Abstract

Few studies have compared clients’ perceptions of substance use disorder (SUD) treatment by sexual orientation in programs with mostly nonwhite populations. In eight such SUD programs, treatment satisfaction, therapeutic alliance with counselors, social affiliation with other clients, and treatment connection between 58 self-identified LGB clients, 72 self-identified heterosexual clients with histories of same-gender sexual experiences (Hetero-SGSE), and 503 self-identified heterosexual clients without histories of same-gender sexual experiences (Heterosexual) were compared. Gay/bisexual men reported less social affiliation than Heterosexual men, with low rates of sexual orientation disclosure in treatment. Hetero-SGSE respondents reported less treatment connection than LGB and Heterosexual participants.

摘要

很少有研究比较客户在以非白人人群为主的项目中通过性取向对物质使用障碍 (SUD) 治疗的看法。在 8 个这样的 SUD 项目中，治疗满意度、与咨询师的治疗联盟、与其他客户的社会关系，以及 58 名自我认同的 LGB 客户、72 名自我认同的具有同性别性经历历史的异性恋客户之间的治疗联系 (Hetero-SGSE) ，并比较了 503 名没有同性别性经历（异性恋）历史的自我认同的异性恋客户。同性恋/双性恋男性报告的社会归属感低于异性恋男性，治疗中性取向披露率较低。异性恋 SGSE 受访者报告的治疗联系少于 LGB 和异性恋参与者。