Mental Health Professionals' Gender-Sensitivity and Responsiveness to the Genderqueer population in Substance Use Disorder Treatment: A Systematic Review

Abstract

Background: The prevalence of Substance Use Disorders (SUDs) amongst the genderqueer population is a huge concern in the public mental health system. The genderqueer population's help-seeking barriers have been attributed to SUD treatment centre's questionable ability to be responsive to the unique mental health needs of genderqueer individuals. Aim: The aim of this study is to conduct a systematic review on mental healthcare workers"Ÿ responsiveness and gender-sensitivity towards the genderqueer population in SUD treatment centres. Methods: Employing the Joanna Briggs Institute's (JBIs) systematic review method, 25 qualitative articles were included in this study. A thematic analysis was used to examine the data. Results: The analysis revealed that SUD treatment centres are experienced as discriminatory and unreceptive by the genderqueer population due to several barriers. The barriers identified were structural, financial, personal, cultural and the use of a heterosexual framework to treat SUD which led to abuse, isolation, and stigma. Mental healthcare providers lack skills in working with genderqueer individuals as well as a lack of knowledge on genderqueer related needs. Lack of gender sensitivity affects genderqueer individuals in accessing SUD treatment centres and the progress they make. This magnified the need and importance of specialised gender-responsive and gender-sensitive training in working with genderqueer individuals. Twelve interventions to address the areas of difficulty were identified.