Wednesday, June 25, 2014

The Foundations of Culturally Appropriate Integrated Services for LGBT Individuals

Date: Wednesday, July 16, 2:00-3:30pm Eastern/11:00am-12:30pm Pacific

Integrated primary care and behavioral health providers can create culturally appropriate, highly accessible integrated care to members of the lesbian, gay, bisexual, and transgender (LGBT) community with behavioral health conditions. Join CIHS and the CDC National Behavioral Health Network for Tobacco & Cancer Control to discuss ways to evaluate current organizational barriers to accessing care, strategies for reducing these barriers, and actionable steps for implementing culturally appropriate services. Review how to internally evaluate your agency’s services, and leave with an understanding of best practices and resources to increase engagement efforts with the LGBT community.

Presenters: Andrea Washington, LCSW-S, SUD and Integrated Care Coordinator, Montrose Center; Dr. Scout, Director, Network for LGBT Health Equity at CenterLink; and National LGBT Health Education Center, The Fenway Institute

Register Today at

Friday, June 20, 2014

New LGBT Policies Adopted by the AMA

In GLMA’s second year participating as a voting Delegate in the American Medical Association (AMA) Annual Meeting, the AMA addressed a handful of important issues related to LGBT health.

GLMA was capably represented by board members Brian Hurley, who serves as GLMA’s Delegate, and Jeremy Toler, Alternate Delegate, who worked closely with the AMA’s LGBT Advisory Committee and other allies for LGBT health to ensure the needs of the LGBT community are represented in advocacy and discussion during meeting and policy discussions.

The LGBT health policies adopted by the AMA include:
  • Birth Certificate Policies for the Transgender Community: In addition to reaffirming its policy supporting changes on birth certificates on verification by a healthcare provider that an individual is undergoing gender transition, the AMA adopted two additional policies related to transgender health and birth certificates. First, the AMA now opposes any requirement that an individual undergo gender affirming surgery in order to change a birth certificate. Second, the AMA adopted a policy that an individual’s gender marker on a birth certificate not be a barrier to appropriate healthcare for that individual.
  • Support for Decriminalization of HIV: The AMA also addressed an important issue related to people living with HIV, calling for laws to be consistent with current medical and scientific knowledge about HIV, including avoiding criminalization of HIV status.
  • Leadership of Patient-Centered Medical Homes: The AMA also adopted a policy that patient-centered medical homes be led only by physicians. GLMA voted against this measure in the House of Delegates. As a multidisciplinary organization, GLMA strongly believes all health professionals, regardless of discipline, have important roles to play in advancing the health of LGBT people.
In addition to these policies, as reported previously, the AMA House of Delegates elected GLMA member Jesse Ehrenfeld to the AMA Board of Trustees, making Jesse the first openly gay member to serve as an AMA Trustee. In addition to Jesse’s candidacy, GLMA actively supported several LGBT allies for election to AMA leadership positions.

The LGBT health policies adopted by the AMA will be added to GLMA’s Compendium of Health Profession Association LGBT Policy & Position Statements, a multidisciplinary index of LGBT-related policies adopted by health profession associations. If you have additions for this resource from associations across the health professions, please send them to us for inclusion.

GLMA’s work with the AMA is just one example of how GLMA’s relationships with other health profession associations can have a significant impact on LGBT health. We look forward to continuing to build relationships with associations representing all disciplines to help shape and influence policy initiatives that improve the health and well-being of the LGBT community.

Monday, June 16, 2014

President Obama Signs Executive Order to Provide Workplace Protection to Federal Contractors

In a huge victory for equality, the White House just announced it intends to protect 16 million more Americans from discrimination in the workplace. The President plans to sign an executive order that will provide protections to people working for federal contractors nationwide who could face everyday job discrimination.

The news also provides huge momentum to our efforts to pass the Employment Non-Discrimination Act (ENDA) in the U.S. House of Representatives.

Please, send a note of thanks to President Obama now.

Join us in thanking President Obama, and ask him to issue a strong executive order right away to provide badly-needed workplace protections to millions of people.

President Obama is taking this bold step thanks to people like you pushing for what's right. The news is the culmination of six years of advocacy by the members and supporters of the Human Rights Campaign. After five million emails, principled advocacy by our allies in the civil rights community and on Capitol Hill and a mountain of compelling evidence, our efforts paid off. We won!

