Preparing social workers for practice with LGBT populations affected by substance use: perceptions from students,alumni, and service providers

Trends in the field of service among those with alcohol and other drug addictions highlight the urgent need for schools of social work to effectively train students to serve clients with substance use disorders, and have cultural humility to effectively serve disproportionately affected LGBT consumers. Online surveys and interviews examined perceptions of graduate social work students and alumni in a certified alcohol and drug counselor program, along with several service providers within an urban setting in the US. Results indicated that students and alumni did not feel adequately prepared through coursework to practice with LGBT populations affected by substance use, while feeling more clinically competent to practice with LGB individuals, than with transgender consumers. Similar findings related to unique differences associated with perceptions of faculty support, along with field preparedness to practice with LGB individuals when compared to transgender individuals. Service providers noted an overall commitment and to serve LGBT consumers as well as positive perceptions of students and alumni to do the same. Implications examine the role of faculty in addressing challenges related to preparation of social work students to practice with LGBT consumers affected by substance use disorders, along with suggestions for curricular changes, and ongoing field trainings.     

Coming out in camouflage: A queer theory perspective on the strength,resilience, and resistance of lesbian,gay, bisexual,and transgender service members and veterans

ABSTRACT

Lesbian, gay, bisexual, and transgender (LGBT) service members have made profound contributions to the U.S. military despite serving under anti-LGBT military policies. Little is known about their everyday acts of strength and resistance, which is vital information for developing strengths-based services. This article utilizes a queer theory framework to (a) discuss LGBT military contributions and anti-LGBT military policies, (b) explore three LGBT-specific military minority stressors, and (c) identify four strategies of strength and resistance used to manage an anti-LGBT military environment. Clinical suggestions are proposed for integrating military and LGBT identities and designing interventions that blend military and LGBT cultures.     

Between the market and the hard place: neoliberalization and the Polish LGBT movement

ABSTRACT

Whilst the fall of state socialism in 1989 opened up a space for the Polish LGBT movement to emerge and develop, over the last three decades the process has taken place against the backdrop of material and ideological constraints of neoliberalization, a point that has been largely overlooked in the scholarship on the Polish LGBT movement. Informed by interviews with Polish LGBT activists this article explores the contradictory ways in which processes of neoliberalization and market logic influence and often constrain the Polish LGBT movement. The argument is that neoliberalization and its logic profusely affect what is possible and desirable for the Polish LGBT movement on a personal, local as well as a national level. The contradictory effects of the processes of neoliberalization combined with the political climate, with minimal or no state support for LGBT organizing, result in a movement that is at the mercy of the market-like environment, under-resourced, dependent almost entirely on voluntary labor and spatially scarce.     

Seeing the Same Thing Differently: Program Director,Faculty, and Student Perceptions of MSW LGBT Competence

ABSTRACT

This exploratory study examined MSW education’s organizational-level lesbian, gay, bisexual, and transgender (LGBT) competence. Data were gathered from a sample of MSW program directors, faculty members, and students (N=1385) from 34 MSW programs in the United States. Hierarchical linear modeling analyzed differences in perceptions of organizational LGBT competence between MSW programs and among participants in the same program. Results showed organizational LGBT competence varied significantly among MSW programs and indicated program directors, faculty members, and students had different perceptions of the competence of their shared program. Specifically, directors rated the LGBT competence of their program higher than faculty, and faculty rated their program higher than students did. Implications for research and suggestions for social work education are discussed.     

Intersections of Identities

ABSTRACT

This paper addresses several key issues related to counseling lesbian, gay, bisexual, and transgender (LGBT) Asian-Americans. An understanding of the intersections of these identities is important, yet can be complex because of the diversity within Asian-American cultural groups (i.e., ethnicity, generation, skin color, religion, levels of minority stress, and acculturation) and within LGBT communities. These factors may influence counselors' selection of developmentally appropriate and culturally sensitive counseling approaches for LGBT Asian-American clients. We propose a framework for understanding the intersection of racial/ethnic and sexual identity development, the Racial Ethnic and Sexual Orientation Identification Chart (RSIC), which is designed to assist therapists in determining relevant counseling issues and strategies. A case study is included along with a discussion of multidimensional assessment and clinical implications.     

