State & Cities: New Webinar – 411 on Including LGBT Disparities in CTG Proposals

Scoutby Scout
Director, Network for LGBT Health Equity
A project of The Fenway Institute in Boston, MA

Integrating LGBT Communities in CTG Proposals

Calling all applicants for the coming Community Transformation Grants! Did you happen to notice how many time the Request for Applications asks for information related to local disparity populations? Yes, disparities are a bigger focus in CTGs than was the case in the prior CPPW awards. Have you been watching how the feds have a new emphasis on LGBT folks as one of the routinely addressed disparity populations? Perhaps you caught the new Healthy People 2020 language …

Healthy People 2020 — Overarching Goal: Achieve health equity, eliminate disparities, and improve the health of all groups…

Disparities/inequity to be assessed by:

  • Race/ethnicity
  • Gender
  • Socioeconomic status
  • Disability status
  • Lesbian, gay, bisexual, and transgender status
  • Geography

Or perhaps you caught how the new HHS Tobacco Action plan identifies LGBT people as a priority disparity population? Or maybe you even noticed the following commitment on the HHS website to include LGBT populations in the new affordable care act prevention funding?

“In addition, the Affordable Care Act is funding preventive efforts for communities, including millions of dollars to use evidence-based interventions to address tobacco control, obesity prevention, HIV-related health disparities, and better nutrition and physical activity. The Department of Health and Human Services intends to work with community centers serving the LGBT community to ensure the deployment of proven prevention strategies.” Excerpt from The Affordable Care Act and LGBT Americans factsheet at healthcare.gov.

But while we know some of you have excellent and long-standing relationships and collaborations with local LGBT community leadership, many states are still building their expertise in addressing LGBT disparities. And as we know oh so well, it’s hard to find LGBT data you need to include in proposals!

Let us help you! As one of CDC’s six tobacco disparity networks, we’ve got long experience with helping states and cities build bridges with their local LGBT leadership and we’ve got a secret treasure map to all those LGBT data.

Please join the Network for LGBT Health Equity and the Tobacco Technical Assistance Consortium for a jointly sponsored webinar on how to include LGBT disparities in your CTG proposals.

Details:

What: 411 on Integrating LGBT Disparities Into CTG Proposals

When: June 13th, 1 pm EST, 2011

Where:  Please RSVP online to register and we’ll send you call information the morning of the call. If you have issues registering, please email: lgbthealthequity@gmail.com.

Who should register: Community Transformation Grant applicants, but please register in advance so we know how many people to expect. Click on this link or copy/paste in your webinar browser: http://www.zoomerang.com/Survey/WEB22CGJLMYPRF/

AGENDA

  • Data sources for local LGBT health information
  • Why integrating LGBT partners strengthens your proposal
  • How to identify local LGBT partners
  • Examples of successful LGBT policy advocacy campaigns
  • Models for inclusion in CTG proposals and/or action planning
  • Comments from Tobacco Technical Assistance Consortium staff
Questions? Ask them here or email lgbthealthequity@gmail.com.
 
June 21, 2011 EDIT: We had folks from over 29 states on the call and have sent emails to members of each state connecting with those on the last call and other state experts. We’re about linking people with connections, so if anyone from on or off the call has questions or needs contacts, let us know!
 
Here are resources from the call:
 Powerpoint Presention: States & Cities: New Webinar – 411 on including LGBT Disparities in CTG Proposals 6/13/2011The call recording: Cities_States CTG Webinar_Jun_13_11

We also have the Presentation and recording from our 6/2/2011 Call:

How to advocate for LGBT inclusion in Community Transformation Grants Webinar 6/2/2011 http://lgbttobacco.org/files/CTG%20Webinar%20Final%20For%20Website.pdfAudio recording of 6/2/2011 Call: Conf_recorded_on_Jun__2_2011__2-50PM

Recent LGBT Policy Efforts Including New LGBT-Inclusive Requirements for Hospitals

by Emilia Dunham, Program Associate

Presenting on The Fenway Institute Brown Bag Presentation on LGBT Disparities

Today Scout and the Director of the Center for Population Research in LGBT Health, Dr. Judy Bradford presented on recent LGBT health reports as well as policy advocacy activities lately, including news that the Joint Commission is enforcing LGBT non-discrimination policies of accredited hospitals! It was a wonderful summary of the current state of LGBT public health, research and policy. I think it takes a lot to get caught up on all that’s going for LGBT health even more confusing to understand the broad-scale impact in the bigger picture. Even if LGBT health is your daily work, it’s great to get an inspiring refresher, which is just what this was!

