Document Type
Portfolio
Publication Date
2025
Abstract
Goal Statement: Improve mental health outcomes among LGBTQ+ youth by reducing the prevalence of substance use through strategic prevention measures.
Significant Findings: LGBTQ+ youth experience significantly higher rates of substance use compared to their heterosexual and cisgender peers, often as a way to cope with systemic discrimination, family rejection, and a lack of culturally competent support (Marshal et al., 2008; Madireddy & Madireddy, 2022; Mallory, Brown, & Sears, 2019; The Trevor Project, 2022). This paper examines how family-centered models like FCU and FAP can improve prevention by addressing parent-child dynamics and supporting LGBTQ+ youth. It explores barriers created by discriminatory legislation and highlights ethical challenges counselors face. Drawing on research and personal experience as a counselor and parent, it calls for inclusive, equitable prevention efforts.
Objectives/Strategies/Interventions/Next Steps:
1. Implement Evidence-Based Family-Centered Programs Professionals will utilize the Family Check-Up (FCU) and Family Acceptance Project (FAP) models to reduce negative parent-child interactions and promote affirming behaviors within families of LGBTQ+ youth. Counselors and staff will be trained to deliver these interventions with cultural responsiveness.
2.Strengthen School Partnerships Collaboration with rural area schools will help enhance policies that protect LGBTQ+ students. Successful suburban programs can serve as models to develop Gay-Straight Alliances (GSAs) in communities that are isolated or lack dense support networks.
3.Engage in Policy Advocacy and Community Collaboration Partnerships with community organizations, such as Equality Ohio, will be developed to oppose discriminatory legislation, including Ohio’s HB 8. Educational efforts will inform stakeholders about the negative impact of such policies on youth mental health and confidentiality.
4. Enhance Cultural Competence Training Counselors and healthcare providers will receive ongoing training to better understand LGBTQ+ issues, intersectionality, and ethics around confidentiality and consent. Training will include Multicultural and Social Justice Counseling Competencies.
5.Develop Community-Based Support Networks Professionals will work with LGBTQ+ groups and community centers to help youth and families access resources and support. They will also offer workshops with role-playing to improve youth communication, coming out skills, and resilience.