Migrants in the closet: LGBT migrants,homonationalism, and the right to refuge in Serbia

This case study examines the accommodation of lesbian, gay, bisexual, and transsexual (LGBT) migrants both de jure, in law, and de facto, in practice, in Serbia. The Balkan passage was a critical gateway for migrants throughout the 2015 European migrant crisis. Wedged between Eastern and Western politics, Serbia in particular faces pressure to promote LGBT rights arising from its candidacy for EU accession. The plight of LGBT communities seeking asylum is animated by interviews conducted with service providers working with these migrants in Serbia. The findings reflect the challenges of accommodating LGBT migrants in view of Serbia’s geopolitical dynamics, while situating this community’s rights in the broader human rights and legal discourse of continental Europe. Recommendations to service providers working with queer migrant communities are provided.     

Sexual orientation and the European Convention on Human Rights: What of the “L” in LGBT?

Abstract

The European Court of Human Rights (ECtHR) has long been celebrated for its role in advancing LGBT rights. This article adopts an intersectional feminist approach in order to critically examine the trajectory of the Court’s LGBT case-law from a gendered perspective. In doing so, it foregrounds the portrayal, experience and, indeed, invisibility of lesbian applicants. Adopting an intersectional approach that considers the gender dimension of sexual orientation claims provides a somewhat different perspective on the struggle for LGBT rights before the ECtHR and suggests that lesbian voices and experiences have been marginalized and excluded in the struggle for LGBT rights.     

Considering the community influence for lesbian,gay, bisexual,and transgender youth

Lesbian, gay, bisexual and transgender (LGBT) youth experience typical tasks of adolescence, but may also face heterosexist and homophobic environments and LGBT-related victimization that can lead to greater risk of poor psychological outcomes compared to non-LGBT youth. LGBT youth who are supported by peers, parents, and school personnel may be protected from these negative outcomes. One oft-cited recommendation to increase beneficial outcomes for LGBT students is the creation of a gay–straight alliance (GSA) in the school. Beneficial outcomes have been documented for LGBT students who attend schools with GSAs, but there seems to be a significant lapse in the literature with regard to community factors. The likelihood that acceptance and support at the community level leads to similar amounts of acceptance and support at the school level (in terms of supportive peers, faculty, and parents) and thus significantly affects student outcomes is discussed. Acknowledging the benefits of GSAs, this article suggests that the presence of GSAs in a given school may be indicative of overall community support and the benefits linked to GSAs may be better explained by these community-related factors.     

Queer Domicide

ABSTRACT

This article examines lesbian, gay, bisexual, and trans (LGBT) experiences of displacement, home loss, and rebuilding in the face of natural disasters. LGBT vulnerability and resilience are little studied in disaster research; this article begins to fill this gap, focusing on LGBT domicide—how LGBT homes are “unmade” in disasters. To do this, we critically read a range of non-government, scholarly, and media commentaries on LGBT experiences of natural disasters in various settings over 2004–12, including South Asia, the USA, Haiti, and Japan. Additionally, we utilize preliminary data from pilot work on LGBT experiences of 2011 disasters in Brisbane, Australia, and Christchurch, New Zealand. we find that disaster impacts are the first stage of ongoing problems for sexual and gender minorities. Disaster impacts destroy LGBT residences and neighborhoods, but response and recovery strategies favor assistance for heterosexual nuclear families and elide the concerns and needs of LGBT survivors. Disaster impact, response, and recovery “unmakes” LGBT home and belonging, or inhibits homemaking, at multiple scales, from the residence to the neighborhood. we focus on three scales or sites: first, destruction of individual residences, and problems with displacement and rebuilding; second, concerns about privacy and discrimination for individuals and families in temporary shelters; and third, loss and rebuilding of LGBT neighborhoods and community infrastructure (e.g. leisure venues and organizational facilities).     

