Mental Health and Access to Sexual Health Services: What's the Deal?

People with severe mental illness (SMI) face a tough time when it comes to sexual and reproductive health. They have more problems in this area than others, but they don't use healthcare services as much. Why is this happening? This review tried to figure out what stops or helps people with SMI from getting the sexual and reproductive health services they need. Let's think about this for a second. People with SMI might find it hard to get to healthcare services. They might not have the energy or the transport. They might also feel embarrassed or judged. These are big barriers. But what about the things that make it easier? Maybe having a friendly healthcare worker or a service that's easy to get to. These are facilitators. But what if the service doesn't work well? What if it's not set up for people with mental health issues? These are barriers. The review found out that people with SMI want to talk about their sexual and reproductive health. But they need help. They need services that are easy to get to and understand. They need healthcare workers who are kind and know how to help them. They need services that are set up for them. But there's a problem. We don't know enough about what these services should look like. We don't know what works best for people with SMI. We need more research. We need to listen to people with SMI. We need to find out what they need and want. Let's think about this. We know that people with SMI have more sexual and reproductive health problems. We know that they don't use healthcare services as much. We know that there are barriers and facilitators. But we don't know enough about what these barriers and facilitators are. We don't know enough about what works best for people with SMI. This is a problem. We need to do more. We need to find out more. People with SMI need help. They need services that are easy to get to and understand. They need healthcare workers who are kind and know how to help them. They need services that are set up for them. But we don't know enough about what these services should look like. We need more research. We need to listen to people with SMI. We need to find out what they need and want.