This observational study was conducted to determine the unique needs of lesbian/gay/bisexual/transgender/transsexual/queer (LGBTTQ) clients seeking residential substance-use disorder treatment at the Centre for Addiction and Mental Health in Toronto, Canada. One thousand two hundred twenty sequential clients of this tertiary hospital were administered a structured interview using the Resident Assessment Instrument-Mental Health (RAI-MH) battery. Findings show that LGBTTQ clients (n = 162, 13.3%) were more likely to report use of cannabis, hallucinogens, inhalants, and stimulants and to have been the victim of a crime than other clients. They had a higher need to receive support/treatment for the following issues: (1) cope with abuse, (2) discharge resources, and (3) support for decision-making integrity. Findings also show that LGBTTQ clients had lower needs in areas related to (1) criminal activity, (2) social functioning, and (3) social supports. The study points to the importance of health systems addressing LGBTTQ specific treatment needs in program planning.
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