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Webinars & Video Training

 

Webinars

All webinars sponsored by the National LGBT Health Education Center are available on-demand for viewing.  Access a recording of the webinar, download a copy of the presenter’s slides, and fill out an evaluation all from your home or office, at any time.  CME/CEU credit is also offered for on-demand webinars. Detailed information about CME/CEU credits can be found here. To receive CME/CEU credit, you will need to or register an account.

Webinars will be available on-demand within 48 hours of the live webinar.

Introduction to LGBT Health

Introduction to LGBT Health

Do Ask, Do Tell! Collecting Data on Sexual Orientation and Gender Identity in Health Centers

Originally Presented On: April 5, 2016

Faculty: Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute

Lesbian, gay, bisexual, and transgender (LGBT) people face many health disparities and stigma in health care. Despite this, LGBT people remain largely invisible to their providers. Collecting sexual orientation and gender identity (SO/GI) data of new and returning patients is critical for health centers and other health care organizations to provide a welcoming, inclusive environment of care; and to provide high-quality care to all patients.

This webinar will teach participants about the barriers to care that many LGBT people face, describe the inequity in health outcomes for LGBT people, and detail both how and why to collect SO/GI data in electronic health records. Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute present the webinar. At the end of the session, participants will have the tools to begin implementing SOGI data collection in their own EHRs.

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Training Frontline Staff to Collect Data on Sexual Orientation and Gender Identity

Originally Presented On: July 13, 2016

Faculty: Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health ,Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute.

Collecting sexual orientation and gender identity (SO/GI) data can lead to improvements in population health for lesbian, gay, bisexual, and transgender (LGBT) patients, a vulnerable population that experiences multiple health disparities. Now that HRSA requires SO/GI data be included in the Uniform Data System (UDS) reporting for CY 2016, health centers need to train their frontline staff to collect, quality check, and apply this data in a culturally sensitive and confidential manner. In this interactive webinar, experts in SO/GI data collection will discuss their recommendations for frontline staff, covering the topics of effective communication techniques, privacy and confidentiality, data quality, and addressing mistakes that inevitably occur.

Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health will be joined by Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute to present the webinar.

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Achieving Health Equity for Lesbian, Gay, Bisexual, and Transgender People

Originally Presented On: December 14, 2015

Faculty: Harvey J Makadon, MD, Director of Education and Training, The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

Healthy People 2020 and the Institute of Medicine have identified key health disparities faced by the Lesbian, Gay, Bisexual, and Transgender (LGBT) population. This session provides an overview of LGBT health disparities, demographics, and terminology, as well as key strategies for bringing high quality care to LGBT people at health centers and other health care organizations. Strategies for collection of sexual orientation and gender identity data in clinical settings will be addressed. Participants will also learn about creating LGBT-inclusive environments of care and about the intersections of LGBT health, population health and team-based care.

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The Affordable Care Act: Building Health Equity for LGBT People

Originally Presented On: December 7, 2015

Faculty: Kellan Baker, MPH, MA, Senior Fellow, Center for American Progres

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Under the Affordable Care Act, health centers and community based organizations continue to serve a critical role in helping LGBT people access health insurance coverage. In this webinar, Kellan Baker, MPH, MA, a Senior Fellow at the Center for American Progress, will explain how reforms under the new system have impacted multiple aspects of health care for LGBT people, including data collection, prevention and wellness, Medicaid and other health insurance coverage. He will also address strategies that health centers and other organizations can use to enroll LGBT people into health care to continue to reduce the number of uninsured LGBT people, especially people living with HIV/AIDS.

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Ten Things: Providing an Inclusive and Affirmative Health Care Environment for LGBT People

Originally Presented On: July 21, 2015

Faculty: Harvey J Makadon, MD, Director, Division of Education and Training, The Fenway Institute, Fenway Health, and Brian Toomey, CEO, Piedmont Health Services, Inc.

Sponsors: The National LGBT Health Education Center

LGBT people face multiple barriers to accessing inclusive and affirming care. Health centers and other health care organizations are well-positioned to provide environments that are welcoming to the LGBT people in their communities, and many are seeking guidance in how to do so. In this webinar, Dr. Harvey Makadon, Director of the Division of Education and Training at The Fenway Institute, leads participants through ten key practices for creating LGBT-inclusive and affirming in health care organizations. Brian Toomey, CEO of Piedmont Health Services, describes his organization’s approach to providing a welcoming environment for LGBT patients. Participants will learn approaches ranging from shaping policies and processes, to collecting data, to engaging the community.

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Calidad de cuidado para lesbianas, gays, bisexuales, transgéneros y transexuales: Eliminando la invisibilidad y las disparidades en salud

Originally Presented On: April 4, 2013

Faculty: Carlos Rodríguez Díaz, MPHE, PhD and Carmen M. Vélez Vega, PhD., MSW. School of Public Health, University of Puerto Rico, Medical Sciences Campus/ Escuela de Salud Pública - Universidad de Puerto Rico

Sponsors: The National LGBT Health Education Center and La Asociación de Salud Primaria de Puerto Rico, Inc. (ASPPR)

La Asociación de Salud Primaria de Puerto Rico, Inc. (ASPPR) is pleased to sponsor a free webinar on the health of lesbian, gay, bisexual, and transgender (LGBT) people in Puerto Rico. Developing culturally responsive care for LGBT people has become an urgent issue in our communities. In this program, Carlos Rodríguez Díaz, MPHE, PhD and Carmen M. Vélez Vega, PhD., MSW of the Escuela de Salud Pública – Universidad de Puerto Rico, will discuss the unique health needs of LGBT people and will recommend ways to address those needs in community health centers. Participants will also learn terminology associated with LGBT people, as well as ways to create a welcoming health care environment.

La Asociación de Salud Primaria de Puerto Rico, Inc. (ASPPR) se complace en patrocinar un seminario gratuito por internet sobre la salud de las personas lesbianas, gays, bisexuales, y transgéneros (LGBT) en Puerto Rico. El desarrollo de la atención culturalmente sensible para las personas LGBT se ha convertido en un tema urgente en nuestras comunidades. En este programa, Carlos Rodríguez Díaz, MPHE, PhD y Carmen M. Vélez Vega, PhD, MSW de la Escuela de Salud Pública – Universidad de Puerto Rico, tratarán las necesidades de salud únicas de las personas LGBT y recomendarán formas de abordar tales necesidades en los centros comunitarios de salud. Los participantes también aprenderán terminología asociada con las personas LGBT, al igual que formas para crear un ambiente acogedor de atención de la salud. Al final del seminario por internet habrá tiempo para preguntas y respuestas. Se dispone de créditos de CEU/CME gratuitos de la Academia Americana de Médicos de Familia (ver a continuación para obtener más información). Esperamos que se una a nosotros en esta importante oportunidad de aprendizaje.

This webinar was presented in Spanish! Este webinar se presentarán en Español!

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Lesbian and Bisexual Women’s Health: Prevention, Wellness, and Empowerment

Originally Presented On: July 17, 2013

Faculty: Jennifer Potter, Director of Women's Health, Fenway Health

Sponsors: The National LGBT health Education Center

This program focuses on providing patient-centered preventive care to meet the unique health needs of lesbian and bisexual women. Featuring Women’ Health specialist Jennifer Potter, MD, of Fenway Health and Beth Israel Deaconess Medical Center, Boston, the webinar updates participants on the known health disparities and risk factors among lesbian and bisexual women, describes effective communication strategies in the clinical setting, and offers strategies to promote positive behavioral change in this population.

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Understanding Bisexuality: Challenging Stigma, Reducing Disparities, and Caring for Patients

Originally Presented On: September 10, 2014

Faculty: Robyn Ochs, EdM

Sponsors: The National LGBT Health Education Center

Bisexual people face a number of health-care related disparities, including lower access to health insurance, higher rates of certain types of cancer, and higher prevalence of intimate partner violence. This webinar, featuring Robyn Ochs, Ed.M, a national speaker and teacher, and the editor of the 42-country anthology, Getting Bi: Voices of Bisexuals Around the World and the Bi Women Quarterly, will explore what it means to be bisexual, and will help providers best prepare to meet the needs of their bisexual patients. She will highlight disparities faced by bisexual people, and challenge negative messages and stigma that surround the bisexual community.

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Reaching LGBTQ Communities and Engaging them in Health Care

Originally Presented On: November 12, 2014

Faculty: Benjamin Perkins, MDiv, Associate Director for Community Engagement at The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

With the Affordable Care Act expanding coverage to thousands of Americans, health centers are working to reach and understand the needs of population groups who are not fully engaged in the health care system, including LGBTQ populations. Benjamin Perkins, MDiv, Associate Director for Community Engagement at The Fenway Institute, Fenway Health, will explain best practices in community engagement that will help you learn more about the needs of LGBTQ people in your community, including developing community advisory groups, running focus groups, and producing materials to “get the word out” about community events. In addition, the webinar will address how to structure building these partnerships to create lasting relationships within the community.that surround the bisexual community.

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Transgender Health

Transgender Health

Training Frontline Staff to Collect Data on Sexual Orientation and Gender Identity

Originally Presented On: July 13, 2016

Faculty: Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health ,Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute.

Collecting sexual orientation and gender identity (SO/GI) data can lead to improvements in population health for lesbian, gay, bisexual, and transgender (LGBT) patients, a vulnerable population that experiences multiple health disparities. Now that HRSA requires SO/GI data be included in the Uniform Data System (UDS) reporting for CY 2016, health centers need to train their frontline staff to collect, quality check, and apply this data in a culturally sensitive and confidential manner. In this interactive webinar, experts in SO/GI data collection will discuss their recommendations for frontline staff, covering the topics of effective communication techniques, privacy and confidentiality, data quality, and addressing mistakes that inevitably occur.

Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health will be joined by Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute to present the webinar.

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Meeting the Health Care Needs of Transgender People

Originally Presented On: December 11, 2012

Faculty: Sari Reisner, ScD, The Fenway Institute, Fenway Health, and Boston Children's Hospital

Sponsors: The National LGBT Health Education Center

This program discussed clinical issues and health disparities facing the transgender community, and suggested how they can be improved through educational and organizational change. Sample topics include developing a better understanding of transgender identities and lives; creating a welcoming and gender-affirming environment for transgender patients and staff; and learning ways to use and document patient names and pronouns in clinical records.

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Transgender Medical Care: Advanced Case Discussion

Originally Presented On: December 10, 2013

Faculty: Timothy Cavanaugh, MD, Medical Director, Transgender Health Program, Fenway Health, Boston, MA

Sponsors: The National LGBT Health Education Center

Dr. Tim Cavanaugh, Medical Director of Fenway Health’s Transgender Health Program, leads a case-based discussion on several of the medical risks, benefits, and complications encountered when providing hormones and/or surgical interventions to transgender patients. This advanced webinar is geared towards providers of transgender medical care and therefore assumes that participants will have, at minimum, a baseline understanding of transgender medical terms and care guidelines.

