Trauma, Resilience, and Health Promotion in LGBT Patients : What Every Healthcare Provider Should Know

This book has two goals: to educate healthcare professionals about the effect of identity-based adversity on the health of their LGBT patients, and to outline how providers can use the clinical encounter to promote LGBT patients’ resilience in the face of adversity and thereby facilitate recovery. Toward this end, it addresses trauma in LGBT populations; factors that contribute to resilience both across the lifespan and in specific groups; and strategies for promoting resilience in clinical practice. Each chapter includes a case scenario with discussion questions and practice points that highlight critical clinical best practices. The editors and contributors are respected experts on the health of LGBT people, and the book will be a “first of its kind” resource for all clinicians who wish to become better educated about, and provide high quality healthcare to, their LGBT patients. Front Matter....Pages i-xi Front Matter....Pages 1-1 Intersection of Trauma and Identity....Pages 3-14 Medical Intervention and LGBT People: A Brief History....Pages 15-23 Conceptualizing Trauma in Clinical Settings: Iatrogenic Harm and Bias....Pages 25-33 Impact of Stress and Strain on Current LGBT Health Disparities....Pages 35-48 Front Matter....Pages 49-49 The Role of Resilience and Resilience Characteristics in Health Promotion....Pages 51-56 Childhood and Adolescence....Pages 57-73 Resilience Across the Life Span: Adulthood....Pages 75-88 Older Adults....Pages 89-101 Front Matter....Pages 103-103 Transgender and Gender Nonconforming Individuals....Pages 105-111 Understanding Trauma and Supporting Resilience with LGBT People of Color....Pages 113-119 LGBT Forced Migrants....Pages 121-131 Lesbian and Bisexual Women....Pages 133-148 Institutionalization and Incarceration of LGBT Individuals....Pages 149-161 Front Matter....Pages 163-163 An Overview of Trauma-Informed Care....Pages 165-181 Screening and Assessment of Trauma in Clinical Populations....Pages 183-190 Patients and Their Bodies: The Physical Exam....Pages 191-202 Motivational Interviewing for LGBT Patients....Pages 203-217 Promoting Healthy LGBT Interpersonal Relationships....Pages 219-230 Community Responses to Trauma....Pages 231-243 Resilience Development Among LGBT Health Practitioners....Pages 245-254 Back Matter....Pages 255-259