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Gay%20Lesbian%20Bisexual%20

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Gay people come out at various points in life. ... Affirm homosexuality as a healthy lifestyle. Address transgender individuals as they request. ... – PowerPoint PPT presentation

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Title: Gay%20Lesbian%20Bisexual%20


1
GayLesbian Bisexual Transgender
  • Issues for
  • Substance Abuse
  • Treatment

2
Agenda
  1. Review Objectives
  2. Introductions
  3. Review of terms
  4. Homophobia
  5. Myths/Facts
  6. Alcohol Substance Abuse
  7. Coming Out Process
  8. What we CAN do!
  9. Wrap-up Take aways, evaluations, certificates

Created by Amy Shanahan, MS CASAC
3
Objectives
  • Sensitize participants to the biases that
    interfere with the treatment process
  • Offer tools/interventions for working with gay,
    lesbian, bisexual and transgender people in
    treatment
  • Raise awareness of personal biases

Created by Amy Shanahan, MS CASAC
4
Introduction
  • Name
  • Identify yourself as being gay, lesbian.
  • Why did you choose this training?
  • What do you hope to get out of the training?

5
Terminology
  • Sexual orientation includes sexual attraction
    sexual behavior sexual fantasies emotional,
    social and lifestyle preferences and
    self-identification
  • Heterosexual straight, sexual and romantic
    feelings that are mostly for the opposite gender
  • Homosexual gay sexual and romantic feelings
    that are mostly for the same gender
  • Lesbian A woman who is homosexual.

6
Terminology
  • Bisexual bi, sexual and romantic feelings are
    for both genders.
  • Transgender umbrella term including drag queens
    and kings, bi-genders, cross dressers,
    transgenderists and transsexuals.
  • Transvestites people who like to dress like
    members of the opposite sex.
  • Transsexuals people who feel that their
    anatomical sex does not match the gender with
    which they identify.

7
Terminology
  • Bi-gender people who define themselves as
    having the behavioral, cultural or psychological
    characteristics associated with both the male and
    female genders
  • Transgenderist someone who is gender variant or
    transgresses gender norms as part of their
    lifestyle or identity.
  • Heterosexism a prejudice denying, ignoring,
    denigrating or stigmatizing any form of
    homosexual expression.
  • Homophobia fear or loathing of gay men and
    lesbians. (Antigay bias is another phrase
    meaning the same).

8
Homophobia
  • Acculturated
  • Socialization
  • Family
  • Schools
  • Religious institutions
  • Youth groups
  • Television portrayal
  • Internalized
  • Accepting acculturated messages
  • Believing these messages to be true
  • Internalizing them

9
  • Find a partner.
  • Take a few minutes to discuss things that come to
    mind when you think of gay, lesbian, bisexual or
    transgender.
  • Write down the first things that come to mind.

10
Myths
  • Feminine vs. Masculine
  • Acting out husband and wife roles
  • GLBT are bad influence on children.
  • GLBT shouldnt be parents.
  • GLBT dont want long-term relationships.

11
Facts
  • 3-11 of the total population is homosexual
  • Gay people come out at various points in life.
  • 80 of GLBT have experienced verbal bashing, 40
    have been threatened with violence and 17 have
    been attacked.

12
Alcohol Substance Abuse
  • 30 GLBT abuse drugs and alcohol.
  • Discrimination, homophobia violence contribute
    to substance use abuse.
  • Bars are safe places to socialize.
  • Social attitudes contribute to lower self esteem,
    increased anxiety, depression and isolation.

13
Coming Out Process
  • This process is unique for each person.
  • Several stages have been identified by Cass
    (1979).
  • Providers should consider which stage the client
    is in when developing treatment plans.

14
Stages of Coming Out Process
  • Identity Confusion recognized thought/behaviors
    as homosexual and usually finds this
    unacceptable.
  • Identity Comparison feels positive about being
    different, accepts behavior but rejects identity.
  • Identity Tolerance seeks out meeting other GLBT
    through groups, bars, etc. Building sense of
    community (positive and negative).

15
Stages of Coming Out Process
  • Identity Acceptance increased anger toward
    anti-gay society, greater self-acceptance.
  • Identity Pride immersed in GLBT subculture,
    less interaction with heterosexuals. Views world
    as divided as gay or not gay.
  • Identity Synthesis recognizes supportive
    heterosexual others. Sexual identity is still
    important but not a primary factor.

16
Treatment Consideration
  • GLBT struggle with self acceptance (internalized
    homophobia).
  • GLBT live in genuine fear.
  • GLBT sometimes identify with the aggressor and
    cast out fringes within their own sub group.

17
Treatment Issues
  • GLBT may not attend gay support groups due to
    repeated victimization.
  • Because of the small community, clients in
    treatment may know each other.
  • Grief and loss issues.
  • Bisexuals are often pressured to choose.

18
What Organizations can Do!
  • Communicate to all employees that no forms of
    discrimination will be tolerated.
  • Make GLBT employees visible in newsletter and
    communications.
  • Encourage formulation of GLBT support groups.
  • Educate employees to refrain from making
    homophobic jokes and statements.

19
What Organizations can Do!
  • Reward employees who support an all-inclusive
    workplace.
  • Inquire about partners of GLBT co-workers.
  • Encourage employees to bring harassment
    complaints to the attention of management.
  • Do not assume all employees (or customers) are
    heterosexual.
  • Select openly GLBT employees to represent the
    organization at events.

20
What we CAN do!
  • Get informed!
  • Own up to and identify your own biases and
    prejudices.
  • Recognize that being GLBT does not constitute
    being competent in dealing with the issues.
  • Understand, if you dont identify as GLBT, that
    you cant really fully understand what it is like.

21
What we CAN do!
  • Deal with feeling inadequate.
  • Role model accepting behaviors for all clients at
    all times.
  • Have zero tolerance for prejudice at all times.
  • Offer GLBT groups.

22
What we CAN do!
  • Dont tell gay jokes and let others know you are
    offended when they do.
  • Fully teach GLBT about internalized homophobia.
  • Dont push the coming out process.
  • Involve partners (and made families) to treatment.

23
What we CAN do!
  • Be aware that sex, drugs and alcohol help deal
    with shame.
  • Affirm homosexuality as a healthy lifestyle.
  • Address transgender individuals as they request.
  • Offer resources.

24
Final Thoughts . . .
  • Take AwaysKey Learnings
  • Final thoughts
  • Evaluations
  • Certificates
  • Handouts

25
  • Oh the comfort, the inexpressible comfort, of
    feeling safe with a person having neither to
    weigh thought nor measure words, but to pour them
    all out just as they are, chaff and grain
    together, knowing that a faithful hand will take
    and sift them, keep what is worth keeping, and
    then, with the breath of kindness, blow the rest
    away.

-George Eliot
26
Resources
  • www.health.org/features/lgbt/whoisgay.aspx
  • www.samhsa.gov
  • A Providers Introduction to Substance Abuse
    Treatment for Lesbian, Gay, Bisexual, and
    Transgender Individuals
  • (DHHS Publication No. (SMA) 01-3498)

27
Websites
  • www.metrokc.gov/health/glbt
  • www.gayhealth.com
  • www.gaycenter.org/index.html
  • www.nalgap.org
  • www.glma.org
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