Integrating Trauma-Informed Practices into Reproductive Health Services
August 30, 2023
Description:
Exposure to abuse, neglect, discrimination, violence, and other adverse experiences can greatly impact a person’s health for the long term and the way they interact with the healthcare system especially when it comes to family planning services. Because of the potentially long-lasting negative impact of trauma on physical and mental health, it’s important for providers to understand and incorporate trauma-informed approaches to care into their practice.
Trauma-informed care acknowledges the need to understand a client’s life experiences to deliver effective care and has the potential to improve patient engagement, treatment adherence, and health outcomes. This webinar will go over strategies for integrating trauma-informed practices into reproductive health services.
Learning Objectives:
Define various types of traumas frequently experienced by people accessing reproductive health services
Identify trauma-informed practices that can be used in clinical settings
Describe the role of self-care and team-based care in providing trauma-informed services
Speaker:
Dominika Seidman, MD, MAS OBGYN and associate professor at San Francisco General Hospital Co-founded Team Lily, a trauma-informed, multidisciplinary care team providing wrap-around services to pregnant people Provides reproductive health services at the San Francisco County Jail
Inclusive Services: Approaches to Improve Sexual and Reproductive Health Care for People with Disabilities
May 10, 2023
Description:
According to the National Survey of Family Growth, approximately 12% of “women of childbearing age” have a disability, and yet our educational and training programs devote little to no time in preparing us to provide accessible, appropriate, quality services to these populations. This webinar will define the population, identify the sexual and reproductive health needs, barriers to health care and health care disparities for people with disabilities, and present best practices for providing accessible, equitable sexual and reproductive health care for people with disabilities. This webinar will also discuss actionable items providers can immediately implement in their practices to make them disability accessible.
Learning Objectives:
Develop an inclusive definition of the populations that comprise people with disabilities
Identify sexual and reproductive health needs, barriers to health care and healthcare disparities for people with disabilities
Outline best practices for providing sexual and reproductive health care for people with disabilities
Identify concrete actions providers can take to improve access to and quality of sexual and reproductive health care for people with disabilities
Become knowledgeable on language, culture, and medical equipment suggestions
Speakers:
Erica Monasterio, MN, FNP-BC-Retired Clinical Professor Emerita at University of California, San Francisco 35 years of clinical experience in primary care for youth and families at UCSF and the San Francisco Department of Public Health Works in collaborations with organizations at the local, state, and national level providing training and technical assistance
Robin Wilson-Beattie, B.A Disability Sexual and Reproductive Health Educator Certified by the American Board of Sexology and City College of San Francisco as a Sexual Health Educator Member of the American Association of Sexuality Educators, Counselors and Therapists (AASECT), the Women of Color Sexual Health Network (WOCSHN), and a graduate of the San Francisco Sexuality Information Training (SFSI) Sex Educator Training Speaker, writer, and advocated for disability and sexuality
Director of Gender-Affirming Care for UC Davis Health, Miles Harris, FNP-BC, advocates for the integration of gender-affirming care with primary care and family planning. He shares that “so much of gender affirming care is not about hormones” and that “it is often so easy as a health care provider to do the thing that someone needs that changes their life.” He breaks down misconceptions: hormone therapy and contraception for trans folks is relatively simple, taking testosterone and not having a period does not prevent pregnancy, and there are no contraceptive methods that are contraindicated due to testosterone use.
He emphasizes the importance of not making assumptions about someone’s body parts or those of their partners, as well as not assuming that people are having types of sex that can result in a pregnancy. In choosing a contraceptive method, he says, “we want to remember that this person is a whole person, more than just their trans or non-binary identity.” This is the last episode in our mini-series on family planning and reproductive justice.
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Miles Harris is a trans and non-binary identified family nurse practitioner. He serves as the founding Director of Gender-Affirming Care for UC Davis Health and as an assistant clinical professor at the UC Davis Betty Irene Moore School of Nursing. His research focuses on sexual and reproductive health needs of transgender and gender nonbinary people, including contraceptive options for transgender and gender-nonbinary people assigned female at birth.
S4 E5 Lesser-Known Forms of Birth Control and Downplayed Side-effects: Providing Empowering Contraceptive Care
S4 E5 Lesser-Known Forms of Birth Control and Downplayed Side-effects: Providing Empowering Contraceptive Care
Family doctor Jennifer Karlin, MD, PhD, and health educator Mariana Horne, join host Tammy Kremer to talk through forms of birth control that are not as well-known, including self-injectable Depo Provera, internal condoms, and the fertility awareness method. They go into side effects of birth control methods that are not always named, such as changes in mood and blood pressure. Mariana shares how she has supported clients who’ve faced coercive birth control practices in getting the care they want and how her background helps her connect with monolingual Spanish-speaking communities. Meanwhile, Jennifer shares how her family’s experience with healthcare led her to focus on empowering her patients, making the connection between how experiences in the clinic can impact people outside of the clinic: “I want them to take that feeling of autonomy, of like ‘oh, this is my body, I get to make choices about it,’ I want everybody to walk around the world knowing that and feeling that and acting that when they’re not in the clinical space.”
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Follow Coming Together for Sexual Health on Instagram and Twitter.
Mariana Horne is a health educator and outreach lead at UCSF New Generation Health Clinic. She is committed to addressing racial inequities and disparities in reproductive health care and is an advocate for anyone in need of reproductive care, including monolingual Spanish-speaking communities. Her expertise encompasses birth control, sexually transmitted infections, minor consent laws in California, and reproductive justice initiatives.
