Williams Institute Reading Room: Lesbian, Gay, Bisexual and Transgender Resources in Law and Public Policy: Health

Over the past two decades, medical and therapeutic approaches to transgender patients have changed radically, from treating a supposed pathology to offering gender-affirming care. Based on ethnographic fieldwork in New York City and Buenos Aires, Care without Pathology moves across the Americas to show how trans- health activists have taken on the project of depathologization. In New York, Christoph Hanssmann examines activist attempts to overturn bans on using public health dollars to fund trans- health care. In Argentina, he traces how trans- activists marshaled medical statistics and personal biographies to reveal state violence directed against trans- people and travestis. Hanssmann also demonstrates the importance of understanding transphobia in the broader context of gendered racism, ableism, and antipoverty, arguing for the rise of a thoroughly coalition-based mass mobilization. Care without Pathology highlights the distributive arguments activists made to access state funding for health care, combating state arguments that funding trans- health care is too specialized, too expensive, and too controversial. Hanssmann situates trans- health as a crucible within which sweeping changes are taking place--with potentially far-reaching effects on the economic and racial barriers to accessing care.
*Also available online (UC users only)

This open access book is a groundbreaking volume that creates a new field within the intersection of "global health" and "LGBTQ health" delineating specific health challenges and resiliencies. There has been increasing awareness of the importance in recognizing LGBTQ health issues and disparities. However, there is a dearth of research and scholarship that examines LGBTQ health through global and comparative perspectives. This book addresses this gap. In the pursuit of scientific inquiry, the disciplines in public health have often emphasized reductionist perspectives that are particularized to a specific locale, municipality, or country. This book's provision of broader perspectives, cross-cutting disparities and issues, and socio-political-cultural contextualization inform the development of new research, policies, interventions, and programs. Students benefit by learning about LGBTQ health research, policies, and programs in various countries and regions. Public health researchers benefit by learning about research conducted in various countries and regions, along with understanding how research has been linked to and impacted by various policies and programs. Policymakers benefit from learning about overarching and comparative perspectives that could inform more effective policies, including those connected to multiple locations. Practitioners learn about various public health practices in multiple countries and regions that could contribute to novel and creative solutions and approaches within the respective contexts. The nine chapters of this volume facilitate greater socio-political-cultural awareness, sensitivity, and competence; undertake an in-depth literature review of health factors and outcomes; and provide recommendations for increasing health-related capacity through development and collaborations between agencies, organizations, and institutions across countries and/or regions. Global LGBTQ Health: Research, Policy, Practice, and Pathways is primarily intended for students and instructors in public health, medicine, nursing, other health professions, psychology, social work, LGBTQ or gender/sexuality studies, human rights, and the social sciences. The book is also a useful resource for public health researchers and practitioners, policymakers, and healthcare and social service providers.
*Also available online (open access)

The authors use data from the Behavioral Risk Factor Surveillance System to describe health care access and health outcomes for lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) veterans and examine associations between health outcomes and state policy environments in which LGBTQ+ veterans live, and discuss implications for ongoing efforts to improve health and well-being among LGBTQ+ veterans.

Social Work Practice with the LGBTQ+ Community aims to weave together the realms of sociopolitical, historical, and policy contexts in order to assist readers with understanding the base for effective and affirming health and mental health practice with diverse members of the LGBTQ+ community. Comprised of chapters written by social work academics and their allies--whose combined knowledge in the field spans decades of direct experience in human behavior, practice, policy, and research--this book features applicable and useful content for social work students and practitioners across the allied health and mental health professions, as well as across disciplines. The expansive practice text examines international concerns and content associated with the LGBTQ+ movement and ongoing needs related to health, mental health, policy and advocacy, among other areas of concern. Specific highlights of the chapters include narrative that blends conceptual, theoretical, and empirical content; examination of current trends in the field related to practice considerations and intersectionality; and snapshots of concerns related to international progress and ongoing challenges related to equality and policy. Additionally, as a classroom support for instructors, each chapter has a corresponding power point presentation which includes a resource list pertaining to that chapter's focus with websites, film, and video links as well as national and international organizations associated with the LGBTQ+ community. Overall, Social Work Practice with the LGBTQ+ Community is an invaluable resource for graduate students within social work programs and related disciplines, academics, and health/mental health practitioners currently in the field.

