Obesity, Feeding and Eating Disorders, and Body Dysmorphic Disorder among LGBTQ Youth

Alex S. Keuroghlian, MD, MPH, Director of Education & Training Programs, The Fenway Institute Boston, MA

Many young LGBTQ people contend with bullying, rejection, and other identity-related stressors at school and at home. For some, these challenges negatively affect their eating behaviors and   body image, which can lead to excessive weight gain or loss, as well as   eating and feeding disorders and body dysmorphic disorder. This webinar will teach providers how to use a culturally-responsive approach to preventing, identifying, and treating obesity, eating and feeding disorders, and body dysmorphic disorder among LGBTQ youth. We will also discuss pediatric endocrinology considerations as they relate to weight/gain and obesity among transgender youth.

As this webinar was originally recorded as part of the School Based Health Alliance’s Adolescent ECHO program, it is not available for CME/CEU Credit.

Download Slides here: SBHA Webinar Obesity EDs BDD 2017 FINAL

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LGBT Health Disparities & Hypertension Control Opportunities with the American Heart Association

This webinar will educate providers about LGBT health disparities and introduce providers to the American Heart Association’s hypertension control efforts and Target Blood Pressure program. Target BP is a national collaboration between the American Heart Association and the American Medical Association to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations and patients to prioritize blood pressure control.

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What’s new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)?

Rates of syphilis and gonorrhea have been increasing in the United States, and most cases occur in men who have sex with men (MSM). In this webinar, Dr. Kevin Ard will review recent trends in STIs and examine causes for these trends. He will also discuss the controversial impact of HIV pre-exposure prophylaxis (PrEP) on STI incidence among MSM. Dr. Ard will outline steps clinicians and health centers can take to address STIs in 2018.

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Behavioral Health Care for Transgender Adults

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HIV and STI Prevention among LGBTQ People

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Addressing Social Determinants of Health for LGBT People (Part 1)

This webinar will address social determinants of health (SDOH) that can increase the vulnerability of LGBT people to health disparities. These include poverty, homelessness, housing, discrimination, minority stress, incarceration, health care, and education.

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Heart Health for LGBTQ People SLIDES

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LGBT Aging: Change, Challenge and Resilience

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Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

View Webinar  Bookmark

Addressing Social Determinants of Health for LGBTQ People

In part one of this two part webinar Jessica Flaherty will introduce new terms used to explore the ways in which oppression (racism, homo/bi/trans-phobia, sexism, heterosexism, cisgenderism) impact health outcomes for LGBTQ patients. She will also consider dominant group identity and oppressive behaviors, while identifying anti-oppressive best practices that support healthy outcomes for LGBTQ patients.

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Addressing Social Determinants of Health for LGBTQ People: Part 2

In part two Jessica Flaherty will further explore the ways in which oppression (racism, homo/bi/trans-phobia, sexism, heterosexism, cisgenderism) impact health outcomes for LGBTQ patients. She will also consider dominant group identity and oppressive behaviors, while identifying anti-oppressive best practices that support healthy outcomes for LGBTQ patients.

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Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond

In this interactive webinar, Dr. Kevin Ard will review how to prescribe and monitor PrEP. Using patient cases, he will discuss unique considerations that apply to PrEP management for transgender people, serodifferent couples, those who are pregnant or trying to conceive, and adolescents. Finally, through real-world examples, participants will learn how to incorporate PrEP into diverse clinic settings. This webinar will be useful for both clinicians who are new to PrEP and those who are experienced PrEP providers, as well as administrators interested in a creating a PrEP program.

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

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. In this webinar, Cara Presley of Fenway Health’s Violence Recovery Program, will explain the unique characteristics of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters.

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Collecting and Reporting Sexual Orientation and Gender Identity Data: Stories from the Field

LGBT people face stigma and related health disparities in healthcare. In spite of the advancements in LGBT acceptance and policy, many LGBT people remain largely invisible to their primary care providers. In order to address these disparities, new requirements included in the 2016 Uniform Data System require health centers to collect and report sexual orientation (SO) and gender identity (GI).  Collecting SO/GI data of new and returning primary care patients is critical for health centers to provide a welcoming, inclusive environment. Routine SO/GI data collection in the EHR can be used to improve care, and measure and track health outcomes at the individual and population levels. Systems that support collection of SO/GI data support improved quality of care, timely clinical information, and improved communication among patients and care teams. In this webinar, two health centers will share their experiences implementing changes within the EHR, revising workflows, and training clinical and non-clinical staff to successfully implement SO/GI data collection and create an LGBT inclusive environment in primary care.

