This course is based on a publication the Substance Abuse and Mental Health Services Administration (SAMSHA) and is designed to provide mental health and substance abuse counselors with a great deal of information regarding working with lesbian, gay, bisexual and transgendered (LGBT) individuals. The course begins with an overview for providers that includes information about substance use and abuse in the LGBT community. It also reviews and defines key terms and concepts related to LGBT issues. Estimates of the prevalence of LGBT individuals are covered as well as information regarding homophobia and heterosexism. How heterosexism contributes to substance abuse is also discussed. Perspectives on homosexuality, bisexuality and sexual orientation over time are also examined. The course ends with specific information for clinicians to aid them in assessing sexual orientation.
This course serves as an excellent resource for mental health professionals who work with substance abuse, or who would like to improve their clinical skills by learning more about how to work with lesbian, gay, bisexual or transgendered individuals. Given the prevalence of LGBT individuals, this course provides much needed information to improve the cross cultural competencies of clinicians.
Psychologists, social workers, mental health counselors and marriage and family therapists can benefit from this course. This course may also be helpful for other practitioners, such as midwives and dieticians and nutritionists who work with substance abuse or lesbian, gay, bisexual and transgendered individuals. This course is appropriate for beginning, intermediate and advanced level practitioners who wish to learn more about LGBT clients and substance abuse treatment.
Learning Objectives: This course will provide a professional with a review of cultural and clinical issues that are significant for LGBT individuals. Specifically, a professional will:
· Identify and define key concepts for working with lesbian, gay, bisexual and transgendered individuals.
· Describe how heterosexism contributes to substance abuse.
· Identify important components in the assessment of sexual orientation.
Citation: SAMSHA (2001). A Provider’s Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual and Transgender Individuals. Chapter 1 An Overview for Providers Treating LGBT Clients. DHHS Publication No. (SMA) 01-3498.
Reviewed by TM DiDona, PhD 2018 and found to be current. Updated references include:
- Avila, J., Chelvakumar, G., & Ford, N. (2017). Gender and Sexual Minorities Cultural Competency Training for Pediatric Residents. Journal of Adolescent Health, 60(2), S87.
- Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports.
- Bleidorn, W., Arslan, R. C., Denissen, J. J., Rentfrow, P. J., Gebauer, J. E., Potter, J., & Gosling, S. D. (2016). Age and gender differences in self-esteem—A cross-cultural window. Journal of personality and social psychology, 111(3), 396.
- Donaldson, W. V., & Vacha-Haase, T. (2016). Exploring staff clinical knowledge and practice with LGBT residents in long-term care: A grounded theory of cultural competency and training needs. Clinical Gerontologist, 39(5), 389-409.
- Rosenkrantz, D. E., Black, W. W., Abreu, R. L., Aleshire, M. E., & Fallin-Bennett, K. (2017). Health and health care of rural sexual and gender minorities: A systematic review. Stigma and Health, 2(3), 229.
Tan, J. Y., Xu, L. J., Lopez, F. Y., Jia, J. L., Pho, M. T., Kim, K. E., & Chin, M. H. (2016). Shared decision making among clinicians and Asian American and Pacific Islander sexual and gender minorities: An intersectional approach to address a critical care gap. LGBT health, 3(5), 327-334.