Around the world trans and gender diverse people are marginalized and discriminated against in medical, psychological, and nursing care. This anthology is the first to address the current situation of this population in various global healthcare settings. The perspectives from 11 different countries give insight into the difficult experiences of the trans and gender diverse community when seeking healthcare, and how self-organized community structures can help to overcome barriers to often inaccessible public healthcare systems. The majority of contributions are written from a lived trans and gender diverse perspective.
*Also available online

To be queer is to feel different - a felt sense that you don't fit in. This can be alienating and difficult and lead to mental health challenges and lower wellbeing throughout life. Using a range of therapeutic approaches, this comprehensive, down-to-earth self-help workbook is designed to be your personal mental health resource. It is filled with techniques and activities you can read, tailor and 'pick and mix' to improve your wellbeing as a queer person, at your pace. The workbook is split into two sections - the first part focusses on laying the groundwork by exploring identity, psychological wellbeing, and mental health experiences in order to situate mental health challenges in context and improve overall mental health. The second half hones in on ideas and techniques applicable to specific challenges and situations. It explores difficult topics such as anxiety, low self-esteem, eating disorders, self-harm, suicidal ideation, shame, trauma, substance abuse, sleep, and low mood, all whilst maintaining a focus on your needs as a queer individual. Empowering and reassuring, and written by an experienced queer mental health practitioner, this one-of-a-kind workbook will help you to flourish as a queer person and begin to overcome any challenge.

The COVID-19 pandemic has exposed and exacerbated long-standing inequities, both in the United States and throughout the world. As studies emerge to help us understand the effects of the COVID-19 pandemic on every facet of modern life, it is critical that the effect of the pandemic on the Lesbian, Gay, Bisexual, Transgender, Queer, Intersexual, and Asexual (LGBTQIA+) communities not be overlooked. While some pioneering studies analyzing the impacts of the pandemic upon LGBTQIA+ communities have been conducted, and some efforts are being made to collect data which can impact the development of policy, reliable data resources are limited to a few enterprising states, and this data has not been systematically shared with public policy-makers or with the public to date. COVID-19, the LGBTQIA+ Community, and Public Policy explores precisely how the pandemic has affected these communities and what concrete steps need to be taken to ameliorate its effects. As the chapters in this book demonstrate, the unusual nature of the pandemic has significantly impacted state and local LGBTQIA+ infrastructure, leading to closure of some institutions and reductions in functioning for many others. The contributors examine the ways the pandemic has highlighted preexisting challenges on accessing adequate healthcare (including mental healthcare and substance abuse treatment), employment, education, secure housing, and other societal resources. Together, these chapters present a state-of-the-field overview of health disparities in the LGBTQIA+ community, and demonstrate the particular need for serious, timely, public policy interventions.

This book urges those invested in social justice for 2SLGBTQ people to interrogate the biomedical model of mental illness beyond the diagnoses that specifically target gender and sexual dissidence. In this first comprehensive application of Mad Studies to queer and trans experiences of mental distress, Pilling advances a broad critique of the biomedical model of mental illness as it pertains to 2SLGBTQ people, arguing that Mad Studies is especially amenable to making sense of queer and trans madness. Based on empirical data from two qualitative research studies, this book includes analyses of inpatient chart documentation from a psychiatric hospital and interviews with those who have experienced distress. Using an intersectional lens, Pilling critically examines what constitutes mental health treatment and the impacts of medical strategies on mad queer and trans people. Ultimately, Queer and Trans Madness: Struggles for Social Justice explores the emancipatory promise of queer and trans madness, advocating for more resources to respond to crisis and distress in ways that are non-coercive, non-carceral, and honour autonomy as well as interdependence within 2SLGBTQ communities.

What if you could trust in getting the health care you need in ways that felt good and helped you thrive? What if the health system honoured and valued queer and trans people's lives, bodies, and expertise? What if LGBTQ+ communities led and organized our own health care as a form of mutual aid? What if every aspect of our health care was rooted in a commitment to our healing, pleasure, and liberation? LGBTQ+ health care doesn't look like this today, but it could. This is the care we dream of. The Care We Dream Of is not quite an essay collection, and not quite an anthology. Instead, it's a hybrid kind of book that weaves together the author's essays on topics like queering health and healing, transforming the health system, kinship, aging, and death, alongside stories, poetry and non-fiction pieces by Alexander McClelland and Zoe Dodd, Blyth Barnow, Carly Boyce, jaye simpson, Jillian Christmas, Joshua Wales, Kai Cheng Thom, Leah Lakshmi Piepzna-Samarasinha, and Sand C. Chang. The book also includes interviews with activists, health care workers and researchers whose work offers insights into what liberatory and transformative approaches to LGBTQ+ health can look like in practice. Interviewees include Anita "Durt" O'Shea (of St. James Infirmary), Dawn Serra, Hannah Kia, Ronica Mukerjee, and Sean Saifa Wall. The Care We Dream Of offers possibilities - grounded in historical examples, present-day experiments, and dreams of the future - for more liberatory and transformative approaches to LGBTQ+ health and healing. It challenges readers to think differently about LGBTQ+ health and asks what it would look like if our health care were rooted in a commitment to the flourishing and liberation of all LGBTQ+ people. This book is a calling out, a out, a calling in, and a call to action. It is a spell of healing and transformation, rooted in love.
*Also available online (UC users only)