Dance of the Dedicated Bottom

Abstract

LGBT caregiving for midlife and older adults facing chronic illness or disability as well as the development and evaluation of interventions targeting LGBT caregivers remains fundamentally unexplored. Caregivers regardless of their sexual orientation or gender identity often juggle multiple roles and responsibilities leading to increased stress and distress. However, largely due to discrimination and discriminatory policies, many LGBT caregivers face barriers at multiple levels of service provision that can exacerbate stress and negatively impact caregiver and care recipient quality of life. This article highlights many of these obstacles and provides examples of intervention strategies designed to assist LGBT caregivers ranging from interventions aimed at the individual and interpersonal levels of service provision to changes needed at the social policy level. As an example of an individual or interpersonal level of intervention designed to assist LGBT caregivers, the SURE 2 framework is presented and more thoroughly discussed. Given the diversity of the LGBT community, the article ends with ways to extend or adapt SURE 2 as well as suggesting that the time has come to develop and test a variety of interventions for LGBT caregivers.     

Sexual Minority Adolescents

Abstract

Most ethical dilemmas confronting professional school counselors (PSCs) do not involve simple solutions. Therefore, to practice ethically, PSCs need to possess and have the ability to articulate their ethical decision-making process with a clear and defendable professional explanation. Specifically, this article details the ethical decision-making process for PSCs working with lesbian, gay, bisexual, and transgendered (LGBT) adolescents. Additionally, ethical standards and legal statutes relating to counseling LGBT adolescents, ethical decision-making processes, and implications are discussed.     

Lessons on social and health disparities from older lesbians with alcoholism and the role of interventions to promote culturally competent services

ABSTRACT

Older adults who are lesbian, gay, bisexual, or transgender (LGBT) face greater health risks and possibly more costly care because of their reluctance to seek out health and long-term care services because of limited cultural sensitivity of service providers. This is particularly evident in older lesbians who face substantial risk of health problems associated with alcoholism and are less likely to be open with health care providers because of stigma combined with feelings of alienation, stress, and depression. An estimated 4.4 million older adults are predicted to have problems with alcohol by 2020, and the rates of alcohol-related hospitalizations are similar to those for heart attacks, creating exorbitant medical costs. More culturally competent health and long-term care may reduce health care costs by effectively addressing the dynamics of alcoholism, aging, and lesbian culture. Training initiatives such as those developed by the National Resource Center on LGBT Aging have begun to address the need of a more culturally competent aging services network. This article provides exemplars from empirical data on older lesbians with alcoholism to highlight some of the health, economic, and social disparities experienced in the aging LGBT community. Current interventions in the form of cultural competence training for service providers are presented as a potential step toward addressing health disparities among LGBT older adults.     

LGBT voices in work-life: a call for research and a research community

ABSTRACT

Despite an apparent expansive inclusivity of the aims of work–life programmes, there remains a fairly narrowly defined heteronormative view of the family. Alternative and non-normative perspectives of family life, and especially those pertaining to Lesbian, Gay, Bisexual and Transsexual (LGBT) identities, remain relatively occluded and under-researched. The aim of this paper is to question the presence and relevance of LGBT voices and perspectives in work–life research as they seem neither visible nor on the frontline of work–life research despite their increasingly legitimate presence in organisational and societal discourses.     

“No Place Like Home?”

Abstract

The concept of “home” is subject to individual interpretations; a “home” may be conceived of as a physical space, such as a building/house, a geographical space such as a street, a town or a community, or a place where meaningful social relationships and/or kinship are fostered. Consider, then, what would happen to our understandings of “home” if seen from the perspectives of young people that are “home-less” and estranged from their families and kin groups, sometimes due to their sexual orientation. This article presents results from a research project conducted together with Kentish homelessness charity Porchlight. The aim of the research is to formulate an understanding of the lived realities of homeless LGBT (lesbian, gay, bisexual, transgender) youth (ages 16–25). Young people who identify as LGB or T are often victims of hate crime, bullying, harassment, violence, oppression, discrimination, and social exclusion in the home, in schools, and in the community at large. In many cases, these factors can contribute to alienation from the family home and subsequently result in homelessness. Here, I look specifically at how young people experience home and homelessness in relation to kin and social relationships, and drawing from anthropological literature on “the house”, “home”, kinship and “liminality”, I consider how these concepts can better inform our understanding of LGBT youth homelessness.     

