In this guide, we provide a framework for building a health program for transgender and gender diverse patients at your health center. There is no "one size fits all" approach to this work, but there are certain building blocks from which to create your own program that supports the gender diverse people in your community.
Learning Resources — Organizational Change
Fact Sheet: Transgender Health and Medical-Legal Partnerships
This fact sheet describes common social and legal needs that affect the health of transgender individuals, and ways integrated legal services can help meet those needs. It examines medical-legal partnership programs at three health care organizations and how they operate, and it shares stories of people benefiting from medical-legal partnership services.
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- Organizational Change
- Transgender Health
LGBT Health Readiness Assessments in Health Centers: Key Findings
The National LGBT Health Education Center started conducting direct training and technical assistance with Federally Qualified Health Centers in 2014. This service was made possible by the expansion of our National Cooperative Agreement with the Health Resources and Services Administration to include technical assistance work. Since 2014, seventeen health centers in six states (Connecticut, Louisiana, Massachusetts, Mississippi, New York, and Texas) have participated in the assessment process.
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- Organizational Change
Focus on Forms and Policy: Creating an Inclusive Environment for LGBT Patients
Lesbian, gay, bisexual, and transgender (LGBT) people come from all walks of life and experience many of the same health problems as non-LGBT people. This means that every organizational policy and procedure may impact the experience of LGBT people. To create an LGBT-affirming and inclusive environment, it is important to examine policies and procedures. This publication reviews some common updates to organizational forms and polices to create an affirming and inclusive environment for LGBT patients, and reviews strategies to modify procedures, behavior, and language to be inclusive of all patients.
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- Organizational Change
Providing Affirmative Care for Patients with Non-binary Gender Identities
All members of a health care organization—front-line staff members, clinicians, and administrators—play a crucial role in offering an inclusive, affirming experience for all people, including those with non-binary gender identities. Everyone, no matter their gender identity or expression, appreciates friendly, courteous, and effective care. In addition, non-binary people, who have gender identities other than male or female, have unique needs when interacting with the health care system. Non-binary people face numerous health disparities as well as stigma, discrimination, and a lack of access to quality care. However, you do not need to specialize in non-binary health care to give your non-binary patients an affirming experience.
Building Patient-Centered Medical Homes for Lesbian, Gay, Bisexual, and Transgender Patients and Families
While expanding access to health insurance coverage through the Affordable Care Act has been vital to millions of previously uninsured Americans, moving U.S. health care away from fee-for-service, volume-driven payments to payments based on value and outcomes will be a much more challenging transformation. For health centers and other health care providers, one commonly used model for practice transformation is the patient-centered medical home (PCMH). The PCMH model transforms how primary care is coordinated and delivered by emphasizing comprehensive, team-based care that places the patient at the center. When implemented successfully, the PCMH model leads to higher quality care at a lower cost, improving both the patients’ and providers’ experience of care.
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- Organizational Change
Providing Inclusive Services and Care for LGBT People: A Guide for Health Care Staff
Providing Inclusive Services and Care for LGBT People has been developed to help all members of the health care team provide an inclusive and affirmative environment for all clients, with a focus on lesbian, gay, bisexual, and transgender (LGBT) people.
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- Organizational Change
Taking Routine Histories of Sexual Health: A System-Wide Approach for Health Centers
The National Association of Community Health Centers and the National LGBT Health Education Center
To support health centers as they endeavor to better integrate sexual health into patient-centered care, we collaborated with the National Association of Community Health Centers (NACHC) to create Taking Routine Histories of Sexual Health: A System-Wide Approach for Health Centers (Toolkit).
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- Organizational Change
Las necesidades de las personas LGBT en los Centros de Salud Lo que la Junta Directiva necesita saber
The National Association of Community Health Centers and the National LGBT Health Education Center
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- Organizational Change
Do Ask, Do Tell Series: Youth Poster
This poster was developed as a companion to the Do Ask, Do Tell: Talking to your health care provider about being LGBTQ brochure for youth and adolescents. The poster can be displayed in exam rooms, waiting areas, and other areas of health centers and healthcare organizations to let patients know that the organization provides a welcoming, inclusive environment of care. There is space on the poster to add your organization's logo.
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- Organizational Change
- Patient Education Materials
