Behavioral Health

Behavioral Health

 

Behavioral Health


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

Originally Presented On: November 8, 2017

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Best Practices in Behavioral Health for Sexual Minority Women

Originally Presented On: October 25, 2018

Faculty: M. Jane Powers

Date/Time: Thursday, October 25, 2018 12pm-1pm ET
Faculty: M. Jane Powers, MSW, LICSW, Interim Chief of Staff, Fenway Health

 

In this webinar, Jane Powers discusses health disparities and risk factors among sexual minority women and how lack of culturally affirming care impacts health outcomes. She also highlights strategies that can be used to address implicit provider bias in care for sexual minority women.

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Behavioral Health Care for Transgender Adults

Date/Time: Monday, November 19, 2018; 12pm – 1pm ET
Faculty: Alex Keuroghlian, MPH, MD, Director, National LGBT Health Education Center

 

In this webinar, Dr. Keuroghlian will discuss behavioral health care needs for transgender adults and best practices, including adaptation of a minority stress framework in clinical practice, treatment for depression and anxiety, addressing substance use disorders, implementing principles of trauma-informed care, and considerations related to suicide prevention. The webinar will also address the role that behavioral health clinicians play in the gender affirmation process.

Originally Presented On: November 19, 2018

Faculty: Dr. Alex Keuroghlian, MD, MPH

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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

Originally Presented On: November 30, 2017

Faculty: Jessica Flaherty

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

Originally Presented On: June 22, 2017

Faculty: Cara Presley, LICSW

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.

Originally Presented On: September 21, 2016

Faculty: Alex Keuroghlian, MD, MPH, Associate Director of Education and Training, The Fenway Institute

Sponsors: National LGBT Health Education Center

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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.

Originally Presented On: October 27, 2016

Faculty: Alex Keuroghlian, MD, MPH, Associate Director of Education and Training, The Fenway Institute

Sponsors: National LGBT Health Education Center

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

Originally Presented On: February 11, 2016

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

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

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

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Behavioral Health Care for Lesbian, Gay, and Bisexual People

Originally Presented On: January 29, 2014

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

Sponsors: The National LGBT Health Education Center

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

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Mental Health Care and Assessment of Transgender Adults

Originally Presented On: February 17, 2015

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

Sponsors: The National LGBT Health Education Center

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

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Implementing Routine Intimate Partner Violence Screening in a Primary Care Setting

Originally Presented On: November 19, 2015

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

Sponsors: The National LGBT Health Education Center

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

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

Originally Presented On: May 22, 2013

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

Sponsors: The National LGBT Health Education Center

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

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

Originally Presented On: February 4, 2015

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

Sponsors: The National LGBT Health Education Center

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

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

Originally Presented On: October 9, 2013

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

Sponsors: The National LGBT Health Education Center

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

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Behavioral Health Care for Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) People

In many ways, LGBTQ people have similar behavioral health care needs to the general population. For many LGBTQ people, however, living as a stigmatized minority can cause undue stress, leading to mood disorders, suicidal ideation, and unhealthy coping behaviors, such as substance use disorders or high-risk sexual activity. This module discusses behavioral health disparities faced by LGBTQ populations, explains how these may differ across LGBTQ subpopulations, and discusses evidence-based clinical practices in LGBTQ behavioral health care.

You will need to or register to access the complete Learning Module content.

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Behavioral Health Resources

Practice Guidelines for LGB Clients

The American Psychological Association (APA) hosts this website for those involved in psychological practice with lesbian, gay, and bisexual clients. The page includes information on issues facing LGB clients, including attitudes toward homosexuality and bisexuality, relationships and families, issues of diversity, and economic and workplace issues. The APA also provides psychologists with more information on education and training around these issues, and includes research to support practice guidelines, as well as outside resources.

Resources for the LGBT Population

A page hosted by the Substance Abuse and Mental Health Services Administration (SAMHSA) on behavioral health equity for LGBT people. The site includes data and reports, a list of SAMHSA programs and initiatives, and outside resources.

The Protective Effects of Social/Contextual Factors on Psychiatric Morbidity in LGB Populations

A 2011 article by Mark L. Hatzenbuehler, Katherine M. Keyes, and Katie A. McLaughlin, exploring the social elements of LGB lives that may protect against the development of psychiatric disorders, including living in areas with higher concentrations of same-sex couples, and other factors.

Prejudice, Social Stress, and Mental Health in Lesbian, Gay and Bisexual Populations: Conceptual Issues and Research Evidence

A 2007 article by Ilan H. Meyer reviewing research on the mental disorders among the LGBT populations, concluding that LGBT people face a higher prevalence than the heterosexual and/or cisgender populations. Meyer highlights the concept of minority stress and describes stress processes.

LGBT Health and Human Services Evaluation Toolkit

A toolkit to help professionals recognize and measure risky health behaviors among LGBT individuals, and to assess their level of social support, social isolation, self-esteem, access to healthcare, and general attitudes and knowledge around LGBT people and identities. Includes scoring guides.

Violence and Trauma Support

Violence Recovery Program (Fenway Health)

Fenway Health’s program, offering counseling, support groups, advocacy, and referral services to LGBT victims of bias crime, domestic violence, sexual assault, and police misconduct.

Anti-Violence Project (AVP)

AVP is a New York City-based program focused on offering free and confidential support to LGBT and HIV-affected people who are vulnerable to violence. The program includes direct client services, community organizing, and public advocacy. AVP’s website features contact information to seek support, as well as outside resources and pathways to involvement.

The Network/La Red

A survivor-led organization dedicated to ending abuse in lesbian, bisexual women’s and transgender communities, The Network/La Red hosts this website, which offers information about upcoming events, resources for support, and information on identifying abuse in various environments.

Related News All News

Fenway Hosts Full House To Celebrate Second Guide To LGBT Health

On April 28, 2015, Fenway hosted a full house of local physicians, medical students, behavioral health professionals, and leaders of the American College of Physicians to celebrate the Second Edition. The reception welcomed attendees from many leading health care institutions, including Beth Israel