This document summarizes research on effective substance abuse treatment for LGBT populations. It finds that little research exists due to lack of funding and data collection on sexual orientation. Existing research shows that LGBT individuals face additional barriers to treatment due to heterosexism, lack of culturally competent services, and unsafe environments in mainstream programs. The document outlines recommendations from sources like CSAT to create LGBT-affirming treatment, including staff training, non-discrimination policies, and addressing minority stressors like internalized homophobia. It emphasizes the need for client-centered, comprehensive, and culturally-appropriate care for diverse LGBT subgroups.
Harm reduction aims to reduce the negative consequences of drug use without requiring abstinence. It focuses on keeping people safe and healthy. Examples include needle exchange programs to prevent disease transmission and medication-assisted treatment to help stabilize drug use. The goals are to save lives, improve health, support relationships, and reduce stigma and isolation for drug users. Harm reduction takes a non-judgmental approach and recognizes that abstinence may not always be immediately achievable, so the priority is harm minimization through accessible services regardless of how drugs were used.
There is a need for health and human service professionals to understand the connection with substance abuse and infectious disease in women. It is important for them to:
understand and an appreciate the issues facing substance abuse treatment and prevention specialists, public health specialists and child welfare workers working with addicted women and their children.
There are many misconceptions about harm reduction. In this presentation, we will debunk the myths, explain what harm reduction is and provide examples of harm reduction in action throughout our province and nation. This presentation also includes how individuals can become volunteers with our agency.
Drugs, Addiction, Abstinence and Harm ReductionJulian Buchanan
Â
The document discusses the tensions between harm reduction and abstinence approaches for addressing drug problems within the criminal justice system. It notes that criminal justice systems themselves can cause harm through actions like arrests, fines and imprisonment. It also notes the contradiction between acknowledging continuing drug use under harm reduction while criminal systems are obligated to prohibit drug possession. The document examines issues like how criminal systems negotiate the level of harm they are willing to inflict, and the difficulties of acknowledging ongoing drug use while enforcing abstinence policies.
Most participants were able to identify communities and leaders that researchers could consult regarding research conducted with exception from informed consent. Geographic communities like neighborhoods and religious communities were most commonly identified. Participants also said medical providers and friends/family could be consulted for health information. The study suggests community consultation, as required for this type of research, may involve consulting representatives from different communities like geographic and faith-based groups. Determining the best ways to identify and involve these community representatives warrants further research.
Island Grove is a community counseling center that offers substance abuse and mental health treatment services to over 2,000 residents in Larimer County each year. They provide alcohol and drug abuse treatment, as well as services for those with co-occurring substance abuse and mental health issues. Island Grove treats adolescents, families, and domestic violence offenders. Their treatment models emphasize treating others with dignity, accepting responsibility, and finding alternative coping strategies to build supportive relationships and live with purpose. Island Grove seeks community partnerships through fundraising, volunteering, and presentations to expand access to their effective, evidence-based treatment programs.
This presentation provides insight into the transgender experience in counseling. In particular, this project focused on transgender men. Find information about common topics in counseling, ethical considerations, social challenges and healthcare concerns. Awareness leads to more competent care, our ethical responsibility.
Harm reduction aims to reduce the negative consequences of drug use without requiring abstinence. It focuses on keeping people safe and healthy. Examples include needle exchange programs to prevent disease transmission and medication-assisted treatment to help stabilize drug use. The goals are to save lives, improve health, support relationships, and reduce stigma and isolation for drug users. Harm reduction takes a non-judgmental approach and recognizes that abstinence may not always be immediately achievable, so the priority is harm minimization through accessible services regardless of how drugs were used.
There is a need for health and human service professionals to understand the connection with substance abuse and infectious disease in women. It is important for them to:
understand and an appreciate the issues facing substance abuse treatment and prevention specialists, public health specialists and child welfare workers working with addicted women and their children.
There are many misconceptions about harm reduction. In this presentation, we will debunk the myths, explain what harm reduction is and provide examples of harm reduction in action throughout our province and nation. This presentation also includes how individuals can become volunteers with our agency.
Drugs, Addiction, Abstinence and Harm ReductionJulian Buchanan
Â
The document discusses the tensions between harm reduction and abstinence approaches for addressing drug problems within the criminal justice system. It notes that criminal justice systems themselves can cause harm through actions like arrests, fines and imprisonment. It also notes the contradiction between acknowledging continuing drug use under harm reduction while criminal systems are obligated to prohibit drug possession. The document examines issues like how criminal systems negotiate the level of harm they are willing to inflict, and the difficulties of acknowledging ongoing drug use while enforcing abstinence policies.
Most participants were able to identify communities and leaders that researchers could consult regarding research conducted with exception from informed consent. Geographic communities like neighborhoods and religious communities were most commonly identified. Participants also said medical providers and friends/family could be consulted for health information. The study suggests community consultation, as required for this type of research, may involve consulting representatives from different communities like geographic and faith-based groups. Determining the best ways to identify and involve these community representatives warrants further research.
Island Grove is a community counseling center that offers substance abuse and mental health treatment services to over 2,000 residents in Larimer County each year. They provide alcohol and drug abuse treatment, as well as services for those with co-occurring substance abuse and mental health issues. Island Grove treats adolescents, families, and domestic violence offenders. Their treatment models emphasize treating others with dignity, accepting responsibility, and finding alternative coping strategies to build supportive relationships and live with purpose. Island Grove seeks community partnerships through fundraising, volunteering, and presentations to expand access to their effective, evidence-based treatment programs.
This presentation provides insight into the transgender experience in counseling. In particular, this project focused on transgender men. Find information about common topics in counseling, ethical considerations, social challenges and healthcare concerns. Awareness leads to more competent care, our ethical responsibility.
Hiv prevention and care for transgender and gender non conforming individualsJai Smith
Â
This document provides information on HIV prevention for transgender and gender non-conforming individuals. It discusses definitions of key terms, data on HIV rates from the 2015 US Transgender Survey showing that transgender women have disproportionately high rates of HIV. It also outlines risk factors, barriers to care, and voices from the transgender community. The document recommends best practices for inclusive HIV prevention, including taking an intersectional approach, engaging the community, assessing needs, increasing access to inclusive healthcare, and advocating for structural changes.
The Indiana Department of Correction has partnered with Corizon Health and the Indiana Minority Health Coalition to provide a Parole Re-Entry Liaison Program. The program aims to empower parolees to address the circumstances that led to their incarceration by collaborating with community resources and support. Parole Re-Entry Liaisons are located in each of IDOC's 10 parole districts and work with parolees identified as having health, mental health, or substance abuse needs. They connect parolees to services, advocate for them, and work to decrease barriers to accessing support for up to a year. Since October 2014, the liaisons have referred hundreds of parolees to treatment and created partnerships with over 200 community organizations.
This narrated powerpoint covers the Opioid Epidemic and harm reduction approaches to addressing problematic opioid use. This powerpoint is intended to help provide a baseline knowledge of harm reduction approaches for substance use treatment, including for the treatment of Opioid Use Disorder.
