Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Intersex & 2-Spirit

Cultural Competency & Reducing Health Disparities Resources

for the East Bay (Contra Costa & Alameda Counties) and the San Francisco Bay Area.

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BROCHURES, POSTERS, AND EDUCATIONAL MATERIALS FOR WAITING ROOMS, OFFICES, CLASSROOMS, ETC.

  • Amercian Cancer Society.
    Brochures: Cancer Facts for Lesbians and Bisexual Women; Cancer Facts for Gay and Bisexual Men; & Tobacco and the LGBT Community
    Website: www.cancer.org
    Phone: 800/ACS-2345 (800/227-2345)
    Free download, or order free hard copies.
  • US DEPARTMENT OF HEALTH AND HUMAN SERVICES.
    Brochures & Periodicals, Quick Reference Tools, & Resource Documents & Manuals
    Brochures: Drugs, Alcohol and HIV/AIDS: A Consumer Guide; Drugs, Alcohol and HIV/AIDS: A Consumer Guide for African Americans
    Free download, or order free hard copies.
    Website: www.kap.samhsa.gov/products/
  • GLSEN.
    Tools and Tips for: educators, students & supporters.
    Safe Space Kit: Guide to being an Ally, Safe School Stickers & Posters
    Free download, or buy hard copies.
    Website: www.glsen.org
  • SAFE SCHOOLS COALITION.
    Reports, Handouts, Brochures, Posters and Cards.
    Posters: You are not alone (english & spanish); All Families Welcome; Yeah, I'm Different, Stop Bullying in our School
    Free download, or buy hard copies.
    Website: www.safeschoolscoaliton.org
  • FENWAY HEALTH.
    Resources & Publications for download.
    Brochures: Safer Sex; Safer Sex for Bisexuals and Their Partners; & Talking About Safer Sex with Your Batients
    Free download.
    Website: www.fenwayhealth.org
  • MASSACHUSETTS TRANSGENDER POLITICAL COALITION.
    Publications for download.
    Brochures: Saving our Lives: Transgender Suicide Myths, Reality, and Help; Preventing Transgender Suicide: An Introduction for Providers.
    Free download.
    Website: www.masstpc.org
  • THE GAY, LESBIAN, BISEXUAL, AND TRANSGENDER YOUTH SUPPORT PROJECT.
    MASSACHUSETTS TRANSGENDER POLITICAL COALITION.
    Tools and Resources: Safety assessment tools, poster series, fact sheets, "cue cards" and collections of policy staements and standards of care suitable for both agencies and schools.
    Posters: New Posters for Child Welfare Providers (english & spanish); GLBT Youth Support Project Posters (english & spanish)
    Free download, or order free hard copies.
    Website: http://healthimperatives.org/glys/tools.htm
  • MASSACHUSETTS TRANSGENDER POLITICAL COALITION.
    Publications for download.
    Brochures: Saving our Lives: Transgender Suicide Myths, Reality, and Help; Preventing Transgender Suicide: An Introduction for Providers.
    Free download.
    Website: www.masstpc.org