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Collecting Data on Sexual Orientation and Gender Identity: Data Integrity and Quality Improvement

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 how to recognize and address  SO/GI data issues from the electronic health record. Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute will share her experience with data quality checks at Fenway Health. At the end of the session, participants will have the tools to monitor SO/GI data collected from their own EHRs.

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The Affordable Care Act: Building Health Equity for LGBT People

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

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

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

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

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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Behavioral Health Care for Transgender Adults

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HIV and STI Prevention among LGBTQ People

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Addressing Social Determinants of Health for LGBT People (Part 1)

This webinar will address social determinants of health (SDOH) that can increase the vulnerability of LGBT people to health disparities. These include poverty, homelessness, housing, discrimination, minority stress, incarceration, health care, and education.

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Providing Mental Health Assessments

for Gender Affirming Surgery Referral

Letters

In this webinar, Sarah Eley, LICSW will discuss the process of providing mental health assessments for transgender and gender diverse people who are seeking a letter(s) of referral for gender affirming surger(ies).  Guidance will be provided on the steps within an assessment as well as considerations for administrative systems which can ease the process. The webinar will also address the presence of the power differential and providing assessments from a gender informed and affirming perspective.

Download the slides here: SLIDES

The Interview Guide mentioned in the webinar can be downloaded HERE.

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Navigating Gender Affirming Care

Ruben Hopwood, MDiv, PhD;
Coordinator, Transgender Health Program, Fenway Health
Visiting Researcher, The Danielsen Institute at Boston University And Steph DeNormand; Patient Advocate, Transgender Health Program, Fenway Health will present on aspects of navigating medical gender affirmation. Topics will include options for gender affirmation, criteria for accessing gender confirmation surgeries, and how to locate up to date information on insurance for their state and coverage area.

Navigating Gender Affirming Care Slides

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Behavioral Health Assessments and

Referral for Gender-Affirming Surgery

Faculty: Dr. Ruben Hopwood

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Delivering HIV Prevention and Care to Transgender People

The Delivering HIV Prevention and Care to Transgender People web-based CME/CEU is designed to assist health providers caring for transgender people, with a focus on transgender women. The program presents the latest data on transgender people and HIV, describes the roles stigma and discrimination play in contributing to health disparities, and provides tips on how to provide patient-centered care specific to the needs of transgender people. The program presents strategies to make clinical environments more welcoming to transgender patients and covers critical topics in HIV prevention and care—including PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis); initiation of and adherence to ART (antiretroviral therapy); safer sexual behaviors; STDs (sexually transmitted diseases) and HIV; and other important topics such as drug interactions with affirming hormonal therapy, partner services, and referral resources.

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Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

View Webinar  Bookmark

Addressing Social Determinants of Health for LGBTQ People

In part one of this two part webinar Jessica Flaherty will introduce new terms used to explore the ways in which oppression (racism, homo/bi/trans-phobia, sexism, heterosexism, cisgenderism) impact health outcomes for LGBTQ patients. She will also consider dominant group identity and oppressive behaviors, while identifying anti-oppressive best practices that support healthy outcomes for LGBTQ patients.

View Webinar  Bookmark

Addressing Social Determinants of Health for LGBTQ People: Part 2

In part two Jessica Flaherty will further explore the ways in which oppression (racism, homo/bi/trans-phobia, sexism, heterosexism, cisgenderism) impact health outcomes for LGBTQ patients. She will also consider dominant group identity and oppressive behaviors, while identifying anti-oppressive best practices that support healthy outcomes for LGBTQ patients.

View Webinar  Bookmark

Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond

In this interactive webinar, Dr. Kevin Ard will review how to prescribe and monitor PrEP. Using patient cases, he will discuss unique considerations that apply to PrEP management for transgender people, serodifferent couples, those who are pregnant or trying to conceive, and adolescents. Finally, through real-world examples, participants will learn how to incorporate PrEP into diverse clinic settings. This webinar will be useful for both clinicians who are new to PrEP and those who are experienced PrEP providers, as well as administrators interested in a creating a PrEP program.

