Health Disparities in the LGBTQ+ Population: Improving Cultural Competency in Mental Health Providers: October 2019
AKH Inc., Advancing Knowledge in Healthcare and Psychiatric Annals
Table of Contents
Health Services for LGBTQ+ Patients
Shauna M. Lawlis, MD; Kevin Watson, MD; Erin M. Hawks, PhD; Angela L. Lewis, LCSW; Landon Hester, BS; Britta K. Ostermeyer, MD, MBA, FAPA; and Amy B. Middleman, MD, MSEd, MPH
Psychological Assessment and Treatment for LGBTQ+ Patients
Erin M. Hawks, PhD; Jessica Holster, PhD; Robyn Cowperthwaite, MD; Angela L. Lewis, LCSW; Jonathan Hart, PhD; and Britta K. Ostermeyer, MD, MBA, FAPA
Facing Stigma and Discrimination as Both a Racial and a Sexual Minority Member of the LGBTQ+ Community
Lenore Arlee, LCSW, LADC; Robyn Cowperthwaite, MD; and Britta K. Ostermeyer, MD, MBA, FAPA
Compounded Stigma in LGBTQ+ People: A Framework for Understanding the Relationship Between Substance Use Disorders, Mental Illness, Trauma, and Sexual Minority Status
Julio I. Rojas, PhD, LADC; Raina Leckie, LCSW; Erin M. Hawks, PhD; Jessica Holster, PhD; Maria del Carmen Trapp, PhD; and Britta K. Ostermeyer, MD, MBA, FAPA
Sponsorship Statement: This CME activity is jointly sponsored by AKH Inc., Advancing Knowledge in Healthcare and Psychiatric Annals.
Support Statement: There is no commercial support for this activity.
1. Identify strategies to establish a safe environment for LGBTQ+ patients and address their specific medical and mental health needs.
2. Identify the unique values and preferences of LGBTQ+ patients to deliver culturally competent, appropriate, and effective psychological assessment and treatment.
3. Recognize the added hardship and poor social and medical outcomes people who are both a sexual LGBTQ+ minority and racial/ethnic minority.
4. Recognize common psychiatric and trauma-related comorbidities that occur with addiction among LGBTQ+ people.
Faculty names and affiliations: See authors above
Guest Editor: Britta K. Ostermeyer, MD, MBA, FAPA
Reviewer names: Andrew A. Nierenberg, MD, Editor and Lenard A. Adler, MD, CME Coordinator, Psychiatric Annals
Disclosure statement: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears at the beginning of each CME-accredited article in this issue and also on this page.
Faculty members report the following financial relationships:
Andrew A. Nierenberg, MD, has disclosed the following relevant financial relationships: Appliance Computing Inc. (Mindsite); Astra Zeneca; Brain Cells, Inc.; Brandeis University; Bristol Myers Squibb; Clintara, Dianippon Sumitomo/Sepracor; Eli Lilly and Company; EpiQ, Forest; Johnson and Johnson; Labopharm; Merck; Methylation Science; Novartis; PamLabs; PGx Health; Shire; Schering-Plough; Sunovion; Takeda/Lundbeck Pharmaceuticals; Targacept; Teva: Consultant. APSARD; Belvoir Publishing; Boston Center for the Arts; University of Texas Southwestern Dallas; Hillside Hospital; American Drug Utilization Review; American Society for Clinical Psychopharmacology; Bayamon Region Psychiatric Society; Baystate Medical Center; Canadian Psychiatric Association; Columbia University; Douglas Hospital/McGill University; IMEDEX; International Society for Bipolar Disorders; Israel Society for Biological Psychiatry; John Hopkins University; MJ Consulting; Massachusetts Association of College Counselors; Medscape; MBL Publishing; Physicians Postgraduate Press; Ryan Licht Sang Foundation; Slack Publishing; SUNY Buffalo; University of Florida; University of Miami; University of Wisconsin; University of Pisa; SciMed: Honoraria / travel expenses. Appliance Computing, Inc.; Brain Cells, Inc.: Stock options. AHRQ; Cephalon; Forest; Mylan; NIMH; PamLabs; Pfizer Pharmaceuticals; Takeda; Elan; Shire: Grant / research support.
Lenard A. Adler has disclosed the following relevant financial relationships: research grants paid to New York University (NYU) on Dr. Adler’s behalf from Sunovion Pharmaceuticals, Shire Pharmaceuticals, Lundbeck, Enzymotec, Purdue Pharma; personal fees for consulting or advisory boards from Sunovion Pharmaceuticals, Enzymotec, Shire Pharmaceuticals, the National Football League, Major League Baseball, Shire Pharmaceuticals, Otsuka Pharmaceuticals, Alcobra Pharmaceuticals; and royalty fees from NYU School of Medicine for license of Adult ADHD rating scales and training materials
Authors report the following financial relationships: Britta K. Ostermeyer has no relevant financial relationships to disclose. Shauna M. Lawlis has no relevant financial relationships to disclose. Kevin Watson has no relevant financial relationships to disclose. Erin M. Hawks has no relevant financial relationships to disclose. Angela L. Lewis has no relevant financial relationships to disclose. Landon Hester has no relevant financial relationships to disclose. Amy B. Middleman receives royalties as a section editor for UpToDate.com and is the principal investigator on a grant her institution received from Pfizer Medical Research. Jessica Holster has no relevant financial relationships to disclose. Robyn Cowperthwaite has no relevant financial relationships to disclose. Jonathan Hart has no relevant financial relationships to disclose. Lenore Arlee has no relevant financial relationships to disclose. Julio I. Rojas has no relevant financial relationships to disclose. Raina Leckie has no relevant financial relationships to disclose. Maria del Carmen Trapp has no relevant financial relationships to disclose.
Accreditation statement(s): This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and SLACK Incorporated. AKH Inc., Advancing Knowledge in Healthcare is accredited by the ACCME to provide continuing medical education for physicians.
Credit designation: AKH Inc., Advancing Knowledge in Healthcare designates this enduring material for a maximum of 3.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Release date: October 1, 2019. Expiration Date: November 1, 2022.
How to participate: To participate in this CME activity, you must read the learning objectives, answer the pretest questions, read the articles, complete the CME posttest, and complete the evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 70% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, AKH Inc., Advancing Knowledge in Healthcare will issue an AMA PRA Category 1 Credit(s)™ certificate.
Target audience: This CME activity is primarily targeted to patient-caring psychiatrists, physicians specializing in psychiatry and others allied to the field. There are no specific background requirements for participants taking this activity. Learning objectives and author disclosures are found at the beginning of each CME article.
Unlabeled and investigational usage statement: The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage.
Copyright statement: Copyright © 2019 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher.