This document proposes a specialized diversity training program aimed at reducing discrimination faced by LGBT patients and staff in healthcare. It notes that 56% of LGB and 73% of transgender individuals report experiencing discrimination in healthcare. The training would be a 2-4 hour mandatory program for all employees, covering LGBT needs and issues over 3 months. Objectives are to increase diversity training, decrease perceived discrimination of LGBT people, and increase LGBT individuals seeking healthcare. A pre-post test and data collection would evaluate the program's effectiveness at a pilot medical center using the ARCC model for implementation.
This document summarizes the results of a survey on LGBT health and well-being in the South West of England. It finds that the top health concerns for respondents were mental health, sexual health, and cancer. It also discusses specific issues for transgender and lesbian/gay individuals, such as difficulties accessing gender reassignment treatment and a lack of practitioner awareness. While most respondents felt treated with respect by health services, some faced disrespectful or discriminatory treatment. Respondents generally supported better monitoring of sexual orientation and gender identity to improve services and reduce assumptions.
This document discusses LGBT health and healthcare disparities. It provides statistics showing that LGBT individuals make up a minority of the US population and are understudied. LGBT people face more barriers to healthcare access and are more likely to lack a regular provider. Without access to care, conditions like HIV can go undetected and spread. The document calls for efforts like increasing LGBT-inclusive data collection, education to reduce stigma, and policies protecting LGBT patients to help address healthcare disparities. An interdisciplinary, systemic approach is needed to improve health outcomes for LGBT populations.
Stigma is negative attitudes and beliefs directed towards people based on attributes like health status. HIV-related stigma refers specifically to stigma against people living with HIV. Discrimination occurs when stigma leads to unjust treatment, like denial of rights. HIV stigma is common and can negatively impact healthcare uptake and outcomes for people living with HIV. Reducing stigma requires education to increase understanding and sympathy for those affected by HIV.
The document summarizes health inequalities in Brighton and Hove based on a landmark report. It finds that life expectancy and quality of life vary significantly based on location, with those in deprived areas having lower life expectancies and more years living with disability. Social indicators like child development, employment, benefits receipt, and deprivation levels are predictors of these health outcomes and inequalities. Addressing social determinants of health from early childhood on is necessary to reduce inequalities according to the report.
This document discusses reducing stigma and discrimination against those with mental illnesses or substance use disorders. It defines stigma and discrimination, and explores protections under the Americans with Disabilities Act (ADA). Several common stereotypes and their negative effects are described. The document advocates challenging stereotypes through education, advocacy, and speaking openly about mental health. It also discusses protections against discrimination in housing and education.
This document summarizes the results of a survey on LGBT health and well-being in the South West of England. It finds that the top health concerns for respondents were mental health, sexual health, and cancer. It also discusses specific issues for transgender and lesbian/gay individuals, such as difficulties accessing gender reassignment treatment and a lack of practitioner awareness. While most respondents felt treated with respect by health services, some faced disrespectful or discriminatory treatment. Respondents generally supported better monitoring of sexual orientation and gender identity to improve services and reduce assumptions.
This document discusses LGBT health and healthcare disparities. It provides statistics showing that LGBT individuals make up a minority of the US population and are understudied. LGBT people face more barriers to healthcare access and are more likely to lack a regular provider. Without access to care, conditions like HIV can go undetected and spread. The document calls for efforts like increasing LGBT-inclusive data collection, education to reduce stigma, and policies protecting LGBT patients to help address healthcare disparities. An interdisciplinary, systemic approach is needed to improve health outcomes for LGBT populations.
Stigma is negative attitudes and beliefs directed towards people based on attributes like health status. HIV-related stigma refers specifically to stigma against people living with HIV. Discrimination occurs when stigma leads to unjust treatment, like denial of rights. HIV stigma is common and can negatively impact healthcare uptake and outcomes for people living with HIV. Reducing stigma requires education to increase understanding and sympathy for those affected by HIV.
The document summarizes health inequalities in Brighton and Hove based on a landmark report. It finds that life expectancy and quality of life vary significantly based on location, with those in deprived areas having lower life expectancies and more years living with disability. Social indicators like child development, employment, benefits receipt, and deprivation levels are predictors of these health outcomes and inequalities. Addressing social determinants of health from early childhood on is necessary to reduce inequalities according to the report.
This document discusses reducing stigma and discrimination against those with mental illnesses or substance use disorders. It defines stigma and discrimination, and explores protections under the Americans with Disabilities Act (ADA). Several common stereotypes and their negative effects are described. The document advocates challenging stereotypes through education, advocacy, and speaking openly about mental health. It also discusses protections against discrimination in housing and education.
This document discusses LGBT health disparities. Minority stress from discrimination and stigma experienced by LGBT individuals can negatively impact their mental and physical health, contributing to higher rates of issues like substance abuse, HIV/AIDS, and depression. Health disparities also stem from a lack of healthcare providers with cultural competence regarding LGBT health issues. The document advocates for healthcare professionals to receive more training to address assumptions and biases, and to help reduce health disparities facing the LGBT community through informed, inclusive, and non-judgmental care.
The document defines homosexuality as romantic or sexual attraction between members of the same sex. It discusses how homosexuality is currently viewed in the Philippines, with increasing tolerance but no legislation supporting same-sex marriage passed. Religiously, most traditions discourage homosexual activities. Public opinion polls show around half of Filipinos believe homosexual relations should be illegal and oppose related rights. Acceptance of homosexuality is more common in wealthy countries where religion plays a less central role.
1. LGBTQ youth face higher risks of mental health issues like depression and suicide due to challenges with identity development and societal stigma. Family rejection and victimization can significantly increase suicide risks.
2. Mental health providers should offer affirming care to LGBTQ youth, being sensitive to their experiences of discrimination and trauma. Creating a supportive environment, asking non-judgmental questions, and providing resources can help address their needs.
3. Promoting family and social support for LGBTQ youth, in addition to developing their coping skills, can help build resiliency against mental health risks.
Xuất phát từ thực trạng tình hình đấu tranh phòng chống tội phạm mại dâm nói chung và diễn biến phức tạp của loại tội phạm này trên địa bàn tỉnh Hòa bình, tác giả quyết định chọn đề tài "Các tội phạm về mại dâm theo quy định của luật hình sự Việt Nam - thực tiễn xét xử trên địa bàn tỉnh Hòa Bình" làm luận văn thạc sĩ luật học của mình.
Professional boundaries in therapy are dependent on context and can vary based on factors like treatment setting, cultural differences, and situational factors of both the client and therapist. Boundary crossings occur when these boundaries become blurred and can be interpreted positively or negatively by clients. While some self-disclosure may be appropriate in certain circumstances like addiction treatment, therapists must ensure any disclosures are for the client's benefit and not their own. Maintaining clear boundaries is important to preserve the therapeutic relationship.
The document discusses different perspectives on family diversity and structure. It outlines the views of the New Right, who oppose diversity and favor a traditional nuclear family. It also describes the neo-conventional family perspective and identifies five types of family diversity. Additionally, it discusses concepts like life course analysis, risk society, choice and equality, family practice, postmodernism, and the growing acceptance of and arguments for and against diversity in family forms.
This document summarizes research on factors that influence women's decisions to stay in or leave abusive intimate relationships. It finds that children, economic constraints, social/cultural norms, and the presence of family support networks all impact a woman's choice. Women fear the consequences of leaving on their children and economic independence is difficult. Social pressures from family/community to remain in relationships also influence decisions.
Nhận viết luận văn Đại học , thạc sĩ - Zalo: 0917.193.864
Tham khảo bảng giá dịch vụ viết bài tại: vietbaocaothuctap.net
Luận văn thạc sĩ ngành luật: Hoàn thiện chế định kết hôn trong Luật hôn nhân và gia đình Việt Nam năm 2000, cho các bạn tham khảo
This guide provides practical examples and case studies. It provides methods of addressing the issues and how to respond to the issues. It is against the backdrop of the understanding that religious leaders and traditional leaders are two of the closest institutions to the citizenry. They are central to decision making in various families and also by individuals.
Gender identity and sexual orientation chapter 9tmbouvier
This document discusses gender identity and sexual orientation. It defines key terms like gender identity, sexual orientation, transgender, cisgender, and more. It explores how gender identity may differ from biological sex and can be shaped by both nature and nurture. It also addresses obstacles faced by transgender individuals like access to healthcare and discrimination. The document aims to increase understanding of diverse identities and lifestyles.
This document provides information about a developmental psychology mini project conducted by a group of students. It includes a synopsis of the film "Beautiful Boxer" which tells the true story of a Thai kickboxer who was born male but identified as female. The group watched the film and reviewed articles about sexual orientation. They studied topics like defining sexual orientation, discrimination based on sexual orientation, and examples of LGBT cases in the Malaysian context. The document also discusses symptoms of being gay, lesbian, or bisexual according to the Malaysian education ministry and provides definitions and context for bisexual and transgender individuals in Malaysia.
Distinction between counseling and psychotherapyShane Baltazar
The document distinguishes between counseling and psychotherapy. Counseling applies mental health, psychological, and human development principles and is used with normal individuals for educational and informational purposes, often in educational settings. Psychotherapy refers to therapeutic treatment involving a trained professional and client or patient, using strategic methods, and is used with severely disturbed individuals, often in medical settings. Both counseling and psychotherapy aim to promote healthy living, but counseling is less clinical and more educational compared to psychotherapy.
Nhận viết luận văn đại học, thạc sĩ trọn gói, chất lượng, LH ZALO=>0909232620
Tham khảo dịch vụ, bảng giá tại: https://vietbaitotnghiep.com/dich-vu-viet-thue-luan-van
Download luận án tiến sĩ ngành luật hiến pháp với đề tài: Quyền của người đồng tính, song tính, chuyển giới và liên giới tính theo pháp luật Việt Nam hiện nay, cho các bạn tham khảo
This document provides information about domestic violence, including:
- Definitions of domestic violence and intimate partner violence.
- Populations at high risk of being victims or perpetrators based on Florida and national statistics.
- Consequences of being a domestic violence victim such as long-term psychological distress.
- Florida state initiatives to address domestic violence such as required training for healthcare providers and legislation establishing protections and services for victims.
- Characteristics of victims and perpetrators as well as risk factors in relationships that can contribute to domestic violence occurring.
Harm reduction aims to reduce the harms associated with drug use without requiring abstinence. It is defined as a pragmatic, humane and non-judgmental approach that prioritizes harm reduction over moralistic judgments. Nurses play an important role in harm reduction through developing therapeutic relationships, health promotion, and overdose management while maintaining professional boundaries. There are ongoing debates around the ethics, policies and evidence regarding harm reduction strategies such as supervised consumption sites.
Values in Acceptance and Commitment Therapy (ACT)J. Ryan Fuller
Clarifying our values is critical if we are to chart a course for a meaningful and satisfying life. This presentation is part of a graduate course taught at NYU.
Counselling in Specific Settings-1.pptxAneelaKhitran
This document discusses counselling in specific settings such as marital and family counselling, medical settings, crisis counselling, and existential counselling. It focuses on family counselling/therapy, describing what a family is, viewing the family as a system, causes of family crises, and interpersonal requisites for individual and family well-being. It also discusses healthy family functioning, crisis intervention, family therapy approaches including integrative, psychoanalytic, Bowen, structural, behaviourist, and stages of family therapy. Key aspects of family assessment and the intervention phase are outlined.
This document provides an overview of a course on counseling and psychotherapy. It discusses the objectives of the course, which are for students to understand counseling and psychotherapy principles, techniques, and strategies. It also covers the philosophical foundations of different counseling theories and compares counseling and psychotherapy. Theories are grouped into psychodynamic, experiential, action-oriented, systems-oriented, and postmodern approaches. Stages of the counseling process and categories of counseling approaches are defined.
An overview of GLBT health promotion programs at ACON and QAHC: Work to-date and a forward agenda. This presentation was given at the 2008 AFAO HV Educators Conference.
This document discusses LGBT health disparities. Minority stress from discrimination and stigma experienced by LGBT individuals can negatively impact their mental and physical health, contributing to higher rates of issues like substance abuse, HIV/AIDS, and depression. Health disparities also stem from a lack of healthcare providers with cultural competence regarding LGBT health issues. The document advocates for healthcare professionals to receive more training to address assumptions and biases, and to help reduce health disparities facing the LGBT community through informed, inclusive, and non-judgmental care.
The document defines homosexuality as romantic or sexual attraction between members of the same sex. It discusses how homosexuality is currently viewed in the Philippines, with increasing tolerance but no legislation supporting same-sex marriage passed. Religiously, most traditions discourage homosexual activities. Public opinion polls show around half of Filipinos believe homosexual relations should be illegal and oppose related rights. Acceptance of homosexuality is more common in wealthy countries where religion plays a less central role.
1. LGBTQ youth face higher risks of mental health issues like depression and suicide due to challenges with identity development and societal stigma. Family rejection and victimization can significantly increase suicide risks.
2. Mental health providers should offer affirming care to LGBTQ youth, being sensitive to their experiences of discrimination and trauma. Creating a supportive environment, asking non-judgmental questions, and providing resources can help address their needs.
3. Promoting family and social support for LGBTQ youth, in addition to developing their coping skills, can help build resiliency against mental health risks.
Xuất phát từ thực trạng tình hình đấu tranh phòng chống tội phạm mại dâm nói chung và diễn biến phức tạp của loại tội phạm này trên địa bàn tỉnh Hòa bình, tác giả quyết định chọn đề tài "Các tội phạm về mại dâm theo quy định của luật hình sự Việt Nam - thực tiễn xét xử trên địa bàn tỉnh Hòa Bình" làm luận văn thạc sĩ luật học của mình.
Professional boundaries in therapy are dependent on context and can vary based on factors like treatment setting, cultural differences, and situational factors of both the client and therapist. Boundary crossings occur when these boundaries become blurred and can be interpreted positively or negatively by clients. While some self-disclosure may be appropriate in certain circumstances like addiction treatment, therapists must ensure any disclosures are for the client's benefit and not their own. Maintaining clear boundaries is important to preserve the therapeutic relationship.
The document discusses different perspectives on family diversity and structure. It outlines the views of the New Right, who oppose diversity and favor a traditional nuclear family. It also describes the neo-conventional family perspective and identifies five types of family diversity. Additionally, it discusses concepts like life course analysis, risk society, choice and equality, family practice, postmodernism, and the growing acceptance of and arguments for and against diversity in family forms.
This document summarizes research on factors that influence women's decisions to stay in or leave abusive intimate relationships. It finds that children, economic constraints, social/cultural norms, and the presence of family support networks all impact a woman's choice. Women fear the consequences of leaving on their children and economic independence is difficult. Social pressures from family/community to remain in relationships also influence decisions.
Nhận viết luận văn Đại học , thạc sĩ - Zalo: 0917.193.864
Tham khảo bảng giá dịch vụ viết bài tại: vietbaocaothuctap.net
Luận văn thạc sĩ ngành luật: Hoàn thiện chế định kết hôn trong Luật hôn nhân và gia đình Việt Nam năm 2000, cho các bạn tham khảo
This guide provides practical examples and case studies. It provides methods of addressing the issues and how to respond to the issues. It is against the backdrop of the understanding that religious leaders and traditional leaders are two of the closest institutions to the citizenry. They are central to decision making in various families and also by individuals.
Gender identity and sexual orientation chapter 9tmbouvier
This document discusses gender identity and sexual orientation. It defines key terms like gender identity, sexual orientation, transgender, cisgender, and more. It explores how gender identity may differ from biological sex and can be shaped by both nature and nurture. It also addresses obstacles faced by transgender individuals like access to healthcare and discrimination. The document aims to increase understanding of diverse identities and lifestyles.
This document provides information about a developmental psychology mini project conducted by a group of students. It includes a synopsis of the film "Beautiful Boxer" which tells the true story of a Thai kickboxer who was born male but identified as female. The group watched the film and reviewed articles about sexual orientation. They studied topics like defining sexual orientation, discrimination based on sexual orientation, and examples of LGBT cases in the Malaysian context. The document also discusses symptoms of being gay, lesbian, or bisexual according to the Malaysian education ministry and provides definitions and context for bisexual and transgender individuals in Malaysia.
Distinction between counseling and psychotherapyShane Baltazar
The document distinguishes between counseling and psychotherapy. Counseling applies mental health, psychological, and human development principles and is used with normal individuals for educational and informational purposes, often in educational settings. Psychotherapy refers to therapeutic treatment involving a trained professional and client or patient, using strategic methods, and is used with severely disturbed individuals, often in medical settings. Both counseling and psychotherapy aim to promote healthy living, but counseling is less clinical and more educational compared to psychotherapy.
Nhận viết luận văn đại học, thạc sĩ trọn gói, chất lượng, LH ZALO=>0909232620
Tham khảo dịch vụ, bảng giá tại: https://vietbaitotnghiep.com/dich-vu-viet-thue-luan-van
Download luận án tiến sĩ ngành luật hiến pháp với đề tài: Quyền của người đồng tính, song tính, chuyển giới và liên giới tính theo pháp luật Việt Nam hiện nay, cho các bạn tham khảo
This document provides information about domestic violence, including:
- Definitions of domestic violence and intimate partner violence.
