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Vulnerable Population: LGBTQ
Transcript of Vulnerable Population: LGBTQ
· Fenway Community Health Center in downtown Boston, Massachusetts
· 1 of only 7 LGBT targeted health centers in the United States, provides comprehensive care specifically for members of the LGBT community
· Culturally sensitive programs addressing LGBT issues including:
-medical care including primary care
-counseling services for members of LGBT community as well as parents
-mental health services Recommendations Our recommendation for improving the health status of this population is to increase awareness This was an Arizona constitutional amendment passed in 2008, also known as the Marriage Protection Act. This defines marriage as being between one man and one woman. SB 1188 A senate bill signed by Governor Jan Brewer which gives preference to
married couples in adoption. heterosexual This makes it hard for LGBTQIA couples to... Raise a family Make their own choices Be a mom or a dad Defense of Marriage Act Passed
in 1996 by President Bill Clinton. Effects of DOMA: Defined marriage in federal law. Enabled states to decline to recognize same-sex marriages from other states. Vote Breakdown Yes = 56.2%
No = 43.8% February 23, 2011 –
"The Obama administration instructs the Justice Department to stop defending the constitutionality of the Defense of Marriage Act in court" BUT... The CNN Library. (2012). Timeline: Same-sex marriage. Retrieved from http://news.blogs.cnn.com/2012/10/18/timeline-same-sex-marriage/ In Recent News BISBEE becomes the first city in Arizona to allow same-sex civil unions. March 2, 2013 Right to visit their sick partner in the hospital For city employees, the chance for their partner to buy into their benefits President Obama "directed the Department of Health and Human Services to prohibit discrimination" Hospital Visitation April 15, 2010 Nearly all
hospitals extend visitation rights to
the partners of
gay men and
lesbians. Asked to
patients' choice about who may make health-care decisions for them Employment
Act (HR 2015). November 7, 2007
Prohibits discrimination in employment based on sexual orientation.
of the bill (which did not pass) would have provided protection against discrimination based on gender identity as well. Local Law Enforcement Hate Crimes Prevention Act of 2007
(SB 1105) September 27, 2007 Previously known as the Matthew Shepard Act This expanded existing hate crime legislation to include... [ ] [ ] Gender Sexual orientation Gender identity Disability The previous law passed by Congress is 1968, allows prosecution based only on : race, religion, and national origin. About how
large is the client
Maricopa? PFLAG generally assumes that approximately 10% may be LGBT "PFLAG Phoenix is a Chapter of
PFLAG National, Different from other Chapters because they facilitate support groups in multiple areas: Phoenix Tempe North
Scottsdale Sun City Fountain Hills All
under the umbrella of PFLAG Phoenix. 12-70 people per meeting.
Support meetings are monthly at each location, so there is one meeting each week somewhere. What
need is PFLAG meeting? Parents, Families, and Friends of Lesbians and Gays "Our mission is Education, Support and Advocacy
(in no special priority)" Support
to enlighten an
and to secure
equal civil rights. Across the Valley Glendale Mesa Tempe Are there
other programs in
the area addressing
the same need? There are many other LGBT groups, but they are more socially focused, or limit their focus to specific segments of the LGBT community.." For example... ...there are several support groups that focus only on transgender issues. Who is
employed ? PFLAG National has a few paid staff, but PFLAG Phoenix has no paid staff. Members and Board of Directors are all volunteers. Most support meetings are held in churches where we pay rent (some churches provide without charge as part of their outreach), but there is no affiliation with any church. List the
for clients We encourage membership (paid), but membership is NOT REQUIRED for anyone to attend our support meetings or participate in any of our public functions. $35 per single membership $45 per family Where
does the funding
come from for this
program? Funding! Spend about $12,000 per year: rent fees
with a booth to
literature) insurance print
materials postage A local business currently provides:
a conference room for our
bi-monthly board meetings, a mail address service, telephone message service, and a small closet for storing various materials. 15% of funding comes from memberships
20% from The Men of Charlie’s (patrons of a local country/western gay bar) .