View Webinar  Bookmark

Providing Mental Health Care for Youth with Non-Binary Gender Identities

Youth with non-binary gender identities do not identify as categorically male or female. They experience unique social determinants of health and have specific health care needs that are often underserved. These youth are more likely to engage in health care if they feel comfortable disclosing their non-binary gender identity in an affirming environment to providers with a basic understanding of gender diversity. In this webinar, Alex S. Keuroghlian, MD MPH, will review concepts and terminology related to non-binary gender identities, including correct names and pronouns. The webinar will also focus on best mental health clinical practices and how to create an inclusive and affirming health care environment for youth with non-binary gender identities.

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Sexual Health among Transgender People

Engaging transgender clients in exploring sexuality – including intersectionality with gender identity and shifts in attraction associated with medical affirmation—is integral to the larger, clinical goal of affirming transgender identities and providing competent care. In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research as well as existing best behavioral health practices and therapeutic considerations for sexual health among transgender clients, including the following topics: sexual identities and fluidity, sexual satisfaction following medical affirmation, and relational health. Attention is given to providing a transgender-affirming frame and discussing sexual health risk within the context of psychosocial stressors, including challenges related to gender affirmation and experiences of transphobia.

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Meeting the Health Care Needs of Transgender People

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

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

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

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

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

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

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

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

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

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.

View Webinar  Bookmark

Obesity, Feeding and Eating Disorders, and Body Dysmorphic Disorder among LGBTQ Youth

Alex S. Keuroghlian, MD, MPH, Director of Education & Training Programs, The Fenway Institute Boston, MA

Many young LGBTQ people contend with bullying, rejection, and other identity-related stressors at school and at home. For some, these challenges negatively affect their eating behaviors and   body image, which can lead to excessive weight gain or loss, as well as   eating and feeding disorders and body dysmorphic disorder. This webinar will teach providers how to use a culturally-responsive approach to preventing, identifying, and treating obesity, eating and feeding disorders, and body dysmorphic disorder among LGBTQ youth. We will also discuss pediatric endocrinology considerations as they relate to weight/gain and obesity among transgender youth.

As this webinar was originally recorded as part of the School Based Health Alliance’s Adolescent ECHO program, it is not available for CME/CEU Credit.

Download Slides here: SBHA Webinar Obesity EDs BDD 2017 FINAL

View Webinar  Bookmark

HIV and STI Prevention among LGBTQ People

View Webinar  Bookmark

Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

View Webinar  Bookmark

Providing Mental Health Care for Youth with Non-Binary Gender Identities

Youth with non-binary gender identities do not identify as categorically male or female. They experience unique social determinants of health and have specific health care needs that are often underserved. These youth are more likely to engage in health care if they feel comfortable disclosing their non-binary gender identity in an affirming environment to providers with a basic understanding of gender diversity. In this webinar, Alex S. Keuroghlian, MD MPH, will review concepts and terminology related to non-binary gender identities, including correct names and pronouns. The webinar will also focus on best mental health clinical practices and how to create an inclusive and affirming health care environment for youth with non-binary gender identities.

View Webinar  Bookmark

Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

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

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

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

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

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  Bookmark

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

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.

View Webinar  Bookmark

Supporting Homeless LGBTQ Youth through Better Access to Care

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

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.

View Webinar  Bookmark

LGBT Health Disparities & Hypertension Control Opportunities with the American Heart Association

This webinar will educate providers about LGBT health disparities and introduce providers to the American Heart Association’s hypertension control efforts and Target Blood Pressure program. Target BP is a national collaboration between the American Heart Association and the American Medical Association to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations and patients to prioritize blood pressure control.

