Care Considerations for LGBTQ Patients in Acute Psychiatric Settings [2020]

Caring for any patient in psychiatric crisis in an acute care setting requires a keen understanding of risk assessment as well as creation and maintenance of a safe and therapeutic treatment environment. The long-term success of acute psychiatric care is also dependent on competent discharge planning. Yet, current psychiatric practices in acute care settings often fail to account for the unique barriers faced by lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, starting from the moment of arrival in the emergency room and continuing through discharge from the hospital. This article highlights best practices to address the needs of LGBTQ patients in acute psychiatric settings, including inclusive and affirming communication and culturally competent history taking, risk assessment, treatment environments, and discharge considerations.

Matthew Fadus, M.D., Kenneth Hung, M.D., Flávio Casoy, MD
Focus: The Journal of Lifelong Learning in Psychiatry, Volume 18, Issue 3, Summer 2020