- Populations at high risk of being victims or perpetrators based on Florida and national statistics.
- Consequences of being a domestic violence victim such as long-term psychological distress.
- Florida state initiatives to address domestic violence such as required training for healthcare providers and legislation establishing protections and services for victims.
- Characteristics of victims and perpetrators as well as risk factors in relationships that can contribute to domestic violence occurring.
Harm reduction aims to reduce the harms associated with drug use without requiring abstinence. It is defined as a pragmatic, humane and non-judgmental approach that prioritizes harm reduction over moralistic judgments. Nurses play an important role in harm reduction through developing therapeutic relationships, health promotion, and overdose management while maintaining professional boundaries. There are ongoing debates around the ethics, policies and evidence regarding harm reduction strategies such as supervised consumption sites.
Values in Acceptance and Commitment Therapy (ACT)J. Ryan Fuller
Clarifying our values is critical if we are to chart a course for a meaningful and satisfying life. This presentation is part of a graduate course taught at NYU.
Counselling in Specific Settings-1.pptxAneelaKhitran
This document discusses counselling in specific settings such as marital and family counselling, medical settings, crisis counselling, and existential counselling. It focuses on family counselling/therapy, describing what a family is, viewing the family as a system, causes of family crises, and interpersonal requisites for individual and family well-being. It also discusses healthy family functioning, crisis intervention, family therapy approaches including integrative, psychoanalytic, Bowen, structural, behaviourist, and stages of family therapy. Key aspects of family assessment and the intervention phase are outlined.
This document provides an overview of a course on counseling and psychotherapy. It discusses the objectives of the course, which are for students to understand counseling and psychotherapy principles, techniques, and strategies. It also covers the philosophical foundations of different counseling theories and compares counseling and psychotherapy. Theories are grouped into psychodynamic, experiential, action-oriented, systems-oriented, and postmodern approaches. Stages of the counseling process and categories of counseling approaches are defined.
An overview of GLBT health promotion programs at ACON and QAHC: Work to-date and a forward agenda. This presentation was given at the 2008 AFAO HV Educators Conference.
Faux naïf art is a style influenced by folk, child, and outsider art that became popular in graphic design despite potentially violating design principles of balance, typography, and language. Its popularity may stem from the unsophisticated and humorous qualities perceived as naïve, though its use by trained graphic designers seems contradictory.
LGBT Youth Basics / Mentoring Partnerhips of New York Breakfast ForumMPNY
The document discusses effective support for LGBTQ youth. It begins with background on the NYC LGBT Community Center and its Youth Enrichment Services program. It then covers key terms related to gender and sexuality like sexual orientation, gender identity, and gender expression. The presentation identifies challenges LGBTQ youth face like higher rates of bullying, substance abuse, and suicide attempts. It emphasizes the importance of support systems, family acceptance, and affirming approaches. The goal is to provide tools for effectively supporting LGBTQ youth and their families.
Evidence Based Care of Transgender Patients discusses guidelines for the evidence-based care of transgender patients. It introduces key terminology used in transgender care and outlines recommendations for preventative care, hormonal therapy, and surgical options based on levels of evidence. Hormone therapy is recommended for treatment of gender dysphoria, with protocols outlining initiation and monitoring of hormone therapy for both MTF and FTM patients. Screening and preventative care recommendations are also provided based on a patient's anatomy and hormone use.
Colorado's Lesbian, Gay, Bisexual, & Transgender Health Outcomes Planning Project aims to reduce health disparities in the LGBT population by establishing a strategic plan by June 2012. The planning process involved developing a 2021 vision of health equity and identifying current barriers like social attitudes. Six strategic directions were identified to overcome barriers, including enhancing education, promoting inclusive policies, coordinating research, changing beliefs, compiling resources, and engaging partners. The project seeks further input and invites participation to finalize the strategic plan.
Rajesh Gupta argues that design cost is increasingly driving innovation in system-level integrated circuit designs. Future innovations will focus on tools, methods, architectures, and programming models to lower design costs. Verification techniques that improve designer productivity, such as refinement checking and explicit stateless model checking, will be important to address rising complexity. The solution space includes both improving EDA tools and developing new architectures.
Immigrants’ health by type of integration policies in Europe. A test with EU-...sophieproject
This document summarizes a study that analyzed the relationship between different models of immigrant integration policies across European countries and immigrants' self-rated health. The study found that immigrants living in countries with an "exclusionist" integration model experienced poorer health and greater health inequalities compared to natives, even after accounting for socioeconomic factors, while immigrants in "inclusive/multicultural" countries tended to have better health. However, limitations included potential issues with comparing self-rated health across countries and lack of separated immigrant data for some countries. The results suggest integration policy models may impact immigrants' health in Europe.
This document provides an agenda and materials for a training session on discrimination and stigma. The training will discuss perceived discrimination and stigma among LGBT, aging, and disabled populations. Participants will learn to recognize and address discrimination among these groups and discuss how to avoid and undo discrimination. An activity is planned where participants receive labels and interact to experience being treated in a stereotyped way. The goals are for participants to understand the health impacts of stigma and how public health can work to promote inclusion and well-being for all.
M. Chris Gibbons - Health IT and Healthcare DisparitiesPlain Talk 2015
"Health IT and Healthcare Disparities" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by M. Chris Gibbons, MD, MPH, Associate Director, Johns Hopkins Urban Health Institute.
Description: This presenter will discuss the use of technology and consumer health information to improve healthcare disparities.
This document discusses health disparities faced by LGBT populations and the role of stigma and lack of access to resources. It notes that minority stress from societal prejudice contributes to higher rates of mental health issues, substance abuse, and medical conditions in LGBT individuals. The document advocates that legalizing same-sex marriage would help address these disparities by reducing stigma, improving access to healthcare and benefits, and validating LGBT families and relationships. It summarizes various medical organizations' stances in support of marriage equality and reducing health disparities for LGBT individuals and families.