Racial and Socioeconomic Disparities in Substance Abuse TreatmentAlexandraPerkins5
Â
This document provides an overview of racial and socioeconomic disparities in substance abuse treatment in the United States. It discusses how factors like insurance coverage, treatment availability, and social determinants can influence disparities in treatment completion and outcomes. Specifically, it notes that Black and Hispanic youth are less likely to complete substance abuse treatment than white youth. While Medicaid expands coverage for treatment, not all providers accept it, creating availability issues. The document also explores historical models of addiction and how they impacted disparities, and examines various treatment approaches including medication-assisted treatment, peer-based support, and harm reduction strategies.
Public Health Association of South Africa (PHASA) poster presentation of the "Theoretical underpinnings of promotion campaigns for
medical male circumcision HIV prevention interventions in sub-Saharan Africa"
Recovery Oriented Systems of Care: A Space to Integrate Abstinence Based Tre...Marcella Maguire
Â
Recovery Oriented Systems of Care offer a framework in which Abstinence Based Treatment Models and Harm Reduction Models can find similar and complementary ground. Historical friction between the models only serves to further marginalize those suffering from addictive disorders. A broad tent approach offers all persons suffering from addiction a place to receive care. This model is discussed in terms of national efforts to end homelessness.
Working With Female DWI:DUI Justice-Involved IndividualsMary Ann Mowatt
Â
This document discusses key factors that may influence a woman's pathway to a DWI/DUI arrest, according to research. It outlines several theories: relational theory notes women's need for connection; trauma theory links substance abuse to victimization; addiction theory sees substance use disorder as a primary factor. Additional influences include early alcohol/drug use, socioeconomic marginalization, family history of substance abuse, and genetics. Understanding these factors can help officers better assess and serve justice-involved women with DWI/DUI convictions.
This document discusses barriers to teaching addiction medicine in residency programs and strategies for overcoming them. It describes how a private foundation called MERF partners with family practice residencies to provide faculty development support through educational conferences and scholarships. This helps improve faculty expertise and attitudes, and allows for better integration of addiction curriculum that increases screening and treatment of substance use disorders. Evaluation found the program successfully increased faculty and resident knowledge and comfort with addiction medicine.
May 26 2015 Reintegration Centre from Dentention JHSTJeff Good
Â
The John Howard Society of Toronto operates the Reintegration Centre and Peer Support Program to help inmates transition back into the community. The Reintegration Centre provides immediate support like hygiene supplies, harm reduction education, and peer support to reduce recidivism. The Peer Support Program employs individuals with lived experience to act as role models and mentors. Both programs aim to improve community safety by addressing the challenges former inmates face from mental health, addiction, and social barriers.
This document summarizes the key findings of a study conducted by the Military Partners and Families Coalition (MPFC) that assessed the needs of LGBT military service members, their partners, and families. Over 250 LGBT service members and partners completed a survey about their mental and physical health needs. The study found that most respondents considered themselves mentally and physically healthy, but over half felt that coming out could put themselves or their families at risk within the military community. The study aims to better understand the needs of this population and improve support for LGBT military families.
Increasing Participation In Public Policy: One Route Towards Social Justiceappr
Â
The document discusses increasing participation of psychologists in public policy in Puerto Rico as a way to work towards social justice. It presents research conducted on psychologists' participation in public policy processes and their perceptions. It also outlines strategies used within training programs, the Puerto Rico Psychology Association, the legislature, community groups, and other settings to increase involvement in public policy issues like education, discrimination, access to mental healthcare, and substance abuse. Future directions discussed include expanding training, solidifying policy positions, increasing legislative visibility, and strengthening community collaborations.
This document discusses a proposed study to evaluate the effects of an intervention for healthcare providers to better identify victims of human trafficking in San Diego County. Preliminary data was gathered from physicians, medical students, and researchers which found that while some were interested in the issue, human trafficking was not seen as particularly relevant to most physician's patient populations. Medical students also reported little existing curriculum on human trafficking. The study aims to provide an intervention for providers to increase their ability to identify and report trafficking victims, with a goal of improving victim identification rates if proven effective.
This document provides information about careers in human services. It discusses how human services professionals work to improve lives by addressing issues like quality of care, accessibility, and coordination of services across different organizations. Some key areas of focus for human services professionals include assisting the elderly, children and families, immigrants, the homeless, veterans, people with disabilities, those struggling with addiction or who have criminal records. The document outlines educational and career pathways for entering the human services field, including undergraduate and graduate degree programs in human services or related areas.
This document provides a summary of Russell D. Pierce's career experience and qualifications. It includes his contact information, career objective of transitioning into a public policy role utilizing his strengths to influence leaders, and summaries of his professional experience including his current role as Director of the Office of Recovery and Empowerment in Massachusetts and previous roles at the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, and Center for Substance Abuse Prevention where he oversaw grant programs and conducted site reviews. It also lists several keynote speaking engagements and presentations he has done on topics of peer support, recovery, and behavioral health policy.
The Power of Choice in Achieving Recovery, by Joe Gerstein, MD, SMART RecoverySMARTRecovery
Â
Presented at the 2017 NADCP Conference
SMART Recovery is an abstinence-based mutual-help group for dealing with all types of addiction including alcohol abuse, substance abuse, smoking, gambling and other addictions and compulsive behaviors.
SMART Recovery's 4-Point Program focuses on Increasing Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.
http://www.smartrecovery.org
The QueerTIP project aimed to develop effective smoking cessation interventions for the LGBT community in San Francisco. It conducted surveys of LGBT youth and transgender individuals to assess smoking behaviors and needs. It then created a tailored smoking cessation manual and trained specialists. A pilot program using the manual achieved a 40% quit rate. Future work should engage more diverse LGBT subgroups and conduct a randomized trial of the tailored program versus standard interventions.
William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. LaVelle Henricks, Texas A&M University-Commerce and colleagues published in national refereed journal.
Dr. William Allan Kritsonis, Distinguished Alumnus, Central Washington University, College of Education and Professional Studies, Ellensburg, Washington; Invited Guest Lecturer, Oxford Round Table, University of Oxford, United Kingdom; Hall of Honor, Prairie View A&M University/Member of the Texas A&M University System.
Program evaluation: Philadelphia Fightâs Youth Health Empowerment Program (Y-...Antar T. Bush. MSW, MPH
Â
HIV/AIDS has been serious public health issue facing the city of Philadelphia for the last two decades. According the AIDS Activities Coordinating Office, there are approximately 30,000 individuals living with HIV/AIDS in Philadelphia (AACO, 2012). This average is slightly higher than other major cities in the United States. AACO states the most vulnerable population is young men who have sex with men of color (MSM) between the ages of 15 and 25. This young population makes up for 56% of all new diagnosis of in the city (AACO, 2012). It is imperative for Philadelphia Fight to stay innovative with their approach to tackling sexual health issues that face this city. One major way Philadelphia Fight is addressing is epidemic is through opening the Youth Health Empowerment Project (Y-HEP).
This document summarizes the findings of focus groups conducted with 100 transgender individuals in San Francisco to understand their HIV risk behaviors and access to prevention and health services. Key findings include:
1) Sex work was commonly discussed and seen as necessary due to discrimination, though it increased HIV risk. Unprotected sex was also common due to low self-esteem and desire for validation.
2) Participants reported barriers like insensitivity of providers and fear of discrimination prevented access to services.
3) Recommendations included hiring transgender staff and training providers to be more sensitive.
The document provides an overview of a 5-session grant writing workshop. It outlines the key topics covered in each session, including brainstorming potential grant ideas and needs, organizing grant components like statements of need and project descriptions, creating budgets, and workshopping draft proposals. The final session involves small groups sharing their grant proposals and reflecting on the grant writing process. The document serves as an interactive guide for participants to work through each grant writing element.
