LGBT Young People: Intervention

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LGBT Young PeopleIntervention Prevention

• GALYIC

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Outline

• Evidence
• Who is Most Vulnerable Why?
• Pathway to A E
• How to Evidence Need
• Moving Forward

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Evidence King et al

• Majority of papers reviewed cover 25 year olds
  and below
• Clear young LGBTs vulnerable

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Council of Europe Resolution 1608 Spring
Session 14-18 April 2008

• In its resolution adopted unanimously, the
  Assembly is also in favour of stepping up
  measures to fight homophobia and stigmatisation
  of any sexual lifestyle whatsoever, the report
  having revealed an especially high suicide rate
  in the LGBT group of young people.

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UK Mainstream

• Hawton et al (2006)
• NSPCC Childline (2006)
• OConnor (2008)

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Suicide/Self Harm LGBT Youth
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National Comparison
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Who is most vulnerable and why?

• Could be biased as small group but earlier
  statistics high
• parental rejection likely reason for higher
  levels of attempted suicide
• Semi-rural area and more homophobic compared to
  London
• Homelessness (39/19)
• Lost close friend (57/25)
• Homophobic school bullying (78/43)
• Isolation
• Every London borough has an LGBT youth group
• Coming out earlier
• 13, 14, 15
• Still at school, homophobic bullying rife
• Dependent on parents
• Class high of members from poor, lower class
  backgrounds
• Lack of services
• Only 26 accessed other services
  homophobic/lacking in understanding
• More targeted services in London (PACE, AKT,
  Stonewall Housing, THT, Antidote, Dazelle)

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A Care Pathway for Julie

• Gender (Family)
• School
• College
• Training
• Social Services
• GP
• Mental Health Service
• Housing
• Drugs
• Youth Service
• Leaving Care Team
• Coming Out

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Pathways to AE (Handout)

• Triggers
• Inappropriate Services
• Appropriate Services
• Targeted Services

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How to Evidence Need (Handout)

• GALYIC Referral, Assessment and Support Flow
  Chart
• IMP (Impact Assessment Tool)
• 100 help develop identity
• 96 help develop confidence
• 96 feel less isolated
• 81 less depressed
• 83 less suicidal
• 79 less self-harm
• 75 less phobias

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Discussion Way Forward

• Policy
• Resources
• Discussion

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The NHS in England the operating framework for
2007/08, p13

• gt continue to use needs assessment systematically
  to identify and address the specific needs of
  different groups in the population. In
  particular, PCTs should review how commissioning
  should be tailored to meet the needs of disabled
  people, people with learning disabilities, people
  from black and ethnic minority communities, and
  people from different gender, sexual orientation
  and age groups.

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Suicide Prevention Strategy for England

• Prof. Louis Appleby states in foreword to King
  report we will now include LGB people as a
  specific group who have special needs under Goal
  Two of the Strategy. This will send out a clear
  message to organisations working with LGB groups,
  including health and social care agencies, that
  actions need to be taken if we are to reduce the
  risk of suicide in this group of people.

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CAMHS Review

• The Review will investigate how universal,
  targeted and specialist services can be improved
  to meet the needs of children and young people
  who are experiencing, or are at risk of, mental
  health problems. This consultation calls for
  evidence from all individuals, organisations and
  groups.
• DfCSF consultations, closing date 7th July

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RESOURCES

• www.dh.gov.uk/sogi
• Lesbian, Gay, Bisexual and Transgender Young
  People (CSIP national CAMHS web page)
• Knowledge Community
• Real Stories, Real Lives

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Discussion Way Forward

• How develop services locally?
• How raise awareness nationally?