For Immediate Release- LGBT HealthLink Grades States on LGBT Tobacco Integration

PRESS RELEASE
December 10,  2014

For Immediate Release
Contact:
Dr. Scout
(954) 765-6024
scout@lgbtcenters.org

LGBT HealthLink Grades States on LGBT Tobacco Integration

Ft. Lauderdale, FL – December 10, 2014 – LGBT HealthLink today announced the first ever grades for state tobacco programs’ LGBT inclusion practices. The grades, based on a survey of best practices originally conducted in 2013 and updated this fall, represent an assessment of the overall progress each state has made in addressing inclusion, including policies, training, data collection, and community engagement. Grades span from “A” to “F”, with the average across states a “C+”.

LGBT people smoke at rates that are over 50% higher than the general population and experience profound health disparities in both cancer and smoking-related disease. The survey was developed to bring transparency to how successful states are at integrating this disproportionately affected population into their overall tobacco control work.

According to Daniella Matthews-Trigg, Administrator of LGBT HealthLink, “The results of this survey not only illustrate the work that needs to be done, but highlights the impressive efforts by many states. Our hope is that creating a system for comparison will motivate states to adopt as many best practices as possible, thereby improving acceptance and wellness in LGBTQ communities around the country”. LGBT HealthLink is offering resources to each state to improve their grades.

For several years, LGBT HealthLink (formerly the Network for LGBT Health Equity) has been circulating “Identifying and Eliminating LGBT Tobacco Disparities”, a document outlining the best practices for state programs in LGBT tobacco control, and working closely with states to implement them. These report cards are intended to gauge adoption of those best practices at a state level and create a baseline for future work.

The release of the report cards comes just after the CDC’s Office of Smoking and Health recently accepted applications from states for their next five years of tobacco funding. Dr. Scout, Director of LGBT HealthLink, noted that “In order to eliminate the LGBT smoking disparity, we need to make sure the tobacco control community targets us just like the tobacco industry already does.”

Matthews-Trigg emphasized how closely HealthLink is working with states improve their grades, “We are the people providing technical assistance to these states to do this well, so this is really a report card of our work as much as theirs. We look forward to continuing our work with the many amazing state representatives to get these grades even higher.”

View the report cards: www.lgbthealthlink.org/Report-Cards/2014

For more about the methodology and scoring:

www.lgbthealthlink.org/Report-Cards

 # # #

 LGBT HealthLink, a program of CenterLink, spreads LGBT wellness best practices across state and federal health departments and community organizations. LGBT HealthLink is one of eight CDC-funded tobacco and cancer disparity networks. www.lgbthealthlink.org

CenterLink: The Community of LGBT Centers was founded in 1994 as a member-based coalition to support the development of strong, sustainable LGBT community centers. Serving over 200 LGBT community centers across the country in 46 states. Puerto Rico and the District of Columbia, as well as centers in Canada, Mexico, China, Cameroon and Australia, the organization plays an important role in supporting the growth of LGBT centers and addressing the challenges they face by helping them to improve their organizational and service delivery capacity and increase access to public resources. www.lgbtcenters.org

Missouri Coalition Pushes State to National Leadership on LGBT Health

Missouri might not top many LGBT people’s lists of great places to live, but after today you might want to rethink the charms of the Show Me State. For the last year a local coalition has been pushing adoption of LGBT-welcoming policies at hospitals. In this week’s release of HRC’s Healthcare Equality Index, Missouri zoomed from 37th in the country to sixth in the number of local LGBT leader hospitals.

We don’t see policy changes this quickly very often, especially when they require many companies to adopt new policies. What’s the secret to this unlikely success? A few years ago Missouri Foundation for Health funded a partnership with the local Equality Federation partner, PROMO, and SAGE Metro St. Louis. My project, LGBT HealthLink, was also brought on board to provide them with technical assistance. With funding and staff and policy expertise all in place, the Missouri team got down to business to see what they could change to affect LGBT health disparities in their state.

