While PrEP is highly effective at preventing HIV infection and has been available for more than 10 years, many people who might benefit from taking it have not received a prescription. Through focus groups with health centers across the United States, The Fenway Institute and the Bureau of Primary Health Care identified barriers and facilitators to PrEP use. A lack of provider knowledge about PrEP, discomfort discussing sexual behavior, patients’ negative perceptions of PrEP, financial and staffing limitations, medical mistrust, and low health literacy all impeded PrEP access. However, focus group participants also identified multiple strategies to ease PrEP use, including provider training and resources, visit templates that include sexual history questions, patient outreach and education through trusted community members, and use of telemedicine.
Learning Resources — Organizational Change
Learning Module: Creating Welcoming and Affirming Clinical Studies for LGBTQIA+ Participants
This three-part interactive, self-paced Learning Module will enhance your capacity to understand and apply the concepts presented in the Creating Welcoming and Affirming Clinical Studies for LGBTQIA+ Participants Toolkit. Presented in three parts (10-30 minutes each), this module can be completed in one sitting or taken during as many sittings as needed
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- Organizational Change
Digital Innovations to Improve Access to Care for LGBTQIA+ People
Presented by Chris Grasso and Milo Dorfman, this webinar will train health centers on new digital health care technologies that hold promise for engaging LGBTQIA+ people into primary care and behavioral health care. Topics include innovations in telehealth, artificial intelligence, smartphone apps, and remote patient monitoring. Participants will learn about the pros and cons of these new devices and technologies.
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- Organizational Change
Creating Welcoming and Affirming Clinical Studies for LGBTQIA+ Participants Toolkit
Purpose: This toolkit provides strategies, tools, and learning resources to advance LGBTQIA+ inclusion in clinical research studies across the world.
Creating Welcoming and Affirming Clinical Studies for LGBTQIA+ Participants Toolkit
This toolkit focuses on the implementation stage of training sites to successfully engage and retain LGBTQIA+ participants. Within the toolkit, you will find information on foundational LGBTQIA+ concepts and terminology, best practices for affirming transgender and gender diverse participants, and recommendations for collecting SOGI data as part of participant demographics. By learning these competencies, all study staff can become skilled and confident in supporting the dignity of LGBTQIA+ participants, and ultimately, can contribute to improving health equity for LGBTQIA+ communities.
Low Threshold Substance Use Support for LGBTQIA+ Communities
In collaboration with the National Health Care for the Homeless Council, this webinar will discuss innovative low-barrier, patient-centered models of SUD treatment that can be integrated into health centers, and can effectively engage LGBTQIA+ communities and people experiencing homelessness. Approaches will include same-day and home induction of medications for opioid use disorder, long-acting injectables, and harm reduction principles.
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- Organizational Change
Addressing the Impact of Climate Change on LGBTQIA+ Patients at Health Centers
Presented by Leo Goldsmith and Dr. Bhar Chekuri, this webinar will familiarize health centers on the impact of climate change on LGBTQIA+ communities, and will introduce strategies for ensuring an equitable and culturally affirming response to climate change and its health impacts.
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- Organizational Change
Optimizing Physical Safety and Cyber Security for Health Centers Offering Gender-Affirming Care
Presented by Dr. Alex Keuroghlian, Dr. Chris Roby, and Bonnie Michelman, this webinar will focus on the current risks to those providing gender-affirming care and provide strategies for safeguarding facilities and employees from threats, violence, and unsafe behavior.
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- Organizational Change
Telehealth for LGBTQIA+ Patients
In this webinar, Emily Phillips will discuss best practices in telehealth for LGBTQIA+ patients including information on expansion, implementation and quality improvement.
LGBTQIA+ Care Organizational Change Videos
Our new 3-5 minute video series discusses best practices for organizational change at health centers to provide LGBTQIA+ affirming care. Topics include Health Needs Assessment, Engagement and Collaboration with Community Partners, Sexual Orientation and Gender Identity (SOGI) Data Collection, Information Technology Considerations, Investment and Engagement from Key Stakeholders, and Recruitment and Retention of LGBTQIA+ workers.