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Caring for Gender Dysphoric Children and Adolescents

Originally Presented On: October 28, 2014

Faculty: Stewart L Adelson, MD and Walter Bockting, PhD, LGBT Health Initiative, Columbia University, New York, NY

Sponsors: The National LGBT Health Education Center

A growing number of clinicians are facing the challenge of caring for pediatric patients with fluid gender identities and with dysphoria about discordance between their gender identity and birth sex. In this webinar, Dr. Stewart Adelson and Dr. Walter Bockting, both of Columbia University Medical Center’s new LGBT Health Initiative, focus on how clinicians can support children and adolescents with gender dysphoria. They review specific health and mental health needs in gender dysphoric children and adolescents, and will provide viewers with effective and innovative ways to support their gender dysphoric patients. Additional resources will be provided.

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Mental Health Care and Assessment of Transgender Adults

Originally Presented On: February 17, 2015

Faculty: Dan Karasic, MD, Health Sciences Clinical Professor of Psychiatry, University of California San Francisco

Sponsors: The National LGBT Health Education Center

Research suggests that the number of transgender people seeking gender affirming surgical procedures is increasing, and this is accelerating in the US with the lifting of insurance exclusions. Behavioral health providers are seeing more transgender patients seeking referrals to surgeons, and are seeking guidance on the standard practice with each patient. Dr. Dan Karasic of the University of California San Francisco will lead this webinar, describing the role of the behavioral health care provider during a person’s transition and how to assess and advise patients. Dr. Karasic will detail the WPATH Standards of Care and describe how to apply these standards in practice using case-based examples and anecdotes from his work at UCSF Alliance Health Project and the Transgender Life Care Program and Dimensions Clinic of Castro Mission Health Clinic in San Francisco.

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Understanding and Assessing the Sexual Health of Transgender Patients

Originally Presented On: June 10, 2014

Faculty: Timothy Cavanaugh, MD, Medical Director, Transgender Health Program, Fenway Health

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

In this webinar, Dr. Tim Cavanaugh, Medical Director of Fenway Health’s Transgender Health Program, will lead a discussion on how clinicians can provide effective sexual health care, including HIV prevention, for transgender and gender nonconforming people. The webinar will include videos of leaders in the transgender community who describe their perceptions of what high quality care means to them and ways in which providers can offer sexual health care and HIV prevention that is based on trust and understanding.

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If You Have It, Check It: Overcoming Barriers to Cervical Cancer Screening with Patients on the Female-to-Male Transgender Spectrum

Originally Presented On: July 16, 2014

Faculty: Jennifer Potter, MD, Sarah Peitzmeier, MPH, Sari Reisner, ScD, MA, Ida Bernstein, BA, The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

The majority of FTM transgender individuals retain a cervix and can therefore develop cervical cancer. Because of this, national guidelines recommend that transgender men with a cervix follow the same screening protocol as non-transgender women. However, a recent research study found that Fenway Health patients who identify on the female-to-male (FTM) transgender spectrum have over 10 times higher odds of having an inadequate Papanicolaou (Pap) test compared to female patients. In this webinar, experts in the fields of medicine and research will share primary and secondary cervical cancer prevention strategies and will identify strategies that providers can use to address barriers to optimal screening and prevention in FTM patients.

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Providing Care and Support for Transgender Rural Latino/as and Migrant Farmworkers

Originally Presented On: October 22, 2013

Faculty: Jennifer Hastings, MD, Planned Parenthood Mar Monte; and Anna Rick, Community Worker, California Rural Legal Assistance

Sponsors: Farmworker Justice and the National LGBT Health Education Center

This webinar represents a unique opportunity to learn about the health and support needs of transgender Latino/a migrant farmworkers and other rural Latino/a transgender persons. Dr. Jennifer Hastings of Planned Parenthood Mar Monte and Anna Rick of California Rural Legal Assistance, who both have extensive first-hand experience in caring for and assisting these populations, lead participants in understanding aspects of the life and health care experiences of their transgender patients and clients. Webinar participants will also learn methods for asking appropriate, sensitive questions about gender identity concerns, and strategies for providing sensitive, inclusive care based on cultural humility. Dr. Hastings and Ms. Rick will also explain their model of inter-agency collaboration that works to help clients find legal and community supports to enhance their health and well-being. This webinar is a collaboration of Farmworker Justice and the National LGBT Health Education Center, both National Cooperative Agreements with the Health Resources and Services Administration of the Bureau of Primary Health Care.

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Recent Breakthroughs in HIV Prevention for Transgender People and Men who Have Sex with Men

Originally Presented On: May 7, 2013

Faculty: Kevin Ard, MD, MPH, The Fenway Institute, Fenway Health, and Massachusetts General Hospital

Sponsors: The National LGBT Health Education Center

Health care providers now have an expanding number of effective HIV prevention tools at their fingertips, including behavioral and biomedical interventions. This session provides step by step guidance on how clinicians can be most effective at preventing new HIV infections in high-risk MSM and transgender patients. Included is a discussion of evidence-based High Impact HIV Prevention Programs as recommended by the CDC, and how best to optimize implementation of HIV prevention programs in patient centered medical homes (PCMH) and other primary care settings.

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Sexual Orientation, Gender Identity, and Mental Health in Children and Adolescents

Originally Presented On: October 9, 2013

Faculty: Stewart Adelson, MD, Assistant Clinical Professor at Columbia University’s College of Physicians & Surgeons Dept. of Psychiatry in the Divisions of Child & Adolescent Psychiatry and Gender, Sexuality & Health

Sponsors: The National LGBT Health Education Center

In this webinar, Dr. Stewart Adelson of Columbia University, will offer a foundation for understanding and addressing the mental health challenges and needs of LGBT children and adolescents. Participants will learn about how gender non-conformity, gender discordance/dysphoria, and sexual orientation are distinct yet related concepts, and how stigma, risk, resilience, and protective factors interact with these to influence youth development, health and mental health. Clinical options for addressing gender dysphoria in children and adolescents will also be discussed. The webinar will conclude with nine mental health practice principles for fostering the healthy psychosocial development of LGBT youth.

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The Changing Rx of Transgender Adolescents: Impact of GnRHa Pubertal Blockade and Implications for Young Adults and Adults

Originally Presented On: December 16, 2015

Faculty: Norman Spack, MD, Co-Founder and Co-Director, Emeritus, Gender Management (GeMS) Service, Endocrine Division, Boston Children’s Hospital, and Associate Clinical Professor of Pediatrics, Harvard Medical School

Sponsors: The National LGBT Health Education Center

In this webinar, Dr. Norman Spack, the founder of the Gender Management Service (GeMS) clinic at Boston Children’s Hospital and an associate clinical professor of medicine at Harvard Medical School, will describe his journey caring for transgender children and adolescents. Dr. Spack will describe the creation of the GeMS clinic, will discuss recommended treatment for children and adolescents, and will explain how to integrate transgender care within primary care settings.

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LGBT Youth

LGBT Youth

Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

Originally Presented On: June 22, 2016

Faculty: Suyanna Barker, Community Health Action Department Director, La Clínica del Pueblo, Manuel Diaz-Ramirez, ¡Empodérate! Youth Center Manager, La Clínica del Pueblo, Alexa Rodriguez Transgender Program Coordinator for ¡Empoderáte! Youth Center

Latino(a) youth and young adult men who have sex with men or who identify as lesbian, gay, bisexual, and/or transgender often face stigma, discrimination, and language barriers that prevent them from accessing prevention and treatment at health care centers, and leaving them vulnerable to high rates of HIV and other health disparities. In this session, panelists Suyanna Linhales Barker, DrPH; Manuel Diaz-Ramirez, and Alexa Rodriguez, all from La Clinica del Pueblo, will discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s. The panelists will draw on their experiences working with this population, including young Latinos living with HIV, and transgender latino(a)s in the Washington, DC area to give participants the tools to recognize barriers within their own organizations to better facilitate prevention and care opportunities for transgender and MSM Latino young adults.

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Supporting LGBTQ Youth: Providing Affirmative and Inclusive Care across the Spectrum of Gender and Sexual Identity

Originally Presented On: November 5, 2015

Faculty: Nadia Dowshen, MD, Children’s Hospital of Philadelphia & Perelman School of Medicine, and Robert Garofalo, MD, MPH, Lurie Children’s Hospital of Chicago & Feinberg School of Medicine

Sponsors: The National LGBT Health Education Center and the Palette Fund

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) children and adolescents must navigate the typical developmental challenges of growing up, in addition to managing the stigma and isolation that may face as a result of their emerging sexual and gender minority identities. These challenges often result in poorer health outcomes for LGBTQ children and adolescents such as higher risk for certain behavioral and emotional issues, poor sexual health outcomes, homelessness, as well as bullying and other forms of victimization. This webinar discusses the unique challenges and health disparities experienced by LGBTQ children and adolescents, and describes strategies to address these issues in a clinical setting. Though culturally appropriate and strength-based communication with LGBT children and adolescents, providers can be key facilitators in improving the health and well-being of sexual and gender minority youth.

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LGBTQ Youth: Providing Care, Protecting Confidentiality

Originally Presented On: January 26, 2016

Faculty: Scott Hadland, MD, MPH, Instructor in Pediatrics, Harvard Medical School, Assistant in Medicine, Boston Children’s Hospital, and Abigail English, JD, Director, Center for Adolescent Health & the Law

Sponsors: School-based Health Alliance and the National LGBT Health

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience unique health and developmental challenges compared to their peers. In the first half of this webinar, participants will learn about ways in which school-based and other health care providers can support LGBTQ youth in navigating these challenges and improving their health outcomes.  The second half will focus on consent and confidentiality issues related to sexual and reproductive health care, as well as to disclosure of sexual orientation and gender identity among LGBTQ minors and young adults.  This webinar is a collaboration of the School-Based Health Alliance and the National LGBT Health Education Center.

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Optimizing Linkage, Engagement, and Retention in HIV Care for Adolescents and Young Adults of Color

Originally Presented On: April 14, 2015

Faculty: Lawrence Vinson, Youth Linkage to Care Project Manager, The SMILE Program, The Fenway Institute, Molly McHenry, NP, Sidney Borum Jr Health Center, Liz Salomon, EdM, Project Director, Connect to Protect (C2P) Boston, The Fenway Institute

Sponsors: National LGBT Health Education Center and National Center for Innovation in HIV Care

This webinar will provide an in-depth look at Boston’s SMILE in Caring for Youth program, an NIH-funded program that works with young people (ages 12-24) living with HIV, their providers, and their families/caregivers to facilitate practical and meaningful linkage to, engagement in, and maintenance of care. Recognizing the disproportionate impact that HIV has on youth of color, SMILE also works with the Connect to Protect (C2P) Boston coalition to address barriers through community mobilization and structural change. Project Manager of SMILE, Lawrence Vinson ,and a Nurse Practitioner at the Sidney Borum Jr. Health Center, Molly McHenry, will present their experiences engaging Boston youth into HIV care, and will describe how racial justice focused structural change initiatives can help this optimize this work. They will also describe how their program builds partnerships with clinicians and case managers at health centers and other community based organizations to help youth navigate the HIV Continuum of Care.