If you just look at the situation today, you’d think they immediately stumbled on the equivalent of oil and a match for policy change, but, like many good projects, they started slowly. First they mapped the policy environment; then they tried a few different strategies for change. One of the things they identified was a big gap: While most hospitals were required to have LGBT-nondiscrimination policies by the agency that accredits them, they could find little evidence of those policies by searching. And if we can’t find them, then patients couldn’t either.

For a while the PROMO staff played nice with the hospitals, trying to build relations and seeing how to move the changes gradually. Some hospitals did respond, but the work was crawling forward. Eventually, we switched to a different tactic, blanketing many hospitals with letters pointing out that these policies were required. Then, of course, the PROMO staff person, Andrew Shaughnessey, was there following up with multiple phone calls offering to help them with policy resources. The new strategy, which we’ve taken to calling the “terrier approach,” worked. Eventually even the hospitals that said they weren’t interested started to call Andrew back. And if they needed LGBT-cultural-competency training as part of the new policy changes, Sherrill Wayland from SAGE was ready to step in to set up in-person trainings at a moment’s notice.

The upshot of all of this work was that, while in 2013 seven hospitals had LGBT-nondiscrimination policies in place, now 31 do. While seven hospitals protected LGBT status in employment, now 30 do. While two had achieved Healthcare Equality Index leader status in 2013, now 19 have. Today several of those hospitals are putting out their own press releases lauding their LGBT-welcoming policies. It’s a far cry from 2013, and that means much better access to health for thousands of LGBT people in Missouri.

What I want to see now is this amazing level of success replicated. I’ve worked in policy change for a very long time, and trust me, a model to change policies this fast comes extremely rarely. While they had a funder in Missouri giving them the time to experiment with different strategies, any other community center or equality organization in another state can take advantage of that work and just do what worked for them. Nicely, the PROMO team has documented their steps really clearly in the LGBT HealthLink blog. See the first post about it here.

Kudos to everyone in Missouri. From the amazing staff team at PROMO and at SAGE to Missouri Foundation for Health, who cared enough to invest, and the many hospital systems who jumped on board, this is an amazing job by all, and it’ll really affect the health of the LGBT communities in your state.

Now who else wants to do it for their states?

Missouri Case Study 10 – Making LGBT Health Matter in Missouri Hospitals

Andrew Shaughnessy, Manager of Public Policy for PROMO

Andrew Shaughnessy
Manager of Public Policy, PROMO Missouri
@andrewshag

This year has proven to be a monumental year for LGBT Missourians. Those monumental steps have been the recognition of out-of-state marriages by the State of Missouri, and the leadership of nearly 47 Missouri hospitals, who have included 105 new LGBT welcoming policies to their core values. As an LGBT Missourian it certainly gives me relief to know that I can access health care facilities and be me: my authentic self.

In 2013, only two Missouri Hospitals, Children’s Mercy in Kansas City and the VA in St. Louis, qualified as leaders in the Human Rights Campaign Care Equality Index (HEI). In the coming days the health sector will see the launch of the 2014 HEI, where several of Missouri’s top hospitals have been reviewed on their lesbian, gay, bisexual and transgender (LGBT) welcoming policies.  This year, Missouri will see several hospitals both in rural and urban areas that have been working to ensure their facilities are welcoming to all.

To learn more about the policies of Missouri Hospitals, click here for a map detailing their LGBT welcoming policies.

We have truly made LGBT health matter among Missouri’s top hospitals, but the work of the LGBT health policy project does not stop there. Through the technical assistance of Dr. Scout, Director of LGBT HealthLink, we will continue to work with health and social services organizations in Missouri to ensure that we are creating spaces free from discrimination. Through our collaboration with Sherrill Wayland, Executive Director of SAGE Metro St. Louis, we will be training Missouri’s health and social service professionals to understand the unique needs of LGBT patients.  And we will continue to advocate for the health of LGBT families and our families of choice.

