Strategies

Strategies An integrated training and education system addresses both content and process and uses experiential as well as didactic methods. It addresses six components: • Trainees • Faculty or trainers • Program • Institutional systems • Professional peers • Community. Improving present treatment conditions for LGBT clients requires a comprehensive training approach that includes the… Continue reading Strategies

Administrative Policies and Procedures

Administrative Policies and Procedures Instituting the following policies and procedures helps create a climate that ensures LGBT clients do not experience or perceive discriminatory practices or harassment. • Create or confirm the existence of agency policies regarding freedom from discrimination and harassment based on sexual orientation, gender, and cultural background. • Create procedures for filing… Continue reading Administrative Policies and Procedures

Advertising and Public Relations Policies and Procedures

The following points are often overlooked in the promotional activities of mainstream substance abuse treatment organizations. Note that messages that reach LGBT individuals through mainstream media can be especially powerful. • Advertise programs and events in LGBT periodicals as well as in the mainstream press and those publications that are geared to particular cultural communities.… Continue reading Advertising and Public Relations Policies and Procedures

Counselor Competence in Treating LGBT Clients

Counselor Competence in Treating LGBT Clients Counselors will encounter and provide treatment to lesbian, gay, bisexual, and transgender (LGBT) clients in all treatment settings: residential, intensive outpatient, outpatient, crisis intervention, and the criminal justice system. The Center for Substance Abuse Treatment (CSAT) published a Technical Assistance Publication (TAP) in 1998 titled Addiction Counseling Competencies: The… Continue reading Counselor Competence in Treating LGBT Clients

Assessment

Assessment Substance abuse in the LGBT community has been exacerbated by internalized homophobia (Ghindia & Kola, 1996) so that many LGBT individuals feel isolated and victimized. The isolation may be intensified further by mistrust of treatment providers and a lack of civil rights protection. Seeking professional or legal help for interpersonal violence is equivalent to… Continue reading Assessment

Interpersonal Violence in the LGBT Community

Interpersonal Violence in the LGBT Community Historically, differences in philosophy and terminology have blocked collaborative care for clients involved in both interpersonal violence and substance abuse (CSAT [Center for Substance Abuse Treatment],1997c). Interpersonal violence has been defined as the use of intentional verbal, psychological, sexual, or physical force by one intimate partner to control another… Continue reading Interpersonal Violence in the LGBT Community

Common Barriers to LGBT Individuals Receiving Adequate Health Care

Common Barriers to LGBT Individuals Receiving Adequate Health Care LGBT individuals have been marginalized by some segments of the health professions. Historically, their sexual orientations and gender diversity were labeled deviant or pathological by many in the medical and psychiatric community. As a result, many gays and lesbians do not disclose their sexual orientation to… Continue reading Common Barriers to LGBT Individuals Receiving Adequate Health Care

Clinical Issues With Bisexuals

Clinical Issues With Bisexuals Counselors working with self-identified bisexuals need to assess their clients’ sexual behavior and identity issues and also focus on a range of psychosocial issues that may complicate substance abuse treatment of bisexual clients. Bisexual identity is not exclusively or necessarily defined by sexual behavior. Indeed, the contemporary conceptualization of bisexuality is… Continue reading Clinical Issues With Bisexuals

Gay Male Life Cycles and Relationships

Gay Male Life Cycles and Relationships At each stage of their lives, gay men face challenges unique to being gay. Adolescents who are gay, bisexual, or questioning whether they are gay or bisexual, for example, face possible taunts or threats from their peers. Their families may reject them, and some gay youth run away from… Continue reading Gay Male Life Cycles and Relationships

Clinical Issues With Gay Male Clients

Clinical Issues With Gay Male Clients Many factors may contribute to the prominent role of substance use and abuse in gay men. At one point, American psychoanalysts even postulated that homosexuality itself caused alcoholism. We know now, of course, that homosexuality, repressed or not, does not “cause” alcoholism, because alcoholism and substance abuse are the… Continue reading Clinical Issues With Gay Male Clients