Jennifer Karlin, MD, PhD, is a board-certified family physician and family planning specialist whose primary care practice is anchored in caring for patients in ways that encourage their empowerment and autonomy. At UC Davis and beyond, she is committed to medical and resident education that aims to encourage physicians-in-training to approach their practices from an historical, trauma-informed, and self-reflexive perspective. Her research aims to understand how social, political, and institutional structures affect people’s experiences with diagnosis, treatment, and health care.
Inclusive Services: Approaches to Improve Sexual and Reproductive Health Care for People with Disabilities
According to the National Survey of Family Growth, approximately 12% of “women of childbearing age” have a disability, and yet our educational and training programs devote little to no time in preparing us to provide accessible, appropriate, quality services to these populations. This webinar will define the population, identify the sexual and reproductive health needs, barriers to health care and health care disparities for people with disabilities, and present best practices for providing accessible, equitable sexual and reproductive health care for people with disabilities. This webinar will also discuss actionable items providers can immediately implement in their practices to make them disability accessible.
Learning Objectives
Develop an inclusive definition of the populations that comprise people with disabilities
Identify sexual and reproductive health needs, barriers to health care and healthcare disparities for people with disabilities
Outline best practices for providing sexual and reproductive health care for people with disabilities
Identify concrete actions providers can take to improve access to and quality of sexual and reproductive health care for people with disabilities
Become knowledgeable on language, culture, and medical equipment suggestions
Presenters:
Erica Monasterio, MN, FNP-BC-Retired
Clinical Professor Emerita at University of California, San Francisco
35 years of clinical experience in primary care for youth and families at UCSF and the San Francisco Department of Public Health
Works in collaborations with organizations at the local, state, and national level providing training and technical assistance
Robin Wilson-Beattie, BA
Disability Sexual and Reproductive Health Educator
Certified by the American Board of Sexology and City College of San Francisco as a Sexual Health Educator
Member of the American Association of Sexuality Educators, Counselors and Therapists (AASECT), the Women of Color Sexual Health Network (WOCSHN), and a graduate of the San Francisco Sexuality Information Training (SFSI) Sex Educator Training
Speaker, writer, and advocated for disability and sexuality
Reproductive and Sexual Health Considerations for Transgender and Nonbinary People
December 16, 2022
Description
This webinar is presented by Gayge Maggio, FNP-BC, AAHIVS and will focus on the reproductive and sexual health needs/considerations of transgender and gender non-conforming people. There will be a focus on learning to approach sexual health in a culturally sensitive, non-judgmental manner and how to deliver family planning needs and contraceptive options for patients who identified as transgender and/or non-binary.
Objectives
Discuss and perform a culturally sensitive sexual health inventory with transgender patients
Describe how to provide culturally sensitive, trauma-informed cervical cancer screening and the impact of testosterone on testing
Discuss options for contraception in assigned female at birth transgender and gender non-conforming patients
Nurse practitioner working at Callen-Lorde Community Health Center in New York City, an LGBTQ+ focused federally qualified health center FQHC
She works as a primary care provider, providing primary care including sexual and reproductive health services, gender-affirming hormone therapy (GAHT), treatment of HIV, and substance use disorder (SUD) treatment
She also works in the FlexCare program, providing walk-in primary care to patients
Quality contraceptive care is more than just knowing the facts about all available birth control methods. In order for clients to select methods and get what they want from their birth control, it is crucial to provide contraceptive counseling that helps people identify their preferences in the context of their lives, values, and beliefs. This webinar will review best practices in person-centered contraceptive counseling and offer practical tools for providers to employ in their clinical encounters.
Objectives
Demonstrate skillful, efficient, person-centered questioning for contraceptive care visits
Discuss reproductive desires with clients of any gender and sexual orientation
Identify 3 examples of plain language to explain characteristics of contraceptive methods
Demonstrate Affirm-Share-Ask cycles for person-centered communication
Since the first HPV vaccines were introduced in 2006, rates of cervical cancer and other HPV-related cancers have decreased in immunized populations. Family PACT will add HPV immunization as a benefit in July 2022 and will utilize guidelines developed by the CDC Advisory Committee of Immunization Practices (ACIP). This webinar will provide information about the effectiveness and safety of the HPV vaccine, review the current CDC recommendations for the use of the 9-valent HPV vaccine, and provide advice on how to have effective shared decision-making conversations with clients about being immunized. In addition, new Family PACT policies about coding and billing for HPV immunization services will be discussed. There will be ample time for your questions at the end of the presentation.
Learning Objectives:
• List 2 effective strategies for engaging with patients who have vaccine hesitancy
• Demonstrate a person-centered technique for providing a strong recommendation without coercion
• Describe the impact of HPV vaccination on the natural history of HPV
Over the last year, the Family PACT Program has added several new benefits. These include three new contraceptive methods, a diagnostic test for Mycoplasma genitalium, and modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines. In this webinar, a description of the new benefits will be provided and the Family PACT policies that relate to their utilization will be discussed. There will be ample time to ask questions regarding these and other Family PACT benefits.
Learning Objectives:
Describe and explain the three new contraceptive methods and explain how to discuss the advantages and disadvantages of each with Family PACT clients
List three circumstances when the use of the diagnostic test for Mycoplasma genitalium is clinically indicated
Describe four modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines
Speakers:
Michael Policar, MD, MPH Professor Emeritus, UCSF Senior Medical Advisor, CAPTC and California OFP Clinical Fellow, NFPRHA
