This brief offers health centers an introduction to providing trauma-informed care for HIV-positive men who have sex with men (MSM). The overall aims are to help health center staff understand the disproportionate prevalence of trauma and stress-related disorders among HIV-positive MSM, recognize the relationship of trauma to overall health and decreased engagement in primary care among HIV-positive MSM. This brief will also outline the promising practices in trauma-informed care to improve engagement of HIV-positive MSM in behavioral health and primary care.
Learning Resources
SO/GI Data Collection Demonstration Videos
These videos demonstrate best practices in sexual orientation and gender identity data collection. They address common questions and issues that arise for frontline and clinical staff when asking patients about their sexual orientation and gender identity. We hope these videos can provide a valuable training tool for health care staff looking for sample language and best practices.
Portions of this course were developed in partnership with New York City Health + Hospitals
This video course is not currently eligible for CME credit.
Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration
Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.
- Filed under
- Behavioral Health
LGBT Health Readiness Assessments in Health Centers: Key Findings
The National LGBT Health Education Center started conducting direct training and technical assistance with Federally Qualified Health Centers in 2014. This service was made possible by the expansion of our National Cooperative Agreement with the Health Resources and Services Administration to include technical assistance work. Since 2014, seventeen health centers in six states (Connecticut, Louisiana, Massachusetts, Mississippi, New York, and Texas) have participated in the assessment process.
- Filed under
- Organizational Change
Focus on Forms and Policy: Creating an Inclusive Environment for LGBT Patients
Lesbian, gay, bisexual, and transgender (LGBT) people come from all walks of life and experience many of the same health problems as non-LGBT people. This means that every organizational policy and procedure may impact the experience of LGBT people. To create an LGBT-affirming and inclusive environment, it is important to examine policies and procedures. This publication reviews some common updates to organizational forms and polices to create an affirming and inclusive environment for LGBT patients, and reviews strategies to modify procedures, behavior, and language to be inclusive of all patients.
- Filed under
- Organizational Change
Providing Affirmative Care for Patients with Non-binary Gender Identities
All members of a health care organization—front-line staff members, clinicians, and administrators—play a crucial role in offering an inclusive, affirming experience for all people, including those with non-binary gender identities. Everyone, no matter their gender identity or expression, appreciates friendly, courteous, and effective care. In addition, non-binary people, who have gender identities other than male or female, have unique needs when interacting with the health care system. Non-binary people face numerous health disparities as well as stigma, discrimination, and a lack of access to quality care. However, you do not need to specialize in non-binary health care to give your non-binary patients an affirming experience.
Sexual Orientation and Gender Identity Questions: Information for Patients
This pamphlet on sexual orientation and gender identity (SOGI) questions can be handed out to patients in waiting rooms or exam rooms. The pamphlet explains: why your organization is asking about SOGI, what each SOGI term means, and how the information will be kept confidential. The pamphlet comes in several languages.
Building Patient-Centered Medical Homes for Lesbian, Gay, Bisexual, and Transgender Patients and Families
While expanding access to health insurance coverage through the Affordable Care Act has been vital to millions of previously uninsured Americans, moving U.S. health care away from fee-for-service, volume-driven payments to payments based on value and outcomes will be a much more challenging transformation. For health centers and other health care providers, one commonly used model for practice transformation is the patient-centered medical home (PCMH). The PCMH model transforms how primary care is coordinated and delivered by emphasizing comprehensive, team-based care that places the patient at the center. When implemented successfully, the PCMH model leads to higher quality care at a lower cost, improving both the patients’ and providers’ experience of care.
- Filed under
- Organizational Change
Understanding the Health Needs of LGBT People
Lesbian, gay, bisexual, and transgender individuals continue to face stigma and discrimination even though social acceptance is improving. This stigma and discrimination can result in negative experiences that combine with lack of access to culturally-affirming and informed health professionals to result in multiple health disparities for LGBT populations. Therefore, there is an urgent need to provide inclusive, high-quality health services to LGBT people so they can achieve the highest possible level of health. This document reviews LGBT concepts and demographics, discusses health disparities affecting LGBT groups, and outlines steps that clinicians, health centers, and other health care organizations can take to provide patient-centered care for LGBT people.
- Filed under
- Introduction to LGBTQIA+ Health
