LGBT Inclusive Mental Health Services

This guide, developed in partnership with the Mental Welfare Commission for Scotland, aims to raise awareness of LGBT rights within mental health services. It also helps health and social care services provide high-quality care and support to everyone experiencing mental illness.

At least 7% of the population identifies as lesbian, gay, bisexual, or trans (LGBT). However, the actual number may be higher. Many people feel uncomfortable answering questions about their sexuality or gender identity, meaning the figures might not reflect the true picture.

LGBT people experience significantly higher rates of mental ill-health, particularly anxiety, depression, and eating disorders. Suicide and self-harm rates are also higher, with 20-25% of LGBT individuals affected, compared to just 2.4% in the general population.

Gender and sexual orientation are protected under the Equality Act 2010. This guide focuses on LGBT inclusion in mental health services, but much of the information is also relevant for other equality groups. These include those affected by ethnicity, disability, and other protected characteristics.

Stigma remains a major issue for LGBT people, particularly those experiencing mental illness. Discrimination based on sexual orientation, gender identity, and mental health has a harmful effect on their wellbeing. Negative interactions with healthcare providers often exacerbate these challenges, leading to worse mental health outcomes.

Transgender people face especially high levels of stigma. According to the Scottish Trans Alliance, 63% of transgender individuals report negative experiences in general mental health services.

We believe everyone, regardless of sexual orientation or gender identity, should receive respectful care. People with mental illness, learning disabilities, dementia, or related conditions deserve mental health services that meet their needs. These services must be accessible to LGBT people, understand their specific requirements, and deliver care that puts them at the centre of treatment.