Health professionals in Tennessee who work with lesbian, gay, bisexual and transgender (LGBT) clients suggest that LGBT people use more of all substances than the general population. Current research suggests that about 30% of the LGBT population abuse substances, while only about 12% of the rest of the population does.
Internalized homophobia, alienation, poor support structures, and high levels of depression all contribute to substance abuse among lesbian, gay, bisexual, and transgender individuals, with social activity at bars and clubs reinforcing addictive behavior. The threat of bias in treatment programs also prevents many from seeking help.
According to 2015 data from the National Survey on Drug Use and Health, adults defined as "sexual minority" (in this survey, meaning lesbian, gay, or bisexual) were more than twice as likely as heterosexual adults (39.1 percent versus 17.1 percent) to have used any illicit drug in the past year.
Nearly a third of sexual minority adults (30.7 percent) used marijuana in the past year, compared to 12.9 percent of heterosexual adults, and about 1 in 10 (10.4 percent) misused prescription pain relievers, compared to 4.5 percent of heterosexual adults.
Addiction treatment programs offering specialized groups for gay and bisexual men have shown better outcomes for those clients compared to gay and bisexual men in non-specialized programs; but in one study, only 7.4 percent of programs offered specialized services for LGBT patients.
Research is currently limited on rates of SUD among transgender populations, although research shows that transgender individuals are more likely to seek SUD treatment than the non-transgender population.
Current research suggests that treatment should address unique factors in these patients' lives that may include homophobia/transphobia, family problems, violence, and social isolation.
Sexual minorities with SUDs are more likely to have additional (comorbid or co-occurring) psychiatric disorders. For example, gay and bisexual men and lesbian and bisexual women report greater odds of frequent mental distress and depression than their heterosexual counterparts.
Transgender children and adolescents have higher levels of depression, suicidality, self-harm, and eating disorders than their non-transgender counterparts. Thus it is particularly important that LGBT people in SUD treatment be screened for other psychiatric problems (as well as vice versa) and all identifiable conditions should be treated concurrently.
LGBTQ people are also at increased risks for human immunodeficiency virus (HIV) due to both intravenous drug use and risky sexual behaviors. HIV infection is particularly prevalent among gay and bisexual men (men who have sex with men, or MSM) and transgender women who have sex with men. SUD treatment can also help prevent HIV transmission among those at high risk. For example, addiction treatment is associated not only with reduced drug use but also with less risky sexual behavior among MSM, and those with HIV report improvements in viral load.
What should you, LGBTQ person do for addiction treatment once you arrive at a rehab center? Fortunately, the onus is on the treatment centers themselves. If a facility is unaware of the issues that are unique to LGBT people and families, then it is the responsibility of the facility to refer the individuals to a place that can offer them exactly what they need. Forcing LGBT people into a generic addiction treatment program, and brushing aside the specific rehabilitation goals, can easily lead to higher rates of treatment failures and relapse. This is by and large avoided.
Addiction treatment programs for LGBT people in Tennessee properly reflect the dynamic between the nature of the drug abuse and the clients themselves. It is imperative that clients feel safe and comfortable in their treatment environment, so they must be made welcome to speak about their experiences without the fear of judgment or misunderstanding.
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Inpatient Treatment Center For Adults, Outpatient Drug Rehab, Partial Hospitalization Or Day Treatment
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Private Health Insurance
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Cognitive Behavior Therapy, Behavior Modification, Trauma Therapy, Telemedicine Therapy
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, Sliding Fee Scale, Payment Assistance
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, State Financed Health Insurance Plan Other Than Medicaid
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Residential Treatment Center For Children
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Trauma Therapy, Activity Therapy
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, County Or Local Government Funds
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Activity Therapy, Smoking Tobacco Cessation Counselling
Medicaid, Medicare, Private Health Insurance, Military Insurance
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Hospital Inpatient, Outpatient Drug Rehab, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment, Hospital Inpatient Detoxification, Hospital Inpatient Treatment, Psychiatric Hospital
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Halfway House, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Access To Recovery Voucher, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
No Payment Accepted, Payment Assistance
Spanish
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Trauma Therapy, Telemedicine Therapy
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, Other State Funds, County Or Local Government Funds
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Inpatient Drug Rehab, Long Term Drug Rehab
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Drug And Alcohol Treatment Services, Vivitrol, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Intensive Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Payment Assistance
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Outpatient Drug Rehab, Partial Hospitalization Or Day Treatment, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, Other State Funds, County Or Local Government Funds, US Department Of Va Funds
Services For The Hearing Impaired, Spanish
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, State Corrections Or Juvenile Justice Funds, Other State Funds, County Or Local Government Funds
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Residential Treatment Center For Children
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Therapeutic Foster Care
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds
Drug And Alcohol Treatment Services, Detox, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, Acamprosate, Alcohol Detoxification, Benzodiazepines Detoxification, Cocaine Detoxification, Disulfiram, Methamphetamines Detoxification, Medications For Psychiatric Disorders, Opioids Detoxification, Substance Abuse Treatment Services
Inpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Inpatient Detoxification
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance
Drug And Alcohol Treatment Services, Naltrexone, Vivitrol, Acamprosate, Disulfiram, Mental Health Treatment Services, Medications For Psychiatric Disorders
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Inpatient Drug Rehab, Outpatient Drug Rehab, Partial Hospitalization Or Day Treatment, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, Medicare, Private Health Insurance, Military Insurance, State Welfare Or Child And Family Services Funds, US Department Of Va Funds
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Hospital Inpatient, Inpatient Drug Rehab, Short Term Drug Rehab, Hospital Inpatient Treatment, Computerized Treatment
Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Matrix Model, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, 12 Step Facilitation Approach
Cash Or Self Payment, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, Other State Funds, County Or Local Government Funds, Sliding Fee Scale
Drug And Alcohol Treatment Services, Naltrexone, Vivitrol, Acamprosate, Medications For Psychiatric Disorders, Substance Abuse Treatment Services, Prescribes Administer Buprenorphine And Or Naltrexone
Inpatient Drug Rehab, Outpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Private Health Insurance
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