In collaboration with the National Center for Equitable Care for Elders, The Fenway Institute has created clinical best practices for supporting the behavioral health of LGBTQ older adults. This brief discusses current research on aging LGBTQ people, their needs, and the role of health centers in providing medical and behavioral support to this population.
Learning Resources — Publications
This publication explores the social determinants of health that uniquely affect LGBTQ people of color, and provides strategies and solutions for health centers seeking to better serve this population. The publication focuses on using the model of intersectionality as a way of viewing social determinants of health and guiding health care providers in how to …
This publication provides an introduction to understanding and addressing sexual minority women’s (SMW) health. Although SMW have the same preventive health requirements as all women, they also have unique disparities and health care needs. The first half of this publication describes the physical and behavioral health issues that disproportionately affect sexual minority women (SMW) due to stigma and a shortage of culturally affirming care. The second part highlights evidence-informed practices that hold the most promise in supporting SMW who access health centers. A case example of a patient is presented to illustrate how a disparity can be addressed through the integration of primary care and behavioral health services, and by using a trauma-informed approach.
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- Sexual Minority Women
Some lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face an increased risk for HIV and sexually transmitted infections (STIs). The increased risk of HV and STIs in these populations stems from both social and biological factors.Health center clinicians can help address HIV and STIs among LGBTQ people by screening appropriately based on a comprehensive sexual history, providing culturally appropriate safer sex counseling, and offering biomedical prevention strategies, such as vaccinations and pre-exposure prophylaxis for HV (PrEP).
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- HIV/STI Treatment and Prevention
Recruiting, Training, and Retaining LGBTQ-Proficient Clinical Providers: A Workforce Development Toolkit
As lesbian, gay, bisexual, transgender, and queer (LGBTQ) people increasingly access care at health centers, the clinical workforce needs to be prepared to meet the unique health needs of LGBTQ patients. Finding LGBTQ-proficient providers, however, can present a challenge, especially outside major metropolitan areas.
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- Organizational Change
Recognizing and Addressing Intimate Partner Violence in Relationships of LGBTQ People: A Primer for Health Centers
In this publication we discuss how to identify and discuss intimate partner violence (IPV) in sexual and gender minority communities. Intimate partner violence is defined and the particular circumstances that impact IPV within sexual and gender minority communities is addressed. We provide guidance on how to talk with patients who may be experiencing IPV, and offer resources for helping sexual and gender minorities in unsafe relationships.
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.
This publication offers a brief summary of what is known about suicidal behavior and risk among LGBTQ people, followed by information and resources for health centers to help both young and old LGBTQ people get support and tap into internal and community resilience.
A primary objective for health care professionals is to establish solid, trusting relationships with patients in order to promote healthier behaviors. As with other minority groups, when working with lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, it is especially important to build rapport as a way to counteract the exclusion, discrimination, and stigma that many have experienced previously in health care. Despite our best intentions, however, internal --or implicit--biases may affect the way we talk to and behave with patients. For health care professionals, biases can lead to inequitable care, either through biased clinical decisions, or through communicating bias in conversation with patients.
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- Introduction to LGBTQIA+ Health
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.