LGBTQ+ patients exhibit higher rates of mental disorder relative to the general population. This is particularly concerning since deficiencies in mental health practitioners' skills and knowledge, along with negative attitudes and behaviors, are associated with a decreased likelihood of LGBTQ+ patients seeking mental healthcare services and an increased likelihood of reporting unmet mental healthcare needs. To address these concerns, a mixed-method systematic review was conducted to evaluate mental health practitioners' attitudes towards and knowledge of LGBTQ+ patients and the impact of these factors on service utilization. Thirty-two relevant empirical qualitative and quantitative studies were retrieved from five databases following PRISMA guidelines, for a total of = 13,110 mental health practitioners included. The results indicated that mental health practitioners generally hold affirming attitudes towards LGBTQ+ patients. However, significant gaps in practitioners' knowledge and skills emerged, describing feelings of inadequate skill, lack of competence, low clinical preparedness in addressing specific LGBTQ+ needs, insufficient training opportunities, and desire for further education on LGBTQ+ issues. These findings underscore the need to enhance inclusivity and cultural competence at both organizational and educational levels. Such improvements are essential to better care for LGBTQ+ patients and reduce disparities in access to mental health services.

中文翻译：

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心理健康从业者对 LGBTQ+ 患者的态度和知识：混合方法系统评价


相对于普通人群，LGBTQ+ 患者的精神障碍发生率更高。这尤其令人担忧，因为精神卫生从业者的技能和知识的缺陷，以及消极的态度和行为，与 LGBTQ+ 患者寻求精神卫生保健服务的可能性降低以及报告精神卫生保健需求未得到满足的可能性增加有关。为了解决这些问题，我们进行了一项混合方法系统评价，以评估心理健康从业者对 LGBTQ+ 患者的态度和知识，以及这些因素对服务利用的影响。根据 PRISMA 指南，从五个数据库中检索了 32 项相关的实证定性和定量研究，总共纳入了 13,110 名心理健康从业者。结果表明，心理健康从业者普遍对LGBTQ+患者持肯定态度。然而，从业者的知识和技能存在显着差距，描述了技能不足、能力不足、满足特定 LGBTQ+ 需求的临床准备不足、培训机会不足以及对 LGBTQ+ 问题进一步教育的愿望。这些发现强调需要在组织和教育层面增强包容性和文化能力。这些改进对于更好地照顾 LGBTQ+ 患者并减少获得心理健康服务的差距至关重要。