This publication provides an introduction to understanding and addressing sexual minority women’s (SMW) health. Although SMW have the same preventive health requirements as all women, they also have unique disparities and health care needs. The first half of this publication describes the physical and behavioral health issues that disproportionately affect sexual minority women (SMW) due to stigma and a shortage of culturally affirming care. The second part highlights evidence-informed practices that hold the most promise in supporting SMW who access health centers. A case example of a patient is presented to illustrate how a disparity can be addressed through the integration of primary care and behavioral health services, and by using a trauma-informed approach.
Learning Resources — LGBTQIA+ Families
Dr. Rebekah Viloria, OBGYN at Fenway Health and Beth Israel Deaconess Medical Center, presents the most up-to-date options and strategies for LGBTQ people to build a family. This webinar covers options for conception including alternative insemination, IVF, IUI, and more.
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.
Building Patient-Centered Medical Homes for Lesbian, Gay, Bisexual, and Transgender Patients and Families
While expanding access to health insurance coverage through the Affordable Care Act has been vital to millions of previously uninsured Americans, moving U.S. health care away from fee-for-service, volume-driven payments to payments based on value and outcomes will be a much more challenging transformation. For health centers and other health care providers, one commonly used model for practice transformation is the patient-centered medical home (PCMH). The PCMH model transforms how primary care is coordinated and delivered by emphasizing comprehensive, team-based care that places the patient at the center. When implemented successfully, the PCMH model leads to higher quality care at a lower cost, improving both the patients’ and providers’ experience of care.
A growing number of LGBT people are starting families. The 2010 US Census reported that approximately 19% of same-sex couples are currently raising children, and a 2013 Pew Research national survey found that 51% of LGBT adults of any age have children or would like to have children in the future. As an increasing number LGBT individuals and couples seek to have children, many will turn to their health care providers for resources and guidance. This brief walks through the various pathways to parenthood for LGBT people, as well as unique issues these couples and individuals may face as they consider their options. The pathways explored in the brief include adoption and foster parenting, donor insemination and in vitro fertilization (IVF), and surrogacy. Also discussed are ways in which health care organizations can support LGBT parents. The brief can be used as a guide to tailor conversations about parenting desires with lesbian, gay, bisexual, and transgender patients.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth (12-24 years) must navigate the typical challenges of adolescence while also managing the social stigma associated with their emerging sexual and gender minority identities. As a result, many LGBT youth are at higher risk for certain behavioral and emotional issues, homelessness, as well as bullying and other forms of victimization. This module discusses the unique health and developmental challenges of LGBT youth, and describes ways to address these issues in the clinical setting. Through sensitive, confidential communication with LGBT youth, clinicians can become a vital source of support for this vulnerable population.
American College of Physicians (ACP), 2015. Editors: Harvey Makadon, MD, Jennifer Potter, MD, Kenneth Mayer, MD and Hilary Goldhammer, MS of the Fenway Institute, Fenway Health
This new 2nd edition of The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health reflects clinical and social changes since the publication of the first edition.
- Filed under
- Behavioral Health
- Cancer and LGBTQIA+ People
- Collecting Sexual Orientation and Gender Identity Data
- HIV/STI Treatment and Prevention
- Introduction to LGBT Health
- LGBTQIA+ Families
- LGBTQIA+ Older Adults
- LGBTQIA+ People of Color
- LGBTQIA+ Youth
- Organizational Change
- Other Issues in Primary Care
- Transgender Health