Amanda Klick is applying for an Elementary Education Field Experience position. She has 14 years of classroom teaching experience and has successfully mentored multiple preservice teachers. Her strength is in mentorship and sharing her real-life classroom experience with students to help prepare them for their teaching careers.
Hiv prevention and care for transgender and gender non conforming individualsJai Smith
Â
This document provides information on HIV prevention for transgender and gender non-conforming individuals. It discusses definitions of key terms, data on HIV rates from the 2015 US Transgender Survey showing that transgender women have disproportionately high rates of HIV. It also outlines risk factors, barriers to care, and voices from the transgender community. The document recommends best practices for inclusive HIV prevention, including taking an intersectional approach, engaging the community, assessing needs, increasing access to inclusive healthcare, and advocating for structural changes.
The Indiana Department of Correction has partnered with Corizon Health and the Indiana Minority Health Coalition to provide a Parole Re-Entry Liaison Program. The program aims to empower parolees to address the circumstances that led to their incarceration by collaborating with community resources and support. Parole Re-Entry Liaisons are located in each of IDOC's 10 parole districts and work with parolees identified as having health, mental health, or substance abuse needs. They connect parolees to services, advocate for them, and work to decrease barriers to accessing support for up to a year. Since October 2014, the liaisons have referred hundreds of parolees to treatment and created partnerships with over 200 community organizations.
This narrated powerpoint covers the Opioid Epidemic and harm reduction approaches to addressing problematic opioid use. This powerpoint is intended to help provide a baseline knowledge of harm reduction approaches for substance use treatment, including for the treatment of Opioid Use Disorder.
Racial and Socioeconomic Disparities in Substance Abuse TreatmentAlexandraPerkins5
Â
This document provides an overview of racial and socioeconomic disparities in substance abuse treatment in the United States. It discusses how factors like insurance coverage, treatment availability, and social determinants can influence disparities in treatment completion and outcomes. Specifically, it notes that Black and Hispanic youth are less likely to complete substance abuse treatment than white youth. While Medicaid expands coverage for treatment, not all providers accept it, creating availability issues. The document also explores historical models of addiction and how they impacted disparities, and examines various treatment approaches including medication-assisted treatment, peer-based support, and harm reduction strategies.
Public Health Association of South Africa (PHASA) poster presentation of the "Theoretical underpinnings of promotion campaigns for
medical male circumcision HIV prevention interventions in sub-Saharan Africa"
Recovery Oriented Systems of Care: A Space to Integrate Abstinence Based Tre...Marcella Maguire
Â
Recovery Oriented Systems of Care offer a framework in which Abstinence Based Treatment Models and Harm Reduction Models can find similar and complementary ground. Historical friction between the models only serves to further marginalize those suffering from addictive disorders. A broad tent approach offers all persons suffering from addiction a place to receive care. This model is discussed in terms of national efforts to end homelessness.
Working With Female DWI:DUI Justice-Involved IndividualsMary Ann Mowatt
Â
This document discusses key factors that may influence a woman's pathway to a DWI/DUI arrest, according to research. It outlines several theories: relational theory notes women's need for connection; trauma theory links substance abuse to victimization; addiction theory sees substance use disorder as a primary factor. Additional influences include early alcohol/drug use, socioeconomic marginalization, family history of substance abuse, and genetics. Understanding these factors can help officers better assess and serve justice-involved women with DWI/DUI convictions.
This document discusses barriers to teaching addiction medicine in residency programs and strategies for overcoming them. It describes how a private foundation called MERF partners with family practice residencies to provide faculty development support through educational conferences and scholarships. This helps improve faculty expertise and attitudes, and allows for better integration of addiction curriculum that increases screening and treatment of substance use disorders. Evaluation found the program successfully increased faculty and resident knowledge and comfort with addiction medicine.
May 26 2015 Reintegration Centre from Dentention JHSTJeff Good
Â
The John Howard Society of Toronto operates the Reintegration Centre and Peer Support Program to help inmates transition back into the community. The Reintegration Centre provides immediate support like hygiene supplies, harm reduction education, and peer support to reduce recidivism. The Peer Support Program employs individuals with lived experience to act as role models and mentors. Both programs aim to improve community safety by addressing the challenges former inmates face from mental health, addiction, and social barriers.
This document summarizes the key findings of a study conducted by the Military Partners and Families Coalition (MPFC) that assessed the needs of LGBT military service members, their partners, and families. Over 250 LGBT service members and partners completed a survey about their mental and physical health needs. The study found that most respondents considered themselves mentally and physically healthy, but over half felt that coming out could put themselves or their families at risk within the military community. The study aims to better understand the needs of this population and improve support for LGBT military families.
Increasing Participation In Public Policy: One Route Towards Social Justiceappr
Â
The document discusses increasing participation of psychologists in public policy in Puerto Rico as a way to work towards social justice. It presents research conducted on psychologists' participation in public policy processes and their perceptions. It also outlines strategies used within training programs, the Puerto Rico Psychology Association, the legislature, community groups, and other settings to increase involvement in public policy issues like education, discrimination, access to mental healthcare, and substance abuse. Future directions discussed include expanding training, solidifying policy positions, increasing legislative visibility, and strengthening community collaborations.
This document discusses a proposed study to evaluate the effects of an intervention for healthcare providers to better identify victims of human trafficking in San Diego County. Preliminary data was gathered from physicians, medical students, and researchers which found that while some were interested in the issue, human trafficking was not seen as particularly relevant to most physician's patient populations. Medical students also reported little existing curriculum on human trafficking. The study aims to provide an intervention for providers to increase their ability to identify and report trafficking victims, with a goal of improving victim identification rates if proven effective.
This document provides information about careers in human services. It discusses how human services professionals work to improve lives by addressing issues like quality of care, accessibility, and coordination of services across different organizations. Some key areas of focus for human services professionals include assisting the elderly, children and families, immigrants, the homeless, veterans, people with disabilities, those struggling with addiction or who have criminal records. The document outlines educational and career pathways for entering the human services field, including undergraduate and graduate degree programs in human services or related areas.
This document provides a summary of Russell D. Pierce's career experience and qualifications. It includes his contact information, career objective of transitioning into a public policy role utilizing his strengths to influence leaders, and summaries of his professional experience including his current role as Director of the Office of Recovery and Empowerment in Massachusetts and previous roles at the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, and Center for Substance Abuse Prevention where he oversaw grant programs and conducted site reviews. It also lists several keynote speaking engagements and presentations he has done on topics of peer support, recovery, and behavioral health policy.
The Power of Choice in Achieving Recovery, by Joe Gerstein, MD, SMART RecoverySMARTRecovery
Â
Presented at the 2017 NADCP Conference
SMART Recovery is an abstinence-based mutual-help group for dealing with all types of addiction including alcohol abuse, substance abuse, smoking, gambling and other addictions and compulsive behaviors.
SMART Recovery's 4-Point Program focuses on Increasing Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.
http://www.smartrecovery.org
The QueerTIP project aimed to develop effective smoking cessation interventions for the LGBT community in San Francisco. It conducted surveys of LGBT youth and transgender individuals to assess smoking behaviors and needs. It then created a tailored smoking cessation manual and trained specialists. A pilot program using the manual achieved a 40% quit rate. Future work should engage more diverse LGBT subgroups and conduct a randomized trial of the tailored program versus standard interventions.