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Caring for Gender Dysphoric Children and Adolescents

Originally Presented On: October 28, 2014

Faculty: Stewart L Adelson, MD and Walter Bockting, PhD, LGBT Health Initiative, Columbia University, New York, NY

Sponsors: The National LGBT Health Education Center

A growing number of clinicians are facing the challenge of caring for pediatric patients with fluid gender identities and with dysphoria about discordance between their gender identity and birth sex. In this webinar, Dr. Stewart Adelson and Dr. Walter Bockting, both of Columbia University Medical Center’s new LGBT Health Initiative, focus on how clinicians can support children and adolescents with gender dysphoria. They review specific health and mental health needs in gender dysphoric children and adolescents, and will provide viewers with effective and innovative ways to support their gender dysphoric patients. Additional resources will be provided.

View Webinar

Sexual Orientation, Gender Identity, and Mental Health in Children and Adolescents

Originally Presented On: October 9, 2013

Faculty: Stewart Adelson, MD, Assistant Clinical Professor at Columbia University’s College of Physicians & Surgeons Dept. of Psychiatry in the Divisions of Child & Adolescent Psychiatry and Gender, Sexuality & Health

Sponsors: The National LGBT Health Education Center

In this webinar, Dr. Stewart Adelson of Columbia University, will offer a foundation for understanding and addressing the mental health challenges and needs of LGBT children and adolescents. Participants will learn about how gender non-conformity, gender discordance/dysphoria, and sexual orientation are distinct yet related concepts, and how stigma, risk, resilience, and protective factors interact with these to influence youth development, health and mental health. Clinical options for addressing gender dysphoria in children and adolescents will also be discussed. The webinar will conclude with nine mental health practice principles for fostering the healthy psychosocial development of LGBT youth.

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Supporting Homeless LGBTQ Youth through Better Access to Care

Originally Presented On: October 8, 2014

Faculty: Jama Shelton, PhD, LMSW, Director, Forty-to-None Project, True Colors, NYC

Sponsors: National Health Care for the Homeless Council and National LGBT Health Education Center

As many as 40% of homeless youth identify as lesbian, gay, bisexual, transgender , or queer (LGBTQ), the majority of whom have experienced family rejection and abuse because of their sexual orientation or gender identity. The stigma and discrimination experienced by many LGBTQ youth amplifies the struggles and health risks associated with homelessness. In this webinar, Jama Shelton, LMSW, PhD, Director of the Forty to None Project of the True Colors Fund in New York City, will raise awareness of the challenges experienced by LGBTQ youth, and will discuss ways that health care providers and youth service providers can help facilitate access to culturally responsive care and resources. Dr. Shelton will also talk about ways in which providers can help prevent homelessness by working affirmatively with community partners, including the families of LGBTQ youth.

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The Changing Rx of Transgender Adolescents: Impact of GnRHa Pubertal Blockade and Implications for Young Adults and Adults

Originally Presented On: December 16, 2015

Faculty: Norman Spack, MD, Co-Founder and Co-Director, Emeritus, Gender Management (GeMS) Service, Endocrine Division, Boston Children’s Hospital, and Associate Clinical Professor of Pediatrics, Harvard Medical School

Sponsors: The National LGBT Health Education Center

In this webinar, Dr. Norman Spack, the founder of the Gender Management Service (GeMS) clinic at Boston Children’s Hospital and an associate clinical professor of medicine at Harvard Medical School, will describe his journey caring for transgender children and adolescents. Dr. Spack will describe the creation of the GeMS clinic, will discuss recommended treatment for children and adolescents, and will explain how to integrate transgender care within primary care settings.

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LGBT Older Adults

LGBT Older Adults

LGBT Aging: Addressing Disparities and Health Care Needs

Originally Presented On: January 22, 2013

Faculty: Mark Simone-Skidmore, MD, Associate Program Director-Primary Care, Mt Auburn Internal Medicine Residency Program, Instructor of Medicine, Harvard Medical School, Division of Geriatric Medicine, Mount Auburn Hospital

Sponsors: National LGBT Health Education Center and SAGE (Services & Advocacy for GLBT Elders)

Having coped with a lifetime of discrimination and stigma, LGBT older adults face unique barriers to accessing sensitive and effective health care and services. This webinar, led by geriatrician and educator Mark Simone-Skidmore, MD, familiarized participants with the major clinical and psychosocial issues facing LGBT older adults, and offered recommended ways that health centers and other health care agencies can provide culturally sensitive care in an inclusive environment to aging LGBT patients. This webinar was the first in a three-part series on LGBT aging co-sponsored by the National LGBT Health Education Center and SAGE.

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Care of the Older Adult with HIV Infection

Originally Presented On: October 28, 2015

Faculty: Howard Libman, MD, Professor of Medicine, Harvard Medical School, Director, HIV Program, Healthcare Associates, Beth Israel Deaconess Medical Center, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

People with HIV infection are living longer than ever thanks to effective antiretroviral therapy and improved chronic disease care. However, older adults living with HIV have a higher incidence of coronary artery disease, and they contract cancers of the lung, liver, and anus at younger ages. In addition, HIV infection and its treatment have been associated with premature bone loss. In this webinar, Dr. Howard Libman, the Director of the HIV Program in Healthcare Associates at Beth Israel Deaconess Medical Center in Boston, will provide an overview of the care of older adults living with HIV infection and describe strategies for people working in health centers, AIDS service organizations, and other settings to improve management of comorbidities in in this population.

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LGBT Aging: Social Supports, Outreach, and Policy

Originally Presented On: February 6, 2013

Faculty: Manuel A. Eskildsen, MD, MPH, CMD, AGSF, Medical Director of Long-Term Care, Wesley Woods Center of Emory University; Assistant Professor of Medicine, Division of General Medicine and Geriatrics, Emory University School of Medicine; and Hilary Meyer, JD, Director, National Resource Center on LGBT Aging, Services & Advocacy for GLBT Elders (SAGE), New York, NY

Sponsors: National LGBT Health Education Center and SAGE (Services & Advocacy for GLBT Elders)

LGBT older adults have unique psychosocial needs, including differing social support networks, family structures, risk for isolation, and resiliency. This webinar, led by Hilary Meyer, and Dr. Manuel Eskildsen, summarized relevant research on these issues, and familiarized health care providers and administrators with the services and programs available to address these needs. The speakers also explained how current policies affect the lives and health outcomes of LGBT older adults. This webinar was the second in a three-part series on LGBT aging co-sponsored by the National LGBT Health Education Center and SAGE.

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LGBT People of Color

LGBT People of Color

Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

Originally Presented On: June 22, 2016

Faculty: Suyanna Barker, Community Health Action Department Director, La Clínica del Pueblo, Manuel Diaz-Ramirez, ¡Empodérate! Youth Center Manager, La Clínica del Pueblo, Alexa Rodriguez Transgender Program Coordinator for ¡Empoderáte! Youth Center

Latino(a) youth and young adult men who have sex with men or who identify as lesbian, gay, bisexual, and/or transgender often face stigma, discrimination, and language barriers that prevent them from accessing prevention and treatment at health care centers, and leaving them vulnerable to high rates of HIV and other health disparities. In this session, panelists Suyanna Linhales Barker, DrPH; Manuel Diaz-Ramirez, and Alexa Rodriguez, all from La Clinica del Pueblo, will discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s. The panelists will draw on their experiences working with this population, including young Latinos living with HIV, and transgender latino(a)s in the Washington, DC area to give participants the tools to recognize barriers within their own organizations to better facilitate prevention and care opportunities for transgender and MSM Latino young adults.

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Optimizing Linkage, Engagement, and Retention in HIV Care for Adolescents and Young Adults of Color

Originally Presented On: April 14, 2015

Faculty: Lawrence Vinson, Youth Linkage to Care Project Manager, The SMILE Program, The Fenway Institute, Molly McHenry, NP, Sidney Borum Jr Health Center, Liz Salomon, EdM, Project Director, Connect to Protect (C2P) Boston, The Fenway Institute

Sponsors: National LGBT Health Education Center and National Center for Innovation in HIV Care

This webinar will provide an in-depth look at Boston’s SMILE in Caring for Youth program, an NIH-funded program that works with young people (ages 12-24) living with HIV, their providers, and their families/caregivers to facilitate practical and meaningful linkage to, engagement in, and maintenance of care. Recognizing the disproportionate impact that HIV has on youth of color, SMILE also works with the Connect to Protect (C2P) Boston coalition to address barriers through community mobilization and structural change. Project Manager of SMILE, Lawrence Vinson ,and a Nurse Practitioner at the Sidney Borum Jr. Health Center, Molly McHenry, will present their experiences engaging Boston youth into HIV care, and will describe how racial justice focused structural change initiatives can help this optimize this work. They will also describe how their program builds partnerships with clinicians and case managers at health centers and other community based organizations to help youth navigate the HIV Continuum of Care.

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Calidad de cuidado para lesbianas, gays, bisexuales, transgéneros y transexuales: Eliminando la invisibilidad y las disparidades en salud

Originally Presented On: April 4, 2013

Faculty: Carlos Rodríguez Díaz, MPHE, PhD and Carmen M. Vélez Vega, PhD., MSW. School of Public Health, University of Puerto Rico, Medical Sciences Campus/ Escuela de Salud Pública - Universidad de Puerto Rico

Sponsors: The National LGBT Health Education Center and La Asociación de Salud Primaria de Puerto Rico, Inc. (ASPPR)

La Asociación de Salud Primaria de Puerto Rico, Inc. (ASPPR) is pleased to sponsor a free webinar on the health of lesbian, gay, bisexual, and transgender (LGBT) people in Puerto Rico. Developing culturally responsive care for LGBT people has become an urgent issue in our communities. In this program, Carlos Rodríguez Díaz, MPHE, PhD and Carmen M. Vélez Vega, PhD., MSW of the Escuela de Salud Pública – Universidad de Puerto Rico, will discuss the unique health needs of LGBT people and will recommend ways to address those needs in community health centers. Participants will also learn terminology associated with LGBT people, as well as ways to create a welcoming health care environment.