Overview of recommendations for quality care at the end of life for Lesbian, Gay, Bisexual, Transgender, and Questioning or GenderQueer patients. Caring as a cultural competency.
LGBT Discrimintion in Health Care by Melissa MunozMelissa Munoz
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 discusses the health needs and challenges facing the LGBTQ Latinx community. It notes that LGBTQ Latinx individuals often face greater barriers to healthcare access and worse health outcomes compared to heterosexual white individuals. They have higher rates of being uninsured, delaying or not seeking care, and delaying or not filling prescriptions. They also have higher rates of HIV diagnoses. The document attributes these disparities to social factors like discrimination, immigration status barriers, and lack of supportive environments. It emphasizes the importance of healthcare providers creating inclusive spaces for LGBTQ Latinx patients and considering their unique needs and experiences.
Leveraging Learning To Rank in an Optimization Framework for Timeline Summari...Nattiya Kanhabua
With the tremendous amount of news published on the Web every day, helping users explore news events on a given topic of interest is an acute problem. Timeline summaries have recently emerged as a simple and effective solution for users to navigate through temporally related news events. In this paper, we propose an optimization framework and demonstrate the use of Learning To Rank (LTR) to automatically construct timeline summaries from Web news articles. Experimental evaluations show that our approach outperforms existing solutions in producing high quality timeline summaries.
3. Provide information:
- Explain clearly in simple terms
- Check understanding
- Answer questions fully and honestly
4. Support informed decision making:
- Discuss options and help weigh pros and cons
- Respect the client’s right to decide
- Offer additional help and follow up as needed
Evidence-based practice (EBP) began with Cochrane's encouragement to use randomized controlled trials to determine medical intervention effectiveness. EBP integrates the best research evidence, clinical expertise, and patient values and preferences. The 5 steps of EBP are: formulating a question, locating evidence, critically appraising evidence, applying evidence to a patient, and evaluating outcomes. Challenges to EBP include resistance to change and lack of time and skills, while facilitators include support, resources, and training.
The document traces changes in families and households in Britain from the 1950s to the present. In the 1950s, most families were traditional nuclear families with clear gender roles and low divorce rates. During the 1960s and 1970s, divorce laws were liberalized and women's roles changed as the Women's Movement advocated for equal rights. Subsequent decades saw rising ethnic diversity, increasing acceptance of diverse family forms like cohabitation and single-parent families, and developments like civil partnerships and assisted reproductive technology that further expanded family possibilities.
This three-lesson unit introduces 4th grade students to cultural diversity through exploring Native American and Turkish cultures. In the first lesson, students research flags of their own heritage and learn about symbols and colors. They then enter flag information on a class wiki. Lesson two involves reading about the two cultures and identifying similarities and differences. The final lesson has students research cultural aspects like art and traditions online and record audio responses on a voice thread. Students are evaluated based on homework, voice thread contributions, and an exam assessing their understanding of the cultures.
The document summarizes trends in family size and structure in the Philippines as the country has undergone economic transition from an agricultural to industrial society. Some key points:
- Average household size has declined from 5.9 in 1970 to 4.92 in 2000 as nuclear families become more common.
- Adult children are more likely to live with parents if the family has many siblings, low income, and lives rurally.
- While elders traditionally held authority, today's decision-makers are often younger, better-educated breadwinners.
- Solo-parent families and other non-traditional family structures like unmarried parents have increased in part due to overseas work separation.
Bridging the Gap from Hospital to School: Lessons learned from the NAvigaTe Project.
BY: Su-Ting Teo, Ryerson University
Janine Robb, University of Toronto
Andrea Levinson, University of Toronto,
Sarah Bell, University of Toronto
Ryerson University, York University and the University of Toronto have partnered in the development and implementation of a program model that supports post-secondary students to connect to appropriate services during the critical transition back to school following a stay in hospital for a mental health reason. The goals of the NAvigaTe Project were to develop a program model and toolkit that could and be shared with other PSE institutions. This session will focus on sharing quantitative and qualitative data collected, as well as lessons learned from the implementation of the one-year pilot.
Rachel Aliotta is a school psychology graduate student seeking an internship with the Cheshire Public School District for the 2016-2017 academic year. She has over 700 hours of experience administering psychological assessments, collaborating with teachers, parents and students, and providing counseling. She is passionate about working with students of all abilities.
South EIP Peer Support Worker Forum 21st October 2020Sarah Amani
The South of England Early Intervention in Psychosis (EIP) Programme welcomed EIP Peer Workers and Carer Peer Support Workers to the third forum with guest speakers Nev Jones who shared some insights on how peer support is developing in the USA and some of the challenges, which appear to be similar to those we face in the UK.
Iika Hypolite has over 10 years of experience working in clinical and forensic psychology. She holds a Master's degree in Forensic Psychology from The Chicago School of Professional Psychology and a Bachelor's degree in Psychology from The University of the West Indies. She is a Licensed Professional Counselor in Maryland and has held various clinical roles, including as a clinical peer reviewer, community support specialist, case manager for a pretrial services agency, and psychiatric rehabilitation coordinator. She has additional training in ethics, justice issues, and HIV/AIDS.
This document summarizes the monthly call between Problem Gambling Treatment Providers in Oregon. It includes the following:
- Announcements about upcoming trainings, a training calendar, treatment system documentation, and working with the criminal justice system.
- A presentation on documenting family involvement for site reviews.
- Highlights from quality improvement reports, including access to care wait times, client retention rates, reporting timeliness, and other metrics.
- A question and answer period to discuss working with cultural populations, referrals for gambling addiction, and ideas to increase enrollments.
The document summarizes the agenda and discussion topics for a monthly call between Problem Gambling Treatment Providers in Oregon. The agenda included updates from the Problem Gambling Services program, upcoming trainings, a presentation on documenting family involvement, highlights from quality improvement reports, and a question/answer session. Future agenda items proposed working with cultural populations, addressing challenges with mental health clinicians referring for gambling, treating co-occurring disorders, and ideas for increasing enrollments.
Sharon M. Grosch has over 14 years of clinical experience providing psychotherapy to children, adults, and geriatric populations. She also has 10 years of administrative experience in mental health and corrections settings, including serving as Mental Health Administrator for the Tennessee Prison for Women. In this role, she improved audit pass rates, increased productivity, and built therapeutic programming for offenders. She demonstrates strong communication, leadership, and management skills.
Mr Grant Brand: Lessons Learned in the First Nine Years of the Glasgow ARBD TeamAlcoholForum.org
The document summarizes lessons learned from the first nine years of the Glasgow Alcohol Related Brain Damage (ARBD) Team. It discusses how the team was set up, missed opportunities at the beginning, and what they have learned over time. Key points include broadening the referral criteria, conducting thorough multidisciplinary assessments, using legislation to help with harm reduction, providing rehabilitation services, and training other services on ARBD. It emphasizes the need for a public health approach, clear strategy, and person-centered flexible services for those with ARBD.
Engaging Seronegative Youth to Optimize the HIV Prevention Continuum - Adoles...YTH
AMMI consists of daily text-messages sent in five content streams: health/wellness, daily living (housing, work, education, life-skills), sexual risks, substance use, and medication adherence. Monitoring consists of once-weekly SMS surveys of these domains with follow-ups by project staff on STI and acute HIV symptoms for testing and treatment. Peer support is provided on the Muut platform, with moderation initiated by project staff and sustained by youth. Messaging and peer support boards are tailored for LGBTQ and heterosexually identified youth. eNavigation is focused on service linkages via text or telephone emphasizing direct connections (warm hand-offs) rather than simply providing referral information. Coaching is strengths-based and client centered, typically initiated with an in-person meeting, but primarily delivered in brief follow up sessions by phone, video-chat, or texting. Coach training and delivery is guided by modular evidence-based practice elements (versus scripted and structured manuals), and monitored and prompted by a mobile-web application.
Cross-Sector Working: The challenges of ‘difference’ between health organisat...CYP MH
CYP IAPT 2014 National Conference
Navigating through service developments and improvement can at times be difficult. This difficulty can be even more challenging when working across organisations/ sectors. What is a challenge for one sector is a way of life for another. The language we use and our ideas of social philosophy can provide a rich platform to develop or a rocky shore of pitfalls. Throw into the mix the requirements of CYP IAPT and service transform and you could have a perfect storm! In this workshop we hope to show that these choppy waters can lead to calm seas and the value we can gain from each other far outweighs any difficulties. The value of understanding each other positions, learning from each other and ultimately delivering a better service is at the end of the day what we all want.
This document provides information about postbaccalaureate programs as an option for a gap year activity. It discusses who typically does postbacc programs, including career changers who need to complete prerequisite courses and record enhancers looking to strengthen their academic record for medical school applications. The document outlines different types of postbacc programs, such as medical master's programs and undergraduate record enhancers. It advises being a careful consumer when researching programs and provides questions to consider when evaluating options.
Developing Collaborative Policy and Practice to Tackle Child Neglect - Sharin...BASPCAN
This document summarizes research on early help for child neglect provided by universal services in England. It reports that professionals believe they have a role in identifying neglect and responding, though there is variation. Common responses include signposting and referral, while talking to children and monitoring are less common. Barriers include workload, multiagency working, and lack of training. Recommendations include clarifying role expectations, improving relational service provision, supporting professionals, and increasing resources for early help.
Presented by Emily Summers, LBA, BCBA
Effective coordination amongst service providers allows for generalization of skills, and results in improved outcomes for shared learners. Attendees will learn to use principles of ABA to effectively arrange and execute coordination with school-based professionals. Input from a panel of special educators will be incorporated regarding their experiences coordinating with outside professionals.
BCBAs who attend the entire live event (virtually or in-person) will receive 2 Type-II CEUs. All who register will receive the presentation and handouts.
Commonwealth council on aging best practice awards 2006-2016_darsrexnayee
The document discusses chronic disease self-management education (CDSME) programs. It notes that CDSME programs were developed by Stanford University and provide tools and skills to help people manage common health problems and symptoms. The programs have been shown through research to improve health outcomes and reduce healthcare use and costs. Virginia has implemented CDSME through area agencies on aging using a train-the-trainer model, with over 20,000 participants since 2010. The presentation describes local implementation examples and partnerships with correctional facilities.
The document summarizes updates from the monthly call between the Problem Gambling Treatment Providers in Oregon.
Key points include:
- Upcoming trainings on problem gambling treatment in July and October as well as webinars on using SBIRT and family therapy.
- Changes starting in July 2017 include increased reimbursement rates for some procedures, additional helpline services like texting, and new clinical supervision opportunities.
- A presentation on the Crisis Respite Center in Josephine County was scheduled but the presenters were unable to attend.
Michelle Lobachewski has extensive experience as a school counselor and mental health counselor. She has a master's degree in counseling and an advanced certificate in school counseling. Her experience includes interning at a high school where she provided individual and group counseling to students and collaborated with other staff. She also has experience providing counseling services to individuals and families through various organizations. Her goal is to obtain a position as a school counselor to create a comprehensive counseling program that supports students' academic, social, emotional, and career needs.
This document provides an agenda and materials for a training on implementing SBIRT (Screening, Brief Intervention, and Referral to Treatment) in a health center. It covers making effective referrals to treatment using brief intervention skills, conducting warm handoffs, and utilizing technology. The training emphasizes building patient confidence and willingness to engage in specialty care through motivational interviewing techniques during brief interventions. It stresses the importance of being prepared with updated treatment provider rosters and contacting resources directly to establish contact between the patient and provider when possible through warm handoffs.
Children and Youth with TBI: Improving School Outcomescbirtpresent
1. The document discusses challenges in identifying and providing support services to children and youth with traumatic brain injuries (TBI) in school settings.
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3. Evaluation findings suggest that programs like STEP and Brain 101 training can help increase identification rates, parent satisfaction, and knowledge about TBI among students, parents, and educators.
This document provides a summary of Jennifer Gooding's qualifications, including her education, experience, and skills. She has over 5 years of experience in human services and social work, specializing in areas like school social work, medical social work, and case management. She holds a Master's degree in Social Work and has demonstrated strong communication skills, compassion, and a commitment to helping individuals reach their goals.
This document summarizes a quality improvement project to increase attendance at an occupational therapy community focus group at a mental health facility for adolescents. The project team tested changes like modifying the day/time of the group, advertising it more, involving patients in planning, and separating it into age-appropriate subgroups. Through multiple PDSA cycles over several months, attendance increased from very low levels to reaching the goal of a 100% increase. Lessons learned include addressing timetabling conflicts and measuring attendance consistently. The next steps are to apply this approach to evaluating and improving other therapy groups to achieve high satisfaction and attendance across all programs.
Similar to LGBT Discrimination in Health Care PPT (20)
2. Problem Statement
▪ LGBT individuals experience discrimination
▪ 56% of LGB experience discrimination
▪ 73% of Transgendered felt they faced discrimination (Hanneman, 2014)
▪ Patients & staff feel unable to reveal they are LGBT.
▪ Patients unable to trust medical professionals
3. PICOT Question
▪For LGBT patients, would specialized
diversity training aimed towards working with
the LGBT community, compared to the
current generic diversity training, reduce the
perceived rate of discrimination within health
care?
5. Objectives of Solution
▪ Increase the diversity training
▪ Decrease the perceived rate of discrimination based on being LGBT
▪ Increase the rate of LGBT community members seeking out health care services.
6. Pre & Post Test Scales
Heterosexual Attitude toward
Homosexuality Scale
▪ 21 question Likert-scale
▪ Ask questions pertaining to attitudes
toward homosexuality and homosexual
acts
Sample Questions
▪ I would look for a new place to live if
I found out my roommate was gay.
▪ Gays dislike members of the
opposite sex.
▪ The love between two males or two
females is quite different from the
love between two persons of the
opposite sex.
Larsen, Reed, & Hoffman, 1980.
7. Implementation
▪ Pilot program to be implemented in local medical center
▪ Mandatory training to all employees
▪ Data collection & comparison of LGBT admittance
▪ Utilize ARCC model
8. ARCC Model
▪ Advancing Research & Clinical Practice Through Close Collaboration
▪ Assess culture in organization
▪ Strengths & Barriers of Organization
▪ EBP Mentorship
▪ Successful implementation of EBP
Melnyk, Fineout-Overholt, Gallagher-Ford, & Stillwell, 2011
10. Timeline
2 Month Before Program Start
▪ Reach out to LGBT
advocates/educators -
▪ Gather information on LGBT patient
satisfaction and admittance rate -
▪ Meet with educators to discuss
desired topics to be covered
▪ Interview local medical centers
3 -4 Weeks before Program start
▪ Send out memos and emails/ post
fliers
▪ Finalize training class schedules
▪ Begin sign up
▪ Select pilot medical center
11. Timeline Cont.
Program Start – 3 Months
▪ Give pre-test and interviews to staff
▪ Training classes – 3 months
▪ Begin close up -1 week before end
▪ Administer post-test and final
interviews
1-2 Week After
▪ Collect all data
▪ Send data to be analyzed
▪ Send out evaluations to staff
▪ Receive feedback
12. Timeline Cont.
▪ Receive data analysis
▪ Meet with training facilitators to revise topics covered and handouts
▪ 4-6 months after completion – gather information on LGBT patient satisfaction
and admittance rates.
13. Barriers to Implementation
▪ The staff refusal to take part in the training sessions.
▪ Religious beliefs of workers hinder attendance
▪ Lack of financial support
▪ Possible protest from other community sects.
14. Proposal Budget
Description Amount
Interviewer $1,890
Training Facilitator/Trainer $10,000
Data Analyst $3,000
Workbooks $7,000
Misc. Handouts $300
Refreshments $3500
Computer Provided by facility
Projector Provided by facility
Sound System Provided by facility
Total $25,690
15. References
▪ Hanneman, Tari. (2014). Healthcare equality index 2014: Promoting equitable and
inclusive care for lesbian, gay, bisexual and transgender patients and their
families. Retrieved from Human Rights Campaign Foundation website: http://hrc-
assets.s3-website-us-east-
1.amazonaws.com//files/assets/resources/HEI_2014_high_interactive.pdf
▪ Larsen, K. S., Reed, M., & Hoffman, S. (1980). Attitudes of heterosexuals toward
homosexuality: A Likert‐type scale and construct validity. The Journal of Sex
Research,16(3), 245-257. doi:10.1080/00224498009551081
▪ Melnyk, B.M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S.B. (2011).
Models to guide implementation of evidence-based practice. In Evidence-based
practice in nursing & healthcare: A guide to best practice (2nd ed., pp. 241-275).
Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.
Editor's Notes
Hello. My name is Melissa Munoz, and today I will be covering a topic that I have felt very strongly into researching: discrimination in the health care.
In an article published in 2014, Hanneman stated that 56% of the gays, lesbians, and bisexuals had experienced discrimination within the healthcare field. Additionally, 73% of transgender individuals felt that they would face discrimination and would be treated differently. Patients and physicians alike reported feeling uncomfortable with the current standing of the healthcare system and feared coming out as an individual within the LGBT community. Patients fear seeking any needed medical attention as they are often turned away, misdiagnosed, or completely ignored by medical professionals. With the past struggles that we as a society have overcome in order to eliminate discrimination, it is bewildering that a remaining area where discrimination remains would be one that is responsible for life and death decisions.
While it may be difficult to remove discriminatory beliefs completely, we can work to stop these tendencies from causing further harm through training. This raises a question: for LGBT patients, would specialized diversity training aimed towards working with the LGBT community, compared to the current generic diversity training, reduce the perceived rate of discrimination within health care? To answer this question, we would need to create a specialized training curriculum dedicated to helping healthcare workers to work with members of the LGBT community and measured the perceived discrimination they experience.
Health care professionals will be required to attend and complete a training seminar session that would last between two and four hours in length. The training will be expected to be completed within three months from program start date to allow all staff a chance to attend a training session without affecting the facilities work load and to avoid staffing conflicts. All healthcare workers, such as physicians and nurses, as well as administration and other staff, will be expected to complete the training sessions. In addition, the training sessions will cover various definitions, social issues that are special to the LGBT community, and increase awareness of legal issues regarding LGBT individuals and couples, especially in regard to health care decisions. The goal will be to educate health care professionals to an extent that will allow them to be understanding to those that seek their help.
Many health care providers do not have proper training to deal with LGBT community issues and needs. The objectives of the solution are three-fold; firstly, to increase the amount of diversity training. Medical professionals have to compete so many hours of continuous learning each year, this will also help fulfill that requirement. Secondly, the rate at which LGBT patients feel they are being discriminated against should decrease. Throughout various studies, medical professionals’ knowledge about the LGBT community was a big factor in how patients felt about the worker. Lastly, the goal is to increase the awareness of LGBT issues and to reach out so that LGBT individuals will start seeking (or start reaching out for) needed medical care.
To help measure the effectiveness of the program, a Likert-scale, which is a scale which uses fixed choice response formats and are designed to measure attitudes and opinions of the respondents, will be used before training sessions and after the program has been completed. Likert-scales measure the levels of agreement/disagreement so they may be studied. The Heterosexual Attitude toward Homosexuality seeks to determine a heterosexual person’s attitudes and beliefs about homosexuality. The answers range from “Strongly Agree” to “Strongly Disagree” and contain questions such as “Homosexuals should be forced to have psychological treatment” and “If I were a parent, I could accept my son or daughter being gay”. While these may not seem like questions that are pertinent to the medical field, they are important to gauge a person’s beliefs and to determine where a group (as a whole) stands on homosexuality. This scale has been used for many studies in different fields and has proven to be both valid and reliable.
Implementation of such a program would require a pilot program to be performed with a local and willing medical center. To determine the success of this project, the rate of admittance of LGBT patients will be compared before and after the completion of the training. A memo will be sent out to all employees to inform them of the new training program and that it will be mandatory for everyone to participate and complete the program. Sign ups will start a minimum of one week for the program starts. An outside organization that is an LGBT advocate group will be contracted to assist with creating the curriculum, create training materials, and conduct the training. To strengthen the implementation of the program, we will also be utilizing the ARCC model to build a culture of acceptance within the facility.
ARCC stands for “Advancing Research and Clinical Practice through Close Collaboration” and is based on a mentorship framework to assist advanced practice nurses in implementing EBP, or evidence based practice, within an organization. The first step in the ARCC model is an assessment of the organization’s culture and readiness for EBP so that EBP facilitators and barriers can be identified. EBP mentors are then developed and placed within the healthcare system to work directly with point-of-care staff to foster their knowledge, beliefs and skills in evidence-based care. EBP mentorship has been shown to lead to a more successful implementation and maintenance of the practice.
When identifying the strengths and barriers, physical resources are not the only aspects that should be looked at. Sometimes organizations do not have an EBP culture or the knowledge of how to maintain the systems. With the use of mentors, this can be fixed. Mentors can be found at workshops or other organizations and can help to build necessary skills to assist with implementing change. When there are mentors there is an increase in the change of EBP implementation, which has been proven to lead to higher satisfaction rates in workers and, in this case, will lead to LGBT patients feeling more welcomed and included in the medical facility.
Preparation is one key factor to the success of a training program. Before implementation, we would need to make sure that our base is first established and a curriculum will need to be created. Two months before implementation, LGBT patient satisfaction and admittance rate information will need to be gathered, and educators and LGBT advocates would need to be assembled to discuss the topics that the training will cover. This is also the time to research and interview potential medical facilities to act as the pilot location for the program. Approximately three to four weeks prior to implementation, a facility would need to be selected to allow time for the staff to be informed of the mandatory training. Memos, emails, and fliers will be created to create awareness of the program to allow for classes to be scheduled.
Once the program begins, the base evaluations will need to be taken through pre-tests and interviews to the staff. During the three month program, training classes will be undertaken, and post-test and final interviews will close the training portion of the program. It may take approximately one to two weeks to collect all of the data to send out for analysis. Feedback will also be reviewed for the purpose to enhance the program going forward.
After receiving the completed analysis of the program, a meeting with the training facilitators will be used to revise covered topics and training materials. To view the perceived effectiveness of the program, LGBT patient satisfaction and admittance rate information will be collected again about half a year after the completion of the program and be compared to the data will be compared to the data collected prior to implementation.
With any program, there will be barriers that may hinder the desired outcome. The biggest concern would be anything that would stop the staff from participating, whether it be refusal from the staff members themselves or the inability of the program’s administration to secure the finances necessary to implement the training.
Here is a breakdown of the original estimations for this training project, including salary for program staff to cost of training materials for a facility of 3500 employees (estimated based on employment figures for a local medical center). These costs are figured to alleviate as much financial pressure away from the pilot medical center for a better chance at a successful implementation. Future programs may not need workbooks or handouts and training could be moved to online courses, and refreshments during training would become the responsibility of the facility.