William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. LaVelle Henricks, Texas A&M University-Commerce and colleagues published in national refereed journal.
Dr. William Allan Kritsonis, Distinguished Alumnus, Central Washington University, College of Education and Professional Studies, Ellensburg, Washington; Invited Guest Lecturer, Oxford Round Table, University of Oxford, United Kingdom; Hall of Honor, Prairie View A&M University/Member of the Texas A&M University System.
Program evaluation: Philadelphia Fightâs Youth Health Empowerment Program (Y-...Antar T. Bush. MSW, MPH
Â
HIV/AIDS has been serious public health issue facing the city of Philadelphia for the last two decades. According the AIDS Activities Coordinating Office, there are approximately 30,000 individuals living with HIV/AIDS in Philadelphia (AACO, 2012). This average is slightly higher than other major cities in the United States. AACO states the most vulnerable population is young men who have sex with men of color (MSM) between the ages of 15 and 25. This young population makes up for 56% of all new diagnosis of in the city (AACO, 2012). It is imperative for Philadelphia Fight to stay innovative with their approach to tackling sexual health issues that face this city. One major way Philadelphia Fight is addressing is epidemic is through opening the Youth Health Empowerment Project (Y-HEP).
This document summarizes the findings of focus groups conducted with 100 transgender individuals in San Francisco to understand their HIV risk behaviors and access to prevention and health services. Key findings include:
1) Sex work was commonly discussed and seen as necessary due to discrimination, though it increased HIV risk. Unprotected sex was also common due to low self-esteem and desire for validation.
2) Participants reported barriers like insensitivity of providers and fear of discrimination prevented access to services.
3) Recommendations included hiring transgender staff and training providers to be more sensitive.
The document provides an overview of a 5-session grant writing workshop. It outlines the key topics covered in each session, including brainstorming potential grant ideas and needs, organizing grant components like statements of need and project descriptions, creating budgets, and workshopping draft proposals. The final session involves small groups sharing their grant proposals and reflecting on the grant writing process. The document serves as an interactive guide for participants to work through each grant writing element.
Amanda Klick is applying for an Elementary Education Field Experience position. She has 14 years of classroom teaching experience and has successfully mentored multiple preservice teachers. Her strength is in mentorship and sharing her real-life classroom experience with students to help prepare them for their teaching careers.
This document provides an introduction to campus resources for graduate students at UBC. It summarizes key resources including the Graduate Student Society, International House, health insurance, recreation facilities, health services, counseling services, financial resources, libraries, and the Graduate Pathways to Success program. The document lists websites and contact information for various student support services available to graduate students.
Museums and the Web 2009: E-Learning workshopSgardam
Â
This is the presentation delivered by Carolyn Royston and Steve Gardam at the Museums and the Web conference in Indianapolis, 15 April 2009.
Carolyn and Steve give a simple, practical guide to steps helpful in developing online e-learning resources. They use their experience of creating WebQuests, as part of the National Museums Online Learning Project (NMOLP) in the UK as a case study.
WebQuests from NMOLP are open-ended, enquiry based resources for schools, which use the 'raw' content from nine national UK museum and gallery collections, set within a carefully constructed framework of supporting information.
WebQuests can be accessed from any of the websites of the nine partner museums:
British Museum
Imperial War Museum
National Portrait Gallery
Natural History Museum
Royal Armouries
Sir John Soane's Museum
Tate
The Victoria & Albert Museum
The Wallace Collection
This grant proposal requests $14,988.78 to enhance the social studies curriculum for grades 6-8 at a suburban New Jersey school serving 850 students. The funds would be used to purchase print and digital resources including books on US history and states, online databases, interactive computer software, and educational DVDs. These supplemental materials would make American history more engaging for students and support projects like state reports for 6th graders and decade studies for 7th graders. If funded, the resources would be available to students in the school library and could also benefit other local schools.
This presentation outlines project management templates suitable to create a Program Management Office (PMO) using the PMBOK framework at a fraction of the cost it would take to develop from scratch. It is all here and laid out for you.
A preliminary proposal for an application to the Health Care Innovation Challenge sponsored by CMS. Focus of this proposal include gestational diabetes, maternal obesity, postpartum weight loss, and as well as patient engagement / health literacy
Creativity in Canadian Classrooms - Presentation to Delegation from ChinaLaurie Prange
Â
An introduction to creativity in Canadian classrooms using the example of the Immediate Feedback Assessment Technique. Presentation delivered to a delegation from Chinese universities, November 2016
Proposal writing resource the logframe approachtccafrica
Â
The document discusses the logframe approach, which is a tool used for project planning and management. It involves analyzing problems, stakeholders, objectives, indicators and assumptions. The key steps are problem analysis to identify problems and causes; objective analysis to define solutions and objectives; selection of indicators to measure success; and development of a logframe matrix to layout the project structure and logic. An example logframe matrix is provided to show how specific problems, objectives, results, activities and assumptions can be mapped out along with indicators and means of verification.
The document provides an overview of the grant writing process, beginning with locating potential grants, assessing eligibility, planning proposals, writing effective applications, budgeting, evaluation, submission, and post-award management. Key steps include understanding the funder's priorities and guidelines, establishing measurable goals and objectives, developing a timeline and budget, and planning ongoing evaluation methods. Effective grant writing requires thorough preparation, understanding the funder's requirements, and demonstrating organizational capacity.
This document provides an overview of the graduate scholarship funding application process at UBC. It describes the various funding agencies (CIHR, NSERC, SSHRC, affiliated fellowships), eligibility requirements including academic standing, citizenship, research area and months of study. It outlines the application materials required, including the application form, CV, research proposal, transcripts and reference letters. Selection criteria are discussed as well as tips for the application components and general advice. Contact information is provided for questions.
Applying to Doctoral Programs: Crafting the Letter of Intent and Academic CVLaurie Prange
Â
This document provides guidance on crafting a strong Letter of Intent and Academic CV when applying to doctoral programs. It discusses framing the Letter of Intent like a job interview to showcase your fit for the program. Detailed recommendations are provided on organizing each section of the Academic CV, from education to evidence of scholarship, and ensuring both documents are tailored specifically to the program.
The document provides an 11-point checklist for developing a successful grant proposal. It advises writing in a clear, personable way and including: an introduction to your organization; a definition of the problem and those affected; goals and objectives for the project; an evaluation plan; a budget; and supporting materials in an appendix. Follow-up includes securing future funding, reporting results, and communicating changes or questions to funders to build goodwill.
Proposal Development: Logical framework and project proposalnooone
Â
This document provides an overview of the logical framework approach for writing project proposals. It discusses:
1. What a proposal is and why it is important to plan proposals thoughtfully.
2. The key steps in developing a logical framework including problem analysis, objectives analysis, strategy analysis, and developing the logframe matrix.
3. The components of the logframe matrix including objectives, indicators, sources of verification, assumptions, and activities.