The number of people affected by this historic decision is staggering.

Federal contractors employ more than 20 percent of the American workforce. According to the Williams Institute, an executive order would protect 11 million more American workers from discrimination based on sexual orientation and up to 16.5 million more American workers from discrimination based on gender identity.

The executive order will also require companies that have historically turned a blind eye to workplace discrimination to change their policies.

Exxon Mobil Corporation—whose shareholders voted for the 17th time to reject an anti-discrimination policy for its LGBT workers just days ago—will now have to provide non-discrimination protections to its LGBT employees and prospective hires. Year after year, Exxon has held the lowest spot in HRC's Corporate Equality Index, with a score of negative 25 out of a possible 100 points. No other company has ever received a negative score.

Not only will this order protect LGBT workers in companies like these—it will also speed up the pace of change by declaring that our government will only award taxpayer dollars to companies with pro-equality workplace policies.

Of course, this is not the end of the fight for comprehensive workplace protection nationwide. We still need our more than 1.5 million members and supporters to speak out and push for a vote on the Employment Non-Discrimination Act in the House to make workplace equality the law of the land.

But today is proof that the momentum from ENDA's strong, bipartisan passage in the Senate last fall is unyielding.

Send a letter of thanks to President Obama for once again standing on the right side of history, and encourage him to promptly issue a strong federal contractor executive order.

Together, we are pushing the country we love to treat everyone equally—and today promises great progress.

Thank you for all that you do, and for sticking with us through to the day when workplace equality is a reality for all Americans.


Chad Griffin
Chad Griffin
Human Rights Campaign

GLMA Digest

HHS Lifts Medicare Ban on Gender-Affirming Surgery

NY State DOH Removes Gender-Affirming Surgery Requirement for Birth Certificate Change

President Obama Issues Proclamation Declaring June LGBT Pride Month
Documentary: Just Gender
Publication: Addressing Healthcare Disparities in the LGBT Population: A Review of Best Practices
Resource: Best Practices in HIV Prevention
Call for Papers: Perspectives on Sexual and Reproductive Health
Washington to Lift Exclusions for Transgender Care for State Employee Insurance Plans
According to this June 2, 2014, Olympian article, in response to testimony by advocates, the Washington state Public Employees Benefits Board recently announced it is considering requiring health insurance plans for state employees and retirees to cover transgender services by January 2016. The board is also considering removing specific exclusions for coverage for hormone treatment and other care before 2016. While advocates applaud the move, they hope the change will be fully implemented before 2016. “I personally know a number of Washington state employees who need transgender health benefits. It seems that the 18-month time line … (is) awfully long from our point of view,” said Bobbi Dalley, MD, associate professor of radiology at the University of Washington’s School of Medicine. “These people are suffering now and could use healthcare.”

Bobbi Dalley, MD, serves as Treasure on GLMA’s Board of Directors.

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HHS Lifts Medicare Ban on Gender-Affirming Surgery

As reported in the Washington Post on May 30, 2014, the US Department of Health and Human Services (HHS) lifted Medicare’s 1981 ban on gender-affirming surgeries after an independent board reviewed the past three decades of research and found the bases for the exclusion are “not reasonable” anymore. Prior to the lifting of the ban, Medicare had claimed the surgeries were “experimental” and denied any and all requests for coverage. As noted in the article, the ruling is likely to put pressure on more health insurers to provide this coverage as well. (This item is in follow up to an item on this topic included in the previous (May 12, 2014) edition of the LGBT Health Digest.)

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NY State DOH Removes Gender-Affirming Surgery Requirement for Birth Certificate Change

As reported in this June 5, 2014, Out article, the New York State Department of Health issued updated guidelines which no longer require a transgender individual to undergo surgery to change the gender marker on their birth certificate. Five other states and the District of Columbia have already made this change. As noted in the article, the World Health Organization recently issued a report urging governments to remove the surgical requirement for legal gender recognition.

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President Obama Issues Proclamation Declaring June LGBT Pride Month
On May 30, 2014, President Obama issued a proclamation declaring June LGBT Pride Month. “Despite this progress, LGBT workers in too many States can be fired just because of their sexual orientation or gender identity; I continue to call on the Congress to correct this injustice by passing the Employment Non-Discrimination Act,” President Obama said. “And in the years ahead, we will remain dedicated to addressing health disparities within the LGBT community by implementing the Affordable Care Act and the National HIV/AIDS Strategy -- which focuses on improving care while decreasing HIV transmission rates among communities most at risk.” Click here to read the full proclamation.

