Building a space of equity and inclusion for lesbian, gay, bisexual, transgender, queer, questioning, intersex, and asexual and all sexual and gender minority (LGBTQIA+) people in health care is a critical step to address health disparities faced by these communities. However, the process of building inclusive spaces is one that takes significant time, analysis, and investment at every level of leadership. This guide presents strategies and considerations in driving organizational change for LGBTQIA+ inclusion and equity in health care.
Learning Resources — Publications
Ready, Set, Go! Guidelines and Tips For Collecting Patient Data on Sexual Orientation and Gender Identity (SOGI) – 2022 Update
This guide was designed to help health centers and other health care organizations successfully collect sexual orientation and gender identity (SOGI) data and document the data into the electronic health record (EHR). For those just beginning the process, this guide can be used from start to finish. If you already have a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis.
This publication will guide health centers in providing affirming care and services for Two Spirit and LGBTQIA+ American Indian/Alaska Native (AI/AN) people. Readers will explore key concepts, terminology, and the effects of historical trauma. Discover best and promising practices for care that incorporate Indigenous holistic models of wellness and focus on resilience and protective factors, including links to resources for further exploration of this topic.
HCV and HIV are overlapping epidemics with serious clinical implications for infected patients and health centers are poised to prevent and treat these viral infections by understanding the implications of comorbidity and by creating a welcoming environment for those at risk for, previously infected, or currently living with one or both diseases. This publication, a collaboration of the National Nurse-Led Care Consortium and the National LGBTQIA+ Health Education Center, explores the link between HCV and HIV, with particular emphasis on considerations for community-based primary care providers.
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- HIV/STI Treatment and Prevention
This publication provides health centers with promising practices for supporting LGBTQIA+ older adults with their housing and related health care needs, including screening for homelessness and housing, supporting aging in place, providing affirming referrals for housing and supportive services, and offering inclusive health care environments.
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- LGBTQIA+ Older Adults
This publication engages pediatric primary care providers, mental health providers, health center administrators and support staff in learning how to actively engage families in the support of their transgender and gender diverse (TGD) children, with the aim of improving the health outcomes for TGD youth. Providers will learn best practices for serving the families of TGD youth, and strategies for successfully providing resources and referrals in response to a variety of family and patient needs and priorities.
This publication provides a framework for understanding the forces that drive human trafficking among LGBTQIA+ youth, and offers recommendations for providing meaningful, affirming, and non-judgmental care through the application of a healing-centered approach.
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- LGBTQIA+ Children and Youth
This 2021 fact sheet from the National LGBTQIA+ Health Education Center provides information for health centers to manage co-occurring diabetes and HIV, including information about the metabolic side effects of antiretroviral medications.
The Fenway Health Transgender Health Program (THP) produced these protocols for clinicians in primary care settings to best serve their Transgender and Gender Diverse (TGD) patients. The mission of Fenway Health is to enhance the wellbeing of the lesbian, gay, bisexual, and transgender communities and all people in our neighborhood and beyond. As part of that larger mission, the THP seeks to promote and support knowledgeable and comprehensive care to TGD persons in an environment that is comfortable, safe, and affirming.
This publication discusses the advantages and challenges of telePrEP, the use of telemedicine specifically for pre-exposure prophylaxis (PrEP), and provides best practices for clinicians and PrEP programs.
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- Pre-Exposure Prophylaxis (PrEP)