This publication will guide health centers in providing affirming care and services for Two Spirit and LGBTQIA+ American Indian/Alaska Native (AI/AN) people. Readers will explore key concepts, terminology, and the effects of historical trauma. Discover best and promising practices for care that incorporate Indigenous holistic models of wellness and focus on resilience and protective factors, including links to resources for further exploration of this topic.
Learning Resources — Publications
Coordinating HCV and HIV Treatment in Primary Care
HCV and HIV are overlapping epidemics with serious clinical implications for infected patients and health centers are poised to prevent and treat these viral infections by understanding the implications of comorbidity and by creating a welcoming environment for those at risk for, previously infected, or currently living with one or both diseases. This publication, a collaboration of the National Nurse-Led Care Consortium and the National LGBTQIA+ Health Education Center, explores the link between HCV and HIV, with particular emphasis on considerations for community-based primary care providers.
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- HIV/STI Treatment and Prevention
Housing, Health, and LGBTQIA+ Older Adults | 2021
This publication provides health centers with promising practices for supporting LGBTQIA+ older adults with their housing and related health care needs, including screening for homelessness and housing, supporting aging in place, providing affirming referrals for housing and supportive services, and offering inclusive health care environments.
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- LGBTQIA+ Older Adults
Engaging the Families of Transgender and Gender Diverse Children | 2021
This publication engages pediatric primary care providers, mental health providers, health center administrators and support staff in learning how to actively engage families in the support of their transgender and gender diverse (TGD) children, with the aim of improving the health outcomes for TGD youth. Providers will learn best practices for serving the families of TGD youth, and strategies for successfully providing resources and referrals in response to a variety of family and patient needs and priorities.
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- LGBTQIA+ Children and Youth
- Transgender Health
LGBTQIA+ Youth and Experiences of Human Trafficking: A Healing-Centered Approach
This publication provides a framework for understanding the forces that drive human trafficking among LGBTQIA+ youth, and offers recommendations for providing meaningful, affirming, and non-judgmental care through the application of a healing-centered approach.
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- LGBTQIA+ Children and Youth
HIV and Diabetes Mellitus
This 2021 fact sheet from the National LGBTQIA+ Health Education Center provides information for health centers to manage co-occurring diabetes and HIV, including information about the metabolic side effects of antiretroviral medications.
Medical Care of Trans and Gender Diverse Adults
The Fenway Health Transgender Health Program (THP) produced these protocols for clinicians in primary care settings to best serve their Transgender and Gender Diverse (TGD) patients. The mission of Fenway Health is to enhance the wellbeing of the lesbian, gay, bisexual, and transgender communities and all people in our neighborhood and beyond. As part of that larger mission, the THP seeks to promote and support knowledgeable and comprehensive care to TGD persons in an environment that is comfortable, safe, and affirming.
TelePrEP: Telemedicine for HIV Prevention
This publication discusses the advantages and challenges of telePrEP, the use of telemedicine specifically for pre-exposure prophylaxis (PrEP), and provides best practices for clinicians and PrEP programs.
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- Pre-Exposure Prophylaxis (PrEP)
Quick guide for Supporting the Behavioral Health of Sexual Minority Men
Although the majority of sexual minority men maintain good mental health and healthy behaviors, research has shown that as a population, they are at greater risk for substance use disorders and mental health problems. This “quick guide” provides an overview of these risks, the contextual factors driving the risks, and potential interventions to mitigate the root causes of these risks.
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- Behavioral Health
Ten Strategies for Creating Inclusive Health Care Environments for LGBTQIA+ People (2021)
Creating welcoming, inclusive, and affirming health care environments is critical for increasing access to care for LGBTQIA+ people. This guide presents ten strategies every health care organization can do to become more affirming and welcoming for LGBTQIA+ patients and staff and sets a foundation for comprehensive organizational change.
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- Organizational Change