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HIV and STI Prevention among LGBTQ People

View Webinar  Bookmark

LGBT Aging: Change, Challenge and Resilience

View Webinar  Bookmark

Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

View Webinar  Bookmark

LGBT Aging 101: What You Need To Know About Lesbian, Gay, Bisexual & Transgender Older Adults and Caregivers

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LGBT Aging: Addressing Disparities and Health Care Needs

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

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

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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Obesity, Feeding and Eating Disorders, and Body Dysmorphic Disorder among LGBTQ Youth

Alex S. Keuroghlian, MD, MPH, Director of Education & Training Programs, The Fenway Institute Boston, MA

Many young LGBTQ people contend with bullying, rejection, and other identity-related stressors at school and at home. For some, these challenges negatively affect their eating behaviors and   body image, which can lead to excessive weight gain or loss, as well as   eating and feeding disorders and body dysmorphic disorder. This webinar will teach providers how to use a culturally-responsive approach to preventing, identifying, and treating obesity, eating and feeding disorders, and body dysmorphic disorder among LGBTQ youth. We will also discuss pediatric endocrinology considerations as they relate to weight/gain and obesity among transgender youth.

As this webinar was originally recorded as part of the School Based Health Alliance’s Adolescent ECHO program, it is not available for CME/CEU Credit.

Download Slides here: SBHA Webinar Obesity EDs BDD 2017 FINAL

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What’s new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)?

Rates of syphilis and gonorrhea have been increasing in the United States, and most cases occur in men who have sex with men (MSM). In this webinar, Dr. Kevin Ard will review recent trends in STIs and examine causes for these trends. He will also discuss the controversial impact of HIV pre-exposure prophylaxis (PrEP) on STI incidence among MSM. Dr. Ard will outline steps clinicians and health centers can take to address STIs in 2018.

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Understanding and Addressing the

Social Determinants of Health for Black

LGBTQ People: An Example of the Way

Forward for Health Centers

Presentation Overview

• Contextual Factors
  • Structural Determinants
  • Interpersonal Determinants
  • Individual Determinants
• Way Forward
  • Increasing Awareness and Integration of the Lived Experiences of Black LGBTQ People
  • Examining and Changing our Personal Views and Behaviors
  • Assessing the Institutional Cultures of our Health Services
  • Providing Resources and Mechanisms to Empower Black LGBTQ People
  • Supporting the Resilience of Black LGBTQ People

Download slides here:

Understanding and Addressing the Social Determinants of Health for Black LGBTQ People: An Example of the Way Forward for Health Centers

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Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

View Webinar  Bookmark

Addressing Social Determinants of Health for LGBTQ People

In part one of this two part webinar Jessica Flaherty will introduce new terms used to explore the ways in which oppression (racism, homo/bi/trans-phobia, sexism, heterosexism, cisgenderism) impact health outcomes for LGBTQ patients. She will also consider dominant group identity and oppressive behaviors, while identifying anti-oppressive best practices that support healthy outcomes for LGBTQ patients.

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Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond

In this interactive webinar, Dr. Kevin Ard will review how to prescribe and monitor PrEP. Using patient cases, he will discuss unique considerations that apply to PrEP management for transgender people, serodifferent couples, those who are pregnant or trying to conceive, and adolescents. Finally, through real-world examples, participants will learn how to incorporate PrEP into diverse clinic settings. This webinar will be useful for both clinicians who are new to PrEP and those who are experienced PrEP providers, as well as administrators interested in a creating a PrEP program.

View Webinar  Bookmark

Black MSM and PrEP: Challenges and Opportunities

Although estimates of HIV incidence remain relatively stable in the United States (US), the epidemic continues to increase disproportionately among men who have sex with men (MSM). Notably, nearly half of new HIV infections occur in the South, where Black/African American, young MSM (YMSM, 18 to 35) are at greatest risk. PrEP is a highly effective HIV prevention strategy. While the data about its safety and efficacy in this population are encouraging, structural and social barriers that undermine optimal PrEP uptake, as well as suboptimal adherence and retention in PrEP-related, follow-up medical care must be addressed. In this webinar, two leading infectious disease providers and researchers from Mississippi and Alabama will address possible barriers and facilitators of PrEP uptake among Black MSM and highlight novel efforts to deliver PrEP services to Black MSM.

View Webinar  Bookmark

Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

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.

