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ABC’s of LGBTQ Best PracticesPresented By:Beck Gee-Cohen MA, LADCEducate Support m
BGC ConsultingCreating affirmative environments for LGBTQ peopleStaff DevelopmentPolicy & ProceduresFacility AssessmentProgram ConsultationEducate Support m
The Romeyn CollectiveHolistic approach to addressing clinical and educational needs in a continuumof care for adolescents, young adults, and familiesPost Secondary Support & PlacementCase CoordinationTherapeutic PlacementOutreachParent Skills CoachingEducate Support m
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Gender & Sexuality BasicsGenderis who you go to bedASSexualityis who you go to bedWITHEducate Support m
Trans 101SpiritEducate Support m
Tolerance vs Acceptance vs AffirmativeTolerance: You can be here “as long as ”Acceptance: You can be here “even if ”Affirmative: You can be here “because you are ”Educate Support m
Cass Model of Coming OutIdentity Confusion: “Am I?”Identity Comparison: “Maybe this does apply”Identity Tolerance: “I’m not the only one”Identity Acceptance: “I will be okay”Identity Pride: “I need to let people know”Identity Synthesis: “Only a part of me”Educate Support m
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Addressing SpecificsEducate Support m
Body ImageBody DysphoriaNot all Trans people aredysphoricSome Queer people aredysphoricHow use impacts Body ImageCross Sex HormonesEffects of Community on BodyImageEffect of hormones on the adrenalgland system & treatmentEducate Support m
Grief & LossLoss of Family & FriendsLoss of past identityNot growing up with gender identityNo mirror for identificationLoss of petsEducate Support m
Sexual HealthIdentifying sexual health concernsSexual acting outSexual anorexiaSafety in sexual situationsUnderstanding sexual abuse from strangers/partnersCreating a safety to talk about sexSex positive spacesSex workSober sexEducate Support m
RelationshipsCreation of IntimacyHealthy RelationshipsEstablishing (Reestablishing) familial connectionFamily of ChoiceSupport NetworkEducate Support m
Device Management & Internet UsagePositive AspectsAbility to play with gender safelyCreating communitySeeing oneselfLearning about LGBTQ identityNegative AspectsOnline BullyingDistorted body imageLack of IRL (In Real Life) connectionIsolative behaviorEducate Support m
Internalized LGBTQ-phobia & ShameWhy am I LGBTQ?Understanding what Internalized LGBTQ-phobia looks likeCreating a shame-free environment in treatmentEncouraging empowermentFinding space for helping others (getting out of self)Educate Support m
Mental Health and Substance AbuseUnderstanding the roots of Mental HealthFamily historySocietal influenceDismantling the pathology of Axis II disordersMany LGBTQ individuals have the stigma of BorderlinePersonality DisorderSubstance Use in the LGBTQ Community30-40% of LGBTQ people struggle with substance useEducate Support m
ChemsexThe combination of stimulant drug use and sex, twoextremely potent reinforcers, creates a “super high”that is more addicting than the drug use aloneConnection of meth to sexual identity and sexualexpressionUse of apps such as Grindr, Growlr, Scruff, etcIntroduction of sober sex, sober kink, sober datingEducate Support m
TraumaSexual violencePhysical abuseIntimate partner violenceInstitutional harassmentSecondary traumaBullyingReligious traumaInvisibilityEducate Support m
Best PracticesHaving ALL staff trained on a regular basis on LGBTQ informed care.What does my staff look like?Understanding what you do well, and what you do not do well.Working with the LGBTQ community with intention and not for monetary gain.Do you walk the walk?Know HOW and WHEN to refer.Can you supplement with cause?Educate Support m
Addressing BullyingWhen bullying occurs, and it will, address it IMMEDIATELY, Intervene.Set the examples. Model behavior.Listen to your LGBTQ and/or marginalized clients.Discuss bullying in psychoeducational and process groupsAddress the bully with therapeutic interventionsIf interventions do not work, refer the bully to another facility.Educate Support m
Upon IntakeAt what age did you first know that you were LGBTQ ?At what age did you first tell someone that you were LGBTQ ?How has being part of the LGBTQ community effect the way you use?What specific needs (if any) are you wanting in relation to being LGBTQ ?Who are your family of choice?What are your primary relationship dynamics?Educate Support m
When ReferringHave you ever worked with LGBTQ clients?How do you room the clients if they are Trans/GNC identified?What specific policies are in place for LGBTQ clients?Has your staff had specific training on LGBTQ individuals?Do you have aftercare resources that work with LGBTQ clients?Are there specialty groups for LGBTQ clients?Educate Support m
Supporting Families Create Space for the client to address gender & sexuality in therapyMake sure basic needs are in place Exposing myths of Trans people in family sessionsDoes the client want the family involved? Discussing gender/sexuality in family sessionsSeek out groups for the family to attend Allowing space for grief (separately)Seek out physicians that are Trans friendly Addressing joy, authenticity, and celebrationClient first mentality- walk along side the clientTalking about time, acceptance, and respectEducate Support m
Organizational Assessment What questions are we asking? What questions are we NOT asking? If we talked to ALL your staff, would they say that a person that was Trans identified would do well in your treatmentcenter? What does your paperwork look like? Can your EMR be updated? What does your internet presence say about it? What groups are offered as a part of psychoeducational, relational, relapse prevention, or substance use? Is there a component that we are missing?Educate Support m
Building ResilienceThe process of adapting well in the face of adversity, trauma, tragedy, significant sources of stressUnderstanding that LGBTQ people have always been part of the worldKnowing that the world is shifting, change is inevitable, and that language changesBeing part of the solution rather than the problemEmpowermentUnderstand LGBTQ historyEncouragement of the narrativeCelebrate identityBeing a true ally means to walk side by sideCelebrate authenticityAsk how you can helpListeningCreate the spaceEducate Support m
Reading Material This is a Book for Parents of Gay Kids: K Owens Flamingo Rampant Books: S Bear Bergman Space at the Table: Brad and Drew Harper Velvet Rage: Alan Downs Ethical Slut: Janet Hardy Straight Jacket: Matthew Todd Lesbian Love Addiction: Lauren Costine Lust, Men, and Meth; David FawcettEducate Support m
Reading Material The Transgender Teen: Stephanie Brill Becoming Nicole: Amy Ellis Nutt Beyond Magenta: Susan Kuklin Helping Your Transgender Teen: Irwin Krieger Trans Ally Workbook: Dacey Sclasko How to Understand Your Gender: Alex Iantaffi New Gender Workbook: Kate Bornstein You and Your Gender Identity: Dara Hoffman-Fox Second Son: Ryan SallansEducate Support m
ConnectBeck Gee-CohenOwner ConsultantBeck Gee-CohenAssociate Consultant Parent Trainer MentorEmail: Beck@bgcbridge.comWebsite: www.bgcbridge.comIG: bgcbridgeTwitter: @bgcbridgeEmail: Beck@theromeyncollective.comWebsite: www.theromeyncollective.comEducate Support m
Velvet Rage: Alan Downs Ethical Slut: Janet Hardy Straight Jacket: Matthew Todd Lesbian Love Addiction: Lauren Costine Lust, Men, and Meth; David Fawcett. Reading Material. Educate Support Inspire www.bgcbridge.com www.thero
