Providing trauma-informed affirmative care: Introduction to special issue on evidence-based relationship variables in working with affectional and gender minorities.

Abstract

In this article, the editor of the Special Issue of Practice Innovations on Evidence-Based Relationship Variables in Working with Affectional and Gender Minorities discusses the conceptualization of evidence-based relationship variables (EBRV) as a foundational component of trauma-informed affirmative care. The article then shares the importance and value of EBRVs as they specifically apply to working with affectional and gender minorities or the lesbian, gay, bisexual, transgender, and questioning (or queer)ϩ community. The article concludes with an examination of the 5 articles included in the Special Issue and how each incorporated EBRVs into affirmative care practice. Clinical Impact StatementThis article describes the integral role of evidence-based relationship variables in providing trauma-informed affirmative care. It also introduces five articles focusing on this topic as part of the special issue on "Introduction to Special Issue on Evidence-Based Relationship Variables in Working With Affectional and Gender Minorities."

Integrating trauma-informed principles into suicide prevention, intervention, and postvention.

“…Experiences of discrimination, marginalization, and microaggressions are associated with an elevated risk of suicidal thoughts and behaviors (Assari et al, 2017;Busby et al, 2020;O'Keefe et al, 2015;Parr & Howe, 2019). Individuals from traditionally marginalized groups are at elevated risk of traumatic experiences due to racism, heterosexism, and cissexism, and these experiences of discrimination often occur within treatment relationships or helping organizations such as schools, hospitals, or child welfare agencies (Cénat, 2020;Ellis, 2020;Kcomt, 2019). For instance, one in 20 transgender individuals report healthcare providers using harsh or abusive language toward them in the past year and more than one-quarter have been denied health care due to their gender identity (Kcomt, In another example, Black clients were found to be disproportionately more likely to experience coercive and disempowering interventions such as involuntary hospitalizations (Cénat, 2020).…”

Understanding the Conceptualization and Operationalization of Trauma‐Informed Care Within and Across Systems: A Critical Interpretive Synthesis

“…98,99 TIC has also been recommended to address health inequities and social justice issues specific to certain population groups, such as ethnic minority communities 100,109,114 and the LGBTQ community. [115][116][117] It is unclear, however, how and to what extent TIC can address these issues-a global pandemic, social justice and human rights issues-and rigorous empirical research is required to further understand the role of TIC in crisis situations, such as the global pandemic, as well as applicability to specific population groups and broader societal issues.…”

Southern African HIV Clinicians Society gender-affirming healthcare guideline for South Africa

“…A client who has begun transitioning within adulthood may require support with 'coming out' to their intimate partner(s), family, friends and work colleagues; and managing the resulting relational outcomes. 6,101,102 For an elderly client who may have specific challenges, such as an increased risk of isolation or loneliness, the MHP should help to identify sources of strength and resilience. 103 The MHP may need to assist in finding a safe and affirming living space with adequate medical and psychosocial care.…”