Mainstream service providers have limited knowledge of the psychosocial, cultural and economic issues facing lesbian, gay, bisexual and transgender older adults and caregivers. This presentation introduces participants to the unique issues facing this often invisible and underserved population and provides models for programmatic initiatives as well as practice skills for enhancing professional capacity to effectively serve LGBT older adults and caregivers.
Learning Resources — Webinars
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.
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.
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.
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.
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.
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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- HIV/STI Treatment and Prevention
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.
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!