This volume explores the history and effects of so-called conversion "therapy" on LGBT people. Although the practice has been widely discredited, it remains legal in most states and continues to be practiced with lesbian, gay, and bisexual children and adolescents. Furthermore, as the past 20 years have seen an increase in gender nonconforming and transgender individuals, there has been a similar rise in efforts to socially reprogram gender nonconforming children and adolescents. What motivates individuals to seek these harmful treatments, either for themselves or for their children? What does the record show about the efficacy and effects of SOCE and GICE? This book synthesizes findings from a vast literature base to answer these and other important questions.
*Also available as eBook (UC users only)

This timely edited collection presents a holistic and biopsychosocial analysis of LGBTQ People of Color well-being, focused on heart, brain, and mental health, and employs a unique incorporation of minority stress, intersectionality, and allostatic load frameworks. Bringing together established and emerging academics, its authors present a critical analysis of the latest research that encompasses the study of both risk and resilience factors in LGBTQ People of Color health. Across the book, they highlight the precise nature of the behavioral health disparities experienced by these communities, but further, they reveal the unique roles of intersectional discrimination and structural stigma as mechanisms for these disparities. With chapters also dedicated to federal policies and public health, this multidisciplinary work marks a seminal contribution that will pave the way for further advances in research, theory, and practice. It offers a valuable resource on an understudied population that will appeal to researchers, practitioners and policy makers in the fields of health psychology, public health, epidemiology, sociology, health sciences and medicine.

This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA patient populations. Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA people every day--particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people.

LGBTQ+ youths report experiencing more bullying than their non-LGBTQ peers. Bullying of lesbian, gay, bisexual, transgender, and questioning youths stems from stigma, which is the social devaluation and discrediting that occurs when several processes co-occur and are reinforced by power, including labeling, stereotyping, separation, status loss, and discrimination. Part 1 of this first-of-its-kind 3-part series can help pediatric primary care providers can do much to combat stigma and discrimination for their LGBTQ+ patients. Signage and paperwork in clinics should reflect people of every race, disability, sexuality, and gender identity. Patients and caregivers should be screened for literacy, and educational resources should always be provided in locally relevant languages, because transgender children can be found in any ethnic and/or linguistic group. Additionally, the use of gender neutral, third person singular pronouns in publications can help to dissipate gendered assumptions. The incorporation of LGBTQ+-friendly children's books into waiting room collections and avoidance of gender-segregated toy areas can also support developing brains and encourage children's self-expressions. As physicians empowered with LGBTQ+ health competency, we can break down the cycles of ignorance, shame, and toxic stress that harm children who identify as LGBTQ+ and improve their chances of leading happy, healthy adult lives.

Although most lesbian, gay, bisexual, transgender, and questioning youths are quite resilient and emerge from adolescence as healthy adults, the effects of stigma and heterosexism can contribute to health disparities. From a public health perspective, transgender and gender diverse (TGD) individuals, compared with their cisgender peers, experience substantially higher lifelong rates of anxiety, depression, self-harm and suicidality, substance use, eating disorders, victimization, homelessness, and incarceration. Pediatric primary care providers (PPCPs) can help foster early access to mental health, family support, and ongoing gender-affirming care that, ultimately, reduces the risk of gender dysphoria, isolation, and shame that many TGD youth unfortunately face. Part 2 of this first-of-its-kind 3-part series can help PPCPs become stronger allies for TGD patients and their families in the clinic, community, and beyond, providing the promise of both a medical home and a future that celebrates people for being true to themselves.

Transgender people face alarmingly high rates of verbal harassment and physical violence, including at home and at school. Transgender youths face significant mental health issues as a consequence, including depression and suicidality, anxiety, body image distortion, substance abuse, and post-traumatic stress disorder. Part 3 of this first-of-its-kind 3-part series helps show how pediatric primary care providers (PPCPs) are uniquely situated to screen, identify, and care for transgender and gender-diverse youths. As children and adolescents become increasingly aware of gender diversity, PPCPs should be attentive to physical and emotional cues that point to gender-related distress. Early identification of distress in transgender patients, supported exploration of identity, and affirmation helps foster healthy growth and development in a particularly vulnerable population. It also leads to positive long-term health outcomes, including decreased morbidity and mortality.

Research concerning sexual and gender minority (SGM) health has flourished in recent years in conjunction with a period of intense social, political, and legal discourse about SGM persons. While this attention has increased understanding and recognition of SGM experiences, recent advances have often been met with resistance and backlash rooted in social stigma and long histories of discrimination. This volume of Advances in Medical Sociology showcases rich theoretical and empirical contributions on SGM health and wellbeing. The chapters address a variety of topics, drawing from classic and contemporary sociological frameworks and constructs, and reflecting intersecting interdisciplinary approaches to SGM health. Research presented in this volume provides an in-depth focus on sexual and/or gender minority populations, as well as the diverse sub-populations within them; theoretical and empirical explanations for SGM health disparities and resilience; aging and life course perspectives on the health experiences of SGM persons; health in the context of critical relationships in the lives of SGM persons; and the experiences of seeking general and specialized health care among SGM. The time is ripe for deeper examinations of the social determinants of SGM health, and this volume seeks to begin filling existing gaps in the literature.

