review will be relevant to clinical and community services and inform future research. Findings will be disseminated through publication in a peer-reviewed journal and presented at conferences. SCOPING REVIEW REGISTRATION: This protocol is registered in Open Science Framework Registries ( https://doi.org/10.17605/OSF.IO/AT6FC ).

Indexed as

Health Services AccessibilityMental Health ServicesPsychotic DisordersSexual and Gender MinoritiesHumansPatient Acceptance of Health CareScoping Reviews as TopicSocial StigmaAt risk mental stateBarriersClinical high riskFacilitatorsLGBTPsychosisPsychotic experiencesTreatment accessTreatment engagementUltra-high risk

Identifiers

PMID38816775

DOI10.1186/s13643-024-02566-5

PMCPMC11137929

What OpenQuestion holds

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LicenceCC BY

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.