La Asociación de Salud Primaria de Puerto Rico, Inc. (ASPPR) se complace en patrocinar un seminario gratuito por internet sobre la salud de las personas lesbianas, gays, bisexuales, y transgéneros (LGBT) en Puerto Rico. El desarrollo de la atención culturalmente sensible para las personas LGBT se ha convertido en un tema urgente en nuestras comunidades. En este programa, Carlos Rodríguez Díaz, MPHE, PhD y Carmen M. Vélez Vega, PhD, MSW de la Escuela de Salud Pública – Universidad de Puerto Rico, tratarán las necesidades de salud únicas de las personas LGBT y recomendarán formas de abordar tales necesidades en los centros comunitarios de salud. Los participantes también aprenderán terminología asociada con las personas LGBT, al igual que formas para crear un ambiente acogedor de atención de la salud. Al final del seminario por internet habrá tiempo para preguntas y respuestas. Se dispone de créditos de CEU/CME gratuitos de la Academia Americana de Médicos de Familia (ver a continuación para obtener más información). Esperamos que se una a nosotros en esta importante oportunidad de aprendizaje.

This webinar was presented in Spanish! Este webinar se presentarán en Español!

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LGBT Health Care with Asian American Populations

Originally Presented On: February 9, 2015

Faculty: Kerry Kay, MD, Asian Health Services, Oakland, CA, Kevin Shi, PA-C, Fenway Health, and Kevin Ard, MD, National LGBT Health Education Center and Massachusetts General Hospital, Boston, MA

Sponsors: Association of Asian Pacific Community Health Organizations (AAPCHO) and The National LGBT Health Education Center

Health center patients often come in for care with many identities that can impact health, wellness, and access to health care. This webinar will explore the varied health care needs of Asian Americans who identify as lesbian, gay, bisexual, and transgender (LGBT), from both a clinical and programmatic perspective. The panel will feature Dr. Kevin Ard of the National LGBT Health Education Center, who will provide an overview of LGBT definitions and concepts, followed by Dr. Kerry Kay, who will describe lessons learned from his work at Asian Health Services to increase organizational LGBT cultural competence; finally, Kevin Shi, PA-C, of Fenway Health, will describe his clinical experiences working with Asian American LGBT communities.

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Providing Care and Support for Transgender Rural Latino/as and Migrant Farmworkers

Originally Presented On: October 22, 2013

Faculty: Jennifer Hastings, MD, Planned Parenthood Mar Monte; and Anna Rick, Community Worker, California Rural Legal Assistance

Sponsors: Farmworker Justice and the National LGBT Health Education Center

This webinar represents a unique opportunity to learn about the health and support needs of transgender Latino/a migrant farmworkers and other rural Latino/a transgender persons. Dr. Jennifer Hastings of Planned Parenthood Mar Monte and Anna Rick of California Rural Legal Assistance, who both have extensive first-hand experience in caring for and assisting these populations, lead participants in understanding aspects of the life and health care experiences of their transgender patients and clients. Webinar participants will also learn methods for asking appropriate, sensitive questions about gender identity concerns, and strategies for providing sensitive, inclusive care based on cultural humility. Dr. Hastings and Ms. Rick will also explain their model of inter-agency collaboration that works to help clients find legal and community supports to enhance their health and well-being. This webinar is a collaboration of Farmworker Justice and the National LGBT Health Education Center, both National Cooperative Agreements with the Health Resources and Services Administration of the Bureau of Primary Health Care.

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Rural Latino LGBT HIV Prevention: Community Building and Access to Care

Originally Presented On: January 14, 2014

Faculty: Scott Rhodes, PhD, Division of Public Health Sciences, Wake Forest University, Anna Leah Rick, Community Worker, California Rural Legal Assistance

Sponsors: Farmworker Justice and National LGBT Health Education Center

Farmworker Justice and the National LGBT Health Education Center are jointly presenting a new webinar on rural Latino LGBT health, with a focus on interventions that promote HIV prevention in LGBT communities.  Scott Rhodes, PhD, MPH, of Wake Forest School of Medicine, will discuss a promising new community-based participatory research project that aims to prevent new HIV and STI infections through building and supporting positive social networks and increasing community capacity among Latino gay, bisexual, and other men who have sex with men (MSM), and transgender people.  Next, Anna Rick of California Legal Rural Assistance will describe access to care issues for rural Latino MSM in California, and will discuss ways in which her organization works with parents of Latino LGBTQ youth (a population at higher risk for HIV) to engage them in supporting behaviors.  Free CME/CEU credit will be offered.

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LGBT Families

LGBT Families

LGBT Families: Improving Access to Better Health Care

Originally Presented On: April 9, 2014

Faculty: Michael Porcello, Esq, Legislative Counsel for the Family Equality Council

Sponsors: The Family Equality Council and the National LGBT Health Education Center

Increasing numbers of LGBT people are forming unions and building families in an ever-changing legal landscape. In order to increase access to quality care for LGBT couples and families, health care providers may need to familiarize themselves with the current local and federal policies that affect LGBT health care. In this webinar, Michael Porcello, Legislative Counsel for the Family Equality Council, will focus on health care access issues for LGBT couples and families, including implications from the Affordable Care Act, and will offer suggestions for improving health care access for LGBT families. This webinar is the first of a two-part series on LGBT families being offered by the Family Equality Council and the National LGBT Health Education Center.

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Pathways to LGBT Parenthood: Assisted Reproduction and Adoption

Originally Presented On: June 12, 2014

Faculty: Kim Bergman, PhD, Growing Generations and Family Equality Council, and Ethan Brackett, MD, Fenway Health

Sponsors: The Family Equality Council and the National LGBT Health Education Center

In the U.S., about three million parents are LGBT people, and many more desire to become parents. In this webinar, Kim Bergman, PhD and Ethan Brackett, MD will discuss ways in which health care providers can assist same-sex couples and other LGBT patients in their pursuit of becoming parents. The speakers will touch on the often complex clinical and mental health aspects related to the process of adoption, fostering, surrogacy, and donor insemination. This webinar is the second in a two-part series with the Family Equality Council. To watch the first webinar “on demand,” click here.

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HIV/STI Treatment and Prevention

HIV/STI Treatment and Prevention

Current Topics in HIV Pre-exposure Prophylaxis

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to help prevent HIV infection in uninfected people. In this webinar, Kevin Ard, MD, MPH will share updates on clinical approaches to managing patients on PrEP based on cutting-edge research data. Dr. Ard will also address common questions about the management of PrEP among HIV negative patients.

Upcoming: August 31, 2016 at 12:00 PM

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital

Sponsors: National LGBT Health Education Center

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Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

Originally Presented On: June 22, 2016

Faculty: Suyanna Barker, Community Health Action Department Director, La Clínica del Pueblo, Manuel Diaz-Ramirez, ¡Empodérate! Youth Center Manager, La Clínica del Pueblo, Alexa Rodriguez Transgender Program Coordinator for ¡Empoderáte! Youth Center

Latino(a) youth and young adult men who have sex with men or who identify as lesbian, gay, bisexual, and/or transgender often face stigma, discrimination, and language barriers that prevent them from accessing prevention and treatment at health care centers, and leaving them vulnerable to high rates of HIV and other health disparities. In this session, panelists Suyanna Linhales Barker, DrPH; Manuel Diaz-Ramirez, and Alexa Rodriguez, all from La Clinica del Pueblo, will discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s. The panelists will draw on their experiences working with this population, including young Latinos living with HIV, and transgender latino(a)s in the Washington, DC area to give participants the tools to recognize barriers within their own organizations to better facilitate prevention and care opportunities for transgender and MSM Latino young adults.

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Preventing HIV with PrEP: A Clinical Update

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to help prevent HIV infection in uninfected people. In this webinar, Kevin Ard, MD, MPH will share clinical approaches to managing patients on PrEP based on cutting-edge research data, including recent findings reported at CROI. Through clinical case scenarios, Dr. Ard will help providers understand how to apply research findings to their own clinical practice. This webinar will also include a discussion of the status of new innovations in PrEP, such as injectable medications, rectal microbicides, and vaginal rings.

Originally Presented On: April 25, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital

Sponsors: National LGBT Health Education Center, New England AIDS and Education Training Center, and supported by funding from Gilead Sciences, Inc.

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Syphilis among Men Who Have Sex with Men: Clinical Care and Public Health Reporting

Originally Presented On: June 9, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital
Brenda Hernandez, Special Project Coordinator, Massachusetts Department of Public Health

The CDC reports that 83% of primary and secondary syphilis cases occur among gay, bisexual, and other men who have sex with men (MSM). With syphilis on the rise, health centers have an opportunity to prevent, screen, and treat syphilis among these vulnerable populations. In this webinar, Kevin Ard, MD, MPH will explain the diagnostic and therapeutic approach to syphilis based on the clinical stage of the disease, and will explain what to do when there are discordant results on diagnostic tests.  Dr. Ard will be joined by Brenda Hernandez, who will explain syphilis case reporting and partner services so that health centers can effectively work with public health departments to help control the epidemic.

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Can we end the epidemic? An update on HIV screening, prevention, and treatment

Originally Presented On: September 17, 2015

Faculty: Kevin Ard, MD, MPH, Massachusetts General Hospital & National LGBT Health Education Center

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

The advances in HIV treatment and prevention in recent years have greatly influenced how HIV medical and service providers approach HIV screening, prevention, and treatment. The approval of pre-exposure prophylaxis (PrEP), the advent of treatment as prevention, and the increased emphasis on the HIV continuum of care have all provided tools critical for ending the HIV epidemic. How can health centers and community-based organizations capitalize on these advances to implement more effective HIV prevention and care? How can we use these tools to work toward ending the epidemic? In this webinar, Kevin Ard, MD, MPH, will summarize new research findings and practice guidelines that inform HIV treatment and prevention, will identify barriers to effective HIV screening, prevention, and treatment, and will describe ways to overcome these barriers.

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Current Progress in PrEP and other HIV Prevention Technologies

Originally Presented On: January 29, 2015

Faculty: Ken Mayer, MD, Co-Chair and Medical Research Director, The Fenway Institute, Fenway Health, Director of HIV Prevention Research, Beth Israel Deaconess Medical Center, Professor of Medicine, Harvard Medical School

Sponsors: The New England AIDS Education and Training Center, and the National LGBT Health Education Center

Dr. Kenneth H. Mayer, a world-renowned expert in HIV research and care, discusses the current state of implementation of new HIV prevention technologies, with a primary focus on pre-exposure prophylaxis (PrEP). Dr. Mayer also touches on current progress being made in research on other technologies, such as vaccines and new delivery methods for PrEP.

