The mental health care experiences and preferences of sexual and gender minority asylum seekers: A qualitative study

Objective This qualitative study aims to examine the mental health experiences and intervention preferences of SGM asylum seekers in North America.Method We interviewed 15 SGM asylum seekers with a particular focus on their preferences regarding different formats of group mental health interventions. Additionally, we interviewed therapists who have worked with SGM asylum seekers in group therapy settings.Results via thematic analysis, we identified the following major themes to consider when designing mental health interventions for this population: stressors and mental health symptoms; experiences with and attitudes toward therapy, preferences regarding group content, format, composition, and leadership; and concerns regarding therapy. Participants very were interested in group therapy, including online group therapy, preferred skills-based therapy, and groups with other SGM asylum seekers who were not from their own country. Participants wanted access to individual support outside of the group setting and were hesitant to have past traumatic experiences discussed in a group setting.Conclusion These findings suggest virtual group therapy that includes skills-based content is an acceptable mental health intervention for SGM asylum seekers and group structure, content, and delivery should address their specific preferences and concerns.