Needs assessment for gender-sensitive training in substance use disorder treatment for gender-nonconforming people

Abstract

Research suggests that queer people face both general discrimination and inadequate support in substance use disorder (SUD) treatment. One recommendation made by scholarship to address this is to improve the treatment capabilities of practitioners, thus improving practitioner readiness and reducing access barriers for a potentially at-risk population. The purpose of this study is to explore SUD treatment practitioners' experiences of treating queer clients and identify their training needs. Semi-structured interviews were conducted with seven registered mental healthcare practitioners operating in Cape Town, South Africa. Data was analysed via thematic analysis, using a social constructionist approach to gender and practitioner knowledge. The findings reflect a strong interest in gender-sensitive training to better prepare practitioners for treating queer clients. Participants provided feedback on areas in need of improvement and made recommendations on how training should be conducted. Findings indicate that queer clients may enter treatment with a high burden of trauma due to discrimination, and that healthcare structures abiding by a binary approach to gender may not be able to address queer people's diverse needs. Recommendations for future research are made, with particular emphasis on including queer people in surveillance data. Target areas for training programmes are described, with emphasis on terminological understanding and accessibility of training.