Mental health care for trans and gender diverse youth from culturally and linguistically diverse (CALD) backgrounds: Reflections from communities of practice

Abstract

Introduction: Trans and gender diverse youth from culturally and linguistically diverse (CALD) backgrounds are at increased risk of experiencing poor mental health outcomes, including suicidal crisis. The aim of this clinical perspective paper is to discuss considerations from mental health practitioners and identify practical actions for enhancing mental health care delivery and reduce suicidality. Method: This paper is created based on the exchange of experiences of mental health workers in CAMHS. A Community of Practice (CoP) design was used to facilitate the identification of practical actions based on the health workers’ experience. The content of these discussions was summarized in six main areas for action. Results: The strategies included: accounting for the effects of trauma in engaging the young person; cultivating active open listening and encouraging culturally meaningful expressions of distress; discussion and co-decision making around risk with the young person; promoting choice and flexibility; and identifying supports within and beyond the family system. Conclusion: The recommendations are substantiated by current findings in multicultural mental health including idioms of distress, person-centred care, and barriers to accessing mental health services by gender and ethnic minority youth. Further implications for clinical practice are discussed.