ABSTRACT
This chapter discusses some of the critical factors in identifying and providing for the unique needs and services of the lesbian, gay, bisexual, and transgender (LGBT), or sexual minority, client. Many of the ideas that followed in mental health treatment have their roots in the interpretation of moral treatment. Community education of treatment needs of those with mental health problems has long been desired. Professional organizations for physicians, psychologists, and social workers have been promoting culturally competent care in their training and policy directives. The service provider must be able to adapt clinical interventions to help build relationships, make assessments, and provide social work services that acknowledge and celebrate cultural differences. LGBT people have been identified by the United States Department of Health and Human Services as an at-risk population as a result of having social, economic, and environmental disadvantages. Many LGBT clients seek help after being discriminated against at the individual or institutional level.
