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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.

Creating an inclusive environment in which health care conversations are more comfortable for the patient is an important goal for all health care staff. All patients deserve access to high quality health care; in health care organizations, both front-line staff and clinicians must be prepared to serve people of all races, ethnicities, religions, ages, and backgrounds.

Here’s What You’ll Find Inside:

  • Part 1 provides background information on LGBT people and their health needs.
  • Part 2 provides tips and strategies to improve communication and create a more welcoming environment.
  • Part 3 includes helpful resources, a glossary of terms, and additional information about how to care for LGBT people.

Promoting Health Care Access to Lesbian, Gay, Bisexual, and Transgender (LGBT) Farmworkers

Farmworker Justice and the National LGBT Health Education Center

There is a common misconception that few or no LGBT people exist within the farmworker community. As a result, the health care needs of LGBT farmworkers are often overlooked. There is no data regarding the number of LGBT individuals within the farmworker community. However, those who provide health care and public health interventions to farmworkers know from experience that LGBT people do exist in this community.

These individuals face enormous challenges in accessing care, finding support, and feeling safe. This brief aids health care centers in recognizing and addressing the unique challenges faced by LGBT farmworkers in order to provide quality care to this highly vulnerable population. The brief outlines the greatest health care challenges facing LGBT farmworkers, discusses best practices for building trust with this community, and provides available support systems and resources.

Transgender Women and Pre-exposure Prophylaxis for HIV Prevention: What We Know and What We Still Need to Know

The National Center for Innovation in HIV Care

Transgender women are at elevated risk of becoming infected with HIV. Pre-exposure prophylaxis for HIV prevention (PrEP) is effective in reducing the risk of HIV infection among men who have sex with men (MSM), heterosexual men and women, and people who inject drugs (PWID). While transgender women have been included in some clinical trials of PrEP, no study has shown PrEP to be effective in reducing transgender women’s HIV risk.

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Protecting Yourself from HIV through Pre-Exposure Prophylaxis (PrEP): What You Need to Know

The Food & Drug Administration (FDA) recently approved the use of an HIV treatment medication for HIV-negative people at high risk of getting HIV through sexual exposure.  Known as “pre-exposure prophylaxis”—or PrEP—this medication is a once-a-day pill to be used in combination with condoms and other safer sex behavioral strategies to reduce risk.  Protecting Yourself from HIV through PrEP informs consumers about PrEP and how it works, as well as other ways they can work with their health care providers to protect themselves against HIV.

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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).

For patients and the health centers that serve them, sexual health care and prevention interventions mean routine screening of physical, behavioral, and social health factors and subsequent care management and coordination with public health through strong partnerships.  Skilled at patient engagement and proactive planned care, health centers can integrate a routine sexual health history as part of the overall health assessment, as well as routine screenings for HIV and hepatitis C based on the most current CDC recommendations. 

Atención afirmativa para personas transgénero y de género no conformista: Mejores prácticas para el personal de atención médica de primera línea

Front-line staff play a key role in creating a health care environment that responds to the needs of transgender and gender diverse (TGD) people. Everyone, no matter their gender identity or expression, appreciates friendly and courteous service. In addition, TGD people have unique needs when interacting with the health care system. Many TGD people experience stigma and discrimination in their daily lives, including when seeking health care.

Issues and concerns from TGD patients often arise at the front desk and in waiting areas because those are the first points of contact for most patients. These issues, however, are almost always unintentional and can be prevented by training all staff in some basic principles and strategies.

This document, updated in Fall 2016, was developed as a starting point to help train front-line health care employees to provide affirming services to TGD patients (and all patients) at their organization. Part 1 of this document provides background information on TGD people and their health needs. Part 2 provides tips and strategies to improve communication and create a more affirming environment.

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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Pregunte y dígalo Series: Youth Poster

This poster was developed as a companion to the Pregunte y dígalo: Hable con su proveedor de atención médica sobre ser LGBTQ brochure for Latino/a LGBTQ 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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Pregunte y dígalo: Hable con su proveedor de atención médica sobre ser LGBTQ

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth must navigate the typical challenges of adolescence while also managing the social stigma associated with their emerging sexual and gender minority identities. As a result, many LGBTQ youth are at higher risk for many health issues, and experience barriers to accessing health care. Pregunte y dígalo: Hable con su proveedor de atención médica sobre ser LGBTQ was adapted for a youth Latino/a audience in order to empower them to “come out” to their health care provider. Inside is information about health issues, as well as support and resources for LGBTQ youth. There is space on the brochure to add your organization’s logo.

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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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