NEPO Special Topics Webinar: Building Meaningful Allyship with LGBTQ+ Populations in a Healthcare Setting
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NEPO Special Topics Webinar: Building Meaningful Allyship with LGBTQ+ Populations in a Healthcare Setting Tuesday, February 22, 2022 © Copyright 2022 by Physicians for a Healthy California 1
Housekeeping Use chat feature Stay on mute Be positive and happy learning! Raise hand, wait to Discussion times be called on built into agenda before un-muting © Copyright 2022 by Physicians for a Healthy California 2
PHC and NEPO • Physicians for a Healthy California (PHC) is dedicated to improving community health, growing a diverse physician workforce and promoting health equity. • Network of Ethnic Physician Organizations (NEPO) brings together ethnic physician organizations (EPOs) from across California to advocate on behalf of their patients and communities. NEPO’s goals are to improve access to care, end health disparities, support practice improvement, and create a more diverse physician workforce. © Copyright 2022 Physicians for a Healthy California 3
Sponsored By Thank you for your generous support, continued commitment and partnership in advancing health equity in California. © Copyright 2020 by Physicians for a Healthy California 4
Agenda • Presentations • Panel Discussion • Breakout Session • Audience Q&A © Copyright 2022 Physicians for a Healthy California 5
Speakers Celia Sandhya Daniels (She/They) Wendy Anguiano, MA (She/Her) Founder & CEO, Rebekon Consulting LLC Program Manager, Equality California © Copyright 2022 by Physicians for a Healthy California 6
Speaker Celia Sandhya Daniels (She/They) Founder & CEO, Rebekon Consulting LLC © Copyright 2022 by Physicians for a Healthy California 7
*TGI Patient Journey Providers Pharmaceuticals Payers Policy Makers Most TGI patients have Clinical Trials not designed 1 out of 5 TGI adults are Policy makers do not refused medical care by to include Trans men or uninsured and understand the providers because of their Tran women based on most of them have issues discrimination that TGI gender identity and afraid their birth gender using their health patients face in education, of being discriminated. insurance related to their employment, Housing, gender identity or police, community. These expression. issues are worse for Trans people of Color. * Trans, Gender variant and Intersex Approximately 1.7 million trans people in the United States face significant hardships that increase their risk of poor health outcomes. 163 Trans Veterans live in US. © 2022 Copyright of Celia Sandhya Daniels – Rebekon Consulting LLC
1. Training 2. Policies Providers today 3. Patient Care Patient Care have shallow TGI workplace training and policies. © 2022 Copyright of Celia Sandhya Daniels – Rebekon Consulting LLC
Sadly, Americans today remain split on Bathroom using gender-neutral pronouns to describe a person. Pronouns 48% said they 50% who were said would feel very or they were somewhat comfortable. uncomfortable doing so Family rejection Immigration Homelessness issues Common Improper incarceration Workplace discrimination misconception and Violence Bullying deeply rooted Ostracized from Anti-trans Social circles and Inaccessible policies systemic issues faith communities Accessing legal Healthcare Stigma and Bias documents Mental Health © 2022 Copyright of Celia Sandhya Daniels – Rebekon Consulting LLC
LGBTQ+ Health Challenges. Coming out • This can have negative mental health impacts, particularly for youth who are not in supportive environments. Rejection • 40% of LGBT adults have experienced rejection from a family member or a close friend. 86% of LGBTQ youth reported being harassed or assaulted at school Trauma • Homophobia, biphobia, transphobia, bullying and feeling identity-based shame is often traumatic for people. Substance Use • May be used as a coping mechanism or method of self-medication. LGB X 2 and TGI X 4 compared to Hetrosexual or Cisgender Adults. Homelessness • a 120% higher risk of experiencing homelessness. Especially POC. Suicide • 40% of LGB adults and more than 45% of Trans have attempted suicide in their lifetime, compared to less than 5% of the general U.S. population. © 2022 Copyright of Celia Sandhya Daniels – Rebekon Consulting LLC
Better Intake and Care Volunteer Training / Program eLearning Provider Engagement Providers Policy Hire Diverse Provide a safe environment Guidelines talent for the LGBTQ+ patients TGI LGBTQ+ Support Panel Groups Discussions © 2022 Copyright of Celia Sandhya Daniels – Rebekon Consulting LLC
© 2022 Copyright of Celia Sandhya Daniels – Rebekon Consulting LLC
