Historical perspectives
- Timeline of salient milestones
- Staying “in the closet”
- Current trends
Social challenges
- Discrimination/Stigmatization
- Systemic barriers
- Levels of stigma
- Connections between religion and discrimination
Barriers to access to care
- Lack of trust in providers
- Lack resources
- Lack of knowledge of healthcare providers
Gender affirming care interventions
- Interview techniques
- Trauma informed approaches
- Communication best techniques
Strategies to provide individualized care
- Social environmental factors; family of choice, social support
- Physical health factors; aging changes, chronic conditions
- Psychosocial factors: depression, loneliness, social isolation
- Specific issues: HIV, Cardiac disease, Substance abuse, End of life care decisions, Long term care, Dementia
- Case studies
Practice Implications to Improve Care
- Clinic climate
- Leadership considerations
- Staff education
- LGBTQ+ friendly documents
- 5 A’s: approachability, acceptability, availability, affordability, and appropriateness
Resources
- Terminology
- Organizations
- Websites
- Bibliography