The rest is received in the form of individual donations, corporate employee group donations and designated United Way donations. Discuss
barriers to receiving
this service or any restrictions once
enrolled We make our support group meetings available to , regardless of membership status. ALL Information thanks to: Al Ellis Secretary of
Phoenix PFLAG What population does
One n Ten serve? Purpose Mission Vision Our mission is to serve LGBTQ youth and young adults. We enhance their lives by providing empowering social and service programs that promote self‐expression, self‐acceptance, leadership development and healthy lifestyle choices. Eligibility Criteria "The youth we work with range in age from 14 to 24. We create a safe space, mentally and physically, for youth of all socio-economic and cultural backgrounds" What Makes One n Ten's services unique? Leadership Development Weekly Discussion Groups Social Issues
Community Issues OUTdoors Camp! Funding Businesses, Foundations,
& Individuals Grants
AZ Department of Health Services
Maricopa County Health Services
Valley of the Sun United Way HIV MSM represented 51% of ALL cases Psychological risks
& conditions Barriers, Restrictions, & Application Process? Currently there is no application process & restrictions are placed on age, for those under 14 or older than 24 to have tried to commit SUICIDE 5.9 times more likely Syphilis Infections 2010: MSM represented 63% of cases in U.S. MSM- 6,713 cases Heterosexual- 2,321 cases Women- 2,242 cases Viral Hepatitis Client population served.... The population that this organization serve are the students at ASU including Tempe, Polytechnic, West and Downtown Campus. 10% new cases of Hepatitis A In 2010, 20% new cases of Hepatitis B Around 30-45 students come to the weekly meetings. Risky Lifestyle Behaviors Needs the organization provides Related to sex: Drug use: Anal- Oral contact Unsafe sex Safe place for students......
Find a group to connect to....
Provides social events for this population... Inappropriate sharing drugs & needles Multiple partners Refers members to others services needed... NEGATIVE STIGMA & DISCRIMINATION Limited access to quality care Poor mental heath Other colleges and universities have a similar organization Mission: Decreased long term relationships Hidden lifestyle It is the mission of Equality Arizona to secure, protect and defend the rights and welfare of lesbian, gay, bisexual and transgender people in Arizona. Equality Arizona is a statewide political advocacy organization, working at the state capitol and in communities across Arizona to advance lesbian, gay, bisexual, and transgender (LGBT) equality. Short Term Goals... Long Term Goals... Resources provided HIV testing A2Z Network Bipolar, depression & anxiety group Coming Out discussion group Men's discussion group Older Gay Men's support group Writer's Collective group A short term goal for this organization is to increase the number of students that come to the meetings, including students from all the campuses through ASU. Yoga Arizona Safe Schools Act
Supported this state legislature (SB 1549 and HB 2580) which would instruct school districts in Arizona to protect students from all forms of bullying, including anti-gay bullying.
Same Sex Adoption
Worked to oppose SB1188. When it passed, EQAZ shifted gears to support the federal Every Child Deserves a Family Act, a bill that would invalidate SB 1188.
Respect for Marriage Act
Encouraged members of Congress to support this piece of federal legislation that would effectively repeal the Defense of Marriage Act (DOMA). Work in collaboration with other programs to assess the needs of the LGBTQ community. PROGRAM GOALS A long term goal is to change some policies at ASU to incorporate an option for gender neutral housing. GOAL: Unite the LGBT community and empower the community towards a healthy and productive lifestyle. "One Voice Community Center serves as a cultural focal point uniting LGBT individuals and organizations and reinvests in the community by providing vital education, social and wellness programs in the Metro Phoenix area" . IVP-35 Reduce bullying among adolescents MISSION: VISION: Members of the council are voted on by members "To help to create a strong community of LGBT individuals living without fear, shame or isolation." The organization is run by volunteers and donors, who have contributed time and money to maintain and sustain the center's progress. To be an official member, an individual must attend 3 events, but anyone could come to the meetings, no application process is necessary. BARRIERS The meetings and events are primarily held on the Tempe campus making it difficult for students from the other campuses to attend. FUNDING to the organization $5000 from ASU per year Fundraising events Innovative Interventions Transgender health program to provide medical care to transgender patients
-Drug addiction services
-Violence Recovery Program for victims of violent crimes
-Education programs, such as wellness education, safe sex education
-Crisis intervention hotline Additional Funding is raised through Brunch Fundraisers Personnel One N Ten employs a team of administrative staff to handle
Other business practices Additionally:
Variety of coordinators and managers
Volunteers Romero, A., Rosky, C., Badgett, M.V., Gates, G. (2008). Census snapshot. The Williams Institute. Retrieved from http://williamsinstitute.law.ucla.edu/wp-content/uploads/ArizonaCensus2000Snapshot1.pdfla.edu
Gates, G. (2011). Same-sex and different-sex couples in the american community survey: 2005-2011. The williams institute. Retrieved from http://williamsinstitute.law.ucla.edu References In 2005, men in different-sex couples had median annual personal income that was nearly $4,000 hirer than men in same-sex couples. By 2011 the gap had decreased to $1,000.
Women in same-sex couples report higher annual personal income than women in different-sex couples, though the gap has narrowed from about a $10,000 difference in 2005 to an $8,000 difference in 2011. Career and Education Family Amber Cordell, Cam Day, Brittany Edgar, Jenny Gladstone, Sabrina Jeffery, Patricia Lysikowska, Sarah Stenhouse, Shaunda Tsosie, Maria Vintilescu and Hayley Wood LGBT Population
Needs Assessment Career and Education Approximately one in five same-sex couples include a disabled spouse or partner.