The Oxford Handbook of Sexual and Gender Minority Mental Health provides a comprehensive and authoritative review of research on the mental health of sexual minorities - defined as those who identify as lesbian, gay, bisexual, queer, or same-gender attracted; as well as the mental health ofgender minorities-defined as individuals who do not fully identify with their sex assigned at birth, including people who are transgender or gender non-binary. The twenty-first century has seen encouraging improvements in sampling, methods, and funding opportunities for research with sexual andgender minority (SGM) populations; nevertheless, a key purpose of this Handbook is to identify lingering gaps in research in order to motivate future scientists to expand knowledge about SGM mental health. The volume begins with a historical overview, followed by sections on mental healthcategories/diagnoses (such as anxiety, trauma, eating disorders, and suicide) and specific sexual and gender minority populations (including examinations of diverse ethnicities and orientations/identities). The handbook concludes with chapters on stigma, the role of resilience, and future directionsfor research with SGM groups. The volume is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients,students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policy makers.

This book examines issues across the lifespan of transgender and nonbinary individuals whilst synthesizing conceptual work, empirical evidence, pedagogical content, educational experiences, and the voices of transgender and nonbinary individuals. It highlights the resilience and resistance of transgender and nonbinary individuals and communities to challenge narratives relying on one-dimensional perspectives of risk and tragic lives. While there is currently unprecedented visibility and increasing support, members of these communities still face shockingly high rates of violence, victimization, unemployment, discrimination and family rejection. Significant need for services and support coupled with social, clinical, and medical service systems ill-equipped to provide culturally responsive care illustrates the critical need for quality education and training of educators, practitioners, and service providers in best practices of working with members of the transgender and nonbinary community. Organized into six sections: Health Areas of Practice Coming Out and Family Relationships and Sexuality Communities Multiply Marginalized Identities and Populations, this book offers a current, comprehensive, and intersectional guide for students, practitioners, and researchers across a variety of professions, including social work, psychology, public policy, and healthcare.

The Pocket Guide to LGBTQ Mental Health is a down-to-earth, informative, and affirming manual for mental health clinicians working with patients of diverse gender and sexual identities. In recent years, people have begun to grapple with these issues in a healthier, more public way, and mental health practitioners must be prepared to meet their patients with the knowledge, understanding, and grasp of the context in which patients live their lives. The editors have brought their specialized knowledge to the project and, along with contributors who are experts in the field of LGBTQ mental health, have created a book of uncommon empathy. The volume's structure is simple, consistent, and effective, with 10 chapters covering lesbian, gay, bisexual, transgender, queer, questioning, intersex, asexual, pansexual, and allied individuals. Some chapters overlap because some people identify with more than one of these identities. The writers have drawn on both the scientific literature and their own clinical experience to create a volume that is informative, practical, and easy to read. The book possesses an abundance of useful features: * All diagnostic and treatment discussions are based on the latest information found in DSM-5.* Each chapter includes straightforward, real-world, and evidence-based answers to "Questions Well-Meaning People Ask" -- essentially, "What would patients, their friends, their parents, their physicians like to know about being X, Y, or Z?"* A special section in each chapter addresses themes that may emerge during therapy, preparing the clinician to identify and respond sensitively and knowledgeably to issues that may become salient as counseling progresses.* Each chapter concludes with "Five Take-Home Points," a handy summary of the most important information, allowing the reader to identify essential material and consolidate learning.* An extensive collection of resources is included, helping the reader to locate more information on reliable websites and from other authoritative sources. Written in a conversational style that will appeal to patients and families, as well as clinicians, the Pocket Guide to LGBTQ Mental Health explores the psychological and cultural context for each gender or sexual identity in a comprehensive, realistic, and affirming way.

Studies have shown that married couples have better mental and physical health than unmarried people. Leading scholars and policy makers propose that marriage can provide similar benefits to people in both same-sex and different-sex relationships. Though research on the health and well-being of same-sex couples is a new and growing field, Marriage and Health: The Well-Being of Same-Sex Couples represents the forefront of marriage and health research and the far-reaching policy implications for the health of same-sex couples. This collection of essays presents new perspectives that address current opportunities and challenges faced by people in same-sex unions in multiple domains of well-being, including physical and mental health, social support, socialized behaviors, and stigmas. The book offers a broad view of same-sex couples' experiences by examining not only marriage and civil unions, but also dating and cohabiting relationships as well as same-sex sexual experiences outside of relationships.
*Also available as eBook (UC only): Marriage and Health

LGBTQ Mental Health: International Perspectives and Experiences expands our understanding of mental health by considering the unique challenges faced by LGBTQ communities in the Majority World. Increased globalization and migration has highlighted the need for mental health clinicians to better understand these communities' experiences and needs. This book provides an overview of LGBTQ mental health in non-Western countries or regions that have heretofore received little attention in the psychology literature. Chapters focus on the cultural, social, legal, political, and psychological experiences of various LGBTQ subpopulations in Peru, Colombia, Ecuador, Jamaica, Russia, Mongolia, India, Malaysia, Thailand, and sub-Saharan Africa. Contributors summarize existing research on mental health outcomes for LGBTQ individuals in these countries or regions; offer key insights that challenge culturally-specific conceptions of normative, LGBTQ mental health and behavior; and offer recommendations for further research and mental health practice with these populations.

