Oakland University Counseling Conference
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Oakland University Counseling Conference

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    Oakland University Counseling Conference Oakland University Counseling Conference Presentation Transcript

    • Welcome
      • Providing Culturally Competent Care to Lesbian, Gay, Bisexual, and Transgender Individuals
      • Knoll Larkin MPH
      • Mautner Project-”Removing the Barriers”
      • Funded by the Centers for Disease Control and Prevention
      • Affirmations—”The Community Center for Lesbian, Gay, Bisexual, Transgender People and their Allies”
      T0
    • Sexual Orientations
      • Lesbian: A women who is emotionally, romantically, spiritually attracted to women.
      • Gay: A man who is emotionally, romantically, and spiritually attracted to men.
      • Bisexual/bi-attractional: Attraction to members of either sex
      T4:1
    • Sexual Orientations
      • Same Gender Loving: A term used in communities of color to describe women who partner with women or men who partner with men.
      • Queer: a more inclusive term used to describe folks who don’t fit “neatly” into the LGB categories.
    • Identity vs. Behavior
      • Who we say and feel ourselves to be might be different than what we actually do.
        • Identity- the “label” one applies to oneself and one’s community of affiliation
        • Behavior- the specific activities a person engages in.
      T 4:3
    • Levels of Identity
      • Involved in gay, lesbian, bisexual politics or culture
      • “ Closeted and isolated from valuable support resources”
      • Sexual orientation may be only a minor part of personal identity
      T4:4
    • Gender Identity
      • May be:
        • Feminine / Femme
        • Androgynous
        • Masculine / Butch
        • Transgender
      • Gender identity refers to ones own sense of gender
      • Gender identity is distinct from sexual orientation.
      T4:5
    • Gender Identity (cont.)
      • Transgender:
        • Gender expression incongruent with expectations of biological/assigned sex.
        • MTF (male to female) / FTM (female to male)
      T4:6
    • Using Language: Summary
      • One way to demonstrate inclusiveness in a healthcare setting is through use of language.
      • Use terms preferred by your clients. These may be different for each person, regionally or generationally based.
      T4:7
    • Common language: Summary (cont.)
      • Preferred vs. Other Terms
          • Lesbian, Gay, Bisexual Homosexual
          • Partner Lover/Roommate
          • Sexual orientation Sexual preference
          • Crossdresser Transvestite
          • Transgender Transsexual
          • Intersex Hermaphrodite
      • WHEN IN DOUBT… ASK!
      • Words/Phrases Often Used “Within” the Community
      • Dyke, Queer, Family, In the Life
      T4:8
    • Negative effects of heterosexism and Transphobia
      • Self-blame for the victimization one has suffered
      • Negative self concept
      • Anger directed inward resulting in destructive patterns
      • A victim mentality or feelings of hopelessness or despair, interfering with leading a fulfilling life
      • NOT A RESULT OF ONES SEXUALITY!
    • Life Cycle Issues For LGBT Individuals
      • LGBT youth face additional stressors
      • (conformity, and coming out)
      • LGBT young adults (social life revolving around bars and substance use settings)
      • Coupling
      • Parenting
      • Treatment Providers need to consider an LGBT client’s partner, children, family of origin and family of choice when providing care!
    • LGBT Clients May Be Coping With:
      • Coming out
      • Societal stigmas
      • HIV/AIDS
      • Discrimination
      • Homophobic family members, employers, and work colleagues
    • Coming Out:
      • Refers to the experiences of some, but not all, LGBT people as they work through and accept a stigmatized identity.
      • Transforming a negative self identity into a positive one
      • Important for those trying to recover: Feeling positive and hopeful about themselves is at the heart of recovering from addition
    • What the coming out process means for counselors?
      • Because many programs and counseling approaches value authenticity, discussing the process of coming out is crucial.
      • Counselors who accept and validate client’s feelings, attractions, experiences, and identities can play an important role in success.
    • Coming Out (cont)
      • There is no correct way to come out
      • Some people may decide they do not want to take on a LGBT identity and may choose not to disclose their feelings and experiences to anyone.
    • Cass Model of Identity Development
      • Stage 1: Identity Confusion
      • Stage 2: Identity Comparison
      • Stage 3: Identity Tolerance
      • Stage 4: Identity Acceptance
      • Stage 5: Identity Pride
      • Stage 6: Identity Synthesis
    • Barriers to receiving care:
      • Marginalization and labeling of sexual orientation or gender identity as deviant or pathological in medical or psychiatric communities.
      • Anticipated, perceived, or actual discrimination
      • Fear of mistreatment
      • Lack of research about use patterns, treatment needs, etc.
      • Provider lack of information
      • Fear of being outed will result in loss of job, custody, housing, or social supports.
      • Exclusion of partner and family of choice from health care settings
      • Lack of insurance coverage under partner’s policy
      • Low self-esteem or belief that sexual orientation or gender identity is wrong.
    • Solutions:
      • Before the patient encounter
        • Marketing materials, brochures, ways services are introduced. Are they representative of the diversity of the populations within the service area? Will LGBT people feel like the advertised facility is a comfortable place for them? How is this communicated? What is the current reputation in LGBT community? Is there a need to address past negative experiences?
    • Creating an Affirming Environment:
      • Display health info, magazines, posters, and other decorations that reflect the faces and interests of clients served. Staff should also be representative of clients served. Consider posting a written non-discrimination policy that includes sexual orientation and gender identity.
    • Inclusive Paperwork
      • Getting beyond “Married, Single, Divorced” Consider “partnered, significant relationship, significant other”
      • -Are you involved in a significant relationship?
      • -Is there someone you would like involved in your care?
      • -With whom do you live?
    • Culturally Competent Approach:
      • Is client centered
      • Uses client’s own language
      • Non-judgmental
      • No assumptions
      • Open ended questions
      • Begins with less threatening questions
      • It’s okay to not know!
    • Culturally Competent Approach:
      • Is client centered
      • Uses client’s own language
      • Non-judgmental
      • No assumptions
      • Open ended questions
      • Begins with less threatening questions
      • It’s okay to not know!
    • Affirmations LGBT Community Center
      • Knoll Larkin
      • [email_address]
      • 248-398-7105
      • www.goaffirmations.org