View Webinar  Bookmark

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

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

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

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

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

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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Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

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LGBT Families: Improving Access to Better Health Care

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

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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Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond

In this interactive webinar, Dr. Kevin Ard will review how to prescribe and monitor PrEP. Using patient cases, he will discuss unique considerations that apply to PrEP management for transgender people, serodifferent couples, those who are pregnant or trying to conceive, and adolescents. Finally, through real-world examples, participants will learn how to incorporate PrEP into diverse clinic settings. This webinar will be useful for both clinicians who are new to PrEP and those who are experienced PrEP providers, as well as administrators interested in a creating a PrEP program.

View Webinar  Bookmark

Black MSM and PrEP: Challenges and Opportunities

Although estimates of HIV incidence remain relatively stable in the United States (US), the epidemic continues to increase disproportionately among men who have sex with men (MSM). Notably, nearly half of new HIV infections occur in the South, where Black/African American, young MSM (YMSM, 18 to 35) are at greatest risk. PrEP is a highly effective HIV prevention strategy. While the data about its safety and efficacy in this population are encouraging, structural and social barriers that undermine optimal PrEP uptake, as well as suboptimal adherence and retention in PrEP-related, follow-up medical care must be addressed. In this webinar, two leading infectious disease providers and researchers from Mississippi and Alabama will address possible barriers and facilitators of PrEP uptake among Black MSM and highlight novel efforts to deliver PrEP services to Black MSM.

View Webinar  Bookmark

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.

This webinar is supported by funding from Gilead Sciences, Inc.

View Webinar  Bookmark

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.

View Webinar  Bookmark

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

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.

View Webinar  Bookmark

Current Progress in PrEP and other HIV Prevention Technologies

View Webinar  Bookmark

PrEP for HIV Prevention: Real World Clinical Case Studies

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.

View Webinar  Bookmark

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

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.

View Webinar  Bookmark

Pre-Exposure Prophylaxis to Prevent HIV Transmission

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.

View Webinar  Bookmark

What’s new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)?

Rates of syphilis and gonorrhea have been increasing in the United States, and most cases occur in men who have sex with men (MSM). In this webinar, Dr. Kevin Ard will review recent trends in STIs and examine causes for these trends. He will also discuss the controversial impact of HIV pre-exposure prophylaxis (PrEP) on STI incidence among MSM. Dr. Ard will outline steps clinicians and health centers can take to address STIs in 2018.

View Webinar  Bookmark

HIV and STI Prevention among LGBTQ People

View Webinar  Bookmark

Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond

In this interactive webinar, Dr. Kevin Ard will review how to prescribe and monitor PrEP. Using patient cases, he will discuss unique considerations that apply to PrEP management for transgender people, serodifferent couples, those who are pregnant or trying to conceive, and adolescents. Finally, through real-world examples, participants will learn how to incorporate PrEP into diverse clinic settings. This webinar will be useful for both clinicians who are new to PrEP and those who are experienced PrEP providers, as well as administrators interested in a creating a PrEP program.

View Webinar  Bookmark

Addressing Sexually-Transmitted Infections among MSM: A Clinical and Public Health Update

Rates of syphilis and other sexually-transmitted  infections (STIs) have been rising among MSM.  In this webinar, Dr. Ard will review current STI  epidemiology and trends among MSM, review  potential explanations for these trends, and  discuss current approaches to STI prevention,  screening, and care in this population.

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Black MSM and PrEP: Challenges and Opportunities

Although estimates of HIV incidence remain relatively stable in the United States (US), the epidemic continues to increase disproportionately among men who have sex with men (MSM). Notably, nearly half of new HIV infections occur in the South, where Black/African American, young MSM (YMSM, 18 to 35) are at greatest risk. PrEP is a highly effective HIV prevention strategy. While the data about its safety and efficacy in this population are encouraging, structural and social barriers that undermine optimal PrEP uptake, as well as suboptimal adherence and retention in PrEP-related, follow-up medical care must be addressed. In this webinar, two leading infectious disease providers and researchers from Mississippi and Alabama will address possible barriers and facilitators of PrEP uptake among Black MSM and highlight novel efforts to deliver PrEP services to Black MSM.

View Webinar  Bookmark

Sexual Health among Transgender People

Engaging transgender clients in exploring sexuality – including intersectionality with gender identity and shifts in attraction associated with medical affirmation—is integral to the larger, clinical goal of affirming transgender identities and providing competent care. In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research as well as existing best behavioral health practices and therapeutic considerations for sexual health among transgender clients, including the following topics: sexual identities and fluidity, sexual satisfaction following medical affirmation, and relational health. Attention is given to providing a transgender-affirming frame and discussing sexual health risk within the context of psychosocial stressors, including challenges related to gender affirmation and experiences of transphobia.

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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.

This webinar is supported by funding from Gilead Sciences, Inc.

View Webinar  Bookmark

Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

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.

View Webinar  Bookmark

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.

View Webinar  Bookmark

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

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.

View Webinar  Bookmark

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

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.

View Webinar  Bookmark

Current Progress in PrEP and other HIV Prevention Technologies

View Webinar  Bookmark

PrEP for HIV Prevention: Real World Clinical Case Studies

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.

View Webinar  Bookmark

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

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.

View Webinar  Bookmark

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

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

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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Addressing HIV Disparities among Men Who Have Sex with Men

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

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

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.

View Webinar  Bookmark

Pre-Exposure Prophylaxis to Prevent HIV Transmission

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

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

Register

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

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  

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

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

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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Obesity, Feeding and Eating Disorders, and Body Dysmorphic Disorder among LGBTQ Youth

Alex S. Keuroghlian, MD, MPH, Director of Education & Training Programs, The Fenway Institute Boston, MA

Many young LGBTQ people contend with bullying, rejection, and other identity-related stressors at school and at home. For some, these challenges negatively affect their eating behaviors and   body image, which can lead to excessive weight gain or loss, as well as   eating and feeding disorders and body dysmorphic disorder. This webinar will teach providers how to use a culturally-responsive approach to preventing, identifying, and treating obesity, eating and feeding disorders, and body dysmorphic disorder among LGBTQ youth. We will also discuss pediatric endocrinology considerations as they relate to weight/gain and obesity among transgender youth.

As this webinar was originally recorded as part of the School Based Health Alliance’s Adolescent ECHO program, it is not available for CME/CEU Credit.

Download Slides here: SBHA Webinar Obesity EDs BDD 2017 FINAL

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Best Practices in Behavioral Health for Sexual Minority Women

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Behavioral Health Care for Transgender Adults

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Providing Mental Health Assessments

for Gender Affirming Surgery Referral

Letters

In this webinar, Sarah Eley, LICSW will discuss the process of providing mental health assessments for transgender and gender diverse people who are seeking a letter(s) of referral for gender affirming surger(ies).  Guidance will be provided on the steps within an assessment as well as considerations for administrative systems which can ease the process. The webinar will also address the presence of the power differential and providing assessments from a gender informed and affirming perspective.

Download the slides here: SLIDES

The Interview Guide mentioned in the webinar can be downloaded HERE.

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Behavioral Health Assessments and

Referral for Gender-Affirming Surgery

Faculty: Dr. Ruben Hopwood

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Addressing Opioid Use Disorders among LGBT People through Trauma-informed Care and Behavioral Health Integration

Dr. Keuroghlian will describe the epidemiology of opioid use disorders in the LGBT population, while identifying LGBT subpopulations at increased risk. He will then discuss best practices in addressing opioid use disorders among LGBT people.

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Addressing Social Determinants of Health for LGBTQ People

In part one of this two part webinar Jessica Flaherty will introduce new terms used to explore the ways in which oppression (racism, homo/bi/trans-phobia, sexism, heterosexism, cisgenderism) impact health outcomes for LGBTQ patients. She will also consider dominant group identity and oppressive behaviors, while identifying anti-oppressive best practices that support healthy outcomes for LGBTQ patients.

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

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. In this webinar, Cara Presley of Fenway Health’s Violence Recovery Program, will explain the unique characteristics of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters.

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Importance of Behavioral Health Integration for LGBT Patients

LGBT people have disproportionately high prevalence of depression, anxiety, substance use disorders, and suicide attempts compared with the general population. In addition, LGBT people often have unique combined physical and behavioral health needs, including those of transgender people undergoing gender affirmation and special considerations for people living with HIV AIDS.
Integration of behavioral health and primary care is therefore of particular importance as a clinical best practice for LGBT people. In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss the value of behavioral health integration for LGBT patients, and how advancing behavioral health integration in primary care settings can improve patient access, engagement, and both physical and behavioral health outcomes.

