Health professionals in Utah 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 Utah 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
Hospital Inpatient, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling
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Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Do Not Treat Opioid Addiction
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
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Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Naltrexone, Disulfiram, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Inpatient Drug Rehab, Long Term Drug Rehab
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Cash Or Self Payment, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
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, Outreach To Persons In The Community, 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, Sliding Fee Scale
Spanish
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Do Not Treat Opioid Addiction
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, Outreach To Persons In The Community, 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
Spanish
Drug And Alcohol Treatment Services, Mental Health Treatment Services, Do Not Treat Opioid Addiction
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, Private Health Insurance
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, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling
Cash Or Self Payment, Private Health Insurance, Military Insurance
Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, Acamprosate, Disulfiram, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Inpatient Drug Rehab, Inpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol
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, 12 Step Facilitation Approach
Drug And Alcohol Treatment Services, Detox, Buprenorphine Used In Treatment, Acamprosate, Buprenorphine Maintenance, Buprenorphine Detoxification, Disulfiram, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders, Opioids Detoxification, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Private Health Insurance, Sliding Fee Scale, Payment Assistance
Spanish
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Inpatient Drug Rehab, Outpatient Drug Rehab, 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, 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, County Or Local Government Funds, Community Mental Health Block Grants, US Department Of Va Funds, Sliding Fee Scale
Services For The Hearing Impaired, Spanish
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Do Not Treat Opioid Addiction
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, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment
Spanish
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Motivational Interviewing, Outreach To Persons In The Community, 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, Military Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services, Detox, Buprenorphine Used In Treatment, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Buprenorphine Detoxification, Mix Of Mental Health And Substance Abuse, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, 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, Medicaid, Medicare, Private Health Insurance, Military Insurance, Sliding Fee Scale
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Detox, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, Acamprosate, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Buprenorphine Detoxification, Disulfiram, General Health Services, Medications For Psychiatric Disorders, Use Methadone Buprenorphine For Pain Management Or Emergency Dosing, Prescribes Administer Buprenorphine And Or Naltrexone
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Inpatient Drug Rehab, Long Term Drug Rehab, Inpatient Detoxification
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
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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, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Private Health Insurance, Military Insurance
Drug And Alcohol Treatment Services, Detox, Vivitrol, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Inpatient Drug Rehab, Outpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Outpatient Detoxification, 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, 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, Private Health Insurance
Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, Disulfiram, Medications For Psychiatric Disorders, Substance Abuse Treatment Services
Inpatient Drug Rehab, Outpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, 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, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, 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, Military Insurance, Payment Assistance
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