Substance Abuse Treatment with Lesbian, Gay and Bisexual People

Substance abuse treatment for lesbian, gay and bisexual (LGB) individuals cannot center solely on substance abuse, but must also address the social and psychological aspects of being LGB. This study uses qualitative methods to examine service providers' knowledge and clinical impressions of issues commonly experienced by LGB people with substance use problems. Focus groups and individual interviews were conducted with clinicians experienced in counselling LGB clients. The data were analyzed using NUD*IST qualitative software to derive salient themes presented by the service providers. Eight major themes were identified: openness and disclosure of sexual orientation in substance use treatment; the “coming out” process; societal homophobia; internalized homophobia; family and support systems; bars and social life; body image; and the impact of HIV and AIDS. Examples for each of the major themes are provided.