Inclusive language regarding gender, sexual orientation, and relationship status: the ongoing process and outcome of revising psychiatric materials

Abstract

Purpose

The purpose of this paper is to address the barrier to care experienced by LGBTQIA+ populations by binary language for gender, sexual orientation and relationship status.

Design/methodology/approach

The authors review the research that shows linguistic barriers are a significant obstacle to healthcare for LGBTQIA+ communities. The authors describe both a process and revisions for addressing language bias in psychiatric intake/research research materials as well as quantify its impact in an adult psychotherapy clinic in a public hospital.

Findings

Patients self-identified their gender, sexual orientation and relationship status in a variety of ways when not presented with binaries and/or pre-established response choices. In addition, the non-response rate to questions decreased and the authors received positive qualitative feedback. The authors also present the revisions to the intake/research materials.

Practical implications

Other healthcare settings/clinicians can revise language in order to remove significant barriers to treatment and in doing so, be welcoming, non-pathologizing and empowering for LGBTQIA+ consumers of mental health services (as well as for non-LGBTQIA+ consumers who are in non-traditional relationships).

Social implications

This work is one step in improving healthcare and the healthcare experience for LGBTQIA+ communities and for those in non-traditional relationships.

Originality/value

This work is set in a public safety-net hospital providing care for underserved and diverse populations. This paper describes the process of revising psychiatric materials to be more inclusive of the range of self-identity are: gender, sexual orientation and relationship status.

Citation

Drill, R., Malone, J., Flouton-Barnes, M., Cotton, L., Keyes, S., Wasserman, R., Wilson, K., Young, M., Laws, H. and Beinashowitz, J. (2019), "Inclusive language regarding gender, sexual orientation, and relationship status: the ongoing process and outcome of revising psychiatric materials", The Journal of Mental Health Training, Education and Practice, Vol. 14 No. 6, pp. 385-398. https://doi.org/10.1108/JMHTEP-02-2018-0009