4. Recommendations for using a participatory approach and adapting proposals to targeted donors.
5. Examples of international organizations that use the logical framework approach.
Applying to Doctoral Programs: The Academic Writing SampleLaurie Prange
Â
This document provides guidance on writing an effective academic writing sample for doctoral program applications. It discusses what constitutes a strong writing sample, including addressing a key issue, expressing a clear thesis, and demonstrating research. Acceptable types of writing are previously published work or recent university essays. The document offers tips for making writing stand out, such as an engaging style, and things to avoid, like pretentious language. Seven common writing sins are outlined. Finding an appropriate topic is also addressed. Overall, the writing sample should demonstrate a candidate's capacity for research.
This document provides an overview of the logical framework approach to project planning. It discusses what a logical framework is and how it can be used throughout the project cycle. The key aspects of a logical framework include defining objectives in a clear hierarchy, identifying indicators and sources of verification for measuring progress, and considering assumptions and risks. The document also lists some common errors to avoid when constructing a logical framework, such as having vague indicators or defining endogenous assumptions. Overall, the logical framework is presented as a tool for systematically analyzing problems, formulating measurable objectives, and providing a basis for monitoring and evaluation of a project.
Free SharePoint Project Management Templates from BrightWork and AtidanDavid J Rosenthal
Â
The document provides information about two free SharePoint project management templates from BrightWork. It discusses how to install, use, and modify the templates. The templates include lists, libraries and web parts to support project management functions like project tasks, documents, calendar, and reports. Customers can get free support for using the templates on BrightWork's support forums.
Presentation Training on Result Based Management (RBM) for M&E StaffFida Karim đ”đ°
Â
Planning, Monitoring, Evaluation & Reporting together for developmental results: Results-based Management-RBM (RBM)?
Logical Framework Approach (LFA)
Planning for results
Monitoring for results
Evaluating for results
Enhancing the use of knowledge from monitoring and evaluation
letter-of-intent.org. If you need to get the best letter-of-intent you should only visit our site letter-of-intent.org And our expert team will help you to achieve all your desires and requirements.
Integrated Project Management And Solution Delivery ProcessAlan McSweeney
Â
The document discusses a proposed process for project management and solution delivery. It provides an overview of the benefits of using standardized processes, including consistency, productivity, and risk reduction. It then describes the key phases in the solution delivery and project management processes, and provides examples of document templates used in each phase.
The route to success in end of life care â achieving quality for lesbian, gay...NHS IQ legacy organisations
Â
The route to success in end of life care â achieving quality for lesbian, gay, bisexual and transgender people
21 June 2012 - National End of Life Care Programme
This guide has been developed following consultation with stakeholders at a series of discussion groups held around the country. It offers guidance and advice for those working with lesbian, gay, bisexual and transgender (LGBT) people, and for LGBT people themselves, whether giving or receiving end of life care.
It provides case studies, key recommendations and issues for health and social care professionals to consider, such as:
The importance of avoiding the assumption that someone is heterosexual.
The enhanced privacy rights for transgender people provided by the Gender Recognition Act (2004).
Avoiding the common misunderstanding that a next of kin needs to be a person related by blood or marriage.
Challenges faced if a person has not previously 'come out' - the need for end of life care can mean private domestic arrangements are subject to wider scrutiny.
Recognising that 'coming out' may result in LGBT people being isolated from their families of origin and therefore relying on other support networks.
The danger of not recognising the significance of a relationship, which may result in a bereaved person's grief going unrecognised.
The report calls for organisations and the people within them to have an LGBT-friendly culture and use education and training to positively address communication skills and attitudes. It urges organisations to have a clear confidentiality policy, involve LGBT people in services and promote the use of inclusive language at the end of life, with phrases that do not inadvertently make someone feel like they must reveal their sexual orientation and gender identity.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
This document provides an overview of substance abuse issues within the LGBT community. It discusses factors that can contribute to higher rates of substance abuse, such as experiences with heterosexism, discrimination, and internalized homophobia. It also covers approaches to treatment, including the importance of addressing issues related to sexual orientation and gender identity as part of the recovery process. Barriers to treatment like fear of discrimination are outlined, along with solutions like creating an affirming and inclusive environment for LGBT clients.
LGBT Discrimintion in Health Care by Melissa MunozMelissa Munoz
Â
This document provides a proposal for implementing mandatory cultural competence training for healthcare professionals focused on working with the LGBT community. The problem is that LGBT individuals often face discrimination in healthcare settings, resulting in avoidance of care. The proposed solution is a 3-month training program where staff will be required to attend sessions conducted by an LGBT advocacy organization. Data will be collected through pre-and post-tests to measure changes in attitudes, and observational data of the sessions. The goal is to increase LGBT cultural competence, reduce perceived discrimination, and increase LGBT individuals seeking healthcare.
This document provides an overview of best practices for serving LGBTQI2-S populations. It discusses 5 standards of cultural responsiveness: 1) LGBT-inclusive policies and procedures, 2) LGBT basic training and staff supervision, 3) appropriate language, 4) a welcoming and inclusive climate, and 5) linkages, referrals and community resources. It also covers minority stress theory, the importance of considering intersecting identities, and the need to seek cultural proficiency in order to avoid potential harm to clients. The document aims to educate about the unique needs and challenges faced by LGBTQI2-S individuals in accessing substance abuse treatment services.
Cultural Compentency and Co-occurring DisordersFrederick Ryan
Â
This document provides an overview of a course on culturally competent treatment of clients with co-occurring disorders. The course covers key topics like defining cultural competence, examining biases, understanding substance use patterns and mental health issues across different racial/ethnic groups including African Americans, Latinos, Asian Americans, and additional cultural factors. The goal is for providers to better understand their clients' cultures in order to deliver more sensitive and effective treatment.
The document discusses issues related to substance abuse among teens. It notes that teens who abuse drugs and alcohol are more likely to engage in criminal behavior and end up in the juvenile justice system. Four out of five teens in the justice system have substance abuse problems. Treatment is more effective and cheaper than incarceration, but many teens do not receive treatment. Effective treatment requires a coordinated, long-term, family-focused approach addressing multiple needs.
This is an opportunity to learn about families by interviewing oneGrazynaBroyles24
Â
This document discusses ways that nurses can advocate for improved healthcare for the LGBTQ community. It recommends that nurses participate in political actions like campaign groups and demonstrations to fight for LGBTQ rights and equality. As frontline providers, nurses are well positioned to identify problems in the healthcare system and advocate for policies that protect LGBTQ patients, such as promoting non-discriminatory language and collecting data on LGBTQ health needs. The document suggests that nurses can serve as leaders to implement programs and support political leaders who will pass policies promoting equality and access to culturally competent care for LGBTQ individuals.
This document discusses factors contributing to the failure of LGBT individuals to use health care services and potential nursing interventions to address this issue. It identifies biological, psychological, environmental, socio-cultural, behavioral, and health system factors that may prevent LGBT individuals from seeking care, such as higher health risks, stigma, lack of access or insurance, and provider cultural incompetence. It recommends population health nursing interventions like increasing access to services, providing cultural competency training for providers, advocating for inclusive policies, and reducing stigma in the health care system and community to promote more effective use of services by the LGBT population.
How the machismo of hetero normativity and homo-negativity impedes finalMarcus Day
Â
Hetero-normativity and homo-negativity can impede LGBTQI individuals from accessing harm reduction services. These concepts assume heterosexuality as the norm and view non-heterosexual attraction negatively. This creates an environment with heterosexual privilege but also homophobia and homo-negativity. Negative language and lack of policies create an unsafe environment for both LGBTQI clients and staff. Service providers must acknowledge and address these issues, educate themselves and others, and create a more inclusive environment through visible support and clear anti-discrimination policies to improve accessibility and quality of services for all.