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PrEP for HIV Prevention: Real World Clinical Case Studies

Originally Presented On: April 30, 2015

Faculty: Kevin Ard, MD, MPH, Division of Infectious Diseases, Massachusetts General Hospital, and Harvard Medical School

Sponsors: The New England AIDS Education and Training Center and National LGBT Health Education Center

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to prevent HIV infection in uninfected people. When taken consistently, PrEP has been shown to reduce the risk of HIV infection in people who are at high risk by up to 92%. Last year, the US Public Health Service released the first comprehensive clinical practice guidelines for PrEP based on evidence from clinical trials. But how does the prescription and management of PrEP translate into real-world clinical practice? In this webinar, Kevin Ard, MD, MPH, will present case studies that illustrate clinical challenges in caring for patients eligible for PrEP, and will discuss controversies regarding PrEP management.

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Optimizing Linkage, Engagement, and Retention in HIV Care for Adolescents and Young Adults of Color

Originally Presented On: April 14, 2015

Faculty: Lawrence Vinson, Youth Linkage to Care Project Manager, The SMILE Program, The Fenway Institute, Molly McHenry, NP, Sidney Borum Jr Health Center, Liz Salomon, EdM, Project Director, Connect to Protect (C2P) Boston, The Fenway Institute

Sponsors: National LGBT Health Education Center and National Center for Innovation in HIV Care

This webinar will provide an in-depth look at Boston’s SMILE in Caring for Youth program, an NIH-funded program that works with young people (ages 12-24) living with HIV, their providers, and their families/caregivers to facilitate practical and meaningful linkage to, engagement in, and maintenance of care. Recognizing the disproportionate impact that HIV has on youth of color, SMILE also works with the Connect to Protect (C2P) Boston coalition to address barriers through community mobilization and structural change. Project Manager of SMILE, Lawrence Vinson ,and a Nurse Practitioner at the Sidney Borum Jr. Health Center, Molly McHenry, will present their experiences engaging Boston youth into HIV care, and will describe how racial justice focused structural change initiatives can help this optimize this work. They will also describe how their program builds partnerships with clinicians and case managers at health centers and other community based organizations to help youth navigate the HIV Continuum of Care.

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Implementing PrEP for HIV Prevention: State-wide Initiatives and Provider Experiences

Originally Presented On: June 4, 2015

Faculty: Barry Callis, Massachusetts Department of Health; Marianne Buchelli, Connecticut Department of Health; Sarah Calabrese, PhD, Yale School of Medicine; David St George, PA, Fenway Health

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Several state health departments across the country are making focused efforts to promote and support the wider use of pre-exposure prophylaxis for HIV prevention (PrEP) for high risk individuals who seek care in health centers, AIDS Service Organizations, and other health care and community-based organizations. In this webinar, you will learn about current PrEP initiatives by the Massachusetts and Connecticut Departments of Health, including how they are supporting health care providers in adopting PrEP into clinical practice and are facilitating access and coverage for patients. You will also hear from a provider about his experiences prescribing PrEP at a community health center, and from a researcher who will share initial findings from a national study on providers’ first-hand experiences with PrEP initiation and clinical management. The panelists for this webinar includes: Barry Callis, Director of AIDS Prevention and Education, Massachusetts Department of Health; Marianne Buchelli, Health Program Associate, Connecticut Department of Health; Sarah Calabrese, PhD, Yale School of Medicine; and David St George, PA, Fenway Health.

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Implications of the Updated National HIV/AIDS Strategy for ASOs, CBOs, and Health Centers

Originally Presented On: December 14, 2015

Faculty: Sean Cahill, PhD; Director of Health Policy Research, The Fenway Institute, Fenway Health, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Note: CME/CEU and HRC HEI Credit are not available for this on-demand webinar.

In July 2015 the White House Office of National AIDS Policy updated the National HIV/AIDS Strategy for the next five years (NHAS2020). NHAS2020 called for increased access to pre-exposure prophylaxis, and urged that HIV prevention for gay and bisexual men and transgender women be provided in a broader context of culturally competent care for LGBT people. It also called for the integration of HIV services into primary care settings, and for screening and referral for mental health and substance use services for PLWHA. On December 1st, ONAP will release an implementation plan for NHAS2020. This webinar will present highlights of the updated strategy and implementation plan and discuss their implications for AIDS Service Organizations, community-based organizations, and health centers.

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A Roadmap to Bring an End to HIV and STDs in Massachusetts: What All Healthcare Providers Need to Know

Originally Presented On: June 7, 2013

Faculty: Harvey Makadon, MD, Katherine Hsu, MD, MPH, FAAP, and Kevin Ard, MD

Sponsors: The Massachusetts Medical Society

For too long the number of new HIV cases in Massachusetts has been stable, yet STDs have increased. National recommendations for primary care include routine STI/HIV screening, vaccination, and treatment (including use of Expedited Partner Therapy to decrease chlamydia reinfection) of youth and young adults and other at-risk populations.

This online CME activity is comprised of three modules and is based on a live webinar that was held on June 7, 2013. Sponsored by the MMS and its Committee on LGBT Matters in Collaboration with the MA Department of Public Health, this course will bring you up-to-date on current screening guidelines and help you gain confidence with sexual history-taking and initiating discussion.

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Addressing HIV Disparities among Men Who Have Sex with Men

Originally Presented On: January 28, 2016

Faculty: Gregorio Millett, MPH, Vice President and Director, Public Policy, amfAR

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

HIV diagnosis data released in December 2015 indicate that over the last decade HIV has become even more concentrated among men who have sex with men (MSM), and racial/ethnic and age disparities are becoming even more pronounced within the MSM population. In this webinar, Greg Millett, MPH, will explore the disproportionate impact of HIV on Black and Latino MSM, and on MSM in the South. He will examine racial/ethnic disparities along the HIV continuum of care for MSM, structural factors in vulnerability, and how data can drive resource allocation to more effectively prevent and treat HIV in the U.S.

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Care of the Older Adult with HIV Infection

Originally Presented On: October 28, 2015

Faculty: Howard Libman, MD, Professor of Medicine, Harvard Medical School, Director, HIV Program, Healthcare Associates, Beth Israel Deaconess Medical Center, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

People with HIV infection are living longer than ever thanks to effective antiretroviral therapy and improved chronic disease care. However, older adults living with HIV have a higher incidence of coronary artery disease, and they contract cancers of the lung, liver, and anus at younger ages. In addition, HIV infection and its treatment have been associated with premature bone loss. In this webinar, Dr. Howard Libman, the Director of the HIV Program in Healthcare Associates at Beth Israel Deaconess Medical Center in Boston, will provide an overview of the care of older adults living with HIV infection and describe strategies for people working in health centers, AIDS service organizations, and other settings to improve management of comorbidities in in this population.

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New Era in HCV Management: Primary Care Innovations

Originally Presented On: September 24, 2015

Faculty: Marwan Haddad, MD, MPH, AAHIVS, Medical Director of HIV, HCV, and Buprenorphine Services, Community Health Center, Inc., Middletown, Connecticut

Sponsors: The National Center for Innovation in HIV Care and National LGBT Health Education Center

With the advent of new oral HCV regimens that are easy to administer and well tolerated with high efficacy and short duration, have we entered an era where HCV management and treatment can be or should be provided in primary care? This webinar will discuss the role primary care can play in HCV screening and management, review current recommendations for treatment in HCV mono-infected and HCV-HIV co-infected individuals (HIV-infected men who have sex with men are at higher risk for acute HCV infection), and address how to overcome challenges of integrating HCV into health centers and other primary care settings.

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Pre-Exposure Prophylaxis to Prevent HIV Transmission

Originally Presented On: May 9, 2014

Faculty: Kenneth Mayer, MD, The Fenway Institute, Beth Israel Deaconess Medical Center, and Doug Krakower, MD, Beth Israel Deaconess Medical Center

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Although the HIV prevention medication known as PrEP, or pre-exposure prophylaxis, has been approved by the FDA for use in MSM for almost two years, many providers do not feel prepared or comfortable prescribing PrEP to their patients. In this webinar, Dr. Ken Mayer, Medical Director of The Fenway Institute, Fenway Heath, will update participants on what is currently known about PrEP implementation in real world settings, and what the barriers and facilitators are to expanding PrEP use. Dr. Krakower will then provide cases demonstrating potential strategies related to caring for patients on PrEP.

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Recent Breakthroughs in HIV Prevention for Transgender People and Men who Have Sex with Men

Originally Presented On: May 7, 2013

Faculty: Kevin Ard, MD, MPH, The Fenway Institute, Fenway Health, and Massachusetts General Hospital

Sponsors: The National LGBT Health Education Center

Health care providers now have an expanding number of effective HIV prevention tools at their fingertips, including behavioral and biomedical interventions. This session provides step by step guidance on how clinicians can be most effective at preventing new HIV infections in high-risk MSM and transgender patients. Included is a discussion of evidence-based High Impact HIV Prevention Programs as recommended by the CDC, and how best to optimize implementation of HIV prevention programs in patient centered medical homes (PCMH) and other primary care settings.

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Reducing HIV Health Disparities: Examining Funding, Policy, and Beliefs to Drive Local Action

Originally Presented On: February 17, 2016

Faculty: Jeffrey Crowley, Distinguished Scholar and Program Director, National HIV/AIDS Initiative, O’Neill Institute for National and Global Health Law, Georgetown Law Center

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center

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Much excitement has been generated in recent years by the National HIV/AIDS Strategy, scientific advances, and expanded health care access that leads many to assert that we can move toward ending the HIV epidemic in the United States. At the same time, there is frequently a disconnect between excitement about the national picture and the reality in local communities. This session will examine how policy change is made at the federal, state, and local levels, assess recent changes in federal funding and policy, and explore how personal and community beliefs and attitudes drive efforts to better respond to HIV. The end result will not lead to giving health centers, community based organizations, or other community stakeholders answers on how to set meaningful goals, but it will strive to give participants a framework for assessing their own community priorities, resources, and commitment to develop their own strategic goals for action.

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Rural Latino LGBT HIV Prevention: Community Building and Access to Care

Originally Presented On: January 14, 2014

Faculty: Scott Rhodes, PhD, Division of Public Health Sciences, Wake Forest University, Anna Leah Rick, Community Worker, California Rural Legal Assistance

Sponsors: Farmworker Justice and National LGBT Health Education Center

Farmworker Justice and the National LGBT Health Education Center are jointly presenting a new webinar on rural Latino LGBT health, with a focus on interventions that promote HIV prevention in LGBT communities.  Scott Rhodes, PhD, MPH, of Wake Forest School of Medicine, will discuss a promising new community-based participatory research project that aims to prevent new HIV and STI infections through building and supporting positive social networks and increasing community capacity among Latino gay, bisexual, and other men who have sex with men (MSM), and transgender people.  Next, Anna Rick of California Legal Rural Assistance will describe access to care issues for rural Latino MSM in California, and will discuss ways in which her organization works with parents of Latino LGBTQ youth (a population at higher risk for HIV) to engage them in supporting behaviors.  Free CME/CEU credit will be offered.

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Screening and Testing for Sexually Transmitted Infections in Gay, Bisexual and Other Men Who Have Sex with Men  

Originally Presented On: April 30, 2015

Faculty: Jeanne Marrazzo, MD, MPH, Professor, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Gay, bisexual and other men who have sex with men (MSM) experience disparities in HIV and other STIs, and need screening specific to their risk level and sexual practices. In this webinar, Jeanne Marrazzo, MD, MPH, Professor at the University of Washington and Medical Director of the Seattle HIV/STD Prevention and Training Center, will review the CDC’s STI screening guidelines for MSM, providing additional insight into the recommended testing and diagnostic procedures for these STIs. Dr. Marrazzo will also describe research on the barriers to effective STI screening with MSM in primary care settings and make suggestions for overcoming these barriers.

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Taking a History of Sexual Health: Opening the Door to Effective HIV and STI Prevention

Originally Presented On: April 17, 2014

Faculty: Harvey Makadon, MD, Director of Education and Training Programs, The Fenway Institute

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Gathering routine sexual health histories of patients in primary care is an essential feature of effective HIV and sexually transmitted infections (STIs) prevention.  Nonetheless, this aspect of care is often disregarded due to lack of time and/or discomfort with asking intimate questions.  In this webinar,  Dr. Harvey Makadon Director of Education at The Fenway Institute, Fenway Health, and Clinical Professor of Medicine at Harvard University, will focus on how gathering information on sexual health can open the door to talking about HIV and STI prevention and lead to opportunities for effective linkage to care, care and prevention programs, and ongoing engagement in health care.

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The Affordable Care Act and HIV:  Maximizing Opportunities for Coverage and Care

Originally Presented On: February 6, 2014

Faculty: Jeffrey S. Crowley, Distinguished Scholar/Program Director, National HIV/AIDS Initiative, O’Neill Institute for National and Global Health Law, Georgetown Law

Sponsors: The National LGBT Health Education Center

Jeffrey S. Crowley, Program Director of the National HIV/AIDS Initiative at Georgetown Law, and former director of the White House Office of National AIDS Policy, leads a discussion on the Affordable Care Act (ACA) and its implications for the care and coverage of people living with HIV/AIDS.  With the ACA, there is great potential for people with HIV to access a more stable and affordable system of care, and for people at high risk for HIV to gain more access to testing and prevention methods.  Mr. Crowley explains the key provisions in the ACA related to HIV care and treatment, and discusses how Ryan White and Medicaid coverage are affected.  Given the highly disproportionate rates of HIV in gay/bisexual men’s and transgender women’s communities, these changes brought about by the ACA stand to make a positive and significant impact on LGBT health outcomes for the future.

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Understanding the 2015 STD Treatment Guidelines for LGBT People

Originally Presented On: June 18, 2015

Faculty: Nick Van Wagoner, MD, PhD, FACP, Assistant Professor in the Department of Medicine, Division of Infectious Diseases, Assistant Dean for Students in the University of Alabama School of Medicine, Director of the Sexual Health Clinic, UAB Birmingham

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

The CDC has released the 2015 STD Treatment Guidelines, including revised recommendations for men who have sex with men (MSM), transgender people, and women who have sex with women (WSW). In this webinar, Nick Van Wagoner, MD, PhD, will update health care providers and other participants on STD risk and prevalence among LGBT subgroups, and share current recommendations for appropriate screening, treatment, and follow-up. He will also be discussing opportunities for enhanced STD control among LGBT people.

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Behavioral Health

Behavioral Health

Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations

Originally Presented On: February 11, 2016

Faculty: Mark L. Hatzenbuehler, PhD, Associate Professor, Department of Sociomedical Sciences, and Co-Director, Center for the Study of Social Inequalities and Health, Columbia University Mailman School of Public Healt

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center

Psychological research has made significant advancements in the study of stigma but has tended to focus almost exclusively on individual and interpersonal stigma processes. Recently, researchers have expanded the stigma construct to consider how broader, macrosocial forms of stigma—what we call structural stigma—also disadvantage stigmatized individuals. In this webinar, Dr. Mark L. Hatzenbuehler of the Columbia University Mailman School of Public Health will review current research demonstrating that structural stigma has far-reaching health consequences for lesbian, gay, and bisexual (LGB) people. Dr. Hatzenbuehler will also examine future directions for structural stigma research, including exploring how providers at health centers, ASOs, CBOs, and other health care organizations can mitigate the effects of structural stigma with their LGB patients.

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Behavioral Health Care for Lesbian, Gay, and Bisexual People

Originally Presented On: January 29, 2014

Faculty: Kevin Kapila, MD, Fenway Health, Boston, MA

Sponsors: The National LGBT Health Education Center

Dr. Kevin Kapila of Fenway Health as leads participants in an introductory webinar on understanding and approaching the behavioral health care of lesbian, gay, and bisexual (LGB) people. In many ways, LGB people have similar behavioral health care needs to the general population. However, for some LGB people, living as a stigmatized minority can cause undue stress, leading to mood disorders, suicidal ideation, and unhealthy coping behaviors, such as substance abuse or unsafe sex. In this webinar, Dr. Kapila uses case studies to discuss the most prominent behavioral health care disparities found in LGB populations, explain how they can manifest in different LGB subgroups, and discuss recommended assessment and treatment modalities.

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Mental Health Care and Assessment of Transgender Adults

Originally Presented On: February 17, 2015

Faculty: Dan Karasic, MD, Health Sciences Clinical Professor of Psychiatry, University of California San Francisco

Sponsors: The National LGBT Health Education Center

Research suggests that the number of transgender people seeking gender affirming surgical procedures is increasing, and this is accelerating in the US with the lifting of insurance exclusions. Behavioral health providers are seeing more transgender patients seeking referrals to surgeons, and are seeking guidance on the standard practice with each patient. Dr. Dan Karasic of the University of California San Francisco will lead this webinar, describing the role of the behavioral health care provider during a person’s transition and how to assess and advise patients. Dr. Karasic will detail the WPATH Standards of Care and describe how to apply these standards in practice using case-based examples and anecdotes from his work at UCSF Alliance Health Project and the Transgender Life Care Program and Dimensions Clinic of Castro Mission Health Clinic in San Francisco.

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Implementing Routine Intimate Partner Violence Screening in a Primary Care Setting

Originally Presented On: November 19, 2015

Faculty: Jennifer Potter, MD, Medical Director, Women’s Health Team, Fenway Health, and Professor of Medicine, Harvard Medical School; Cara Presley, LICSW, Manager, Violence Recovery Program, Fenway Health; and Catherine Basham, Family Health Coordinator, Fenway Health

Sponsors: The National LGBT Health Education Center

Domestic violence or intimate partner violence (IPV) is a significant social and health concern, resulting in 5.8 billion dollars in medical costs annually. The US Preventive Services Task Force recommends IPV screening for women of childbearing age, and screening interventions tested among women show that those who talk to their health provider about partner violence are four times more likely to use intervention services. Additionally, research shows that people who identify as lesbian, gay, bisexual or transgender (LGBT) experience IPV at rates similar to or higher than heterosexual women. This webinar will identify unique features of intimate partner violence among LGBT-identified people and describe barriers to accessing support services. Dr. Jennifer Potter, the Medical Director of the Women’s Health Department at Fenway Health; Cara Presley, LICSW, the Director of the Violence Recovery Program in the Behavioral Health Department at Fenway Health; and Catherine Basham, Family Health Coordinator at Fenway Health, will describe a universal IPV screening intervention that has been successfully implemented at an LGBT-focused community health center. This systems based screening strategy includes: 1) staff training; 2) administration of a gender-neutral screening survey; 3) implementation of electronic health record reminders and forms to promote effective documentation/tracking; and 4) creation of a referral process to reliably connect patients to violence recovery and prevention services.

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Same-Sex Domestic Violence: Considerations, Suggestions, and Resources

Originally Presented On: May 22, 2013

Faculty: Cara Presley-Kimball, LICSW, Coordinator, Violence Recovery Program, Fenway Health; and Jessica Newman, LMHC, psychotherapist, Violence Recovery Program, Fenway Health

Sponsors: The National LGBT Health Education Center

According to a recent national survey, LGBT people experience domestic violence at least as commonly as heterosexual women, contradicting common misperceptions that men cannot be victims of abuse, and women cannot perpetrate abuse. This webinar, led by Jessica Newman and Cara Presley-Kimball of Fenway Health’s Violence Recovery Program, explains the unique features of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will also learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters. There is also a brief overview of the Violence Recovery Program at Fenway Health, a unique model program that is integrated into the behavioral health department of a community health center.

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SBIRT with LGBT Patients: Identifying and Addressing Unhealthy Substance Use in Primary Care Settings

Originally Presented On: February 4, 2015

Faculty: Lee Ellenberg, LICSW, Training Manager, MASBIRT Training & Technical Assistance, MA SBIRT TTA, Boston Medical Center and Boston University

Sponsors: The National LGBT Health Education Center

Lesbian, gay, bisexual, and transgender people are at a higher risk of substance abuse than their heterosexual counterparts. It is important for primary care providers to be aware of this disparity, and have strategies to refer LGBT people to treatment at their disposal. Lee Ellenberg of the Massachusetts SBIRT Training and Technical Assistance Program will describe Screening, Brief Intervention, and Referral to Treatment (SBIRT) in this webinar. Mr. Ellenberg will guide participants on when to use SBIRT and the efficacy of the intervention.

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Sexual Orientation, Gender Identity, and Mental Health in Children and Adolescents

Originally Presented On: October 9, 2013

Faculty: Stewart Adelson, MD, Assistant Clinical Professor at Columbia University’s College of Physicians & Surgeons Dept. of Psychiatry in the Divisions of Child & Adolescent Psychiatry and Gender, Sexuality & Health

Sponsors: The National LGBT Health Education Center

In this webinar, Dr. Stewart Adelson of Columbia University, will offer a foundation for understanding and addressing the mental health challenges and needs of LGBT children and adolescents. Participants will learn about how gender non-conformity, gender discordance/dysphoria, and sexual orientation are distinct yet related concepts, and how stigma, risk, resilience, and protective factors interact with these to influence youth development, health and mental health. Clinical options for addressing gender dysphoria in children and adolescents will also be discussed. The webinar will conclude with nine mental health practice principles for fostering the healthy psychosocial development of LGBT youth.

