As LGBTQ+ youth across the U.S. continue to face higher rates of mental health challenges and substance use, community-based organizations (CBOs) are playing an increasingly vital role in providing safe, supportive spaces. Yet, despite their growing importance, these organizations remain largely understudied.

A new study published in the Journal of Community Psychology is helping to change that. The research "Community Efforts to Support LGBTQ+ Youth Mental Health: Programs Objectives, Development, and Delivery," was a collaboration among the University of Hawaiʻi at Mānoa, the University of Maryland School of Public Health and the University of Connecticut.
Researchers conducted in-depth interviews with staff from 16 CBOs across the nation that work with LGBTQ+ youth, identifying how these groups develop and deliver mental health services.
"At a time when LGBTQ+ youth face increased discrimination, stigma and health disparities compared to other groups, it is critical that they have access to supportive, affirming community spaces that celebrate their identities and foster inclusion, connection and well-being," said co-author Danielle Phillips, assistant professor of social work at the Thompson School of Social Work and Public Health at UH Mānoa.
How community groups make a difference
The study found that CBOs support youth through four main strategies:
- Offering counseling and therapy
- Creating safe spaces and fostering community
- Providing case management services
- Delivering educational resources
Effective service delivery depended on strong planning and coordination, inclusive and intersectional practices, access to training and curriculum tools, and capacity-building resources.
Greater investment in CBOs needed
Despite their vital role, the study noted that many CBOs remain underfunded and overstretched. Researchers stress that with greater investment, these organizations could significantly expand their reach and impact.
"Community-based organizations that support LGBTQ+ youth consistently face a lack of funding, and it continues to be a serious concern that will directly impact the availability, delivery and quality of mental health services," said Phillips. "We are at a pivotal moment in our collective experience, where it has never been more urgent to prioritize, support, and protect vulnerable youth. Securing sustainable funding is a crucial part of ensuring that communities can continue to offer safe and inclusive programs for youth who need it most."
The post LGBTQ+ community groups fill gaps in youth mental health care first appeared on University of Hawaiʻi System News .