COMPETENCY ASSESSMENT / AUDIT RESOURCES

  • Community Standards of Practice for Provision of Quality Health Care Services for Gay, Lesbian, Bisexual and Transgendered Clients.
    GLBT Health Access Project, Boston MA
    Website: www.glbthealth.org
    Click here to download Standards.
    The resulting community standards of practice and quality indicators outlined in this
    document will guide and assist providers in achieving these goals. The standards address
    both agency administrative practices and service delivery components, including the
    following areas: Personnel, Client's Rights, Intake and Assessment, Service Planning and Delivery, Confidentiality and Community Outreach and Health Promotion
  • School Assessment: Preventing Suicidal Behavior among Lesbian, Gay, Bisexual and Transgender Youth.
    Suicide Prevention Resource Center
    Click here to download School Assessment.
    Includes standards for individual staff member or teacher and the school.
  • Agency Assessment: Preventing Suicidal Behavior among Lesbian, Gay, Bisexual and Transgender Youth.
    Suicide Prevention Resource Center
    Click here to download Agency Assessment.
    Includes standards for individual staff member and the agency.
  • The Gay Affirmative Practice Scale (GAP): A New Measure for Assessing Cultural Competence with Gay and Lesbian Clients
    Catherine Crisp, MSW
    Click here to download GAP Article.
    Click here to download GAP Tool
    Click here to download GAP Tool--Modified for Doctors
    The GAP is a 30 item scale designed to assess practioners' beliefs and behaviors in practice with gay and lesbian individuals.
  • Patient Satisfaction Survey for HIV Ambulatory Care
    New York State Dept of Health AIDS Institute
    Website: www.hivguidelines.org/admin/Files/qoc/qi%20res/pss/pss-hiv_091802.pdf
    How to administer surveys, analyzing data, surveys for case management, mental health, women's health care, medicaid managed care, and substance use treatment services.
  • The Importance of Sexual Orientation and Gender Identity in Health Research
    Paul Gilber, MSPH & Diane Sabin, DC. UCSF Lesbian Health & Research Center--7/29/2008
    Click to Download Briefing.
    Sexual minority health is an emerging field and the health issues specific to lesbian, gay, bisexual, and transgender (LGBT) people are gaining increasing recognition. However, significant gaps in knowledge exist that warrant immediate study and consideration. The Lesbian Health & Research Center (LHRC) at the University of California, San Francisco (UCSF) recognizes these gaps can be addressed by ensuring LGBT inclusion in demographic data gathered by researchers. Therefore, LHRC recommends all researchers collect sexual orientation and gender identity data as part of their research protocols. This briefing sheet provides background information regarding this recommendation as well as the basic tools necessary to expand data collection.
  • Improve Data Collection on LGBT Populations
    American Psychological Association Public Interest Goverment Relations Office
    Website: www.apa.org
    Click here for Recommendations.
    State and community surveys have shown that significant health disparities exist within lesbian, gay, bisexual, and transgender communities. Federal-level health surveys routinely exclude questions related to sexual orientation and gender identity. For example, while smoking rates within the general population continue to decrease, tobacco use among lesbian, gay, bisexual, and transgender (LGBT) people counts among the highest among any U.S. population group. Large-scale survey data are critical in providing the basis for public policies that address group-based disparities in physical and mental health outcomes, as well as for evaluating the individual and social consequences of these policies.
  • Sexual Diversity Health Services Audit
    Gay and Lesbian Health Victoria
    Website: www.glhv.org.au
    Click here for Audit Tool.
    Recognizing the diverse needs of individuals and populations is a core component of providing good quality
    care. This audit is an informal tool to help you assess GLBTI people’s access and quality of care at your
    agency. Small changes can make a big contribution to providing better care.
  • HealthCare Equality Index: Creating a National Standard for Equal Treatment of Gay, Lesbian, Bisexual and Transgender Patients and Their Families--2008
    Gay and Lesbian Medical Association & Human Rights Campaign
    Website: www.glhv.org.au
    Click here for Equality Index.
    The Healthcare Equality Index measures how equitably hospitals in the United States treat their gay, lesbian, bisexual and transgender patients and employees. Last year, the Human Rights Campaign Foundation Family Project and the Gay and Lesbian Medical Association invited hospitals to participate in the HEI survey under conditions of anonymity. This year, participating hospitals have completed the 2008 HEI survey with the understanding that their responses would be made public.
  • Best Practices for Asking Questions about Sexual Orientation on Surveys
    Created by the Sexual Minority Assessment Research Team (SMART), a multidisciplinary and multi-institutional collaboration. The Williams Insititute. Nov. 2009
    Website: http://www.law.ucla.edu/williamsinstitute/home.html
    Click here for Best Practices.
    In 2003 the Ford Foundation began funding a multi-year project that sought to increase the quantity and quality of data on gay, lesbian, and bisexual people, and, by extension, on heterosexual people. Over a five-year period, many researchers participated in the expert panel funded by the grant, thus contributing to the knowledge embodied in this report. This multidisciplinary expert panel pooled decades of knowledge and experience, conducted new methodological research, and met with many survey specialists to identify the best scientific approaches to gathering data on sexual orientation. This panel, known collectively as the Sexual Minority Assessment Research Team (SMART), met regularly to discuss these data issues. By “sexual minority,” we mean people who are attracted to or have had experience with same-sex sex partners, or someone who identifies as lesbian, gay, or bisexual.

