Liberation approaches in LGBTQ behavioral health and the crossroads of racial and sexual/gender identity

A liberation-focused practice seeks to meet marginalized people where they are, within their cultural, historical, and community contexts, and to support clients in healing from the impacts of white supremacy, homophobia, gender binary rigidity, and other systems of dominance and oppression. We know that substance over-use is a common tool used by marginalized community members to find relief from the continual soul-scraping of living with degrading experiences, microaggressions, exploitation, intergenerational trauma, and colonial legacies.

Effective liberation prevention and treatment approaches are those that pull back from individual choices and focus on the underlying systems that create intolerable conditions for living. These frameworks engage structural and institutional analysis, including a critical look at the ways behavioral health care systems may act as a tool to reinforce systemic inequity, and offer community-nested, strengths-based, empowerment-focused healing approaches.