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Documentary: Just Gender
Just Gender, a new documentary that will begin screenings in major US cities in conjunction with Pride month, tackles the all too often misunderstood world of transgender. Although Just Gender utilizes some archival footage and stills, it is largely built on a series of original footage and interviews of transgendered persons, their family members and friends, healthcare experts, community leaders and others who work with the transgender community. The film explores the common myths and misunderstandings about transgendered people. It also explores the confusion between sexual orientation and gender identity, as reflected in the rigid binary view of the world generally held by society.

GLMA Board Member Gal Mayer, MD, was interviewed for the film and included in a clip available here. To learn more about the film and watch the trailer, click here.

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Publication: Addressing Healthcare Disparities in the LGBT Population: A Review of Best Practices
The healthcare needs of people who are LGBT have received significant attention from policymakers in the last several years. Recent reports from the Institute of Medicine, Healthy People 2020 and the Agency for Healthcare Research and Quality have all highlighted the need for such long-overdue attention. The healthcare disparities that affect this population are closely tied to sexual and social stigma. Furthermore, LGBT people aren't all alike; an understanding of the various subgroups and demographic factors is vital to providing patient-centered care. This American Journal of Nursing article by Fidelindo Lim, DNP, RN, explores LGBT health issues and healthcare disparities, and offers recommendations for best practices based on current evidence and standards of care. The article examines gaps in curriculum, health promotion efforts and cultural competency. Click here to read more.

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Resource: Best Practices in HIV Prevention
The National LGBT Health Education Center published “Best Practices in HIV Prevention: Translating Innovation into Action.” This PDF brief combines expert recommendations with links to over 3.5 hours of video education. Continuing education credits are available. This report follows a summit of 15 experts convened in Boston to discuss the most innovative and evidence-based HIV prevention strategies and how to implement these strategies into clinical practice. Participants included leaders in HIV prevention research, education, policy, and community engagement. The meeting covered interventions, professional experiences, and research findings, and included a debate about next best steps to ending the epidemic among the vulnerable populations of gay and bisexual men and transgender women. Click here to access this resource.

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Call for Papers: Perspectives on Sexual and Reproductive Health
Perspectives on Sexual and Reproductive Health, a quarterly, peer-reviewed journal, is planning a special issue with a section devoted to understudied populations, including the LGBTQ community. Sexual and reproductive health services are most effective when tailored to the specific circumstances of particular populations. To that end, much research and programmatic effort has gone toward understanding the behaviors and service needs of teenagers, members of racial and ethnic minority groups and socioeconomically disadvantaged men and women. Other groups, however, have received less attention: individuals with disabilities, incarcerated persons, homeless men and women, military personnel and transgender people, to name but a few. The December 2015 issue of Perspectives on Sexual and Reproductive Health will include a special section devoted to exploring the sexual and reproductive health needs of understudied populations—those mentioned above and others whose distinctive situations have been largely overlooked in the literature and in the policy and service arenas. Deadline for submission is January 31, 2015. Click here for more information and the guidelines for submissions.

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GLMA’s LGBT Health Digest is an electronic newsletter with information and resources for health professionals concerned about the health of lesbian, gay, bisexual and transgender (LGBT) populations.

The Digest highlights issues, events, publications and other newsworthy items pertinent to LGBT health. Please feel free to circulate the Digest to your colleagues.

To sign up, send your request to

Digital Media Syndication

Find free health content for your websites, apps, and social media

CDC, FDA, NIH, and HHS are partnering for public health to create an easy way for our public health partners to access digital resources—like web content, images, video, data, infographics, social media content, and more—that can support your existing local activities. Through digital media syndication, Federal science-based resources can be combined with your ongoing communication activities to coordinate health messaging for maximum impact and reach those at greatest risk.

Q: What Does this Really Mean?
A: Convenient and Free Access to Valuable Digital Tools
High-quality content and multimedia developed at the federal level can be used locally in a number of ways and is designed to be easily distributed using existing channels, including:
  • Local websites – Textual content is unbranded and displayed within your site's structure, maintaining its look-and-feel.
  • Social media profiles – Posts are science-based and formatted for quick dissemination on your social profiles, like Facebook and Twitter.
  • Video and image sharing sites – Videos, images, and infographics can be easily added to your YouTube, Flickr, and Pinterest profiles.
  • Newsletters and e-mails – Narrative text provides relevant content for your outreach activities and existing audiences.
  • Data Visualization – Data and data visualizations bring timely federal and state data to you.