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Collecting Sexual Orientation and Gender Identity Data

Collecting Sexual Orientation and Gender Identity Data

Do Ask, Do Tell! Collecting Data on Sexual Orientation and Gender Identity in Health Centers

Originally Presented On: April 5, 2016

Faculty: Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute

Lesbian, gay, bisexual, and transgender (LGBT) people face many health disparities and stigma in health care. Despite this, LGBT people remain largely invisible to their providers. Collecting sexual orientation and gender identity (SO/GI) data of new and returning patients is critical for health centers and other health care organizations to provide a welcoming, inclusive environment of care; and to provide high-quality care to all patients.

This webinar will teach participants about the barriers to care that many LGBT people face, describe the inequity in health outcomes for LGBT people, and detail both how and why to collect SO/GI data in electronic health records. Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute present the webinar. At the end of the session, participants will have the tools to begin implementing SOGI data collection in their own EHRs.

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Training Frontline Staff to Collect Data on Sexual Orientation and Gender Identity

Originally Presented On: July 13, 2016

Faculty: Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health ,Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute.

Collecting sexual orientation and gender identity (SO/GI) data can lead to improvements in population health for lesbian, gay, bisexual, and transgender (LGBT) patients, a vulnerable population that experiences multiple health disparities. Now that HRSA requires SO/GI data be included in the Uniform Data System (UDS) reporting for CY 2016, health centers need to train their frontline staff to collect, quality check, and apply this data in a culturally sensitive and confidential manner. In this interactive webinar, experts in SO/GI data collection will discuss their recommendations for frontline staff, covering the topics of effective communication techniques, privacy and confidentiality, data quality, and addressing mistakes that inevitably occur.

Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health will be joined by Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute to present the webinar.

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Cancer and LGBT People

Cancer and LGBT People

Anal Dysplasia and Cancer in At-Risk Groups: What Providers Need to Know

Originally Presented On: April 9, 2013

Faculty: Lori Panther, MD, MPH, Clinical Director of the Infectious Diseases Dysplasia Clinic, Beth Israel Deaconess Medical Center; Medical Provider at Fenway Health, and Associate Medical Director for Clinical Research, The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

Anal cancer is on the rise in the United States. Men who have sex with men (MSM) and HIV-infected people have a higher risk of developing anal cancer compared to the general male population. Although the majority of anal cancers are caused by the human papillomavirus (HPV)–the same virus that causes cervical cancer–there is no official guidance that promotes routine screening for anal cancer. What can health center providers do to prevent anal cancer in their patients? In this webinar, Dr. Lori Panther reviews the basic epidemiology of HPV, and discusses the signs, symptoms, potential screening mechanisms, and prevention methods for anal cancer that providers can offer their patients.

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Breast Cancer Risk and Prevention in Lesbian and Bisexual Women

Originally Presented On: November 19, 2014

Faculty: Jennifer Potter, MD, Director, Women's Health Program, Fenway Health, Director, Women's Health, Healthcare Associates, Beth Israel Deaconess Medical Center, Boston, MA

Recommendations for breast cancer screening are not standardized across organizations, causing confusion for patients and providers. In this webinar, Dr. Jennifer Potter, the Women’s Health Program Director at Fenway Health and Beth Israel Deaconess Medical Center in Boston will explain how varying screening guidelines can be interpreted, with a particular focus on screening for lesbian and bisexual women (a population group that may have more risk factors, yet lower screening rates). In addition, she will describe the feasibility and acceptability of routine breast cancer risk assessment in an urban, LGBT health center, and identify preventive strategies to reduce breast cancer risk among high-risk women.

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If You Have It, Check It: Overcoming Barriers to Cervical Cancer Screening with Patients on the Female-to-Male Transgender Spectrum

Originally Presented On: July 16, 2014

Faculty: Jennifer Potter, MD, Sarah Peitzmeier, MPH, Sari Reisner, ScD, MA, Ida Bernstein, BA, The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

The majority of FTM transgender individuals retain a cervix and can therefore develop cervical cancer. Because of this, national guidelines recommend that transgender men with a cervix follow the same screening protocol as non-transgender women. However, a recent research study found that Fenway Health patients who identify on the female-to-male (FTM) transgender spectrum have over 10 times higher odds of having an inadequate Papanicolaou (Pap) test compared to female patients. In this webinar, experts in the fields of medicine and research will share primary and secondary cervical cancer prevention strategies and will identify strategies that providers can use to address barriers to optimal screening and prevention in FTM patients.

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Organizational Change

Organizational Change

Do Ask, Do Tell! Collecting Data on Sexual Orientation and Gender Identity in Health Centers

Originally Presented On: April 5, 2016

Faculty: Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute

Lesbian, gay, bisexual, and transgender (LGBT) people face many health disparities and stigma in health care. Despite this, LGBT people remain largely invisible to their providers. Collecting sexual orientation and gender identity (SO/GI) data of new and returning patients is critical for health centers and other health care organizations to provide a welcoming, inclusive environment of care; and to provide high-quality care to all patients.

This webinar will teach participants about the barriers to care that many LGBT people face, describe the inequity in health outcomes for LGBT people, and detail both how and why to collect SO/GI data in electronic health records. Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute present the webinar. At the end of the session, participants will have the tools to begin implementing SOGI data collection in their own EHRs.

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Training Frontline Staff to Collect Data on Sexual Orientation and Gender Identity

Originally Presented On: July 13, 2016

Faculty: Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health ,Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute.

Collecting sexual orientation and gender identity (SO/GI) data can lead to improvements in population health for lesbian, gay, bisexual, and transgender (LGBT) patients, a vulnerable population that experiences multiple health disparities. Now that HRSA requires SO/GI data be included in the Uniform Data System (UDS) reporting for CY 2016, health centers need to train their frontline staff to collect, quality check, and apply this data in a culturally sensitive and confidential manner. In this interactive webinar, experts in SO/GI data collection will discuss their recommendations for frontline staff, covering the topics of effective communication techniques, privacy and confidentiality, data quality, and addressing mistakes that inevitably occur.

Amika Brewster, Director of Patient Services and Financial Assistance at Fenway Health will be joined by Dr. Harvey Makadon, Director of Education and Training Programs at the Fenway Institute, and Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute to present the webinar.

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Implications of the Updated National HIV/AIDS Strategy for ASOs, CBOs, and Health Centers

Originally Presented On: December 14, 2015

Faculty: Sean Cahill, PhD; Director of Health Policy Research, The Fenway Institute, Fenway Health, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Note: CME/CEU and HRC HEI Credit are not available for this on-demand webinar.

In July 2015 the White House Office of National AIDS Policy updated the National HIV/AIDS Strategy for the next five years (NHAS2020). NHAS2020 called for increased access to pre-exposure prophylaxis, and urged that HIV prevention for gay and bisexual men and transgender women be provided in a broader context of culturally competent care for LGBT people. It also called for the integration of HIV services into primary care settings, and for screening and referral for mental health and substance use services for PLWHA. On December 1st, ONAP will release an implementation plan for NHAS2020. This webinar will present highlights of the updated strategy and implementation plan and discuss their implications for AIDS Service Organizations, community-based organizations, and health centers.

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The Affordable Care Act: Building Health Equity for LGBT People

Originally Presented On: December 7, 2015

Faculty: Kellan Baker, MPH, MA, Senior Fellow, Center for American Progres

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Under the Affordable Care Act, health centers and community based organizations continue to serve a critical role in helping LGBT people access health insurance coverage. In this webinar, Kellan Baker, MPH, MA, a Senior Fellow at the Center for American Progress, will explain how reforms under the new system have impacted multiple aspects of health care for LGBT people, including data collection, prevention and wellness, Medicaid and other health insurance coverage. He will also address strategies that health centers and other organizations can use to enroll LGBT people into health care to continue to reduce the number of uninsured LGBT people, especially people living with HIV/AIDS.

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Ten Things: Providing an Inclusive and Affirmative Health Care Environment for LGBT People

Originally Presented On: July 21, 2015

Faculty: Harvey J Makadon, MD, Director, Division of Education and Training, The Fenway Institute, Fenway Health, and Brian Toomey, CEO, Piedmont Health Services, Inc.

Sponsors: The National LGBT Health Education Center

LGBT people face multiple barriers to accessing inclusive and affirming care. Health centers and other health care organizations are well-positioned to provide environments that are welcoming to the LGBT people in their communities, and many are seeking guidance in how to do so. In this webinar, Dr. Harvey Makadon, Director of the Division of Education and Training at The Fenway Institute, leads participants through ten key practices for creating LGBT-inclusive and affirming in health care organizations. Brian Toomey, CEO of Piedmont Health Services, describes his organization’s approach to providing a welcoming environment for LGBT patients. Participants will learn approaches ranging from shaping policies and processes, to collecting data, to engaging the community.

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How Patient-Centered Medical Homes Can Improve Health Care for Lesbian, Gay, Bisexual, and Transgender Patients and Families

Originally Presented On: April 8, 2015

Faculty: Ignatius Bau, Health Care Policy Consultant

Sponsors: The National LGBT Health Education Center

Patient-Centered Medical Homes (PCMH) create health care environments that encourage quality and equity in health care. Lesbian, Gay, Bisexual, and Transgender (LGBT) individuals and communities face numerous health care disparities, and can benefit from the PCMH model. Ignatius Bau, a nationally recognized consultant working to advance patient-centeredness and equity in health care, will describe the National Committee for Quality Assurance (NCQA) standards that are relevant for LGBT patients and families, and discuss how the PCMH model can benefit LGBT patients and families. Mr. Bau will describe best practices, and connect specific PCMH standards with LGBT health issues. Community health centers and other health care providers implementing PCMH can use the standards to guide their own improvements in health care for their LGBT patients and families

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Reaching LGBTQ Communities and Engaging them in Health Care

Originally Presented On: November 12, 2014

Faculty: Benjamin Perkins, MDiv, Associate Director for Community Engagement at The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

With the Affordable Care Act expanding coverage to thousands of Americans, health centers are working to reach and understand the needs of population groups who are not fully engaged in the health care system, including LGBTQ populations. Benjamin Perkins, MDiv, Associate Director for Community Engagement at The Fenway Institute, Fenway Health, will explain best practices in community engagement that will help you learn more about the needs of LGBTQ people in your community, including developing community advisory groups, running focus groups, and producing materials to “get the word out” about community events. In addition, the webinar will address how to structure building these partnerships to create lasting relationships within the community.that surround the bisexual community.

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Reducing HIV Health Disparities: Examining Funding, Policy, and Beliefs to Drive Local Action

Originally Presented On: February 17, 2016

Faculty: Jeffrey Crowley, Distinguished Scholar and Program Director, National HIV/AIDS Initiative, O’Neill Institute for National and Global Health Law, Georgetown Law Center

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center

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Much excitement has been generated in recent years by the National HIV/AIDS Strategy, scientific advances, and expanded health care access that leads many to assert that we can move toward ending the HIV epidemic in the United States. At the same time, there is frequently a disconnect between excitement about the national picture and the reality in local communities. This session will examine how policy change is made at the federal, state, and local levels, assess recent changes in federal funding and policy, and explore how personal and community beliefs and attitudes drive efforts to better respond to HIV. The end result will not lead to giving health centers, community based organizations, or other community stakeholders answers on how to set meaningful goals, but it will strive to give participants a framework for assessing their own community priorities, resources, and commitment to develop their own strategic goals for action.

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Other Issues in Primary Care

Other Issues in Primary Care

Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

Originally Presented On: June 22, 2016

Faculty: Suyanna Barker, Community Health Action Department Director, La Clínica del Pueblo, Manuel Diaz-Ramirez, ¡Empodérate! Youth Center Manager, La Clínica del Pueblo, Alexa Rodriguez Transgender Program Coordinator for ¡Empoderáte! Youth Center

Latino(a) youth and young adult men who have sex with men or who identify as lesbian, gay, bisexual, and/or transgender often face stigma, discrimination, and language barriers that prevent them from accessing prevention and treatment at health care centers, and leaving them vulnerable to high rates of HIV and other health disparities. In this session, panelists Suyanna Linhales Barker, DrPH; Manuel Diaz-Ramirez, and Alexa Rodriguez, all from La Clinica del Pueblo, will discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s. The panelists will draw on their experiences working with this population, including young Latinos living with HIV, and transgender latino(a)s in the Washington, DC area to give participants the tools to recognize barriers within their own organizations to better facilitate prevention and care opportunities for transgender and MSM Latino young adults.

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Syphilis among Men Who Have Sex with Men: Clinical Care and Public Health Reporting

Originally Presented On: June 9, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital
Brenda Hernandez, Special Project Coordinator, Massachusetts Department of Public Health

The CDC reports that 83% of primary and secondary syphilis cases occur among gay, bisexual, and other men who have sex with men (MSM). With syphilis on the rise, health centers have an opportunity to prevent, screen, and treat syphilis among these vulnerable populations. In this webinar, Kevin Ard, MD, MPH will explain the diagnostic and therapeutic approach to syphilis based on the clinical stage of the disease, and will explain what to do when there are discordant results on diagnostic tests.  Dr. Ard will be joined by Brenda Hernandez, who will explain syphilis case reporting and partner services so that health centers can effectively work with public health departments to help control the epidemic.

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Reducing Tobacco Use in LGBT Communities: How Can We Do Better?

Originally Presented On: May 5, 2015

Faculty: Phoenix Matthews, PhD, Associate Professor and Clinical Psychologist, University of Illinois at Chicago

Sponsors: Arkansas Department of Health, CVS Caremark, and the National LGBT Health Education Center

Lesbian, gay, bisexual, and transgender (LGBT) people smoke at roughly twice the rate of non-LGBT people, putting them at elevated risk for smoking-related health disparities. In this webinar, Phoenix Matthews, PhD, Associate Professor and Clinical Psychologist at the University of Illinois at Chicago, will educate participants about smoking disparities among LGBT people, including a discussion of what motivates LGBT people to smoke, what clinicians can do to help LGBT people quit, and what the state of the science says about smoking cessation interventions for LGBT people. Dr. Matthews is nationally and internationally known for health disparities research with underserved populations primarily focused on culturally targeted cancer risk reduction interventions. Currently Dr. Matthews is the Principal Investigator of an NIH-funded study to conduct a randomized clinical trial of a smoking cessation intervention for adult smokers.

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Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations

Originally Presented On: February 11, 2016

Faculty: Mark L. Hatzenbuehler, PhD, Associate Professor, Department of Sociomedical Sciences, and Co-Director, Center for the Study of Social Inequalities and Health, Columbia University Mailman School of Public Healt

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center

Psychological research has made significant advancements in the study of stigma but has tended to focus almost exclusively on individual and interpersonal stigma processes. Recently, researchers have expanded the stigma construct to consider how broader, macrosocial forms of stigma—what we call structural stigma—also disadvantage stigmatized individuals. In this webinar, Dr. Mark L. Hatzenbuehler of the Columbia University Mailman School of Public Health will review current research demonstrating that structural stigma has far-reaching health consequences for lesbian, gay, and bisexual (LGB) people. Dr. Hatzenbuehler will also examine future directions for structural stigma research, including exploring how providers at health centers, ASOs, CBOs, and other health care organizations can mitigate the effects of structural stigma with their LGB patients.

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The Affordable Care Act: Building Health Equity for LGBT People

Originally Presented On: December 7, 2015

Faculty: Kellan Baker, MPH, MA, Senior Fellow, Center for American Progres

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Under the Affordable Care Act, health centers and community based organizations continue to serve a critical role in helping LGBT people access health insurance coverage. In this webinar, Kellan Baker, MPH, MA, a Senior Fellow at the Center for American Progress, will explain how reforms under the new system have impacted multiple aspects of health care for LGBT people, including data collection, prevention and wellness, Medicaid and other health insurance coverage. He will also address strategies that health centers and other organizations can use to enroll LGBT people into health care to continue to reduce the number of uninsured LGBT people, especially people living with HIV/AIDS.

View Webinar

Anal Dysplasia and Cancer in At-Risk Groups: What Providers Need to Know

Originally Presented On: April 9, 2013

Faculty: Lori Panther, MD, MPH, Clinical Director of the Infectious Diseases Dysplasia Clinic, Beth Israel Deaconess Medical Center; Medical Provider at Fenway Health, and Associate Medical Director for Clinical Research, The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

Anal cancer is on the rise in the United States. Men who have sex with men (MSM) and HIV-infected people have a higher risk of developing anal cancer compared to the general male population. Although the majority of anal cancers are caused by the human papillomavirus (HPV)–the same virus that causes cervical cancer–there is no official guidance that promotes routine screening for anal cancer. What can health center providers do to prevent anal cancer in their patients? In this webinar, Dr. Lori Panther reviews the basic epidemiology of HPV, and discusses the signs, symptoms, potential screening mechanisms, and prevention methods for anal cancer that providers can offer their patients.

View Webinar

Breast Cancer Risk and Prevention in Lesbian and Bisexual Women

Originally Presented On: November 19, 2014

Faculty: Jennifer Potter, MD, Director, Women's Health Program, Fenway Health, Director, Women's Health, Healthcare Associates, Beth Israel Deaconess Medical Center, Boston, MA

Recommendations for breast cancer screening are not standardized across organizations, causing confusion for patients and providers. In this webinar, Dr. Jennifer Potter, the Women’s Health Program Director at Fenway Health and Beth Israel Deaconess Medical Center in Boston will explain how varying screening guidelines can be interpreted, with a particular focus on screening for lesbian and bisexual women (a population group that may have more risk factors, yet lower screening rates). In addition, she will describe the feasibility and acceptability of routine breast cancer risk assessment in an urban, LGBT health center, and identify preventive strategies to reduce breast cancer risk among high-risk women.

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Implementing Routine Intimate Partner Violence Screening in a Primary Care Setting

Originally Presented On: November 19, 2015

Faculty: Jennifer Potter, MD, Medical Director, Women’s Health Team, Fenway Health, and Professor of Medicine, Harvard Medical School; Cara Presley, LICSW, Manager, Violence Recovery Program, Fenway Health; and Catherine Basham, Family Health Coordinator, Fenway Health

Sponsors: The National LGBT Health Education Center

Domestic violence or intimate partner violence (IPV) is a significant social and health concern, resulting in 5.8 billion dollars in medical costs annually. The US Preventive Services Task Force recommends IPV screening for women of childbearing age, and screening interventions tested among women show that those who talk to their health provider about partner violence are four times more likely to use intervention services. Additionally, research shows that people who identify as lesbian, gay, bisexual or transgender (LGBT) experience IPV at rates similar to or higher than heterosexual women. This webinar will identify unique features of intimate partner violence among LGBT-identified people and describe barriers to accessing support services. Dr. Jennifer Potter, the Medical Director of the Women’s Health Department at Fenway Health; Cara Presley, LICSW, the Director of the Violence Recovery Program in the Behavioral Health Department at Fenway Health; and Catherine Basham, Family Health Coordinator at Fenway Health, will describe a universal IPV screening intervention that has been successfully implemented at an LGBT-focused community health center. This systems based screening strategy includes: 1) staff training; 2) administration of a gender-neutral screening survey; 3) implementation of electronic health record reminders and forms to promote effective documentation/tracking; and 4) creation of a referral process to reliably connect patients to violence recovery and prevention services.

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LGBT Families: Improving Access to Better Health Care

Originally Presented On: April 9, 2014

Faculty: Michael Porcello, Esq, Legislative Counsel for the Family Equality Council

Sponsors: The Family Equality Council and the National LGBT Health Education Center

Increasing numbers of LGBT people are forming unions and building families in an ever-changing legal landscape. In order to increase access to quality care for LGBT couples and families, health care providers may need to familiarize themselves with the current local and federal policies that affect LGBT health care. In this webinar, Michael Porcello, Legislative Counsel for the Family Equality Council, will focus on health care access issues for LGBT couples and families, including implications from the Affordable Care Act, and will offer suggestions for improving health care access for LGBT families. This webinar is the first of a two-part series on LGBT families being offered by the Family Equality Council and the National LGBT Health Education Center.

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Pathways to LGBT Parenthood: Assisted Reproduction and Adoption

Originally Presented On: June 12, 2014

Faculty: Kim Bergman, PhD, Growing Generations and Family Equality Council, and Ethan Brackett, MD, Fenway Health

Sponsors: The Family Equality Council and the National LGBT Health Education Center

In the U.S., about three million parents are LGBT people, and many more desire to become parents. In this webinar, Kim Bergman, PhD and Ethan Brackett, MD will discuss ways in which health care providers can assist same-sex couples and other LGBT patients in their pursuit of becoming parents. The speakers will touch on the often complex clinical and mental health aspects related to the process of adoption, fostering, surrogacy, and donor insemination. This webinar is the second in a two-part series with the Family Equality Council. To watch the first webinar “on demand,” click here.

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Same-Sex Domestic Violence: Considerations, Suggestions, and Resources

Originally Presented On: May 22, 2013

Faculty: Cara Presley-Kimball, LICSW, Coordinator, Violence Recovery Program, Fenway Health; and Jessica Newman, LMHC, psychotherapist, Violence Recovery Program, Fenway Health

Sponsors: The National LGBT Health Education Center

According to a recent national survey, LGBT people experience domestic violence at least as commonly as heterosexual women, contradicting common misperceptions that men cannot be victims of abuse, and women cannot perpetrate abuse. This webinar, led by Jessica Newman and Cara Presley-Kimball of Fenway Health’s Violence Recovery Program, explains the unique features of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will also learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters. There is also a brief overview of the Violence Recovery Program at Fenway Health, a unique model program that is integrated into the behavioral health department of a community health center.

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