This presentation brings awareness to transgender health care disparities and examines how practicing cultural competency can improve patient-physician relationships.
This document provides background information and objectives for a study assessing the effectiveness of talking therapy on ineffective coping, depression, and suicidal ideation among individuals in the LGBT group in Madhya Pradesh, India. The study aims to evaluate coping skills, depression, suicidal ideation, and HIV risk before and after talking therapy sessions. The study hypothesizes that ineffective coping, depression and suicidal ideation will be associated with demographic variables and will decrease significantly after talking therapy.
Treena Orchard, "The Anatomy of a Project: the Impact of the Body and Gender ...CBRC
Â
This document provides an overview of a presentation on a pilot study exploring how gender and ideas about the body impact adherence to HIV treatment (HAART) among men who have sex with men and other vulnerable populations in Vancouver. The study aims to take a more nuanced approach than typical biomedical research by using qualitative methods like interviews and body mapping to understand the social and cultural factors influencing treatment decisions. The researchers hope to gain insights that can inform more effective HIV programs and challenge dominant perspectives on adherence.
This study assessed barriers to HIV/AIDS services for Latinos in 9 Southern states. Key findings included immigration status as a major barrier, as many Latinos avoided testing and treatment due to fears of deportation. Cultural norms around homophobia and stigma also prevented many from accessing care. The report recommends developing patient navigators and legal advisors to help Latinos overcome these barriers to HIV/AIDS services.
Oakland University Counseling ConferenceKnoll Larkin
Â
This document provides information to help healthcare providers offer culturally competent care to lesbian, gay, bisexual, and transgender (LGBT) individuals. It discusses key concepts including sexual orientation, gender identity, preferred terminology, barriers LGBT people face, and recommendations for creating an affirming environment. The document emphasizes using inclusive language, avoiding assumptions, and addressing each person's unique experiences and identity.
Excellence in Care of Trans Patients July 2016Tiffany E. Cook
Â
This document discusses improving healthcare for transgender patients through a three-pronged approach of improved education, community-based action, and ongoing assessment. Currently, healthcare professionals receive little training on transgender healthcare needs. The document recommends mandatory curriculum in medical and nursing schools cover transgender healthcare topics. It also suggests training current providers through educational programs and establishing community advisory boards for ongoing feedback. The goal is to establish cultural humility and transform healthcare experiences for transgender individuals through collaborative efforts between healthcare systems and transgender communities.
This document discusses stigma experienced by different groups in healthcare settings and its negative impacts. It identifies four drivers of stigma: language used, implicit and conscious biases, lack of respect for people's lives, and fear. Stigma reduces access to care, increases stress, and risks assault. The document proposes a new stigma model to understand individual and intersecting stigmas, and identify stigma practices across health conditions to inform policy. Interventions aim to reduce prejudice towards patients, but few address multiple stigmatized groups simultaneously despite stigma's effects on individuals and facilities. More research on overlooked conditions and standardized measures is still needed.
The proposed Slow and Steady substance abuse treatment program for juvenile offenders includes mentoring, parenting groups, family therapy, and online support. Youth participants will be mentored by former clients and have opportunities to become mentors or counselors. Parents will participate in parenting groups and family therapy to support treatment. Online support groups will help maintain a community for clients and their families during and after the program. The goal is to successfully treat substance abuse and prevent future drug use through mentoring and family involvement.
The document discusses intimate partner violence (IPV) within LGBT families and relationships. It notes that there is limited research on this issue and differences in family dynamics must be recognized for LGBT families. It identifies several impacts of IPV, including on individuals, families, children, and society. It discusses how LGBT individuals may be less comfortable seeking assistance due to a lack of inclusive services. Finally, it proposes several policy solutions to address IPV within LGBT communities, such as revising the Violence Against Women Act, increasing funding for LGBT anti-violence programs, and training service providers to be more culturally competent.
1. 2.0 TECHNICAL PROPOSAL
2.4 A. Bidderâs Understanding of the Problem
2.4 A. 1. State your understanding of the following as they apply to the provision
of effective treatment/recovery programs for Lesbian, Gay, Bisexual and
Transgender adults and youth in California: a. Research-Based Treatment that is
based on scientifically defensible substance abuse treatment research and
evaluation established by the federal Center for Substance Abuse Treatment
(CSAT); b. âTreatment Principles of Effectivenessâ established by the National
Institute on Drug Abuse (NIDA).
Very little precise and reliable research information on substance use/abuse and
on effective treatment/recovery provision in the Lesbian, Gay, Bisexual, Transgender
(LGBT) population exists, primarily because:
1. Quality research on this population has not been well-funded at the local,
state, or federal levels;
2. Reliable demographic information on this population is not available because
large scale studies rarely ask questions about sexual orientation or gender
identity (other than female/male) and self-disclosure is often viewed as
unsafe;
3. We lack consensus-based definitions of relevant terms which are not always
clear enough for research purposes; and,
4. Few treatment and recovery programs address sexual orientation or gender
identity issues directly, nor do they collect such information routinely on their
clients.
However, because of the work of several national groups, including the California-based
National Association of Lesbian and Gay Addiction Professionals (NALGAP) and the
Gay and
Lesbian Medical Association (GLMA), more research on this population is being
conducted and clearer standards of care and cultural competency are being developed.
2. Currently, the standards for working in this field are being set via the Center for
Substance Abuse Treatment (CSAT) publication, A Providerâs Introduction to Substance
Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals, published in
2001. This publication is the result of several years of work by leading researchers,
practitioners, and former program clients in the field of LGBT addictions, including
several Progressive Research and Training for Action (PRTA) consultants, and examines
the impact of homophobia and heterosexism; cultural and legal issues in working with
this population; clinical issues for sub-populations of the LGBT community; and,
administrative quality and standards.
One important area of research relating to the effective provision of services to
the LGBT population addressed by the CSAT publication is the impact of homo/bi/trans-
phobia (generally understood as fear and loathing of LGBT people) and heterosexism
(behaviors that deny, ignore, denigrate, or stigmatize any non-heterosexual form of
expression) on clients and their substance use/abuse patterns. Joe Neisen, Ph.D.âs work
(1990, 1993) indicates that the pervasiveness of heterosexism in society instills shame in
clients, as well as the following negative effects:
ï· Self-blame for having been victimized;
ï· Negative self-concepts as a result of negative messages;
ï· Anger directed inward in destructive patterns such as substance abuse;
ï· Feelings of inadequacy, hopelessness, and despair; and,
ï· Self-victimization that may hinder emotional growth and development.
Neisen states that it is imperative for counselors to recognize and work with these effects
and to understand that they are not a direct consequence of a clientâs sexual (or gender)
identity, but rather, the result of repeated exposure to heterosexist attitudes and behaviors.
3. LGBT adults and youth often face problems in traditional health care systems and
are stigmatized within programs by staff and other clients (Mongeon & Ziebold, 1982).
Youth face some additional and unique pressures resulting from pervasive societal and
familial heterosexism. At a time in life when youth are under intense pressure to conform
to their peersâ behavior and choices, many youth are extremely reluctant to âcome out of
the closetâ as lesbian, gay, bisexual, or transgender and may not gain the full benefit of
counseling or treatment if they do not feel safe.