TRAINING RESOURCES

  • Guidelines for Care of Lesbian, Gay, Bisexual and Transgender Patients.
    Gay and Lesbian Medical Association
    Website: www.glma.org
    Click here to download Guidelines.
    Click here to download abriged summary of Provider Guidelines.
    Includes Creating a Welcoming Clinical Environment for LGBT Patients, Caring for Lesbian and Bisexual Women: Additional Considerations for Clinicians, and Caring for Gay and Bisexual Men; Additional Considerations for Clinicians.
  • Reducing health inequalities for lesbian, gay, bisexual and trans people - briefings for health and social care staff
    Lesbian, gay, bisexual and trans (LGBT) people experience a number of health inequalities which are often unrecognised in health and social care settings. These briefings are intended to show that LGBT people can be younger, older, bisexual, lesbians, gay men, trans, from black and minority ethnic (BME) communities and disabled, and to dispel assumptions that they form a homogeneous group. The briefings provide easy-to-read guidance for health and social care commissioners, service planners and frontline staff. They aim to inform the delivery of appropriate services and to support health and social care professionals in their everyday work with LGBT people by providing fundamental awareness and evidence of LGBT needs in relation to health.
    Website: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_078347
  • Recommendations for Health Care Providers - LGBT Health
    Lesbian, Gay, Bisexual, and Transgender Health Culturally competent care for LGBT people--Recommendations for Health Care Providers: A health provider's role in culturally competent care, basic tips for culturally competent care, outreach to LGBT clients and patients, tips for creating a welcoming office cultures, history and physical intake form, patient information, and transgender health care.
    Website: http://health.westchestergov.com/index.php?option=com_content&task=view&id=1753&Itemid=3100
  • The Psychology of Sexual Orientation--a modular lesson plan/teaching resource for high school psychology teachers.
    Developed and Produced by the American Psychological Association (APA) Committee of Teachers of Psychology in Secondary Schools and the APA Committee on Lesbian, Gay, Bisexual, and Transgender Concerns, 2008
    Click here for training manual.
  • A Curriculum for Learning in Psychiatric Residencies About Homosexuality, Gay Men, and Lesbians-1994
    Terry S. Stein, MD on behalf of the Committee on Gay, Lesbian, and Bisexual Issues of the American Psychiatric Association.
    Click here for Curriculum Article.
  • GLBTQI Mental Health: Recommendations for Policies & Services.
    UPenn Collaborative on Community Integration and National Alliance on Mental Illness--July 2009
    This publication is the companion to A Mental Health Recovery and Community Integration
    Guide for GLBTQI Individuals: What You Need to Know
    , a guide created by NAMI and the
    UPenn Collaborative on Community Integration to provide answers to important questions of
    GLBTQI individuals who are seeking help with mental illnesses. This companion resource
    provides important considerations for service providers and policy makers, including an
    assessment of the barriers faced by GLBTQI individuals seeking mental health care and
    recommendations for practical strategies to address these barriers, based on both a growing body
    of literature on the topic and the focus groups conducted by the authors.
    Click here for Report.
  • Care of Lesbian, Gay, Bisexual and Transgender (LGBT) Patients (Manhattan Cross Cultural Group)
    Click here for Article.
  • A Provider's Handbook on Culturally Competent Care.
    To obtain free copies of the handbooks, contact:
    Kaiser Permanente, National Diversity Department
    One Kaiser Plaza, 22 Lakeside
    Oakland, CA 94612
    Phone: 510/217-6663, Fax: 510/271-5757
    This series of handbooks published by Kaiser Permanente’s Institute for Culturally Competent Care addresses the importance of cultural competence in health care delivery. Handbooks describe health care that is sensitive to the health beliefs and behaviors, epidemiology and treatment efficacy of different population groups, including: Latino; African American; Asian and Pacific Islander; and Lesbian, Gay, Bisexual, & Transgender
  • Quick Guide for Clinicians--based on: A Provider's Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual and Transgender Individuals
    Center for Substance Abuse Treatment, and Substance Abuse and Mental Health Services Administration (SAMHSA)-2001.
    Click here for Quick Guide.
    Click here for the Complete Guide.
    This Quick Guide was developed to accompany A Provider’s Introduction to Substance Abuse Treatment
    for Lesbian, Gay, Bisexual, and Transgender Individuals (A Provider’s Introduction) published by the Center
    for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration
    (SAMHSA). It is designed to meet the needs of the busy clinician for concise, easily accessed “how-to”
    information. The Guide will help clinicians provide appropriate, effective, and compassionate treatment to their lesbian, gay, bisexual, and transgender (LGBT) clients.
