unifying science, education and service to transform lives a provider’s introduction to substance...

Unifying science, education and service to transform livesUnifying science, education and service to transform lives

A Provider’s Introduction to A Provider’s Introduction to Substance Abuse Treatment for Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Lesbian, Gay, Bisexual, and Transgender IndividualsTransgender Individuals

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Based on the publication: (DHHS Publication N. (SMA) 01-3498)

Program Administrator’s GuideModules 14, 15, 16, 17

First Edition


Module 14Policies and Procedures

A Provider’s Introduction to Substance Abuse for Lesbian,

Gay, Bisexual, and Transgender Individuals

First Edition

A Provider’s Introduction to Substance Abuse for LGBT Individuals Module 1 Overview

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1. Defining Agency Policies and Procedures

2. Identifying Training and Educational Needs

3. Developing Effective Quality Improvement Measures for LGBT Clients

4. Understanding How To Build Effective Alliances

Power Point Slide # 14-1, n1

to Working With Lesbian, Gay, Bisexual, and Transgender Clients in Substance Abuse Treatment


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Policies and Procedures

Learning Objective

Know agency policies and procedures for serving LGBT Clients including the following areas:

Organizational mission, outreach, advertising & public relations, community relations, administrative, personnel, staff training, program design & implementation, aftercare



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The Need for LGBT-Affirmative Agency Policies and Procedures

LGBT-specific administrative policies and procedures

Examine all aspects of a program Make a commitment at every level of the

program Implementing LGBT-specific policies and

procedures



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Organizational Mission

Because LGBT communities are underserved and often invisible, it is important that treatment providers make a commitment to serving this population and incorporate the commitment into the organization’s mission statement, philosophy, and service literature.

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Policies and Procedures Regarding Outreach and Promotional Materials

Ensure that promotional materials include information about LGBT-specific services, if appropriate.

Use language that specifically identifies LGBT individuals as people the program is attempting to reach.



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Advertising and Public Relations

Policies and Procedures

Advertise programs and events in LGBT periodicals as well as in the mainstream press and publications that are geared to particular cultural communities.

Include articles by and about recovering LGBT individuals in newsletters.



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Community Relations Policies and Procedures

Support LGBT-specific events in the community through sponsorship, staff support, advertising, and distribution of announcements or by cosponsoring

Provide an information booth at LGBT street fairs, as well as at events geared to specific cultural communities.



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Administrative Policies and Procedures

Create or confirm the existence of agency policies regarding freedom from discrimination and harassment based on sexual orientation, gender, and cultural background.

Review all operational procedures, from initial phone contact through the intake process, to ensure that heterosexual bias has been eradicated and inclusive terms are available as options.



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Personnel Policies

and Procedures

Include sexual orientation and gender identity in your nondiscriminatory employment policy.

Enlist openly LGBT members to serve on the board of directors and in other leadership positions.

Employ openly LGBT individuals as staff and consultants. Ensure that LGBT individuals of color are represented in proportions that reflect the community demographics.

Include partners in the definition of family when writing bereavement policies or sick leave policies on caring for family members.



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Staff Training Policies and Procedures

Ensure that all new employees are familiar with agency policies regarding hiring of and providing services to LGBT clients.

As a part of regular staff training, include such topics as “LGBT cultures and communities.”

Have up-to-date national and local lists of resources and services available within LGBT communities and in offices and waiting rooms for easy access by clients and staff members.



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Program Design and Implementation Policies

Provide education for heterosexual clients about language and behaviors that show bias toward LGBT people.

Establish firm guidelines regarding client behavior, and consistently enforce these guidelines to ensure a treatment atmosphere of safety for LGBT (and all) clients.

Make all family services available for the domestic partners and significant others of LGBT clients in your program. These may include conjoint therapy, family therapy, or groups.



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Aftercare Policies and Procedures

Establish training procedures in which all staff members are educated about issues LGBT individuals face on discharge. Include workshops on relapse triggers specific to LGBT individuals in recovery.

Ensure that discharge procedures include providing each LGBT client with a comprehensive list of LGBT-specific or LGBT-sensitive community resources and services, along with clear information about how to access these services.



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Case Example: Walden House

FOR DISCUSSION

1. How does Walden House demonstrate its commitment to serving LGBT substance abusers?

2. What policy and procedure areas from the case description are evident?

3. How can you implement similar policies and procedures in your agency?



Module 15Training and Education



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Training and Education

Learning Objectives:

Understand training and educational issues related to serving LGBT clients

Know guidelines for effective training programs

Know how to facilitate a segment of an LGBT training curriculum



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Developing a LGBT Training Program

• • Raise awareness of culturally specific issues and Raise awareness of culturally specific issues and the sensitivity of all involved persons.the sensitivity of all involved persons.

• • Identify and become fluent in LGBT-appropriate Identify and become fluent in LGBT-appropriate and sensitive language.and sensitive language.

• • Implement explicit nondiscrimination policies and Implement explicit nondiscrimination policies and procedures.procedures.

• Develop skills to support LGBT individuals in Develop skills to support LGBT individuals in substance abuse treatment services.substance abuse treatment services.

• Compile a resource list of local, regional, and national support services.services.



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Some Tips for Providing Staff Training

1. Facilitating Controversial

Material

2. Trainer’s Identity:

Openly identified LGBT professional;

experienced heterosexually identified colleague

3. Objections to Homosexuality

4. Other Resources:

Local LGBT community organization newsletter;

Brochures from LGBT groups and organizations;

a list of LGBT 12-Step meetings.

5. LGBT Cultural Items

6. Assessment and Follow-up



Module 16Quality Improvement &

LGBT Clients



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Quality Improvement and LGBT Clients

Learning ObjectivesLearning Objectives::

Know specific questions Know specific questions that help define quality in that help define quality in providing treatmentproviding treatment to to LGBT clientsLGBT clients

Understand how leaders Understand how leaders monitor and assess monitor and assess efforts to improve qualityefforts to improve quality



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LGBT Affirmative Services Quality Checklist

Leadership Human Resources Patient Rights and Organizational Ethics Education of Patients and Families Assessment of Patients Care of Patients and Continuum of Care Management of Information Performance Improvement



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Tools for Monitoring Progress

Collecting Baseline Data

Measure performance against baseline data.

Add appropriate data fields for sexual behavior & identity and information about significant same-sex relationships

Confidentiality should always be of concern.



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Client feedback

Client satisfaction surveys

Guest client

Exit interviews and patient satisfaction interviews

Focus groups

Examination of service utilization



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Evaluate specific outcome measures such as Number of LGBT clients abstaining from substance

useNumber of LGBT clients relapsingNumber of LGBT clients readmitted.

Compare outcomes

Compare outcome data

Compare agency outcomes



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Case Example: XYZXYZ Hospital

1. How did XYZ Hospital assess the LGBT community’s

need for services?

2. What tools did XYZ Hospital use for monitoring client progress?

3. How could your agency more effectively expand and

evaluate services for LGBT clients ?



Module 17Using Alliances and Networks to Improve Treatment for LGBT Clients



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Using Alliances and Networksto Improve Treatment for LGBT Clients

Learning Objectives: Understand the rationale for

alliance building among LGBT communities

Know the essential elements of alliance building

Understand how alliances and networks can be used to help with the financing and delivery of treatment services for LGBT individuals



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Rationale for Alliance Building

Providers moving into this service area typically do not have strong ties to LGBT communities

Essential to improving substance abuse treatment for LGBT individuals

Powerful tool for LGBT community development toBring people together sociallyBring people together sociallyProvide a culture and ideologyProvide a culture and ideologyAccept same-gender orientations andAccept same-gender orientations and

behaviors and validate lifestylesbehaviors and validate lifestyles.



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RecruitmentDecision makingConflict ResolutionPublicity and CommunicationsAdvocacyParticipation and Leadership


Strategies for Building Alliances That Work


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Case Example: Resource Center of Dallas (RCD)

How did RCD use the strategies for forming effective How did RCD use the strategies for forming effective alliances in their community?alliances in their community?

How can alliances, such as those built by RCD, help How can alliances, such as those built by RCD, help with financing and delivery of treatment services for with financing and delivery of treatment services for LGBT individuals?LGBT individuals?

What can you take from this module to help your What can you take from this module to help your agency build more effective alliances in your agency build more effective alliances in your community?community?


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