This pamphlet on sexual orientation and gender identity (SOGI) questions can be handed out to patients in waiting rooms or exam rooms. The pamphlet explains: why your organization is asking about SOGI, what each SOGI term means, and how the information will be kept confidential. The pamphlet comes in several languages.
Learning Resources — Publications
This tool provides recommended questions for asking patients their sexual orientation and gender identity in electronic health records as well as some key terms and their definitions, all translated into Spanish.
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.
Lesbian, gay, bisexual, and transgender individuals continue to face stigma and discrimination even though social acceptance is improving. This stigma and discrimination can result in negative experiences that combine with lack of access to culturally-affirming and informed health professionals to result in multiple health disparities for LGBT populations. Therefore, there is an urgent need to provide inclusive, high-quality health services to LGBT people so they can achieve the highest possible level of health. This document reviews LGBT concepts and demographics, discusses health disparities affecting LGBT groups, and outlines steps that clinicians, health centers, and other health care organizations can take to provide patient-centered care for LGBT people.
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- Introduction to LGBTQIA+ Health
A growing number of LGBT people are starting families. The 2010 US Census reported that approximately 19% of same-sex couples are currently raising children, and a 2013 Pew Research national survey found that 51% of LGBT adults of any age have children or would like to have children in the future. As an increasing number LGBT individuals and couples seek to have children, many will turn to their health care providers for resources and guidance. This brief walks through the various pathways to parenthood for LGBT people, as well as unique issues these couples and individuals may face as they consider their options. The pathways explored in the brief include adoption and foster parenting, donor insemination and in vitro fertilization (IVF), and surrogacy. Also discussed are ways in which health care organizations can support LGBT parents. The brief can be used as a guide to tailor conversations about parenting desires with lesbian, gay, bisexual, and transgender patients.
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- Reproductive Health
The HIV epidemic disproportionately affects the Southern U.S., where 51% of new HIV diagnoses occurred in 2013. Despite substantial progress along the continuum of care, HIV remains a major health concern in the South, particularly for young, Black gay and bisexual men, other men who have sex men (MSM), and transgender women. Our new publication “HIV Prevention in the South: Reducing Stigma, Increasing Access” presents four strategic elements for preventing the further spread of HIV among vulnerable populations in the South, and suggests a more hopeful future for reducing the HIV epidemic.
The Fenway Health Transgender Health Program (THP) produced these protocols for clinicians in primary care settings to best serve their transgender 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 transgender and gender diverse (TGD) persons in an environment that is comfortable, safe, and affirming.
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- Transgender Health
Lesbian, gay, bisexual, and transgender (LGBT) people face several barriers to accessing inclusive and affirming care. It is essential that health centers and other health care organizations create environments that are affirming and welcoming for all.
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.
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.
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- LGBTQIA+ People of Color