Delivering Trauma Informed Care to Reduce Health Disparities in Vulnerable Populations
To examine trauma-informed care as a structural intervention, Shamere Mackenzie highlights the importance of supplying care and support services to vulnerable populations in a trauma-informed manner, further helping to promote healthy outcomes and increase client engagement in care and prevention services. Learn the principles of trauma-informed care and strategies for infusing trauma-informed care into systems of care and prevention.
Cultural Humility through Structural Changes, Institutional Accountability
Creating change at an institutional level to promote cultural humility requires an assessment of barriers and structures that have created disparities in health outcomes for particular communities. Tim Vincent highlights an example of one health department’s approach which effectively integrated cultural humility by making structural changes in their service delivery. This session provides participants with the opportunity to learn and discuss how cultural humility can be institutionalized at a structural level to increase client engagement in their jurisdictions.
Structural Interventions Institute: Community Engagement
Community engagement is essential in developing and implementing structural interventions. Duran Rutledge briefly discusses the importance of gaining community buy-in for interventions, highlighting the “wisdom of crowds” perspective, and provides participants an opportunity to share experiences in engaging communities.
Matthew Willis explains how the California State Office of AIDS has funded and supported structural interventions (SIs) throughout the state, particularly the Ending the HIV Epidemic (EHE) initiative. The session focuses on six of eight counties that make up the California Consortium, implementing SI to address the three critical components of SI – acceptability, accessibility, and availability.
Andrew Miller defines key terminology used within LGBTQ-affirming healthcare, describes components of an LGBTQ-affirming healthcare system, and discusses how to evaluate a healthcare system for LGBTQ- affirming practices and procedures. Andrew is followed by a special message from Admiral Dr. Rachel Levine.
Ecological Perspectives for Deconstructing Medical Mistrust in Transgender Health.
Panel speakers Valerie Spencer, Cecilia Gentili, and Jenna Rapues describe how an ecological perspective can combat the negative impacts of medical mistrust, identify and discuss the tools, actions, and policies needed to create gender-affirming clinical programs, and discuss advocacy efforts to address institutional barriers to gender affirming clinical care and treatment programs. Moderated by Shawn Demmons
Dr. Sand Chang describes how colonization influences western healthcare systems, and its impact on transgender health care, the importance in decolonizing transgender health, when providing affirming care to transgender communities of Color, and explores strategies in implementing a decolonized framework in clinics.
In Sickness and Health: Exploring the Diversity of Gender in Patient-Centered HIV Care
Panel members Tyree Williams, Octavia Lewis, Levi Maxwell, Marcus Arana and Victor Motherwell explore the diversity of gender identity, discuss the importance of gender identity in the provision of HIV prevention, care, and treatment services, describe how to repair distrust and affirm gender diverse folx in HIV care. They identify tools and resources to foster continued learning and self-reflection.
An Intersectional Look at Providing Transgender Health
Dr. Tatyana Moaton discusses the importance of including transgender people in their own medical care. She describes how an intersectional approach fights medical mistreatment of the transgender community and identifies implementation strategies for ending medical mistrust.
Many clients in prevention and care settings would like to tell others of their status regarding HIV/STI or other health conditions. By self-disclosing, clients may hope to gain support or offer potentially exposed partners an opportunity to access important services.
Our blended learning course, Supporting Self-Disclosure of a Health Condition, is designed to assist prevention and care providers in supporting their patients to self-disclose to their sexual and/or substance injecting partners.
Blended Learning Modules
Part 1: Online Self-Disclosure Course
The online course introduces disclosure concepts using a four-step model that can be used by providers when engaging in discussions around self-notification with their clients.
The skills-based training offers the opportunity to put those steps into practice. Attendees learn about benefits and barriers to disclosure and how best to coach and practice with a client to help ensure a successful disclosure.
The online training is a prerequisite to the skills-based learning. Upcoming trainings to be announced. If you are interested in this, please contact us at captc@ucsf.edu.
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