As we begin to look at the legal future for the LGBT community, we must be concerned with the growing disparities we find in LGBT health. Our next frontier is on the borders of health and making sure that we are a strong and healthy community. I’m humbled to be a part of this work. Having experienced discrimination in a health care setting myself, I assure you your voice is not going unheard.

 

LGBT Wellness Roundup: October 5

As published on Huffington Post’s new LGBT Wellness blog, see original at: http://ow.ly/DhVNO

Each week HuffPost Gay Voices, in a partnership with bloggers Liz Margolies and Scout, brings you a round up of some of the biggest LGBT wellness stories from the past seven days. For more LGBT Wellness, visit our page dedicated to the topic here. The weekly LGBT Wellness Roundup can also now be experienced as a video — check it out above.

Bisexual Naming at National Black Justice Coalition Out on the Hill Conference

One of the great things we discussed at length during last week’s Bisexual Awareness Week (#biweek) was the bisexual identity, the many labels bi people consider using to describe their experiences and why. Awhile back the Patheos.com “Camels with Hammers” blog published a great piece that detailed the vital function that both labels and the development of labels serve. I’ve bolded some of the more stunning statements here for the “tl;dr” crowd.

“Naming the gender types, the sexual orientation types, the sexual interest types even, in all their beautiful diversity helps us think better. It helps us acknowledge more realities and account for them with better social practices so that the people who don’t fit into one or two current everyday categories are now taken into account. Having words for these differing people at the tip of our tongue, reminds us they exist at all. Refusing the words for them. Refusing the conceptualizations of their experience they offer us is an attempt to erase their existence. It’s an attempt to make it harder for us to remember them or think about them. It will make it harder for us to take any interest in their thriving. The conditions of their thriving may be different than ours. Denying them labels to describe themselves or their experiences will make it harder for us to meet their needs.”- “Why Do We Need Labels Like “Gay”, “Bi”, “Trans”, and “Cis”?

With this in mind we should welcome new conceptualizations of sexuality, gender, race, culture and every aspect of our humanity. For black bisexual people this conversation has been an on-going cultural experience. As a child I remember my West-Indian grandfather bristling as popular culture began to exclusively use African-American to describe black experiences in America. For him and other members of my family, the term African-American did not fully describe their experiences, political history and culture of their Black America.

cheltenham_clinton

Meeting former president Bill Clinton one night at dinner was a highlight for my grandparents (left)

Every so often it seems that words will change to reflect our better understanding of each others experiences. Nowhere is that truer than for bisexual folks who have re-claimed terms like bisexual, pansexual, fluid and queer to describe our lives as sexually fluid individuals. It’s also necessary for there to be some examples and role models for black and bisexual people, whether it be youth, elders or working professionals.

ooth-label-ocean

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

Being able to positively identify yourself within a group of people is also extremely important for bisexual people striving to find a safe haven from the micro aggressions bisexual people regularly report experiencing. For as a recent report on bisexual women and micro aggressions said:

“We hypothesize that microaggressions that render bisexual women’s identity claims faulty or, worse, false and inauthentic, burden bisexual women with additional ‘identity work’. This burden, or stressor, is both cognitively and emotionally taxing, and in turn, likely has negative consequences for mental health and well-being.” – Wendy Bostwick on bisexual specific micro aggressions

ooth-bisexual

Faith Cheltenham, ABilly S. Jones-Hennin, and Shervon Laurice at Senate Hart building #OOTH2014

One of the more important things we did at our Out on the Hill black bisexual panel was exist as our total selves and in doing so continue to cement the importance of affirming black people, bisexual people, LGBTQIA people and every person working towards a world where we’re all equally valid.

The Black Bisexual Experience Presentation at Out on the Hill Conference

faith cheltenham

Faith Cheltenham, President of BiNet USA

Blogging from the National Black Justice Coalition’s Out on the Hill Conference.

On the 2nd day of the NBJC Out on the Hill Conference I was honored to present one of the very first presentation/panel discussions on the black bisexual experience from inside Capitol Hill’s Hart Senate building.

faith bi icon

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

Members of NBJC, BiNet USA, Alliance of Multicultural Bisexuals (AMBi) of Metro DC and Center for Culture, Spirituality and Sexuality all contributed thought leadership into the PowerPoint presentation I presented on The Black Bisexual Experience. Following my presentation we had a 30 minute panel discussion featuring Black LGBT and bisexual icon, ABilly S. Jones-Hennin and Shervon Laurice a D.C. based bisexual psychologist.

faith bi platform

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

Charles Blow’s recent piece for the New York Times surrounding the launch of his book was also shared with attendees of our workshop thanks to the quick actions of Out on the Hill organizers.  Blow has written a stunning memoir of growing up black and bisexual, something I myself also aim to do. Having Blow’s piece shared with OOTH attendees helped emphasize the national conversation that is taking place surrounding bisexual community issues of disparities and resiliency.

faith intimate partner violence

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

For black bisexual people these conversations are especially important for sometimes it feels like the best way to be brave in the face of a disparity is to be knowledgeable about it. Many bisexual disparities are based in our own hearth and home, whether it be the staggering rates of sexual/physical violence or the higher rates of mental health issues including depression, suicidality, self-injury, and PTSD that bi people often report.

When looking closely at data provided by the CDC on the lifetime prevalence of sexual violence as experienced by certain minority groups we see something interesting. Both bisexual and multicultural (non-Hispanic) people report high rates of experiencing intimate partner violence. They also report higher rates of rape and sexual violence.

faith bi violence

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

One question I posed during my Out on the Hill presentation considered whether bisexual and multiracial people have similar issues and vulnerabilities, not being fully in one world or another. It may indeed be the case that the higher levels of physical/sexual violence disparities reported by both are due to fewer multicultural or bisexual specific resources.

faith bi info

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

As conversations continue about the violence perpetuated upon black communities we must strive to consistently remember how that stress affects the health of black people. When people have more than one identity like black bisexual folks, the multiplier factor only increases meaning that if we wish to care about the health of black bisexual people we need to truly design interventions that target both communities.

faith infograph

From The Out on the Hill Black Bisexual Experience Presentation, click here to download it.

References:

  1. Out For Health, Healthy People 2020 Bisexual Fact Sheet (link)
  2. Walters, M.L., Chen J., & Breiding, M.J. (2013). The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Findings on Victimization by Sexual Orientation. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (link).

Putting the I in LGBTQI

 

e.shor

 

E. Shor, MPH

Wisconsin Population Health Service Fellow through UW-Madison

 

Blogging Live from: the LGBTI Health Research Conference

 

This has been a jam-packed day so far and it is only half over at the LGBTI Health Research Conference. There have been speakers addressing data collection on sexual orientation and gender identity, addressing the necessity of doing more research around intersex identities, policy changes and implications of those changes, transgender health, history of research in LGBTQI communities, and so much more.  My brain feels full of things to think about.

 

Here a few things I thought were interesting:

 

  • From a historical perspective, Kellan Baker of the Center for American Progress, described a historical paradigm shift that has been happening in the lat 15 years. He mentioned that in the 2000s public health work highlighted health disparities, and in the 2010s the lens has shifted to health equity and health in all policies. This paradigm shift has really emphasized that equity is justice in the form of public policy and changing systems.

 

  • Thus far there have been a number of speakers highlighting experiences of groups who often face high levels of invisibility, including people who are intersex, and who are transgender. There have been great strides in methodology around collecting data in transgender and gender non-conforming communities. The two-step question method outlines questions to ascertain “sex at birth” and “current gender identity” to affirm a participants gender identity and create understanding about potential clinical needs and biological implications. However, it was very interesting to engage in dialogue about the fact that this two-step method may not be effective for people who are intersex, and that there is great need to build and test questions that capture intersex experiences and conditions.

 

  • Here are some thoughts on where to go and what we need to do to continue doing good work around LGBTQ health and research…

 

  • e.shor lgbt health con