Working With Lesbian, Gay, Bisexual, and Transgender People in Care Relationships

2022 ◽  
pp. 1276-1303
Author(s):  
Gabriel Aleksandrs

This chapter details some key considerations for health and human services professionals working with lesbian, gay, bisexual, and transgender (LGBT) people in care relationships. Reflecting on the impacts of stigma and discrimination as well as the social, cultural, and political contexts of LGBT communities and carers, this chapter will explore some of ways these factors (as well as heterosexist and cis-genderist assumptions about families and partners) impact the identification, support, and recognition of LGBT people in care relationships. Finally, this chapter will recommend strategies to reduce poor mental health and wellbeing outcomes among people in care relationships where one or all people involved are LGBT, and explore some key actions that may assist health and human services better support and include LGBT people in care relationships.

Author(s):  
Gabriel Aleksandrs

This chapter details some key considerations for health and human services professionals working with lesbian, gay, bisexual, and transgender (LGBT) people in care relationships. Reflecting on the impacts of stigma and discrimination as well as the social, cultural, and political contexts of LGBT communities and carers, this chapter will explore some of ways these factors (as well as heterosexist and cis-genderist assumptions about families and partners) impact the identification, support, and recognition of LGBT people in care relationships. Finally, this chapter will recommend strategies to reduce poor mental health and wellbeing outcomes among people in care relationships where one or all people involved are LGBT, and explore some key actions that may assist health and human services better support and include LGBT people in care relationships.


2022 ◽  
pp. 593-620
Author(s):  
Gabriel Aleksandrs

This chapter details some key considerations for health and human services professionals working with lesbian, gay, bisexual, and transgender (LGBT) people in care relationships. Reflecting on the impacts of stigma and discrimination as well as the social, cultural, and political contexts of LGBT communities and carers, this chapter will explore some of ways these factors (as well as heterosexist and cis-genderist assumptions about families and partners) impact the identification, support, and recognition of LGBT people in care relationships. Finally, this chapter will recommend strategies to reduce poor mental health and wellbeing outcomes among people in care relationships where one or all people involved are LGBT, and explore some key actions that may assist health and human services better support and include LGBT people in care relationships.


Author(s):  
David E. Emenheiser ◽  
Corinne Weidenthal ◽  
Selete Avoke ◽  
Marlene Simon-Burroughs

Promoting the Readiness of Minors in Supplemental Security Income (PROMISE), a study of 13,444 randomly assigned youth and their families, includes six model demonstration projects and a technical assistance center funded through the U.S. Department of Education and a national evaluation of the model demonstration projects funded through the Social Security Administration. The Departments of Labor and Health and Human Services and the Executive Office of the President partnered with the Department of Education and Social Security Administration to develop and monitor the PROMISE initiative. This article provides an overview of PROMISE as the introduction to this special issue of Career Development and Transition for Exceptional Individuals.


2011 ◽  
Vol 5 (4) ◽  
pp. 1064 ◽  
Author(s):  
Patrícia Juliana de Sousa ◽  
Fátima Maria Da Silva Abrão ◽  
Aurélio Molina da Costa ◽  
Luiz Oscar Cardoso Ferreira

ABSTRACT Objective: to reflect on how nursing may employ the bioethics knowledge inside their practice to assistance and humanize the embracement on primary health care to Lesbian, Gay, Bisexual, and Transgender people (LGBT). Methodology: a reflective essay based on extensive literature review and consolidated through discussions during classes, as also seminars and Bioethics readings extracted from the discipline  "Fundamentals of Ethics and Bioethics in Health Care” from Masters of Science in Nursing’s Associate Program of Pernambuco State University and Paraiba State University, Brazil. Results: the bioethics knowledge can subscribe the real recognition of citizenship for all people, especially the most vulnerable ones, providing a space for reflections in the direction of harmony and equal opportunity among LGBT and health professionals. Conclusion: the theoretical framework of bioethics can help and support registered Nurses to promote humanized care for embracement of LGBT people in primary health services, in that it gives them sense of dignity and respect through the tolerance and acceptance of the right of diversity. Descriptors: user embracement; primary health care; homosexuality; bioethics; nursing. RESUMO Objetivo: refletir sobre como a Enfermagem pode utilizar o referencial da Bioética para fundamentar sua prática e assistência em relação à garantia de um acolhimento humanizado a Lésbicas, Gays, Bissexuais, Travestis e Transexuais (LGBT) nos serviços de saúde da atenção básica. Metodologia: ensaio reflexivo baseado em revisão bibliográfica e consolidado por meio de discussões e seminários realizados na disciplina Fundamentos da Ética e Bioética na Saúde e Enfermagem do Programa de Mestrado Associado de Pós-Graduação em Enfermagem UPE/UEPB. Resultados: a Bioética contribui para o reconhecimento da plena cidadania de todos os seres humanos principalmente dos mais vulneráveis, deste modo, proporcionando um espaço de reflexão na busca da convivência e da oportunidade entre usuários LGBT e profissionais da saúde. Conclusão: o referencial teórico da Bioética pode ajudar a respaldar e promover o acolhimento humanizado de LGBT pela Enfermagem nos serviços da atenção básica por meio da tolerância com a diversidade e respeito à dignidade humana destes cidadãos. Descritores: acolhimento; atenção básica; homossexualidade; bioética; enfermagem. RESUMEN Objectivo: refletir cómo las enfermeras pueden emplear los conocimientos de bioética dentro de su práctica  para  la asistencia y humanización de la acogida dentro la atención primaria de la salud de lesbianas, gays, bisexuales y personas transgénero. Metodología: ensayo reflexivo basado en  revisión de la literatura y consolidado através de discusiones y seminarios  durante las clases, así como seminarios y lecturas de Bioética extraídos de la disciplina "Fundamentos de la Ética y Bioética en la Atención Sanitaria" del Programa Master en Enfermeria Asociado de las Universades de los estados de Pernambuco y Paraiba, Brazil. resultados: la Bioética puede sostener um reconocimiento real de la ciudadanía de las personas, especialmente los más vulnerables, proporcionando un espacio de reflexión en el sentido de la armonía y la igualdad de oportunidades entre los LGBT y profesionales de la salud. Conclusión: el marco teórico de la bioética puede sustener a las enfermeras  para una atención más humanizada  de la acogida a los LGBT dentro de los servicios de salud primaria, garantizando a estas personas un sentido de dignidad y respeto a través de la tolerancia y la aceptación del derecho de la diversidad. Descriptores: acogimiento; atención primaria de salud; homosexualidad; bioética; enfermería.


CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 618-623
Author(s):  
Juan Carlos Arguello

Lesbian, Gay, Bisexual, and Transgender (LGBT) people are more likely to be disproportionally placed in a secured setting such jails, prisons, and forensic hospitals. These settings can be traumatizing, hostile, and dangerous—especially for those who are suffering from mental illness. Administrators are encouraged to develop institutional policies that undoubtedly include that LGBT residents should be free of discrimination, victimization, and abuse. LGBT residents should have equal access to safe housing, vocational programs, rehabilitation services, as well as medical and mental health treatments. Several organizations provide guidelines to ensure that LGBT residents are protected. This article provides a general roadmap for developing LGBT policies in secured settings synergizing the recommendations of some of these organizations with emphasis on policy guidelines for transgender people that are not only standards for good care but also very cost-effective interventions that can help reduce symptoms of mental illness for this population.


2018 ◽  
Vol 61 (6) ◽  
pp. 934-952 ◽  
Author(s):  
Lain A. B. Mathers ◽  
J. E. Sumerau ◽  
Ryan T. Cragun

This article addresses limitations of homonormativity in the pursuit of sexual and gender equality. Based on 20 interviews with cisgender, heterosexual Christian women, we demonstrate how even people who support same-sex marriage and some recognition of cisgender lesbian and gay people as potentially moral individuals may continue marginalization of transgender and bisexual people in their interpretations of gender, sexualities, and religion. We outline two generic processes in the reproduction of inequality which we name (1) deleting and (2) denigrating whereby people may socially construct transgender and bisexual existence as unnatural and unwelcome despite gains for cisgender lesbian and gay people. We argue that examining the social construction of bisexual and transgender people may provide insight into (1) limitations of homonormativity in the pursuit of sexual and/or gender liberation, (2) transgender and bisexual experience, and (3) the relative absence of bisexual and transgender focused analyses in sociology to date.


Author(s):  
Emilia Lombardi ◽  
Talia Mae Bettcher

This chapter describes social injustice experienced by lesbian, gay, bisexual, and transgender/transsexual (LGBT) individuals. It addresses stigma-based violence, HIV/AIDS, and issues related to mental health as well as to alcohol, tobacco, and other drugs. It describes the increased risk that LGBT men and women face for cardiovascular disease and cancer. In addition, the chapter addresses the underlying factors and roots of this social injustice. The chapter addresses what needs to be done, including changes to legislative and other policies, an expanded role for healthcare facilities and organizations, and ongoing research. The authors stress the need for a change in the social environment that creates social injustice against LGBT people—a change that can only be brought about through education and by addressing multiple forms of social injustice.


2021 ◽  
Author(s):  
Ghobad Moradi ◽  
Marzieh Soheili ◽  
Roya Rashti ◽  
Hojat Dehghanbanadaki ◽  
Elham Nouri ◽  
...  

Abstract Objectives: This study aimed to systematically review the literature on the prevalence of Hepatitis C virus (HCV) and Hepatitis B virus (HBV) infections in transgender and LGBT people and determine their pooled estimates worldwide.Methods: Databases (PubMed, Scopus, Web of Science, Embase, Ovid, Cochrane, PsycInfo) were searched from April 2000 to July 2021. The pooled, subgroup, and cumulative analyses were executed using the random-effects model in Stata 16. Results: Ten studies, including eight studies on Four transgender people and two studies on 2150 LGBTs, were included. The pooled prevalence of HCV and HBV in all transgender populations globally were 9% (95%CI: 3- 15%) and 11% (95%CI: 2- 20%), respectively. The corresponding prevalence in male-to-female transgender people were estimated as 5% (95%CI: 1- 9%) and 6% (95%CI: 3- 10%), respectively. These estimates in American transgenders were 10% (95%CI: 5- 25%) and 16% (95%CI: 8- 23%), respectively. Conclusion: This study was identified the overall prevalence of HBV and HCV infections in transgender people, which were higher than those in the general population. Thus, this group of sexual minorities was at higher risk for HBV and HCV infections, and it was necessary to develop, design, and implement a protocol for providing services related to HBV and HCV infections, such as a hepatitis B vaccination program and treatment of hepatitis C along with screening and designing appropriate interventions in transgender people.


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