Judy led off discussing the Institute of Medicine (IOM) Report – The Health of Lesbian, Gay, Bisexual, and Transgender People.

  • Dr. Judy Bradford

    Background/structure: This report is academically science-based and non-political in nature. A committee and IOM staff (some LGBT, some non-LGBT) collaboratively wrote this report over two years. The report reveals the health status (including disparities) of LGBT people, identifies gaps, outlines a research agenda and considers research training needs to foster the advancement of knowledge about LGBT health. It’s a mouthful, but concepts analyzed in the report are an analysis of the lifecourse, minority stress and intersectionality (ex. race and sexuality).

  • Major themes in the report revealed: Most research on LGBTs reveals health disparities in every area of LGBT health. Most research is uneven, mostly focusing on adults (less on youth and elders), mostly focusing on gay men, some on lesbians and little on bisexual and transgender people.
  • Priorities: demographic research, social influences, health care inequities, intervention research and transgender-specific health needs
  • Why collect this data?:  Inform scholarship and public policy, increase visibility and because we can.
  • To read more check out past entries such as its announcement.

Policy/Advocacy Advancements and Current Efforts

  • ScoutWith the National Transgender Discrimination Survey, we know of severe health disparities among transgender people. This is the best information we have on transgender health disparities, and is currently being used on the federal and state level to advance public policy for transgender people. This is a prime example of how community based research can be used for public policy.
  • There is a cross-HHS task force comprised of LGBT people and allies who are making huge positive changes for LGBT people. As a result of the collaboration, we are part of major federal documents, such as Healthy People 2020 that highlights us boldly, and will likely be adopted by state plans.
  • ***SOME NEW BIG NEWS:*** Additionally, as of July 1st, the Joint Commission is requiring all hospitals and health centers it accredits to have non-discrimination policies for LGBT people and just shy of requiring cultural competency, these institutions are being asked to be more welcoming. This is wonderful news, and we’re proud to one of the partners advocating for this since last fall.
  • Speaking of which, with yesterday’s announcement that 37,000 NY hospital staff will be required to have LGBT cultural competency, and the federal praise for it, this could indicate growing requirements for these trainings.

Breaking News! NY Hospitals Announce Mandatory LGBT Cultural Competency Trainings

Scoutby Scout
Director, Network for LGBT Health Equity
A project of The Fenway Institute in Boston, MA
Reporting from Bellevue Hospital, NY

I’m down here in NYC and very, very happy to be at the press conference where New York City Health and Hospitals Corporation just announced mandatory LGBT cultural competency training for all their 37,000 employees! They also debuted the excellent new LGBT cultural competency video created by our friends at the The National LGBT Cancer Network. The Cancer Network created the full training to be administered to every NYC hospital employee, both the trainings and video are available for purchase or replication. (Don’t forget, the National LGBT Cancer Network is also our collaborator in our brand new LGBT Wellness NYC Marathon team.)

To have the head of all NY public hospitals reinforce that LGBT cultural competency trainings are a mandatory part of good healthcare is historic, let’s hope other cities and hospitals soon follow! See their press release here.

L to R: NYC Councilman Daniel Dromm; Liz Margolies, ED of National LGBT Cancer Network; NYC HHC President Alan D. Aviles, NYC Deputy Mayor Linda Gibbs, and HHC doctor.

Even HHS Secty Sebelius weighed in on what a big deal this is:

“I applaud the New York City Health and Hospitals Corporation for its leadership in ensuring LGBT patients are treated with the respect and dignity we all deserve. HHC has offered a path to a fairer America and HHS looks forward to seeing other efforts from care providers from around the country toward that same goal.”