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Providing Care for Addictions in the LGBT Community

LGBT people have disproportionately high prevalence of substance use disorders compared with the general population. This higher prevalence of addictions is viewed as a downstream consequence of pervasive minority stress that occurs in the context of stigma-related discrimination and victimization. Substance use among LGBT people is often a coping strategy for trauma-related symptoms and can be associated with poor self-care, including compromised engagement in care for HIV treatment and prevention. In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss a minority stress framework for understanding substance use disorders in the LGBT community, describe how to tailor evidence-based addictions treatment practices for LGBT patients, and present systems-level approaches for health centers to better address substance use disorders, including the opioid epidemic, among LGBT people through behavioral health integration.

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

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

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

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

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

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

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

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 (SO/GI) Data In Electronic Health Records

Presenters: Alex S. Keuroghlian, MD, MPH and Chris Grasso, MPH

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SOGI Office Hours: SOGI Update

Download Slides Here

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

There is a common misconception that few or no lesbian, gay, bisexual, and transgender (LGBT) people exist within the farmworker community. As a result, the health care needs of LGBT farmworkers are often overlooked.

This webinar will address the unique challenges faced by LGBT farmworkers, including invisibility, cultural and religious taboos, and fear of job termination or harassment, to ensure that health care providers are able to provide quality care to this highly vulnerable population.  Alexis Guild a senior health policy analyst from Farmworker Justice will provide an overview of Farmworkers in the US and the unique laws and regulations that can affect health care, and Carlos Casteñada, the Community Outreach Coordinator at Adelante Healthcare, will share his experiences of working with LGBT people in the field and making outreach workers at Adelante Healthcare accessible as a resource for LGBT people.

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Collecting and Reporting Sexual Orientation and Gender Identity Data: Stories from the Field

LGBT people face stigma and related health disparities in healthcare. In spite of the advancements in LGBT acceptance and policy, many LGBT people remain largely invisible to their primary care providers. In order to address these disparities, new requirements included in the 2016 Uniform Data System require health centers to collect and report sexual orientation (SO) and gender identity (GI).  Collecting SO/GI data of new and returning primary care patients is critical for health centers to provide a welcoming, inclusive environment. Routine SO/GI data collection in the EHR can be used to improve care, and measure and track health outcomes at the individual and population levels. Systems that support collection of SO/GI data support improved quality of care, timely clinical information, and improved communication among patients and care teams. In this webinar, two health centers will share their experiences implementing changes within the EHR, revising workflows, and training clinical and non-clinical staff to successfully implement SO/GI data collection and create an LGBT inclusive environment in primary care.

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Collecting Data on Sexual Orientation and Gender Identity: Data Integrity and Quality Improvement

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 how to recognize and address  SO/GI data issues from the electronic health record. Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute will share her experience with data quality checks at Fenway Health. At the end of the session, participants will have the tools to monitor SO/GI data collected from their own EHRs.

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

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

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

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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Importance of Behavioral Health Integration for LGBT Patients

LGBT people have disproportionately high prevalence of depression, anxiety, substance use disorders, and suicide attempts compared with the general population. In addition, LGBT people often have unique combined physical and behavioral health needs, including those of transgender people undergoing gender affirmation and special considerations for people living with HIV AIDS.
Integration of behavioral health and primary care is therefore of particular importance as a clinical best practice for LGBT people. In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss the value of behavioral health integration for LGBT patients, and how advancing behavioral health integration in primary care settings can improve patient access, engagement, and both physical and behavioral health outcomes.

View Webinar  Bookmark

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

There is a common misconception that few or no lesbian, gay, bisexual, and transgender (LGBT) people exist within the farmworker community. As a result, the health care needs of LGBT farmworkers are often overlooked.

This webinar will address the unique challenges faced by LGBT farmworkers, including invisibility, cultural and religious taboos, and fear of job termination or harassment, to ensure that health care providers are able to provide quality care to this highly vulnerable population.  Alexis Guild a senior health policy analyst from Farmworker Justice will provide an overview of Farmworkers in the US and the unique laws and regulations that can affect health care, and Carlos Casteñada, the Community Outreach Coordinator at Adelante Healthcare, will share his experiences of working with LGBT people in the field and making outreach workers at Adelante Healthcare accessible as a resource for LGBT people.