Counseling Competencies for Sexual Minority Clients

Abstract

Being able to work effectively with clients from diverse backrounds has become a necessity in good counseling practice. Professional associations have acknowledged this in recent years by identifying and articulating multicultural competencies that inform both the practice of counseling, but also the training of counselors. Specific attention to competencies in working with LGBT clients has been identified as a sub-set of these overall cultural competencies. In this paper, leaders within the Association for Gay, Lesbian, and Bisexual Issues in Counseling present specific ways in which counselors can provide culturally sensitive counseling to sexual minority clients and their families that are in line with the counselor training guidelines established by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).     

More than Surface Tension: Femmes in Families

SUMMARY

This article raises questions about the lack of scholarly focus on butch/femme couples and their absence in studies of lesbian couples and family-building. In an era of lesbian marriage and lesbian parenting, femme and butch coupling and family-building remain unspoken topics within family studies, including lesbian, gay, bisexual, transgender (LGBT)–specific research. Moving beyond a focus on eroticism within the femme/butch couple, questions about how gender expression impacts other relationships dynamics, including the maintenance of long-term relationships, power and intimacy, domestic chores and child-rearing, are raised. The femme role in “homemaking,” that is, building and maintaining families, especially needs further exploration.     

Traversing the Margins: Intersectionalities in the Bullying of Lesbian,Gay, Bisexual and Transgender Youth

SUMMARY

This study explores the perspectives of service providers and youth advocates on bullying of lesbian, gay, bisexual and transgender (LGBT) youth and intersectionalities in LGBT peer victimization. In depth, semi-structured interviews were conducted with nine key informants (4 male, 4 female, 1 transgender male; 4 gay, 3 lesbian, 2 non-identified; 6 white, 1 South Asian, 2 Middle Eastern) recruited using purposive sampling from diverse education and social service settings. Narrative thematic analysis and a constant comparative method were used to identify themes. Five themes emerged from the data: (1) “transgressing gender norm boundaries”; (2) homophobic sexism vs. sexist homophobia; (3) “you choose sexuality or you choose race”; (4) newcomer youth and citizenship; and (5) “multiple wires together … create the cage.” Findings suggest the importance of an intersectional approach to conceptualizing and addressing LGBT bullying and to uncovering the differential experiences of bullying among LGBT youth. Bullying related to sexual orientation should not be assumed to be the only or primary form of violence shaping the lives of LGBT youth.     

Yet another minority issue or good news for all? Approaching LGBT issues in European social work education

ABSTRACT

This article addresses the questions of why to include and how to approach LGBT issues in the context of European social work education. Referring to social work’s commitment to LGBT people, the article points out its ongoing relevance as questions of marginalisation and discrimination point far beyond formal equality in legislation and normalisation of homosexuality within existing societal institutions. Furthermore, new questions and dynamics in rapidly changing and highly diverse societal contexts bring about new challenges in addressing LGBT issues. Against this background, the article discusses problems of representation and knowledge and underlines the potential of a queer approach. A queer perspective questions taken-for-granted assumptions about sexual orientation, gender identity and intimate relationships. It challenges normalising categories of sex, gender and desire and brings out possibilities existing beyond the heteronormative order. This way, it offers social work education a powerful theoretical lens to address issues on sexual orientation and gender identity not only as yet another minority issue, but as transversal matter and as good news for all. In this article, we use the acronym LGBT to refer to lesbian, gay, bisexual and trans people. LGBT is meant to include and at the same time emphasise the differences between people who do not (exclusively) define themselves as heterosexual and who cannot or do not want to match or identify with binarities of sex, gender and desire. We do not use the acronym LGBTI because we find it problematic to include intersex people without taking explicitly into account their specific situations and needs. Making a plea for a queer approach, we share – of course – a critical view on categorisations and identity labels.