We were also live-tweeting from the event with all play-by-play tweets on @lgbttobacco and @lgbthlthequity with some major help from friends on the ground @cathyrenna and @RennaComm, so check out updates there.

The video shown features the stories of several LGBT people who have experience bias in hospitals and in the healthcare system. You may have already seen an article about these trainings in Huffington Post, and an excerpt of the powerful video can be seen here:

Let’s hope the news spreads fast and other hospital systems follow suit.

See more press about this in:

  1. Advocate Magazine: NYC Hospitals Adopt LGBT Competence Training
  2. DNAinfo.com: New Hospital Program Addresses LGBT Health Woe
  3. New York Times Blog: For Public Hospital Employees, New Training on Gay Patients
  4. NY1: New Program Attempts To Eliminate Barriers For LGBT Patients
  5. Rainbow Access Initiative: Breaking News! NY Hospitals Announce Mandatory LGBT Cultural Competency Trainings
  6. University of Arkansas for Medical Science: Center for Diversity Affairs to Sponsor LGBT Cultural Competency Strategies Webinar

Are we at the tipping point in LGBT Health?

by Emilia Dunham

Reporting from the Trans Health Summit in San Francisco

We all know that in our community’s history has experienced severe health disparities compared to the general population.  Rob Garofalo of Chicago’s Howard Brown University wraps up the Summit with a summary of the LGBT IOM Health Report and what this could mean for LGBT populations.  Rob was on the committee developing this report.

With all these incredibly supportive reports and recommendations to include LGBT populations, could this mean that these amazing recommendations could still be implemented and have a tremendous ripple effect to heal the health wounds in this community with Health People 2020 and now the LGBT IOM Health Report.

So what is changing?

  • HHS is including gender identity in its non-discrimination plan, hospital visitation policy and approach to including LGBT persons in all policy decisions
  • AMA’s LGBT Advisory Panel, non-discrimination policy, support of DADT, recommendations to include LGBT healthcare
  • HRC and other organizations are holding organizations, hospitals and insurers accountable to fully include LGBT populations.
  • There are more RFAs and research including, and specific, to LGBT populations.
  • WPATH is revising its standards of transgender health care

We are coming out of a dark place in LGBT health, but with the number of organizations (government, local, private, etc) coming on board to support LGBT inclusive health policies, research and care is considerable.

But what do you think?

NIH Director Statement: IOM report and research on LGBT populations

Dr. Francis Collins, NIH Director

Francis S. Collins, M.D., Ph.D.

Director, National Institutes of Health

(Crossposted from NIH website)


“I want to thank the Institute of Medicine (IOM) for conducting this important study on the state of the science on the health of lesbian, gay, bisexual, and transgender (LGBT) populations. This report, which was done at the request of the National Institutes of Health (NIH), is the first comprehensive overview of health-related research in this area. The report makes it clear that there are significant gaps in our understanding of the health issues confronting LGBT people. Effective methods for systematic collection of data from research participants about sexual orientation or gender identity are needed, and are not currently available. In response, NIH will collaborate with the National Center for Health Statistics, a component of CDC, to address and improve the methodology for collecting survey data on sexual orientation and gender identity. I have asked the NIH LGBT research coordinating committee to consider the report’s recommendations carefully, and to suggest strategies for how the NIH Institutes and Centers can support research to generate the knowledge base needed to promote the health of the LGBT community. NIH is committed to research that will benefit and improve the health of all people. Therefore, we appreciate this thoughtful report with its clear delineation of areas where there is inadequate data.”

Francis S. Collins, M.D., Ph.D.
Director, National Institutes of Health

Is This The Biggest 48 Hours Ever for LGBT Health? Part 2: HHS Recommendations to Improve the Health of LGBT Communities

by Emilia Dunham

Program Associate

This has been such a huge week for LGBT health as you probably know!

Some tremendous news that came from today, the last day of LGBT Health Awareness week, was the release of the U.S. Department of Health and Human Services’ recommendations: “Actions to Improve the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Communities.”

These recommendations are a summary of the efforts taken by the U.S. Department of Health and Human Services (HHS) to improve the lives of lesbian, gay, bisexual and transgender (LGBT) people, as well as recommendations for future action. The recommendations were developed in response to the Presidential Memorandum on Hospital Visitation, which, in addition to addressing the rights of patients to designate visitors regardless of sexual orientation or gender identity, directed the Secretary to explore additional steps HHS could take to improve the lives of LGBT people.

These recommendations come after the recognition we are all aware of that LGBT people have been denied the compassionate services they deserve. That is now changing. HHS continues to make significant progress toward protecting the rights of every American to access quality care, recognizing that diverse populations have distinctive needs. Safeguarding the health and well-being of all Americans requires a commitment to treating all people with respect while being sensitive to their differences.

Check out the link for amazing recommendations of HHS: http://www.hhs.gov/secretary/about/LGBThealth.html

These actions address a number of health disparities affecting our community including the expansion of their Equal Employment Opportunity Policy, Non-discrimination Policy, Hospital Visitation rights, as well committees established to identify and remedy gaps in LGBT health, data collection programs and policies. These actions also specifically target key areas of disparities including HIV/AIDS, tobacco prevalence, bullying, adoption, aging and homelessness to name a few. We may be including in more grant opportunities and all grantees of HHS could have LGBT cultural competency in the future! With the follow-through of these recommendations, unprecedented in the history of LGBT health, our community’s health, wellbeing and livelihood will be dramatically changed for the better.

This is just the tip of the iceberg so we urge you to check out these recommendations to see how these can affect you, your families, your programs and our communities.

Why the IOM report is a healthy change for LGBTs: Op-Ed on IOM Report on LGBT Health

Francisco Buchting

by Francisco Buchting

Network Steering Committee Chair

Cross-posted op-ed on http://www.365gay.com About the Institute of Medicine Report on LGBT Health


Yesterday, the Institute of Medicine (IOM) released its long-awaited report on what researchers know about the health of lesbian, gay, bisexual, and transgender Americans.

But more studies are needed, because we don’t know enough about key segments of our overlapping communities and this puts LGBT health at risk.

And to conduct more studies, researchers need funding.

This report marks a turning point in the struggle to address health inequalities of this enormously diverse minority group. Among the findings from the report: LGBT people experience significant disparities in access to care, tobacco, mental health, HIV, addictions, suicide; there are other health areas, such as cancer, where data indicate that there may be disparities, but more studies are needed; and unfortunately, there is very little data on, for example,  LGBT communities of color and transgender people.

We know, for example, that LGBT people smoke at rates almost 50% to 200% higher than the rest of the population –  the American Cancer Society indicating that over 30,000 LGBT people die each year of tobacco-related diseases. Yet LGBT health continues to be forced to compete with a wide range of other stakeholders for funding.

At a minimum, the IOM report will give us all an opportunity to change the local, state, and national dialogue around LGBT health. Previously, the health of LGBT people was barely addressed by either government or private funders of public health and research programs.

Why? Because, the funders said, there was a lack of evidence or data to justify the targeting or even the inclusion of LGBT people in competitive funding opportunities.

Obtaining funding to address LGBT health issues had therefore become a vicious cycle where “not enough evidence or data to justify targeted funding” has been used as a justification to deny targeted funds to actually collect data.

This IOM report will hopefully start to change that.

When it comes to health research and public health funding priorities, if one is not counted one does not exist. The IOM report will help remind private and government funders of health research that LGBT individuals have been counted, that we exist, and that we have significant health needs not being adequately addressed – and, in many cases, that are being ignored – in the face of mounting evidence.

The challenge is up to each of us to make the most of this opportunity to help ensure health equity for all LGBT people and communities.

Dr. Francisco O. Buchting is a member of the National Cancer Institute’s Tobacco Research Network on Disparities (TReND) and chair of the steering committee for The Network for LGBT Health Equity at The Fenway Institute.