Many mainstream treatment programs are not safe for LGBT people. Establishing
a safe environment is directly related to providing quality and effective treatment. The
following are research-based recommendations put forward in the CSAT publication to
create safe treatment and recovery environments for LGBT clients:
1. Improve knowledge among staff members about the laws affecting LGBT
individuals with substance abuse histories;
2. Ensure that staff members respect LGBT clients with clear policies and
training;
3. Ensure that clients respect LGBT individuals by establishing and enforcing
effective rules, education, and clear grievance procedures;
4. Ensure that clients are safe by informing about and enforcing grievance
procedures;
5. Ensure clientsâ confidentiality;
6. Attract and retain LGBT staff; and,
7. Educate LGBT clients about anti-discrimination and other relevant laws.
Transgender individuals face unique challenges when seeking services for
substance abuse treatment, though very little research on this population exists.
According to the CSAT publication, transgender substance abusers face internalized
transphobia, violence, discrimination, lack of familial support, isolation, lack of
education or job opportunities, lack of access to health care, and low self-esteem. For
example, in 1998, PRTA staff had a conversation with a treatment professional in Los
4. Angeles documenting his unsuccessful attempts to place a pre-operative transgender in
residential treatment. The Transgender Substance Abuse Task Force reported that
transgender clients in treatment programs experienced verbal and physical abuse by other
clients and staff; requirements that they wear only clothes judged to be appropriate for
their biological gender; and requirements that they shower and sleep in areas judged to be
appropriate for their biological gender. (Transgender Protocol Team, 1995) Also,
transgender individuals tend to be invisible in program evaluation, intake, assessment,
and other points in substance abuse prevention and treatment. In addition, in the clinical
setting, monitoring hormone therapyâestrogen or testosteroneâis often overlooked by
providers.
The following recommendations have been developed by clinical practitioners,
and are outlined in the CSAT publication, to better serve transgender clients:
ï Use the pronouns based on the clientâs identity when talking to or about
transgender clients;
ï Get clinical supervision for issues working with transgender clients;
ï Allow clients to use hormones when they are prescribed;
ï Require training on transgender issues for all staff;
ï Donât assume the sexual orientation of clients;
ï Allow transgender clients to use bathrooms and showers based on their
self-identities; and, require all clients and staff to maintain a safe
environment for transgender clients.
NIDAâs Treatment Principles of Effectiveness relate directly to the provision of
quality treatment and recovery services to the LGBT population. As stated above, LGBT
people need treatment programs that are tailored to their individual situations and that
attend to their multiple needsâfamily of origin issues, social isolation, the effect of
heterosexism, etc.âto be effective. Their care or case management plans need to be
assessed regularly to ensure a feeling of safety and comfort with the services, staff, and
5. other clients. Additionally, because of the issues outlined above involving lack of safety
or accommodations in treatment programs, retention of LGBT clients can be challenging.
LGBT clients need to complete treatment programs and receive appropriate referrals
when they leave the structured setting. Adequate and compassionate intakes and services
for HIV/AIDS within treatment programs are also very important for many LGBT
clients, as are services for mental health.
Lastly, the principles of care for LGBT populations, outlined in the CSAT
document and based on available research and clinical practice, correspond closely to the
Treatment Principles of Effectiveness developed by NIDA:
ï Be flexible and client-centered.
ï Be coordinated, integrated, and comprehensive.
ï Be consistent with each clientâs cultural needs and expectations.
ï Promote self-respect and personal dignity.
ï Promote healthy behaviors.
ï Empower persons in substance abuse treatment to make decisions in
collaboration with the service provider.
ï Reduce barriers to services for hard-to-reach populations.
ï Develop and deliver services that are clinically informed and research-
based.
ï Work to create a treatment/recovery community.
2.4 A. 2. State your understanding of the social and cultural characteristics of the
target population (youth and adults) that: a. impede access to existing AOD
treatment and recovery services; b. affect their participation in AOD treatment
and recovery services.
Homosexuality and bisexuality involve not only sexual interactions between two
people of the same sex, but also loving partnerships; warm extended families of friends
and relatives; and a culture based on common language, experiences, and oppression. For
many people, ignorance and discomfort can lead to the fear and loathing of LGBT
6. people. This fear and loathing leads many mainstream treatment and recovery programs
in California to provide inadequate services.
The following are definitions of the population we will discuss in this proposal.
The terms lesbian, gay, and bisexual refer to a personâs sexual orientation, while the term
transgender refers to a personâs gender identity. A lesbian is a woman whose primary
loving and/or sexual relationships are with other women. Her emotional, erotic, and
romantic orientation is toward other women. Many lesbians, for parenting reasons as well
as other personal reasons, may choose to have a primary relationship with a man, yet still
consider themselves and identify themselves as lesbians. Likewise, a gay man is a man
whose primary loving and/or sexual relationships are with other men. Sometimes,
however, gay men have affectionate or sexual relationships with women. Bisexual men or
women have loving and/or sexual relationships with both men and women, though not
necessarily at the same time. Widespread ignorance of the experience of bisexual people
has lead to a marginilization of bisexuals within the lesbian and gay community.
The term transgender has become an umbrella term to cover a myriad of gender
identities and roles. In the most general usage of the term transgender, it refers to people
whose gender identity differs (somewhat or completely) from their original
anatomic/socially defined gender. The term transgender can refer to someone who for
personal reasons chooses to dress in the clothing of the opposite gender, such as a cross-
dresser or transvestite, or the term can refer to a transsexual who may chose to use
hormones and have surgery to correct the anatomy to more closely reflect the gender
identification they are (Leslie, Patterson; 1995). A transgender person may be
homosexual, bisexual, or heterosexual in orientation.
7. Clearly, these categories are fluid. An individual may choose a particular word to
identify him or herself for a variety of reasons, both political and personal, and some
people choose not to label their sexual or gender identity at all. Many youth, particularly
in urban centers, refer to themselves as queer or questioning (LGBTQQ) as a way to
claim a strong identity without conforming to a rigid definition. It is always important to
remember that a person's sexual orientation or gender identity is one partâalbeit and
important partâof their complete identity.
Before discussing the programmatic barriers that prevent LGBT people from
accessing services, it is important to state that this population cuts across all other
traditionally underserved populations. LGBT people come from every geographic
location, socioeconomic class, racial and ethnic group, and every age and disability
group. Because of this, most LGBT people face multiple layers of barriers to accessing
and receiving effective services. While this proposal addresses the issues specific to
LGBT people, additional barriers related to cultural and ethnic background must also be
taken into account. These include language differences, location of services, invisibility
of people from various cultural and ethnic backgrounds in program materials, low
representation of people from various cultural and ethnic backgrounds in staff positions,
unexamined racist attitudes held by service providers, and lack of disability-specific
accommodations. Other technical assistance contractors such as the American Indian
Training Institute and the California Womenâs Commission on Alcohol and Drug
Dependencies address these and other issues. But they should be central to any discussion
of LGBT people.
8. We know from self-reports, for example, that American Indians and Alaska
Natives in gay or lesbian relationships report a higher rate of bisexuality than do their
white counterparts. In addition, at least one hundred sixty eight of the two hundred Native
languages spoken today have terms for genders in addition to âmaleâ and âfemaleâ, and
some Natives refer to themselves as âtwo-spiritedâ as a way to express a combination of
female and male spirit. Some traditional healing practices for Native people, including for
substance abuse, involve talking circle, sweat lodge, four circles, vision quest, and sun
dance, which can involve healers, elders, and holy persons (CSAT, 1999b).
