Date of Conferral

12-12-2024

Degree

Doctor of Social Work (DSW)

School

Social Work

Advisor

Dorothy Scotten

Abstract

High rates of untreated mental health issues and suicidality among LGBTQ+ youth, exacerbated by isolation and rejection in rural areas, demonstrate an urgent necessity for preventive and responsive mental health care. However, access to these essential services remains limited in many rural areas. This study involved using a generic qualitative design to explore the experiences of social workers providing mental health therapy to LGBTQ+ youth in rural Iowa, and presence of cultural humility in social worker practices. The cultural humility theory was chosen as the theoretical framework. Semistructured interviews with 10 Iowa social workers were evaluated using thematic analysis. Study findings involved perceptions focused on client safety and resilience, experiences with descriptions of professional training, collegial support, and resources in rural areas, and practices that are centered on individual therapy, family support, and advocacy. In addition, this study involved addressing self-awareness through self-reflection, and compassion. Teachability involved partnering with clients and maintaining a growth mindset. Impactful systems in rural Iowa were identified as family, school, rural ideology, religion, and politics. These findings contribute to positive social change by emphasizing the importance of inclusive and affirming environments to support mental health outcomes and reduce suicidality risks among LGBTQ+ youth.

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