View Webinar  Bookmark

Providing Care for Addictions in the LGBT Community

LGBT people have disproportionately high prevalence of substance use disorders compared with the general population. This higher prevalence of addictions is viewed as a downstream consequence of pervasive minority stress that occurs in the context of stigma-related discrimination and victimization. Substance use among LGBT people is often a coping strategy for trauma-related symptoms and can be associated with poor self-care, including compromised engagement in care for HIV treatment and prevention. In this webinar, Alex S. Keuroghlian, MD, MPH, will discuss a minority stress framework for understanding substance use disorders in the LGBT community, describe how to tailor evidence-based addictions treatment practices for LGBT patients, and present systems-level approaches for health centers to better address substance use disorders, including the opioid epidemic, among LGBT people through behavioral health integration.

View Webinar  Bookmark

Collecting and Reporting Sexual Orientation and Gender Identity Data: Stories from the Field

LGBT people face stigma and related health disparities in healthcare. In spite of the advancements in LGBT acceptance and policy, many LGBT people remain largely invisible to their primary care providers. In order to address these disparities, new requirements included in the 2016 Uniform Data System require health centers to collect and report sexual orientation (SO) and gender identity (GI).  Collecting SO/GI data of new and returning primary care patients is critical for health centers to provide a welcoming, inclusive environment. Routine SO/GI data collection in the EHR can be used to improve care, and measure and track health outcomes at the individual and population levels. Systems that support collection of SO/GI data support improved quality of care, timely clinical information, and improved communication among patients and care teams. In this webinar, two health centers will share their experiences implementing changes within the EHR, revising workflows, and training clinical and non-clinical staff to successfully implement SO/GI data collection and create an LGBT inclusive environment in primary care.

View Webinar  Bookmark

Collecting Data on Sexual Orientation and Gender Identity: Data Integrity and Quality Improvement

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 how to recognize and address  SO/GI data issues from the electronic health record. Chris Grasso, Associate Director of Director for Informatics & Data Services at the Fenway Institute will share her experience with data quality checks at Fenway Health. At the end of the session, participants will have the tools to monitor SO/GI data collected from their own EHRs.

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

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

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

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

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

Register

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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LGBT Health Disparities & Hypertension Control Opportunities with the American Heart Association

This webinar will educate providers about LGBT health disparities and introduce providers to the American Heart Association’s hypertension control efforts and Target Blood Pressure program. Target BP is a national collaboration between the American Heart Association and the American Medical Association to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations and patients to prioritize blood pressure control.

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Providing Mental Health Assessments

for Gender Affirming Surgery Referral

Letters

In this webinar, Sarah Eley, LICSW will discuss the process of providing mental health assessments for transgender and gender diverse people who are seeking a letter(s) of referral for gender affirming surger(ies).  Guidance will be provided on the steps within an assessment as well as considerations for administrative systems which can ease the process. The webinar will also address the presence of the power differential and providing assessments from a gender informed and affirming perspective.

Download the slides here: SLIDES

The Interview Guide mentioned in the webinar can be downloaded HERE.

View Webinar  Bookmark

Heart Health for LGBTQ People SLIDES

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

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. In this webinar, Cara Presley of Fenway Health’s Violence Recovery Program, will explain the unique characteristics of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters.

View Webinar  Bookmark

Sexual Health among Transgender People

Engaging transgender clients in exploring sexuality – including intersectionality with gender identity and shifts in attraction associated with medical affirmation—is integral to the larger, clinical goal of affirming transgender identities and providing competent care. In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research as well as existing best behavioral health practices and therapeutic considerations for sexual health among transgender clients, including the following topics: sexual identities and fluidity, sexual satisfaction following medical affirmation, and relational health. Attention is given to providing a transgender-affirming frame and discussing sexual health risk within the context of psychosocial stressors, including challenges related to gender affirmation and experiences of transphobia.

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Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

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

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?

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

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.

View Webinar  Bookmark

The Affordable Care Act: Building Health Equity for LGBT People

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  Bookmark

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

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

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

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

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

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

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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