  • Community Generated Recommendations to Improve the Behavioral Health Services Provided to Lesbian, Gay, Bisexual, and Transgender Persons in Philadelphia.
    Department of Behavioral Health/Mental Retardation Services.
    Click here for Recommendations.
    Includes Training Recommendations, Service Recommendations, Systems Recommendations, Data Recommendations.
  • Issues of Access to and Inclusion in Behavioral Health Services for Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Consumers.
    UPenn Collabortive on Connumity Integration at the Univ of PA--July 2009.
    Click here for Recommendations.
    Recommendations to the PA Dept of Public Welfare's Office of Mental Health and Substance Abuse Services from the LGBTQI Workgroup.
    Website: www.upennrrtc.org/
  • Practice Brief: Providing Services and Supports for Youth who are Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex or Two Spirit.
    The National Center for Cultural Competence, Washington DC and The National Technical Assistance Center for Children's Menatl Health--Center for Child and Human Development, Georgetown University.
    Click here for Practice Brief.
    This Practice Brief is for policymakers, administrators, and providers seeking to learn more about (1) youth who are lesbian, gay, bisexual, transgender, questioning, intersex, or two-spirit (LGBTQI2-S) and (2) how to develop culturally and linguistically competent programs and services to meet their needs and preferences.
    Website: http://gucchd.georgetown.edu/67211.html
  • Assett-Based Approaches for Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, and Two-Spirit (LGBTQI2-S) Youth and Families in Systems of Care
    Gamache, P., & Lazear, K. J. (2009). Asset-based approaches for lesbian, gay, bisexual, transgender, questioning, intersex, two-spirit (LGBTQI2-S) youth and families in systems of care. (FMHI pub. no. 252). Tampa, FL: University of South Florida, College of Behavioral and Community Sciences, The Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children’s Mental Health.
    Click here for Asset Based Approaches.
    This monograph presents a descrip- tion of the research literature re- lated to youth and families who are sexual/gender minorities to inform future research and practices. Much of the current research literature
    on this population is unfortunately deficit-oriented, problem-based, and focused on risk factors. While there is incremental growth of sexual/gender minority research for adults that is asset-based, there remains a paucity of research for youth in this area.
    The monograph also discusses a conceptual model of cultural competence to develop programs to serve the LGBTQI2-S population. This model describes a framework for examining the compatibility and adaptability between the char- acteristics of a community’s popula- tion and the way an organization’s combined policies, structures, and processes work together to impede or facilitate access, availability, and utilization of needed services and supports (Hernandez, Nesman, & Isaacs, 2008).
    Lastly, recommendations are suggested for next steps in a research agenda to develop an inclusive and asset-based system of care to meet the needs of youth and families who are LGBTQI2-S and to sup- port the development and enhance- ment of promising approaches to serve this population.
    Website: http://gucchd.georgetown.edu/67211.html
  • Practice Brief: Helping Families Support Their Lesbian, Gay, Bisexual, and Trangender (LGBT) Children
    Caitlin Ryan, PhD, ACSW: Director, Family Acceptance Project, San Francisco State University
    Click here for Practice Brief.
    This practice brief was developed for families, caretakers, advocates, and providers to:
    • Provide basic information to help families support their lesbian, gay, bisexual, and transgender (LGBT) children;
    • Share some of the critical new research from the Family Acceptance ProjectTM (FAP) at San Francisco State University. This important new research shows that families have a major impact on their LGBT children’s health, mental health, and well-being; and
    • Give families and LGBT youth hope that ethnically, religiously, and socially diverse families, parents, and caregivers can become more supportive of their LGBT children.
    This practice brief reports on specific findings from FAP research.
    Website: http://familyproject.sfsu.edu/
  • NAMI--Disparities in Mental Health Treatment among GLBT Populations
    by Wendy B. Bostwick, PhD, MPH--National Alliance on Mental Illness
    Click here for Disparities article.
  • Lesbian, Gay, Bisexual, and Transgender Health
    Columbia White Paper 2: Dean et al. 2000
    This report discusses the health of lesbian, gay male, bisexual, and transgender (LGBT) individuals. This grouping includes diverse and varied populations that often share little more than society’s stigma and prejudice. Stigma, however, as well as a range of other social and cultural factors are forces that impact both the health of LGBT people and the ability of health care providers to care for them in myriad ways.
    Click here to download the White Paper.
  • Healthy People 2010: Companion Document for Lesbian, Gay, Bisexual, and Transgender Health.
    Gay and Lesbian Medical Association and LGBT health experts. Healthy People 2010 Companion Document for Lesbian, Gay, Bisexual, and Transgender (LGBT) Health. San Francisco, CA: Gay and Lesbian Medical Association, 2001.
    Healthy People 2010 is the prevention agenda for the Nation. It is designed to serve as a roadmap for improving the health of all people in the United States during the first decade of the 21st century. The ability of health professionals and health plans to provide necessary and appropriate services in areas with the greatest need depends, to a large extent, on good information about the health needs of people served within communities as well as overall health status. Lesbian, gay, bisexual, and transgender (LGBT) populations have been among those for whom little or no national-level health data exist. This Healthy People 2010 Companion Document contains most of the existing quantitative and qualitative research and information specific to LGBT health in the areas defined and discusses the overall health status of LGBT people. Making the best use of available data, this document describes the barriers and recommends changes that will facilitate success in overcoming them.
    Website: www.health.gov/healthypeople.org
    Click here to download the Document.
  • Gay Affirmative Practice: Knowledge, Attitudes & Skills for Health Care Practice with Gay & Lesbian Clients--Power Point Presentation
    Catherine Crisp, MSW
    Click here to download the Power Point Presentation.
  • Disparities in Mental Health Treatment among GLBT Populations
    National Alliance on Mental Illness
    Website: www.nami.org
    Includes MH Tx and GLBT Populations, Racial & Ethnic Minorities, Rural Populations, Bisexual People, Transgender People, People with Serious Mental Illness and Addressing Disparities.
    Click here to download.
  • Contra Costa LGBTQ Resources (Selected-Genet)
    Local Resources
    Click here to download.
  • Queer Corner--Email Training Program
    Lauren Riggs, A Model for Raising Awareness of Issues Affecting Gay, Lesbian, Bisexual, Transgender, Intersex, Queer, and Same-Sex Attracted (GLBTIQS) People within Health and Community Service Organisations
    Email: Lauren.Riggs@health.sa.gov.au
    Click here to download
  • Quick LGBT Parent/Family Facts
    Our Family Coaliton
    Website: www.ourfamily.org
    Click here to download
  • LGBT Vocabulary and Definitions
    Our Family Coaliton
    Website: www.ourfamily.org
    Click here to download.
  • How Same Gender Headed Families are Formed
    Our Family Coaliton
    Website: www.ourfamily.org
    Click here to download.
  • Sample New Patient Intake Form, Appendix B
    Fenway Guide to LGBT Health.
    Website: www.fenwayhealth.org
    Click to download Form.
  • SW Practice with Gay, Lesbian and Bisexual Clients Course Outline
    Catherine Crisp, PhD
    Click to download Ourline.
  • The Harry Benjamin International Gender Dysphorka Association's Standards of Care for Gender Identiy Disorders, Sixth Version
    Suicide Prevention Resource Center Education Development Center, Newon MA--2008
    The major purpose of the Standards of Care is to articulate this international organization's professional consensus about the psychiatric, psychological, medical, and surgical management of gender identify disorders.
    Click to download Standards of Care.
  • Suicide Risk and Prevention for Lesbian, Gay, Bisexual, and Transgender Youth
    Feb. 2001
    This paper highlights the higher risk of suicidal behavior among lesbian, gay, and bisexual (LGB) youth. This higher risk may well extedn to transgender (T) youth. Additionally, the paper provides recommendation to reduce this risk by addressing sigma and prejudice at the institutional and individual level; by forming partnerships across youth-serving, suicide prevention, and LGBT youth agencies; by building on recent advances in research; and by responding to the issues of LGBT youth.
    Click to download LGBT Youth Suicide.
  • Are Lesbians, Gay Men, Bisexual People, and Transgendered People More Suicidal than Others???
    Anthony R. D'Augelli, Penn State University: Power Point Presentation
    Email: ard@psu.edu
    Click to download LGBT Youth Suicide Power Point.
  • Opening Eyes and Raising Awareness--LGBT Youth
    Sylvia Fisher and Marlene Matarese: Power Point Presentation
    Click to download LGBT Youth Power Point.
  • Pamphlet: Get in the Know--Suicide Prevention for Lesbian, Gay, Bisexual and Transgendered College Students
    Pace University
    Website: www.pace.edu/counseling
    Click to download Suicide Prevention Pamphlet.
  • Health Disparities related to LGBT Status
    American Psychological Association Public Interest Goverment Relations Office
    Website: www.apa.org
    Click here for Recommendations.
    There is limited research on health disparities experienced by sexual and gender minorities. However, an increasing number of research studies in recent years suggest that lesbian, gay, bisexual, and transgender (LGBT) individuals are at greater risk than the general population to suffer adverse health outcomes. This is due in part to the continued stigmatization of LGBT persons.