Speaker Wendy Anguiano, MA (She/Her) Program Manager, Equality California © Copyright 2022 by Physicians for a Healthy California 14
EQUALITY CALIFORNIA ▶Equality California brings the voices of LGBTQ+ people and allies to institutions of power in California and across the United States, striving to create a world that is healthy, just and fully equal for all LGBTQ+ people. ▶We advance civil rights and social justice by inspiring, advocating, and mobilizing through an inclusive movement that works tirelessly on behalf of those we serve. CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY INTRODUCTION
LGBTQ+ 101 Sex Assigned At Birth CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY LGBTQ+ 101
NAMES & PRONOUNS ▶Transgender and gender non-conforming people often change their name to affirm their gender identity ▶This name can be different than what is on their insurance or identity documents; “dead-name” ▶It is important to use names and pronouns that If you don’t know someone’s pronouns, it is affirm a transgender or gender non-conforming best to use gender neutral pronouns person’s current gender identity “they/them” or refer to them by their name. CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY LGBTQ+ 101
INTERSECTIONALITY “The study of the interactions of multiple systems of oppression or discrimination.” ▶ For example: ▶ Being both LGBTQ+ and undocumented ▶ Being both LGBTQ+ and a person of color ▶ Being both LGBTQ+ and low-income ▶ Being both LGBTQ+ and a veteran CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY INTERSECTIONALITY
PERCEIVE AND FEEL FRAMEWORK ▶A welcoming environment feels safe. It is a space where people can find themselves represented and reflected, and where they understand that all people are treated with respect and dignity. ▶ This happens when services consider and are equitable and accessible to all members of the LGBTQ+ community, including clients, staff, and volunteers. Source: The 519 Space for Change CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY CREATING A WELCOMING ENVIRONMENT
ACCESS TO CARE I was refused needed healthcare 30 More than half of LGBT respondents report at least one of the 26.7 25 following: Being refused needed care 20 19 Health care professionals refusing to touch them or using 15 excessive precautions 10 7.7 Health care professionals using harsh or abusive language 5 Being blamed for their health status 0 LGB Transgender Living with HIV Health care professionals being physically rough or abusive. LGB Transgender Living with HIV CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY HEALTH DISPARITIES
COVID According to the Trevor Project, some consequences to physical distancing for LGBTQ+ youth are: ▶ Decrease in positive social interaction ▶ An unintended consequence of physical distancing is potential loss of the social connections that protect LGBTQ+ youth from suicidality. ▶ Increase in negative social interactions ▶ For LGBTQ+ youth, physical distancing may have additional unintended negative consequences related to being confined to an environment that may be unsupportive or abusive CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY HEALTH DISPARITIES
LGBTQ+ ONLINE TRAINING LGBTQ+ 101 + Intersectionality Health Disparities Creating a Welcoming Environment HIV Mini Course CHAMPIONING CARE FOR THE LGBTQ+ COMMUNITY CLOSING
Panel Discussion Celia Sandhya Daniels (She/They) Wendy Anguiano, MA (She/Her) Founder & CEO, Rebekon Consulting LLC Program Manager, Equality California © Copyright 2022 by Physicians for a Healthy California 23
Resources • Lambda Legal (2009) “When Health Care Isn’t Caring”: https://www.lambdalegal.org/sites/default/files/publications/downloads/wh cic-report_when-health-care-isnt-caring.pdf • 519 Space for Change: https://www.the519.org/education-training/training- resources/our-resources/creating-authentic spaces/creating-a-welcoming- environment • Training site: https://eqcatraining.com/ © Copyright 2022 by Physicians for a Healthy California 24
CONTACT INFORMATION Wendy Anguiano, MA (She/Her) Celia Sandhya Daniels (She/They) Program Manager, Equality California Founder & CEO, Rebekon Consulting LLC wendy@eqca.org celia@rebekon.com https://www.linkedin.com/in/celiasandaniels Sumedha Gulati (She/Her) May Yang (She/Her) PHC Strategic Initiatives Director PHC Strategic Initiatives Associate Director sgulati@phcdocs.org myang@phcdocs.org © Copyright 2021 by Physicians for a Healthy California 25
Thank You NEPO@phcdocs.org © Copyright 2022 by Physicians for a Healthy California 26
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