Q: Do I Need It?
A: Yes! Expand Your Reach, Engage Your Audiences, and Save Time & Money
This is a valuable opportunity to do more with less.
  • Expand your public health impact with high-quality multimedia and science-based content provided by trusted partners
  • Find and use timely social and digital content from a growing communications library for your existing initiatives.
  • Worry less about content development and upkeep with automatically updating, low-maintenance tools.
You can find content for syndication from multiple sites, including:
Health and Human Services
Centers for Disease Control and Prevention
Food and Drug Administration
National Institutes of Health
Q: Sounds Great! How Do I Get Started?
A: Three Easy Steps to More Health Content
These resources are offered through federal digital media syndication sites that are easy to use, regardless of your technical expertise or size of your team. When you syndicate content, automatic updates mean minimal maintenance on your part, and technical assistance and support mean help is always available.
1. Register and get anytime access to high-quality content, plus alerts when new content is added.
2. Discover content across agencies
3. Send feedback and ask questions
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National Council Celebrates LGBT Pride Month

National Council Celebrates LGBT Pride Month
June is Lesbian, Gay, Bisexual and Transgender Pride Month, and to celebrate, the National Council is promoting several resources from SAMHSA to support community providers’ efforts to improve service delivery and outcomes for LGBT individuals.

LGBT Training Curricula for Behavioral Health and Primary Care Practitioners – A list of six training curricula for behavioral health and primary care practitioners to help them assess, treat, and refer LGBT clients in a culturally sensitive manner.

A Practitioner's Resource Guide: Helping Families to Support Their LGBT Children - Offers information and resources to help practitioners throughout health and social service systems implement best practices in engaging and helping families and caregivers to support their LGBT children.

A Provider's Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender – Informs clinicians and administrators about substance abuse treatment approaches that are sensitive to LGBT clients. Covers cultural, clinical, health, administrative, and legal issues as well as alliance building.

Columbus OH Pride Schedule

Friday June 20 from 4pm-11pm
Saturday June 21 from 11am-8pm
Goodale Park

Saturday June 21   Step-off at 11:00am NEW START TIME
Downtown Along High Street to Goodale Park

Sunday, June 22    11am-1pm

GLMA Conference Registration Open

Registration is OPEN!

Join over 400 of your colleagues in LGBT health this September in Baltimore, MD, for GLMA’s 32nd Annual Conference!

GLMA’s Annual Conference is the premier LGBT health conference and the world’s largest scientific gathering devoted to LGBT health issues and concerns.

GLMA’s Annual Conference educates practitioners and students—from across the health professions—about the unique health needs of LGBT individuals and families. The conference is a forum for discussion and exploration of how best to address these needs as well as the needs of LGBT health professionals and health profession students. GLMA’s Annual Conference also reports on research into the health needs of LGBT people.

GLMA members receive a discount for registration!  Join NOW!

Annual Conference registration includes:
  • 19 Credit Hours of Educational Programming (workshop, poster and plenary sessions)
  • Exhibit Hall Access
  • Conference Bag and Materials
  • Receptions
  • Continental Breakfasts
  • Membership Luncheon (members and registered guests of members only)

Tickets to additional special events such as the Annual Gala Banquet and Lunch & Learns are also available through the main registration system.
Registration for the pre-conference GLMA Nursing Summit on September 10th is also available!  To learn more about the GLMA Nursing Summit, click here.

For more information on registration rates and how to register, please click here. For more information about GLMA’s 32nd Annual Conference, including travel information and discounts, reduced rate for the conference hotel and much, much more, please click here!

Reminder: Applications for the GLMA Student/Trainee Scholarship Program are due June 16, 2014.  Click here for more information and to apply.


2014 LGBT Community Center Survey Report: Assessing the Capacity and Programs of Lesbian, Gay, Bisexual and Transgender Community Centers

We wanted to make MAP members aware of a new report that emphasizes the importance of LGBT community centers in our movement. Today, in partnership with CenterLink, we released a comprehensive report detailing the critical services offered by community centers, as well as an overview of centers across the country. 

