Lesbian, Gay, Bisexual, and Transgender Adolescent Health: An Interprofessional Case Discussion

Publication ID Published Volume
10615 August 9, 2017 13

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Abstract

Introduction: Lesbian, gay, bisexual, and transgender (LGBT) adolescents frequently endure considerable adversity as they encounter identity-related stigma. As a result, LGBT adolescents are often at disproportionate risk for experiencing negative social and health outcomes. Methods: This four-module curriculum allows learners to explore challenges common to the clinical care of LGBT adolescents while also providing exposure to current trends and evidence in LGBT health. Through a combination of reflective exercises, didactic lectures, foundational readings, facilitated case discussion, and debate, the curriculum introduces learners to issues of assessment, treatment, and support as they relate to LGBT youth. The curriculum was written for use with learners in an interprofessional training program representing the disciplines of medicine, nursing, nutrition, social work, and psychology. Results: Four years of evaluation data indicate that the curriculum is particularly useful for exposing learners to the complexities of serving and supporting LGBT youth and identifying personal skills that may require additional development. Learners emerge with greater confidence in identifying local and national LGBT resources. Discussion: Incorporating cultural humility is key to fostering a commitment to lifelong learning and maintaining learners’ confidence when working with marginalized populations. Optimal discussion occurs when learners in all disciplines contribute, yet instructors can teach modules separately or modify them when learners from all disciplines are not present. In addition, learners emerge with greater confidence in connecting with outside resources, which assists both referrals for patients and self-directed learning.

Citation

Calzo JP, Melchiono M, Richmond TK, et al. Lesbian, gay, bisexual, and transgender adolescent health: an interprofessional case discussion. MedEdPORTAL Publications. 2017;13:10615. https://doi.org/10.15766/mep_2374-8265.10615

Educational Objectives

By the end of the curriculum, learners will be able to:

  1. Demonstrate cultural humility in regard to understanding and addressing the concerns of gender and sexual minority adolescents and young adults.
  2. Differentiate between sex, sexual orientation, gender identity, and gender expression; their development across adolescence and young adulthood; and issues in terminology and assessment.
  3. Conduct a culturally sensitive and developmentally appropriate interview that elicits information about gender identity, sexual behavior, and sexual identity.
  4. Examine the role of minority stress and stigma in the development of gender identity and sexual orientation health disparities by discussing the intersections of sexual orientation and gender identity with other key identities (i.e., race/ethnicity, religion/spirituality) and social determinants of health (i.e., class, neighborhood) and analyzing how these factors impact treatment and support.
  5. Identify local and national resources for lesbian, gay, bisexual, and transgender youth.
  6. Coordinate with professionals across other health care disciplines (e.g., medicine, nursing, nutrition, social work, psychology) to address concerns of gender and sexual minority adolescents and young adults.

Keywords

  • LGBT, Sexual Minorities, Adolescent Health, Interprofessional Collaboration, Communication Skills, Case-Based Learning, Lecture, Debate, Health Disparities

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