Advancing LGBT Health Care Policies and Clinical Care Within a Large Academic Health Care System: A Case Study

Ruben, Mollie A.; Shipherd, Jillian C.; Topor, David R.; AhnAllen, Christopher G.; Sloan, Colleen A.; Walton, Heather M.; Matza, Alexis; Trezza, Glenn R.

doi:10.1080/00918369.2017.1321386

Cited by 23 publications

(19 citation statements)

References 45 publications

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“…87 Lastly, recent case studies provide information about the development and implementation of policies and training programs to enhance ethical care of LGBT individuals within large health care systems in the United States. [88][89][90] In the United Kingdom, initiatives are underway to improve care for LGBT individuals within the NHS 91 and further advance the health of LGBT individuals living in the United Kingdom. 92…”

Section: Discussionmentioning

confidence: 99%

Comparing the Mental Health of Sexual Minority and Heterosexual Cancer Survivors: A Systematic Review

et al. 2019

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Purpose: Sexual minority (SM) individuals are more likely to experience mental health concerns than heterosexual individuals. However, little is known to date about the psychological needs of SM cancer survivors. The objective of this systematic review was to identify whether SM cancer survivors experience disparate psychological outcomes compared with heterosexual cancer survivors. Methods: PubMed/MEDLINE, PsycINFO, CINAHL, Web of Science, and ProQuest databases were searched systematically to identify studies that compared mental health outcomes between SM and heterosexual survivors. A standardized data extraction form was used to extract data from eligible articles. The Joanna Briggs Institute Checklist for Analytical Cross Sectional Studies was used to assess study quality. Results: Twelve studies met the inclusion criteria and assessed distress, depression, anxiety, perceived stress, and mental and emotional quality of life (QOL). Most studies enrolled survivors diagnosed either with female breast cancer or with prostate cancer. Most studies reporting on mental health among women found no differences between SM and heterosexual survivors. Studies conducted among men found that SM survivors experienced higher distress, depression, and anxiety, and lower emotional/mental QOL than heterosexual survivors. Conclusion: The findings of the present synthesis suggest that mental health disparities may exist among SM men diagnosed with cancer, particularly prostate cancer. More research is required to identify mental health disparities among SM survivors diagnosed with other cancers, as well as predisposing and protective factors. In addition, mental health screening and interventions are needed for SM men after cancer diagnosis.

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Section: Discussionmentioning

confidence: 99%

Comparing the Mental Health of Sexual Minority and Heterosexual Cancer Survivors: A Systematic Review

et al. 2019

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“…Counseling services and health services are interconnected systems, particularly in the lives of trans college students (Singh, Meng, & Hansen, 2013). Difficulties in accessing trans-affirming health care have implications for trans clients' emotional, physical, and academic well-being (Mizock & Lundquist, 2016); in turn, knowledge of such challenges can inform therapists' case conceptualization, and may alert them of the need to engage in advocacy efforts (e.g., offering trans-affirming training to local providers; Austin & Goodman, 2018;Ruben et al, 2017). We examined in one multivariate model for each outcome:…”

Section: Current Studymentioning

confidence: 99%

Health Care Experiences of Transgender Binary and Nonbinary University Students

Goldberg

Kuvalanka

Budge

et al. 2019

The Counseling Psychologist

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An increasing number of young adults identify with nonbinary gender identities. Yet health providers and therapists often lack understanding of such identities. In this mixed-methods study of 506 transgender undergraduate and graduate students, most of whom (75%) had nonbinary gender identities, we aimed to understand participants’ mental health and health care experiences, and factors related to misgendering and less affirming treatment by providers. Eighty-five percent of participants reported mental health challenges, and named fear of violence and nonsupport as distal stressors. Experiences with therapists and health providers were mixed. Salient features of negative interactions were invalidation, avoidance, or overemphasis in regard to participants’ nonbinary identities. Participants viewed counseling services as more affirming than health services. Nonbinary students reported more misgendering by therapists and health providers, and less trans-affirming care by health service providers, compared to binary students. Undergraduate students reported more misgendering by therapists and health providers than graduate students.

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“…103 As noted by Ruben et al, poor cultural competence is a contributing factor to health care disparities, particularly with respect to sexual and gender minority patients. 104 Wherever possible, pharmacy staff, particularly those at the point of contact with patients, should also be trained in basic cultural awareness of TG people and “de-gender” their language when referring to patients; for example, using they instead of he or she. To further improve the TG-affirming setting, the waiting area should display a nondiscrimination policy visible to patients and include visible TG-related education, publications, and/or posters.…”

Section: Helping Tg Patients From the Pharmacist's Perspectivementioning

confidence: 99%

The Evolving Role of Pharmacists in Transgender Health Care

Redfern

Jann

2019

Transgender Health

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Pharmacists are increasingly part of a multifaceted team providing health care to members of the often marginalized transgender (TG) community. Some pharmacists, however, may feel unprepared to care for and interact with TG individuals. By providing comprehensive, respectful, and gender-affirming support, improving physical pharmacy environments with policies and procedures, pharmacists can be trustworthy providers for TG patients. This review focuses primarily on the health issues of TG persons and the pharmacist's role in promoting health, identifying barriers to health care, and providing health care resources for TG persons. The evolution of psychiatric diagnostic criteria, access to health care, and inclusion of TG, lesbian, gay, and bisexual topics in the educational curriculum are presented. Cultural competency and diversity training that addresses gender identity and sexual orientation issues should be important interdisciplinary and interprofessional activities for all health care professional education programs. Pharmacists play a key role in the health care needs of TG persons that include appropriate laboratory monitoring, complex pharmacotherapeutic challenges, and providing unbiased gender-affirming interactions. The pharmacy's physical environment, staff training, and policies and procedures can offer unique services to TG persons.

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Advancing LGBT Health Care Policies and Clinical Care Within a Large Academic Health Care System: A Case Study

Cited by 23 publications

References 45 publications

Comparing the Mental Health of Sexual Minority and Heterosexual Cancer Survivors: A Systematic Review

Comparing the Mental Health of Sexual Minority and Heterosexual Cancer Survivors: A Systematic Review

Health Care Experiences of Transgender Binary and Nonbinary University Students

The Evolving Role of Pharmacists in Transgender Health Care

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