This comprehensive review is the first handbook on LGBT physical and mental health created by the world's oldest and largest association of lesbian, gay, bisexual, and transgender health care professionals. * Includes issues of physical, emotional, and sexual health, as well as prevention of disorders * An appendix of organizations that may serve as sources for more information or assistance

Historically, mental health clinical research has taken inadequate account of psychosocial disorders experienced by those who identify as sexual and gender minorities, however, researchers have recently begun developing and adapting evidence-based mental health treatment approaches for use with these groups. Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities offers a comprehensive array of evidence-based approaches for treating sexual and gender minority clients' mental health concerns. The interventions detailed here span a diverse spectrum of populations, including sexual and gender minority youth, transgender populations, same-sex couples, sexual minority parents, and bisexual individuals. Chapters also address numerous mental and behavioral health problems, including anxiety disorders, depression, substance abuse, trauma, body image disturbance, and sexual health. In addition to an overview of the research evidence supporting each clinical presentation and approach, chapters contain practical how-to guidance for therapists to use in their clinical practice. This book reflects a true integration of the best of sexual and gender minority research and the best of evidence-based practice research, presented by the leading experts in the field.

This text starts with the history of transgender science and provides current, evidence-based information on theories and treatment procedures, concluding with projections of future scientific developments. A transgender person is one whose congruent gender behavior (e.g., masculine, feminine, genderqueer) does not match the culturally assigned gender category based on their sex at birth. For example, a transgender person may behave and present as a woman despite being born with male genitalia. This book provides background on transgender history, needs, assessment, and procedures; side effects of procedures; and outcomes that all providers need to understand to treat transgender patients and relate to their particular expectations. The current etiquette basis for establishing an effective provider-patient relationship is highlighted. Pathological terms are no longer acceptable and new non-pathological terms are rapidly replacing them, because being transgender is now recognized as a natural part of diversity rather than a disease or disorder. Also included here are new theories of causation and treatment approaches for providers.The book additionally outlines current and earlier schools of thought and provides an integrated theory of transgender causation that includes genetic, epigenetic, cultural, and early learning/emergence factors and highlights research needs and expected future research topics.

*At Young Research Library.
Provides the most up-to-date information on transgender science and its applications, for gender-diverse people, their supporters, and the professionals who assist them to lead healthy, happy, and successful lives. The number of people presenting at gender clinics worldwide for assistance has increased exponentially in the last decade. Transgender people also have become much more prominent in the media. An increase in political populism, however, has brought unprecedented attacks on trans* people. Covering a wealth of topics relevant to transgender people and their supporters, both social and professional, Heath and Wynne help readers to see through the flawed arguments of those who wish to inflict damage on the trans* community. The content of this book ranges from theoretical ideas about the origin of gender diversity to practical solutions for trans* people to enjoy life in their chosen gender. Physical health topics include hormone therapy, puberty blockers, breast augmentation/reduction, gender confirmation surgery, and speech therapy. Mental health topics include dealing with discrimination, bullying, and transphobia. The text is presented so that it can be understood with no scientific background, but is also highly relevant to the health professional. Copious footnotes and references allow those wishing to delve more deeply into the topics to do so easily. The book is also supported by readily accessible resources available online and on social media.

Headcase is a groundbreaking collection of personal reflections and artistic representations illustrating the intersection of mental wellness, mental illness, and LGBTQ identity, as well as the lasting impact of historical views equating queer and trans identity with mental illness. The featured pieces offer personal views from both providers and clients, often one and the same, about their experiences. In the anthology, readers will access the inner thoughts of contributors who collectively document the difficulty of navigating flawed healthcare systems that limit affordable access to genuinely affirming, effective services. Traversing boundaries of race and ethnic identity, age, gender identity, and socioeconomic status, Headcase appeals to LGBTQ communities and, specifically, LGBTQ mental health consumers and their friends, families, and comrades.

From a renowned specialist at the Cleveland Clinic and medical and surgical experts in this growing field comes an up-to-date, multidisciplinary resource on transgender health care and surgery. Comprehensive Care of the Transgender Patient, by Dr. Cecile Unger, covers all aspects of transgender health care, beginning with epidemiology and history and progressing to an in-depth review of the complex transition for patients, including mental health services, endocrine and hormone therapy treatment, and surgical options. Incorporates all of the latest guidelines for providers and patients, written by experts from a wide variety of disciplines involved in transgender patient care. Contains outstanding surgical chapters contributed by prominent surgeons who regularly perform these procedures, providing clear guidance on male-to-female and female-to-male surgical options.
*eBook (UC users only).