Same-sex couples are less likely to have both partners covered by health insurance.
Same-sex couples are twice as likely to have only one spouse or partner insured than their heterosexual counterparts. Health AZ LGBT Population US LGBT Population We have found that resources are underutilized Under-utilization may occur for various reasons Funding
Stigma of this population
Lack of involvement Advertisement
Social Networking Increasing awareness & decreasing stigma will allow this population to utilize the available resources to improve all aspects of health Physical Mental Emotional Psychosocial Military Service Adoption and
Family Planning The Adoption and Children Act of 2002
allowed same sex couples to adopt by removing the requirement of marriage. Couples do not need to have a civil partnership, but need to be deemed to have a stable and supportive relationship.
The Human Fertilisation and Embryology Act of 2008 allows both same sex partners to be legal parents of a child conceived through assistive fertility methods.
With civil partnership: non-biological parent will be given legal rights automatically at birth
Without civil partnership, biological parent can sign consent forms to give the non-biological parent legal rights In 2000, the Ministry of Defence repealed a ban to allow gay and lesbian personnel to serve openly
Discrimination or harassment of any kind based on sexual orientation is banned.
Same sex military couples receive the same benefits as other heterosexual married couples
The Armed Forces recruit from the LGBT communicty and perform civil partnership ceremonies for personnel Discrimination Protection Sexual Orientation Regulations in 2007 banned discrimination based on sexual orientation.
Criminal Justice amendment in 2007 created a new offense for crimes based on sexual orientation and added
Equality Act of 2010 clarified and combined various previous acts and expanded rights based on gender identity.
Sexual Orientation and Gender Advisory Group was created within the Department of Health Transgender Rights Same Sex Marriage Civil Partnership Act of 2004 granted civil partnerships to same sex couples; these had all the same rights of marriage
A Marriage (Same Sex Couples) Bill has been proposed which would allow same sex marriage, and for it to be called by that name
It had a first reading, then passed a second reading in the House of Commons with a vote of 400 to 175
The Bill was examined by a committe which heard evidence and then returned the Bill to the House with no amendments
The Bill awaits final examination in the House during the Report stage Gender Recognition Act of 2004 allowed transgender people to legally change their gender with a Gender Recognition Certificate
A person must have transitioned for two years before getting a certificate
A certificate allows for a new birth certificate, which affords recognition of their new gender for all purposes. Military Service Discrimination Protection Transgender Rights Adoption and
Family Planning Same Sex Marriage Don't Ask Don't Tell Repeal Act of 2010 lifted restrictions on openly serving gay, lesbian, and bisexual personnel.
Defense of Marriage Act prevents same sex partners of military personnel from receiving equal benefits.
Transgender individuals are still not allowed to serve (at least openly) in the military. 16 states have laws preventing discrimination based on both sexual orientation and gender identity
5 states protect against discrimination based on sexual orientation, but not gender identity
The federal Matthew Shepard Act protects against hate crimes based on sexual orientation or gender identitiy
A federal regulation in 2012 prevented housing discrimination based on sexual orientation or gender identity for all federally-assisted housing programs. 16 states allow same sex couples to have joint adoptions statewide
10 states allow a step-parent adoption for same sex couples statewide
6 states have laws that expressly prevent same sex couples from adopting, prevent unmarried single adoption, or prevent second parent adoptions
An estimated 2 million children of LGBT parents are unable to establish a legal relationship with both of their parents All but 3 states will change the sex on a person's birth certificate if they meet certain criteria combinations of the following:
Sex reassignment surgery
Legal name change
Sex changes on a birth certificate has to be petitioned in court and there are often variances between situations and judges. 9 states have legalized same sex marriage, while two other states will recognize same sex marriage performed in other states
8 states offer same sex unions that offer some of the legal rights as married couples
Defense of Marriage Act of 1996 (DOMA) prevented the federal government from recognizing same sex marriage and left much up to the states
The Supreme Court is currently reviewing the constitutionality of DOMA Key Informant #3 Key informant #2 Information thanks to: Key informant #1 Richard Event Organizer 8.4 times more likely to report high levels of DEPRESSION In 2012, Work with other Organizations in the Community Homeless shelters
Suicide prevention crisis lines
Native American Community Health Center
Concilio Latino de Salud
Teen Lifeline Southwest Center for Youth at Risk
HIV AIDS Connect individuals with additional resources Child Abuse
Family, Domestic, & Dating Violence
Drug & Substance Abuse
Education, GED, & Employment Assistance
HIV/AIDS & STI Testing The Supreme
court has recently
the constitutionality of
DOMA. The ruling is
summer. 46% of individuals in same-sex couples have a college degree compared to 32% in different-sex couples.
Same-sex couples mirror their different-sex couples regarding employment in the public, private and self-employment sectors. NEW cases: