Lesbian, Gay, Bisexual, Transgender, and Queer People

2017 ◽  
Author(s):  
Laura Erickson-Schroth ◽  
Antonia Barba
Keyword(s):  
Mental Illness ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Care ◽  
Barriers To Treatment ◽  
Clinical Issues ◽  
Case Examples ◽  
Increased Risk ◽  
The Media ◽  
And Gender

Although discussion of sexual orientation and gender identity is more prevalent in the media now than ever before, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) population continues to encounter stigma, disproportionately high rates of trauma, and a resulting increased risk for developing mental illness. These factors, together with a conflicted history with the field of psychiatry, can create barriers to treatment that require practitioners to be active in their approach to providing LGBTQ-inclusive care. This chapter uses case examples to illustrate the range of psychosocial and clinical issues experienced by this population and suggests approaches for improving clinical care. It also discusses strategies for creating safe and LGBTQ-affirming environments.

scholarly journals Why Are You Asking? Sexual Orientation and Gender Identity Assessment in Clinical Care

2021 ◽  
Author(s):  
Divya Jolly ◽  
Elizabeth R. Boskey ◽  
Katharine A. Thomson ◽  
Ariella R. Tabaac ◽  
Maureen T.S. Burns ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Care ◽  
And Gender

scholarly journals LGBTQ Bullying: Translating Research to Action in Pediatrics

2021 ◽  
pp. 60-69
Author(s):  
Valerie A. Earnshaw ◽  
Sari L. Reisner ◽  
Jaana Juvonen ◽  
Mark L. Hatzenbuehler ◽  
Jeff Perrotti ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Care ◽  
Government Officials ◽  
Community Members ◽  
Lgbtq Youth ◽  
Innovative Strategies ◽  
And Gender ◽  
Bullying Interventions

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled “LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth” in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying. This article describes key scientific findings on bullying, LGBTQ stigma, and LGBTQ bullying interventions that were shared at the symposium and provides recommendations for pediatricians to address LGBTQ bullying via clinical care, research, interventions, and policy. Symposium participants recommended that pediatricians engage in efforts to foster inclusive and affirming health care environments wherein LGBTQ youth feel comfortable discussing their identities and experiences, identify youth experiencing LGBTQ bullying, and prevent the negative health consequences of bullying among youth. Moreover, pediatricians can attend to how multiple identities (eg, sexual orientation, gender identity, race and/or ethnicity, disability, and others) shape youth experiences of bullying and expand intervention efforts to address LGBTQ bullying in health care settings. Pediatricians can further advocate for evidence-based, antibullying policies prohibiting bullying on the basis of sexual orientation and gender identity. Collaboration between pediatricians and diverse stakeholders can contribute to the development and implementation of lasting change in all forms of bullying, including LGBTQ bullying.

Barriers and facilitators to sexual orientation and gender identity (SOGI) data collection.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18520-e18520
Author(s):  
Gwendolyn P. Quinn ◽  
Mandi L. Pratt-Chapman ◽  
Steve C. Meersman ◽  
Shine Chang ◽  
Charles Stewart Kamen ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Data Collection ◽  
Gender Identity ◽  
Culture Change ◽  
Clinical Care ◽  
Barriers And Facilitators ◽  
Cultural Barriers ◽  
Cultural Humility ◽  
Specific Feedback ◽  
And Gender

e18520 Background: Lack of sexual orientation and gender identity (SOGI) data collection is a barrier to inclusion of sexual and gender minority (SGM) patients in oncology. ASCO, NIH, and other groups have called for collection of SOGI data and documentation of SGM health disparities as a priority for clinical care and research. However, SOGI data are not routinely collected in most cancer care settings. The purpose of this study was to examine perceived barriers and facilitators to SOGI data collection among oncology professionals and researchers. Methods: An anonymous 54-item web-based survey was distributed to ASCO members which included two opened-ended items on barriers and facilitators to SOGI data collection. The survey was also promoted on listservs (Association of Community Cancer Centers, Association of Oncology Social Workers) and social media (e.g., Twitter, LinkedIn, Facebook professional groups). Responses to the open–ended items (n = 152) were coded by three coders using content analysis and constant comparison methods. Inter-rater reliability was 0.95. Results: The majority of respondents noted individual and organizational barriers to collecting SOGI data, including Culture (no support, expressed value or awareness of need from institution); Electronic Health Record (no location for SOGI or workflow challenges); Provider Discomfort (lack of knowledge on how/why to collect SOGI data, concerns about expressed bias); Patient Discomfort (privacy concerns, mistrust, refusal); Lack of Training or Resources; and Time (insufficient time to collect). Facilitators included a need for Protocols (intake process, patient-initiated disclosure); Training (how to collect and what to do with data); Culture change (institutional and/or provider priority); and improving Community Trust (patient trust, particularly in conservative areas of the country). A few respondents were concerned about patient safety in disclosure and some respondents noted culture change would require more representation of SGM staff and “safe spaces” in oncology settings. Three respondents made negatively biased comments about SGM patients. Conclusions: Overall, specific feedback from oncology providers identified barriers to SOGI data collection and suggested facilitators to resolve them, although not all respondents expressed value for SOGI data collection. Conservative culture and lack of leadership prioritization were cultural barriers; culture change (organizational and social) was noted as a potential facilitator for SOGI data collection. While workflow challenges and lack of a place to document SOGI in the EHR were barriers, protocols for documentation and patient-led disclosure were suggested facilitators. The study supports the need for leadership, processes, structured data fields, implicit bias and cultural humility training, and reduction of stigma to respond to the ASCO and NIH call to action.

scholarly journals LGBTQ Bullying: Translating Research to Action in Pediatrics

2018 ◽  
pp. 20-29
Author(s):  
Valerie A. Earnshaw ◽  
Sari L. Reisner ◽  
Jaana Juvonen ◽  
Mark L. Hatzenbuehler ◽  
Jeff Perrotti ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Care ◽  
Government Officials ◽  
Community Members ◽  
Lgbtq Youth ◽  
Innovative Strategies ◽  
And Gender ◽  
Bullying Interventions

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled “LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth” in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying. This article describes key scientific findings on bullying, LGBTQ stigma, and LGBTQ bullying interventions that were shared at the symposium and provides recommendations for pediatricians to address LGBTQ bullying via clinical care, research, interventions, and policy. Symposium participants recommended that pediatricians engage in efforts to foster inclusive and affirming health care environments wherein LGBTQ youth feel comfortable discussing their identities and experiences, identify youth experiencing LGBTQ bullying, and prevent the negative health consequences of bullying among youth. Moreover, pediatricians can attend to how multiple identities (eg, sexual orientation, gender identity, race and/or ethnicity, disability, and others) shape youth experiences of bullying and expand intervention efforts to address LGBTQ bullying in health care settings. Pediatricians can further advocate for evidence-based, antibullying policies prohibiting bullying on the basis of sexual orientation and gender identity. Collaboration between pediatricians and diverse stakeholders can contribute to the development and implementation of lasting change in all forms of bullying, including LGBTQ bullying.

scholarly journals In Our Own Words: A Qualitative Exploration of Complex Patient-Provider Interactions in an LGBTQ Population

2019 ◽  
Vol 2 (2) ◽  
pp. 83-93
Author(s):  
Saba Malik ◽  
Zubin Master ◽  
Wendy Parker ◽  
Barry DeCoster ◽  
Lisa Campo-Engelstein
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Ethnic Discrimination ◽  
Theory Approach ◽  
Structured Interviews ◽  
Physician Patient Relationship ◽  
Complex Needs ◽  
Gender Minorities ◽  
Increased Risk ◽  
And Gender

While sexual and gender minorities are at increased risk for poor health outcomes, there is limited data regarding patient-provider interactions. In this study, we explored the perspectives of LGBTQ patients and their encounters with physicians in order to improve our understanding of patient-physician experiences. Using purposive selection of self-identified LGBTQ patients, we performed fourteen in-depth semi-structured interviews on topics of sexual orientation and gender identity, as well as their perceived role in the patient-provider relationship. Coding using a modified grounded theory approach was performed to generate themes. We identified three major themes that demonstrate the complexity of LGBTQ patient experiences. The first, Lacking trust, identifies mistrust and loss of the physician-patient relationship resulting from physicians’ poor or judgmental communication, or from physicians making assumptions about gender, using incorrect pronouns, and not recognizing heterogeneity within the transgender community. A second theme, Being vulnerable, describes the challenges and fears related to comfort of patients with disclosing their sexual orientation and/or gender identity. A final theme, Navigating discrimination, outlines racial or ethnic discrimination which creates an additional burden on top of illness and stigmatized identity. Our results reveal the complex needs of individuals with multiple stigmatized identities when developing relationships with providers. By using an intersectional perspective that appreciates the plurality of patients’ identities, providers can help to improve their relationships with LGBTQ patients. Incorporating intersectional training for medical students and residents could greatly benefit both LGBTQ patients and their physicians.

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