Many African-American LGBT people say that they do not feel welcome or
comfortable in white LGBT settings or service agencies. Participants in focus groups of
African-American gay men and lesbians conducted in California, for example, clearly
stated that they did not want to be called âqueerâ and considered it a negative term. In
addition, the groups stated that religion remains important and that including appropriate
spiritual content in treatment would be helpful (Browning, Day One). In addition, many
African-American LGBT people operate within both the African-American community at
large and the African-American LGBT community, and coming out publicly may place
an individual at greater risk of losing connection with the first community.
Asian Pacific Islanders (API) consist of more than sixty culturally distinct groups
that speak more than one hundred languages and dialects. For Asian Pacific Islanders, in
general, cohesiveness of the group is an important value and shame can be a factor in
deterring expressions of homosexual behavior (Wong et al., 1998). Family and inter-
dependence are central and varying from oneâs gender or sexual role can cause shame for
the entire family. In addition, some API languages have no words for gay or lesbian.
9. Latino Americans are also defined by a wide variety of sub-groups and geographic
locations including people from Mexico, Puerto Rico, Cuba, the Dominican Republic,
Central and South America. Again, the family is the cornerstone and needs to be involved
in treatment. In fact, alcohol is an important part of many Latino family social gatherings.
Homosexuality or transgender identity may be privately acknowledged but is often not
discussed openly. As with other cultures, LGBT identity may be very different from
behavior (for example, some men who have sex with men do not consider themselves
gay) and providers need to respect this distinction.
Despite the many cultural and racial differences, in general, LGBT people live in
a society that routinely stigmatizes and denigrates our basic human qualities: sexuality,
choice of loving partner, and the ability to self-identify. Ignorance and fear of gay,
lesbian, and transgender people promotes prejudice, discrimination, and in extreme cases
assault or violence. "Fag" jokes evoke laughter in schools and workplaces. In some
communities "gay bashing" (hate crimes involving violence or the threat of violence) is
an acceptable pastime, rarely punished by authorities or the judicial system. Many
religious institutions condemn homosexuality as sinful. LGBT people who reveal their
sexual identity risk losing jobs, friends, and families. In some communities, the day to
day life of LGBT people includes verbal assault, disdainful glances, and restrictions from
interacting with children, even relatives. This hostile social environment leads to a variety
of health risks. For example, the Report of the Secretary's Task Force on Youth Suicide,
1989, found that lesbian and gay youth attempt to kill themselves at a rate two to three
times higher than their heterosexual peers (Gibson, 1989).
10. Characteristics That Impede Access to Services
Several issues arise as general barriers for many lesbians or gay men. As Brenda
Underhill notes in her training curriculum Creating Visibility: "These problems are
frequently replications of the circumstances any lesbian faces when trying to conduct an
emotionally healthy life in an environment unsupportive or hostile to her existence." (25)
A primary impediment to accessing services for alcohol and other drug problems
is a general mistrust of services providers (Ziebold and Mongeon, 1990). Traditionally,
service providers have not been supportive of LGBT people. The health system often
labels LGBT people as sick or unnatural, or treats them as completely invisible.
Heterosexism plays out in many ways. Intake forms in health centers and doctorsâ offices
often do not have a box to check that accurately describe the family situations or sexual
health histories of LGBT people. In hospitals, visiting rules and regulations often do not
allow their families to visit because these rules are based on biological families and legal
marriages. This pattern of rejection and denigration from those who are supposed to be
helpful and supportive leads to a large amount of fear about disclosing one's sexual
orientation or gender identity in a service delivery setting. For example, in their extensive
review of the literature (1991), EMT Associates states:
âStudies clearly indicate that few programs have made any effort to attract gay
and lesbian AOD abusers or to take into consideration their differences from the
general population in the treatment process. Studies consistently have found a
lack of formal training, limited knowledge of community resources, inability to
identify gay clientele, little or no gay staffing, failure to actively address the
unique treatment issues of this population, judgmental attitudes..., and little or no
priority for creating more supportive treatment environments for them" (50-51).
LGBT people may fear negative reactions from staff (Lewis, 1995) or other
program participants. Negative reactions come in the form of verbal harassment or in
11. some cases physical violence, known as "gay bashing." Gay men, lesbians and
transgender people may be afraid that a staff person or other program participant would
betray their confidence, causing them to lose a job or the support of their family of origin.
LGBT mothers or fathers may fear losing custody of their children. LGBT people living
in committed relationships may be concerned that the program will not acknowledge their
partners or spouses or other alternative family/support system.
A lack of adequate outreach is another issue that keeps LGBT people out of
programs. In the Gay and Lesbian Constituent Committee's "Position Paper in Support of
a Request for Proposals for a Gay/Lesbian Technical Assistance Contract," Maria Morfin
emphasizes the importance of both real and perceived accessibility (3). In order for an
agency to build a trustworthy reputation, it must include gay men, lesbians and
transgender people in brochures, ads, community outreach, and program materials.
Brenda Underhill captures the essence of expressing homophobia as it could be played
out in a program setting:
ï· Direct statements of disapproval of lesbian or gay lifestyles and behavior
ï· Blatant or subtle pressure on a lesbian to change her orientation (attempts
to "cure" her)
ï· Telling of jokes of which gays or lesbians are the target
ï· Assertions that there is "no difference" between lesbian and non-lesbian
participants ("We're all just alcoholics")
ï· Communications that discourage openness or disclosure ("Why do you
have to make such a big deal about it?")
ï· Paranoia regarding a lesbian's behavior (fear that she has or will "come
on" to them)(26)
Affordability is another barrier that particularly affects lesbians and transgender
people, who face discrimination in the workforce based on both their sexual orientation
and their gender. For many parents, a lack of child care also affects program accessibility,
as many lesbians are single parents (Morfin 3).
12. The location of program facilities hinders some LGBT people from participating
in alcohol and other drug programs. Most services that are sensitive or specific to LGBT
people exist in large urban centers. This certainly addresses a need, as urban centers tend
to attract LGBT people in large numbers. Even in urban areas, however, more attention
needs to be paid to locating such services in communities where people of diverse
cultural and ethnic backgrounds live. There is a slogan commonly used in the gay and
lesbian community: We Are Everywhere, that refers to the fact that gay and lesbian
people are present in every occupation, socioeconomic status, disability and age group as
well as all ethnic and geographic communities. Consequently, suburban and rural areas
must also offer lesbian and gay sensitive programs. Morfin suggests that "providers must
locate 'outposts' of outreach and treatment in these areas" (3).
The constellation of impediments to service becomes even more complex for LGBT
people who are from various cultural and ethnic backgrounds. As discussed above, LGBT
Native Americans, African Americans, Asian Americans and Pacific Islanders, and
Latinos/Chicanos have distinct cultural issues that influence the prevalence and risk of
alcohol and other drug problems. Different cultural values influence the relative ease or
difficulty of the coming out process as well as the acceptability of drinking/drug use. It is
impossible to put people from any one cultural or ethnic identify into one category,
summarizing the nuances of how each culture's values affects the risk factors discussed
above. However, some commonalties exist.