The 2014 LGBT Community Center Survey Report: Assessing the Capacity and Programs of Lesbian, Gay, Bisexual and Transgender Community Centers surveyed 111 LGBT community centers nationwide. Both large and small centers reported increased revenue, for combined revenue of $138.1 million, allowing centers to serve more people each year, and to develop innovative new programs in response to emerging needs in areas from youth services to LGBT homelessness to transgender services.
However, despite the increase in average center revenue, many centers still struggle with a lack of funding and resources; 21% of all surveyed centers have no staff and rely solely on volunteers; and 57% have five or fewer paid staff. 

The report details the many ways in which centers are a lifeline in our community, offering a variety of much-needed resources including physical and mental health programs, information and education programs, social and recreational programs, community outreach and civic engagement, and computer centers.

Through these vital programs, centers reach diverse clientele: 90% of LGBT community centers offer specific programming for LGBT youth, 82% for transgender people, 61% for LGBT older adults, and 48% LGBT people of color.
We hope you take the time to read the full report, now available onlineand learn more about the indispensable role centers play in the LGBT community.

Follow MAP on Facebook and Twitter to learn more about the movement for LGBT equality.

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First Openly Gay Trustee of the AMA Elected

Hector Vargas, GLMA Executive Director, issued the following statement on Jesse Ehrenfeld’s election to the AMA Board of Trustees:

GLMA is proud to announce one of our members, Jesse Ehrenfeld, MD, MPH, has become the first openly gay Trustee of the American Medical Association (AMA). On June 10, 2014, the AMA House of Delegates elected Jesse to serve on the Board of Trustees, joining a handful of other health professional associations to include out LGBT individuals in positions of leadership.

Last June, GLMA became the first and only LGBT organization to have a voting seat in the AMA House of Delegates, signaling a major shift to advance understanding of LGBT healthcare needs and promote equality.

As we celebrate LGBT Pride Month, I am moved by the fact that Jesse’s inclusion in the leadership of the largest physician group in the US will continue to advance LGBT health equality. AMA policies have significant influence on public policy efforts in the US and the inclusion of an openly gay health professional voice among AMA leadership will have far reaching implications for LGBT patients and health professionals across the country.

Additionally, Jesse’s service on the AMA Board of Trustees provides a much-needed role model to LGBT health professionals, students and trainees. As GLMA members—from all professions—are well aware, being an out LGBT health professional is not always easy. Like those who have served before him in positions of leadership with other health professional associations, Jesse will not only provide an LGBT voice on the AMA Board of Trustees, but also serve as a role model to LGBT health professionals and students across the nation.

GLMA looks forward to continuing our work with Jesse and others within the AMA and across all health professional associations to address the health needs facing the LGBT community.

Monday, June 2, 2014

Affirming LGBTQI2-S youth and families through full inclusion.~ Biweekly Update, May 30, 2014

Clinical Issues in Working with Lesbian, Gay, Bisexual, and Transgender and Questioning Youth
Developed by Dr. Gerald Mallon, Executive Director of the National Center for Child Welfare Excellence (NCCWE) and the National Resource Center for Permanency and Family Connections (NRCPFC), this PowerPoint presentation provides an overview of significant developmental issues for LGBTQ youth, explores various clinical issues for LGBTQ youth, and shares intervention strategies and implications for practice.  This presentation was delivered at Grand Rounds for Psychiatric Interns at the Tulane Medical School, New Orleans, Louisiana. (May 2014)

Standardization of Sexual Orientation Questions on Youth Risk Behavior Survey 
For the first time, the Centers for Disease Control and Prevention (CDC) will make sexual orientation items standard on their national and state/local high school Youth Risk Behavior Survey (YRBS) questionnaires! For more information:

Supports and Services for LGBT Youth in Recovery
This webinar presented information about the experiences of youth, barriers to accessing existing youth-oriented recovery supports, promising approaches to LGBT-specific youth programming and best practices for engaging LGBT youth and fostering safe and inclusive environments.
In case you missed it, you can access this archived webinar at  

Published by National Workgroup to Address the Needs of Children and Youth Who Are LGBTQI2-S and Their Families ~ Affirming LGBTQI2-S youth and families through full inclusion.~  Biweekly Update, May 30, 2014.   Workgroup Coordinator, Jeffrey Poirier, Ph.D., Principal Researcher, American Institutes for Research,
Workgroup webpage: