Lesbian, Gay, Bisexual, and Transgender Healthcare : A Clinical Guide to Preventive, Primary, and Specialist Care.

Intro -- Foreword -- LGBT Health in a Changing World -- Preface -- Acknowledgements -- Contents -- Contributors -- Part I: The LGBT Population and Health -- 1: Understanding the LGBT Communities -- Purpose -- Learning Objectives -- Do You Have Sex with Men, Women or Both? -- An Introduction for the Busy Practitioner -- Terminology for the Busy Practitioner -- Beginner Level -- Intermediate Level -- Advanced Level -- Exercise: Reflections on LGBT Terminology -- LGBT Demographics (Table 1.2) -- Demographics by Sexual Orientation -- Demographics by Gender Identity -- Differences of Sex Development/Intersex -- Youth -- LGBT Parents -- Immigrants -- History Highlights of LGBT Communities (Table 1.3) -- Gay and Lesbian -- Bisexual -- Transgender -- LGBT in the Twenty-First Century -- Understanding LGBT Health -- References -- 2: Access to Care -- Purpose -- Learning Objectives -- Barriers to Care -- Finding a Medical Home -- Assessing Identity (Table 2.1) -- References -- 3: Culture, Climate, and Advocacy -- Purpose -- Learning Objectives -- Growing National Recognition of the Unique Health Needs of LGBT Populations -- Impact of Culture and Climate on Patient Care and Health Education -- Patient Care -- Health Education -- Use of Organizational Change Models to Promote LGBT Inclusion and Climate Change -- Practical Tools for Improving Culture and Climate -- Conclusions -- Resources -- 4: Internalized Homophobia, Disclosure, and Health -- Purpose -- Learning Objectives -- Internalized Homophobia vs. Internalized Heterosexism -- Relevance to Health -- Fear and Hate -- Implicit Bias -- Current Policy -- Beyond Sexual Orientation and the into Conflagration of Sex and Gender -- Disclosure in the Healthcare Environment -- Healthcare Advantages and Disadvantages -- Physical and Social Responsibility -- Summary -- References.

Part II: The LGBT-Inclusive Clinical Encounter -- 5: Clinic and Intake Forms -- Purpose -- Learning Objectives -- Physical Environment: Create a Welcome Space -- Décor and Materials -- Gender-Inclusive Restrooms -- Patient Flow -- Systemic Environment -- Comprehensive Mission Statement, Non-discrimination and Visitation Policies -- Mission Statement -- Non-discrimination Policy -- Visitation Policy -- Assure Confidentiality -- Intake Forms -- Gender Identity -- Sexual Orientation -- Relationship Status -- Living Environment -- Parent/Guardian -- Hormone Therapy -- Safer Sex Techniques -- HIV Testing/Status -- History of Transmissible Infections -- Vaccinations -- Interpersonal Environment -- Staff Sensitivity Training -- Language -- LGBT Health Issues -- Potential Obstacles -- Knowledge of Healthcare Resources -- The Clinical Interview -- Reporting Discrimination -- Request Feedback for Improvement -- Addressing Patient Concerns -- Patient Satisfaction Surveys -- Additional Considerations: Ways to Promote and Connect -- The Referral Network -- Community Outreach: Organizations and Media -- Evaluating Success: The Healthcare Equality Index -- Resources -- Brochures -- American Cancer Society -- American College Health Association -- Centers for Disease Control and Prevention -- Safe Schools Coalition -- Helpful Internet Resources -- References -- 6: Medical History -- Purpose -- Learning Objectives -- (Re)Building the Therapeutic Relationship -- Interviewing Techniques -- One Size Does Not Fit All (Table 6.1) -- Completing a Thorough and Competent History -- Past Medical and Surgical History -- Cardiovascular Disease (Table 6.3) -- Cancer (Table 6.4) -- Obesity -- Surgical Interventions -- Mental Health History -- Current Medications -- Allergies -- Family Medical History -- Social History -- Substance Use/Abuse.

Socioeconomic Status: Education, Employment, Income -- Support Systems -- Sexual Health History (Table 6.6) -- Violence/Abuse -- Laying the Groundwork for Future Encounters -- References -- 7: Utilizing the Electronic Health Record as a Tool for Reducing LGBT Health Disparities: An Institutional Approach -- Learning Objectives -- Introduction -- Creating Institutional Change in the Face of Unconscious Bias -- Catalyzing Change at the University of California, Davis Heath System (UCDHS) -- Using Education to Prepare for Culture Change -- Will Patients Accept Being Asked? -- Patient Survey -- Asking the Question in the Electronic Health Record -- Launching SO/GI in the Electronic Health Record -- Options on Where and How One Provides Data -- Health Information Technology -- Conclusion: The Necessary Next Steps -- References -- Part III: LGBT Preventive Health and Screening -- 8: Primary Care, Prevention, and Coordination of Care -- Purpose -- Learning Objectives -- Overview of Primary Care -- Importance of Primary Care and the Patient-Centered Medical Home -- Preventive Health -- Patient-Provider Relationship -- Health Promotion -- Nutrition and Physical Activity -- Mental and Emotional Health -- Sexual Health -- Immunizations -- Screening -- Cardiovascular Health -- Cancer -- Bone Density -- Interpersonal Violence and Personal Safety -- Substance Use and Abuse -- Sexual Health -- Mental and Emotional Health -- Family Models in LGBT Health -- Brief Counseling within the Clinical Visit -- Coordination of Care -- Finding Appropriate Consultants -- Communication and Confidentiality -- Resources Most Relevant to Primary Care -- References -- 9: LGBT Parenting -- Learning Objectives -- Demographics of LGBT Parenting -- Legal Issues for LGBT Families -- Outcomes for Children -- Marriage and Health -- Healthcare Organization Statements on LGBT Parenting.

Summary -- References -- 10: Intimate Partner Violence -- Purpose -- Learning Objectives -- Introduction -- Defining Abuse -- Etiologies and Epidemiology -- Challenges in Reporting, Research, and Policy -- The Role of Clinicians -- Physical Exam -- A Brief Note on Documentation -- IPV Intervention -- References -- Part IV: LGBT Health in Specialty Medicine -- 11: Pediatric and Adolescent LGBT Health -- Purpose -- Learning Objectives -- Introduction -- Introductory Case Presentation [1, 2] -- Introductory Case Wrap-Up and Questions to Consider -- Health Disparities among LGBT Youth -- Gender and Sexuality Development -- Health Vulnerabilities among LGBT Youth: A Review of the Literature -- Mental Health -- Physical and Sexual Health -- Risk and Protective Factors for Mental and Physical Health -- Family Response -- Individual and Community Consideration -- School Policy -- Societal Stigma -- Internalized Homophobia -- Isolation -- Resiliency -- Supporting Parents of Sexual Minority Youth -- LGBT Youth in the Context of Their Development, Family and Community -- Reaching LGBT Youth in the Clinical Setting -- Guidelines and Best Practices for Care of Sexual Minority Youth -- Guidelines and Best Practices for Care of Gender Non-conforming Youth -- Supplement 1: Resources -- Useful Books for Youth, Counselors, and Family -- Books -- Books for Children -- Books for Adolescents Self Help -- Novels and Autobiographies -- Books and Articles for Counselors -- Coming-Out and Parental Acceptance Handbooks -- Reference and Office Books to Consider -- Videos -- National Organizations -- Medical Professional Organizations -- Talk Lines/Hotlines/Crisis Lines -- Supplement 2: Transgender -- Medical -- Medical Journals -- General Adult and Professionals -- Books for Children -- Books for Children (Spanish) -- Books for Teens -- References for Gender Dysphoria.

Supplement 3: Making Your Health Care Setting Safer for LGBTQ Youth -- Supplement 4: Adolescent Anticipatory Guidance for Sexuality -- Early Adolescence: 11-14 Years -- Sample Questions -- Anticipatory Guidance -- Middle Adolescence: 15-17 Years -- Sample Questions -- Anticipatory Guidance -- Late Adolescence: 18-21 Years -- Sample Questions -- Anticipatory Guidance -- References -- 12: Geriatric Care and the LGBT Older Adult -- Purpose -- Learning Objectives -- Key Concepts -- Chapter Overview -- The Institute of Medicine Conceptual Framework as Applied to LGBT Older Adults -- The LGBT Older Adult Population -- Defining and Describing the LGBT Older Adult Population -- Demographics of the LGBT Older Adult Population -- Research on Health Disparities and LGBT Older Adults -- Important Research Studies on LGBT Older Adult Health (Table 12.2) -- Health Determinants in Older Adults (Table 12.3) -- Geriatric Care of LGBT Older Adults -- General Considerations and Approaches in Caring for LGBT Older Adult (Table 12.4) -- Contextual Issues That Impact Geriatric Care -- Frailty and the Care of LGBT Older Adults -- Frailty vs. Resilience -- The Impact of Social Stigma on Health Outcomes -- Factors That Impact Adaptive Capacity of LGBT Older Adults -- Financial Resources and Access to Healthcare -- Social Networks and the Health of LGBT Older Adults -- Clinical Care of LGBT Older Adults -- LGBT Older Adults as Two Populations -- Care of the LGBT "Young-Old" -- Selected Health Problems in LGBT Older Adults -- Behavioral Health Issues -- General Health Problems in Older LGBT Individuals -- Sexual Health in LGBT Older Adults -- HIV Disease and LGBT Older Adults -- Care of the HIV Positive LGBT Older Adult -- Initiation of Therapy -- Maintenance of Therapy -- Screening for Cancer in HIV Positive Individuals.

Clinical Issues in the Care of Older Transgender Patients.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.