TRAINING BIBLIOGRAPHIES

ONLINE & CONTINUING EDUCATION COURSES

  • LGBT Related Courses Available for CME Credit
    Gay and Lesbian Medical Association.
    Website: http://www.glma.org/index.cfm?fuseaction=page.viewPage&pageID=925&nodeID=1
  • Learning Modules on LGBT Health
    The Fenway Institute. Modules include; Ending Invisibility, Better Care for LGBT Populations; Knowing Your Patients, Taking a History and Providing Risk Reduction Counseling; Health Promotion and Disease Prevention; Caring for LGBTQ Youth; Promoting the Health of LGBT Families, Caring for the Older LGBT Adult; and Understanding the T in LGBT, A Role for Clinicians.
    Website: http://www.fenwayhealth.org/site/PageServer?pagename=FCHC_ins_fenway_EducPro_modules
  • LGBT Mental health Syllabus--Comprehensive Online Learning Guide
    This website was created by the LGBT Issues Committee of the Group for the Advancement of Psychiatry (GAP)
    to teach psychiatry residents about caring for lesbian, gay, bisexual, trangender, and intersex patients. However, we hope it will also be useful to all health and mental health trainees and practitioners. The site includes a series of modules that can be used sequentially to provide a comprehensive learning guide for working with LGBT patients. Each module has also been designed to be a stand-alone unit on a specific topic concerning LGBT patients.
    Website: http://www.aglp.org/gap/
  • Guidelines for Psychotherapy with Lesbian, Gay and Bisexual Clients
    American Psychological Association--Div 42.
    Course Objectives:
    Successful completion of this course on APA’s Guidelines for Psychotherapy with Lesbian, Gay, and Bisexual Clients (APA, 2000) will enable a psychologist to: understand and explain the nature of the social stigma associated with homosexual or bisexual orientations and its impact upon lesbian, gay, and bisexual clients and how they present in psychotherapy; understand and explain the major issues relevant to lesbian, gay, and bisexual couples, families, youth, and older adults; understand some of the major challenges and issues of diverse groups who are lesbian, gay, or bisexual; understand and explain the effect of psychotherapist attitudes and beliefs upon psychotherapy with lesbian, gay, bisexual, and questioning clients implement these guidelines with more comfort and efficiency into clinical practice
    Website: http://www.division42.org/ContEd/LGB/index.php

REDUCING HEALTH DISPARITIES PUBLICATIONS, POLICY & GUIDANCE

PROFESSIONAL RESOURCES

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