A Human Rights Watch Report; also available online.

Although the vast majority of LGBT persons are healthy, resilient, and hardy individuals who do not seek social work intervention, some have been or will be clients in social work agencies. The third edition of Social Work Practice with Lesbian, Gay, Bisexual, and Transgender People updates this classic text and expands its scope to include new content on social work with older and younger LGBT people. Written by a team of highly experienced experts, this book provides a knowledge base for practice that will better prepare students and practitioners for working sensitively, competently, and effectively with LGBT individuals and groups. Comprehensive and practical, this unique text discusses the pragmatic aspects of social work with lesbian, gay, bisexual, and transgender people. It will improve and reinforce competent practice with LGBT persons and their families in multiple settings. Chapters focus on important topics such as: the profession's core values and ethical principles; social work and queer theory; LGBT and race; heterosexism, racism, and sexism; applying the life model and the stress-coping process; practice with bisexual, transgender, and gender non-conforming persons; relationship building between lesbian partners; the impact of creating family for lesbian couples; internalized homophobia, heterocentrism, and gay identity; group work practice with the LGBTQ community; clinical assessment for families where sexual orientation is an issue; and LGBT parenting. There are also new chapters on social work with LGBT young people and LGBT older people. Complete with a highly detailed appendix of symbols, definitions, and terms, Social Work Practice with Lesbian, Gay, Bisexual, and Transgender People, third edition, is an invaluable resource for social workers and mental health professionals as well as for students and educators at all levels of experience.

Social Work Practice with the LGBTQ Community aims to weave together the realms of sociopolitical, historical, and policy contexts in order to assist readers with understanding the base for effective and affirming health and mental health practice with diverse members of the LGBTQ community. Comprised of chapters written by social work academics and their allies - whose combined knowledge in the field spans decades of direct experience in human behavior, practice, policy, and research - this book features applicable and useful content for social work students and practitioners across the allied health and mental health professions, as well as across disciplines. The expansive practice text examines international concerns and content associated with the LGBTQ movement and ongoing needs related to health, mental health, policy and advocacy, among other areas of concern. Specific highlights of the chapters include narrative that blends conceptual, theoretical, and empirical content; examination of current trends in the field related to practice considerations and intersectionality; and snapshots of concerns related to international progress and ongoing challenges related to equality and policy. Overall, Social Work Practice with the LGBTQ Community is an invaluable resource for graduate students within social work programs and related disciplines, academics, and health/mental health practitioners currently in the field.

This is the first book to provide an in-depth sociological examination of the contemporary social and material conditions of health for transgender people. It draws upon the findings of a six-year ethnographic project in the United Kingdom that looked at the challenges faced by trans patients and the practitioners who work with them. Ruth Pearce shows that patients and practitioners are frequently divided by their different understandings of what it means for someone to be trans, a situation that is complicated by the operation of professional power within medical settings and that has profound consequences for both healthcare provision and for trans communities more widely.
*eBook (UC users only)

Societal awareness of transgender and gender-nonconforming (TGNC) individuals is greater now than at any point in history, owing to the education of policy makers by advocacy organizations, the education of clinicians by research and scientific organizations, and the education of the general public by movies, television, and other media. However, most professional training programs for mental health professionals provide little to no education regarding gender diversity. Transgender Mental Health squarely addresses this deficit. This guide forgoes clinical jargon in favor of accessible, straightforward language designed to educate clinicians on how to address the basic needs of the TGNC community, thus increasing access to mental health care for TGNC individuals, which has been sorely lacking to this point. Rich in cases drawn from real clinical experience, the guide is organized into four sections. * The first section includes a discussion of the gender spectrum and offers a history of the TGNC experience. This section also covers advocacy, particularly letter writing for gender marker changes and gender-affirming surgeries.* The second section is dedicated to mental health factors in TGNC care and examines sex and sexuality, support systems, and transitioning and detransitioning.* The third of the guide's sections addresses general physical health with TGNC individuals, including masculinizing and feminizing hormones, with an eye toward preparing practitioners to address the social, psychological, and physical needs of their patients.* The final section discusses all major gender-affirming surgical procedures, as well as nonsurgical interventions. Each chapter includes summarizing key points and review questions at the end that not only test the reader's comprehension of the material but also provide additional information on the complicated political, social, and cultural barriers that many TGNC individuals experience as they attempt to secure adequate care. Relevant for a range of mental health professionals, including psychiatrists, psychiatric nurse practitioners, psychologists, social workers, family therapists, and school counselors, Transgender Mental Health is a simple yet thorough primer on the complex topic of gender diversity.

The AIDS crisis of the 1980s looms large in recent histories of sexuality, medicine, and politics, and justly so--an unknown virus without a cure ravages an already persecuted minority, medical professionals are unprepared and sometimes unwilling to care for the sick, and a national health bureaucracy is slow to invest resources in finding a cure. Yet this widely accepted narrative, while accurate, creates the impression that the gay community lacked any capacity to address AIDS. In fact, as Katie Batza demonstrates in this path-breaking book, there was already a well-developed network of gay-health clinics in American cities when the epidemic struck, and these clinics served as the first responders to the disease. Before AIDS explores this heretofore unrecognized story, chronicling the development of a national gay health network by highlighting the origins of longstanding gay health institutions in Boston, Chicago, and Los Angeles, placing them in a larger political context, and following them into the first five years of the AIDS crisis. Like many other minority communities in the 1970s, gay men faced public health challenges that resulted as much from their political marginalization and social stigmatization as from any disease. Gay men mistrusted mainstream health institutions, fearing outing, ostracism, misdiagnosis, and the possibility that their sexuality itself would be treated as a medical condition. In response to these problems, a colorful cast of doctors and activists built a largely self-sufficient gay medical system that challenged, collaborated with, and educated mainstream health practitioners. Taking inspiration from rhetoric employed by the Black Panther, feminist, and anti-urban renewal movements, and putting government funding to new and often unintended uses, gay health activists of the 1970s changed the medical and political understandings of sexuality and health to reflect the new realities of their own sexual revolution.
*Also eBook (UC onlyBefore AIDS

This cutting-edge guide spotlights some of the most exciting emerging discoveries, trends, and research areas in LGBT psychology, both in science and therapy. * Presents a concise history of LGBT psychology as well as coverage of current LGBT psychology in various subfields, including social, developmental, psychoanalytical, minority psychology, and women's psychology * Addresses issues in the LGBT community ranging from health disparities (physical, biological, and psychological illnesses that disproportionately affect the LGBT community) to addictions and substance abuse, stressors, and emerging policy issues * Includes contributors who are well-known trailblazers and noted experts in the field.

This volume tells the history of homosexuality in the United States military beginning in 1986, when the issue first came to the forefront of social consciousness. Each chapter is written through the eyes of gay mental healthcare providers, covering how to steadily adapt and learn to treat veterans struggling with the traumas associated with the stigma of homosexuality in service. Topics include the "Don't-Ask-Don't-Tell" (DADT) policy, its repeal in 2011, and addresses the current trends and challenges. Unlike any other professional book, this text includes the personal stories of gay military mental healthcare providers, as well as gay civilian clinicians who have worked with the military population in various segments in history. These accounts offer invaluable support for medical professionals working with this demographic. Chapters cover the various psychological damage service personnel encounter as it uniquely pertains to those struggling with the stigma of LGBTQ rights. Chapters include clinical pearls for particular psychiatric concerns, lessons learned for the future, and hard-earned successes as stigmas and perceptions evolved over time.
*eBook (UC users only).

This book has two goals: to educate healthcare professionals about the effect of identity-based adversity on the health of their LGBT patients, and to outline how providers can use the clinical encounter to promote LGBT patients' resilience in the face of adversity and thereby facilitate recovery. Toward this end, it addresses trauma in LGBT populations; factors that contribute to resilience both across the lifespan and in specific groups; and strategies for promoting resilience in clinical practice. Each chapter includes a case scenario with discussion questions and practice points that highlight critical clinical best practices. The editors and contributors are respected experts on the health of LGBT people, and the book will be a "first of its kind" resource for all clinicians who wish to become better educated about, and provide high quality healthcare to, their LGBT patients.
Also available as an eBook (UC only): Trauma, Resilience, and Health Promotion in LGBT Patients

Black LGBT Health in the United States: The Intersection of Race, Gender, and Sexual Orientation focuses on the mental, physical, and spiritual aspects of health, and considers both risk and resiliency factors for the Black LGBT population. Contributors to this collection intimately understand the associations between health and intersectional anti-Black racism, heterosexism, homonegativity, biphobia, transphobia, and social class. This collection fills a gap in current scholarship by providing information about an array of health issues like cancer, juvenile incarceration, and depression that affect all subpopulations of Black LGBT people, especially Black bisexual-identified women, Black bisexual-identified men, and Black transgender men. This book is recommended for readers interested in psychology, health, gender studies, race studies, social work, and sociology.

In this new book, the successor to the classic in the field Counseling Lesbian, Gay, Bisexual, and Transgender Substance Abusers: Dual Identities by Dana G. Finnegan and Emily B. McNally, Michael Shelton reviews the empirical literature and synthesizes what we know about the prevalence of LGBT substance use, abuse, and treatment availability, emphasizing the need for affirmative therapeutic practices. The principles of trauma-informed and culturally competent treatment/intervention are explained and assessed, as well as the challenges of minority stress and microaggressions experienced by the LGBT population. Separate sections focus on the sub-populations of lesbians, gay men, bisexuals, and transgender individuals. Separate chapters focus on LGBT youth, the elderly, family constellations and concerns, criminal justice issues, and rural LGBT substance abuse. This volume provides an introduction to the field that will be useful both as a primary textbook and as a handbook/reference for LGBT-focused and general substance-use disorder clinics and their administrators, clinicians, trainees, allies and volunteers.

This pioneering study examines inequalities experienced by LGBT people in health care and considers the role of social work in addressing the inequity. The book is organized into three parts: the first provides a policy context in four countries, the second examines social work practice in tackling health inequalities, and the third considers research and pedagogic developments. The volume's distinctive international approach features practice vignettes as well as key theoretical perspectives on the components of health inequalities, including social determinants of health, minority stress, ecological approaches, and human rights. With a preface from Gary Bailey, president of the International Federation of Social Workers, Lesbian, Gay, Bisexual and Trans Health Inequalities will be relevant to an interdisciplinary, international audience of social work educators, practitioners, and students.

This new 2nd edition of The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health reflects clinical and social changes since the publication of the first edition. Written by leading experts in the field of LGBT health in conjunction with The Fenway Institute at Fenway Health, one of the most trusted and respected community-based research, education, and care centers, this edition continues to present the important issues facing patients and practitioners, including: Principles for taking an LGBT-inclusive health history Caring for LGBTQ youth, families, and older adults Behavioral Health Care: coming out, intimate partner violence, drug, alcohol, and tobacco use Understanding health care needs of transgender people Development of gender identity in children and adolescents Sexual health and HIV prevention Policy and legal issues The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health, Second Edition is a must-have resource for clinicians, students, and researchers working in hospitals, clinics, universities, libraries, and private practices in every community.

[eBook, UC only] This book covers the scope of current knowledge of cancer in the LGBT community across the entire cancer continuum, from understanding risk and prevention strategies in LGBT groups, across issues of diagnosis and treatment of LGBT patients, to unique aspects of survivorship and death and dying in these communities. Each chapter includes an in depth analysis of the state of the science, discusses the many remaining challenges and unanswered questions and makes recommendations for research, policy and programmatic strategies required to address these. Focus is also placed on the diversity of the LGBT communities. Issues that are unique to cancer in LGBT populations are addressed including the social, economic and cultural factors that affect cancer risk behaviors, barriers to screening, utilization of health care services, and legislation that directly impacts the health care of LGBT patients, healthcare settings that are heterosexist and unique aspects of patient-provider relationships such as disclosure of sexual orientation and the need for inclusion of expanded definition of family to include families of choice. The implications of policy change, its impact on healthcare for LGBT patients are highlighted, as are the remaining challenges that need to be addressed. A roadmap for LGBT cancer prevention, detection, diagnosis, survivorship, including treatment and end of life care is offered for future researchers, policy makers, advocates and health care providers.

Health Care Disparities and the LGBT Population addresses a people whose lack of health care access, including mistreatment and refusal of services, are often omitted from discussions about health care and insurance reform. Research suggests that LGBT people experience worse health outcomes than their heterosexual counterparts. Low rates of health insurance coverage, high rates of stress due to systematic harassment, stigma, discrimination, and lack of cultural competency in the health care system frequently manifest in negative health-related behaviors. The dearth of data collection on sexual orientation and identity in state and federal health care surveys has led to inadequate information about LGBT populations, and has impeded the establishment of health programs and public policies that benefit them. This research provides a better understanding of the social and structural inequalities that LGBT populations experience.

The goal of The LGBT Casebook is to help clinicians, trainees, and other mental health professionals address the mental health needs of LGBT people in the context of problems these individuals face in their everyday lives, including homophobia and discrimination.

In 1999, lesbians were identified as an underserved minority by the Institute of Medicine. Some health issues for lesbians are different from those of heterosexual women, and clinicians need to be aware of these differences in order to provide culturally-appropriate care, since at least 5% of their female patients are lesbian. This book represents the cutting edge of what is known about lesbian health and also provides insight into women's health in general. This book will be useful to clinicians and students, as well as lesbians themselves.

*Also eBook (UC only): Sexuality, Health & Rights

*At Biomed Library.

*At the Young Research Library; also available online: Springer e-Book; restricted to UC campuses.

*Also available in print: Health of Sexual Minorities

*At SRLF.

*At Biomed Library.

*At Biomed Library.

*At Biomed Library, LGBT Center.

*At Biomed Library.

*At Biomed Library; also LGBT Center, RC451.4 .G39 B48 2001 BET.

One-third of women run a lifetime risk of developing cancer, and studies have shown that lesbians are especially at risk. They often don't access healthcare because of homophobia in the medical establishment and inadequate insurance coverage. With its diversity of views and experience, Coming out of Cancer includes contributions from Audre Lorde, Ruthann Robson, Pat Parker, Rachel Carson, and Dr. Susan Love and offers information and support for survivors, loved ones, and community activists.
*SRLF record: Coming Out of Cancer

See record for link to online report.