Understanding the needs of LGBTQ clients and their risk for commercial sexual exploitation: Training community mental health workers

Training on commercial sexual exploitation (CSE) and victimization of lesbian, gay, bisexual, transgender, and queer (LGBTQ) youths can increase awareness among professionals who provide services to this community. This study evaluated the effectiveness of a community-based training program geared toward mental health workers in a diverse metropolitan city. The training provided information about the continuum of sexuality and gender identity, sensitivity when working with LGBTQ clients, LGBTQ clients’ risks for CSE, and ways to improve service delivery to this population. Participants’ (N?=?64) knowledge level of these areas was examined prior to the training, immediately thereafter, and in a six-month follow-up. Participants showed an increase in knowledge from pretest to posttest. Follow-up testing on a limited sample revealed scores that were lower than posttest scores, but higher than pretest scores. Overall, through this community-based training, participants gained knowledge about the continuum of sexual and gender identity, appropriate service delivery when working with LGBTQ individuals, and the risk factors for CSE for LGBTQ youths. Participants also reported feeling satisfied with the training approach and format. Implications for future training to enhance mental health workers’ competence with LGBTQ victims of sexual exploitation are explored.     

Advocacy Evaluation for Counselors Serving LGBTQ Populations

ABSTRACT

Advocacy and social justice initiatives for lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) clients in counseling emphasize counselor and client collaboration in challenging discrimination and oppression and promoting LGBTQ inclusive sociopolitical changes. Although researchers have highlighted the counseling and advocacy needs of LGBTQ populations, few have yet examined processes for assessing the outcomes of advocacy efforts. Advocacy evaluation may provide counselors and counseling organizations with a framework for monitoring and assessing the outcomes of LGBTQ advocacy initiatives. The authors discuss the goals and elements of advocacy evaluation and review the LGBTQ Counseling Advocacy Evaluation Self Assessment.     

Motivations for Involvement in Nonmetropolitan LGBTQ Organizations: A Multimethod Qualitative Exploration

Organizations serving lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities provide services aimed at improving the health and well-being of LGBTQ people, yet may face limited resources and community support in nonmetropolitan communities. This study seeks to understand LGBTQ individuals’ motivations for becoming and staying involved in nonmetropolitan LGBTQ organizations. Data collection methods included interviews, participant observation, and focus groups. Six categories of motivations emerged: (1) to access support and resources; (2) to establish an LGBTQ community; (3) to be generative; (4) to affirm identity; (5) to support an LGBTQ organization; and (6) to combine one’s personal and professional lives.     

A decade of changes: Within-group analysis of LGBTQ individuals' perceptions of their community context and the relevance for social service providers

The previous decade has seen a drastic shift in the social environment for lesbian, gay, bisexual, transgender, and queer (LGBTQ) people. It is not surprising then to find that the perceived “best” and “worst” aspects of life for nonmetropolitan LGBTQ individuals have also changed. We use data from two cohorts of the Rainbow Illinois survey to examine differences between responses in 2000 and 2011. Furthermore, we examine demographic differences in the perception of what is “best” and “worst” among the 2011 cohort. Results suggest that although the general social climate has improved for some, it remains problematic for others. Implications for social service providers are thoroughly discussed.     

Acknowledging the Impact of Social Forces on Sexual Minority Clients: Introduction to the Special Issue on Clinical Practice with LGBTQ Populations

Over the last two to three decades, advances in clinical practice with lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals have been extensive. Many clinical social workers now incorporate LGBTQ-affirmative approaches into their practice, and a number of social workers have contributed to the literature on clinical practice with sexual minority clients. Despite these advances, we still require specialized knowledge to understand a number of LGBTQ-related mental health issues. The Clinical Social Work Journal’s first special issue on clinical practice with LGBTQ populations emphasizes psychotherapy techniques that acknowledge and also address social forces (e.g., transphobia, homophobia, and heterosexism) that affect the psychosocial functioning of LGBTQ clients. The special issue focuses on LGBTQ populations, such as transgender and bisexual individuals, sexual minority youth, and older adults, and psychotherapy modalities informed by a number of clinical and theoretical approaches. These in-depth articles offer guidance to clinical social workers who need to expand their knowledge of LGBTQ-related mental health issues and also provide those with existing knowledge an opportunity to refine their clinical skills and sharpen their thinking.     

Interdisciplinary Collaboration for LGBTQ Students in Foster Care: Strategies for School Counselors

abstract

Unsafe and ill-prepared school environments exist for many lesbian, gay, bisexual, transgender, and queer (LGBTQ) students in foster care. School counselors are uniquely positioned to develop safe and inclusive schools for this vulnerable student population; however, strategies for interdisciplinary collaboration and advocacy with schools, families, and systems incorporated with LGBTQ youth in foster care are limited. This article explores how school counselors can advocate across disciplines for LGBTQ youth in foster care, including K-12 education systems, family/caregivers, and social service organizations providers.     

Perspectives of LGBTQ emerging adults on the depiction and impact of LGBTQ media representation

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) young people have been increasingly represented in traditional (offline) media over the past two decades. However, research had not adequately focused on the content of contemporary representations, how such depictions impact LGBTQ young people, or how young people’s experiences are affected by the present context characterized by the rapidly increasing prevalence of new (online) media. Utilizing grounded theory with a sample (n?=?19) of emerging adults (age 18–22), this study investigates: (1) messages about sexual orientation and/or gender identity LGBTQ emerging adults receive from LGBTQ representations in traditional media; (2) potential differences in the experiences of LGBTQ emerging adults with traditional media compared to new media; and (3) how consumption of these media messages impact LGBTQ emerging adults. Results indicate that while traditional media (particularly television) creates a common dialogue and validates identity, it continues to represent LGBTQ people as one-dimensional and stereotypical, ignores many LGBTQ sub-groups, limits LGBTQ young people’s perceptions of their future trajectories, and offers no opportunities for critique. In contrast, emerging new media offers new, important, and valued spaces for discussion and creativity.     

Achieving permanency for LGBTQ youth

This article brings together two significant efforts in the child welfare field: achieving permanence for youth in out-of-home care and meeting the needs of lesbian, gay, bisexual, transgender and questioning (LGBTQ) youth. During the past several years, a national movement has taken place to assure all children and youth have a permanent family connection before leaving the child welfare system; however, LGBTQ youth are not routinely included in the permanency discussions. At the same time, efforts in addressing the needs of LGBTQ youth have increased, but permanency is rarely mentioned as a need. This article offers models of permanence and practices to facilitate permanence with LGBTQ youth and their families. It also offers a youth-driven, individualized process, using youth development principles to achieve relational, physical, and legal permanence. Reunification efforts are discussed, including services, supports, and education required for youth to return to their family of origin. For those who cannot return home, other family resources are explored. The article also discusses cultural issues as they affect permanence for LGBTQ youth, and, finally, addresses the need for ongoing support services to sustain and support permanency.     

Needs and Perceptions of LGBTQ Caregivers: The Challenges of Services and Support

Increasing attention has been paid to the lack of services and support afforded older lesbian, gay, bisexual, transgender, and queer (LGBTQ) women in same-sex relationships, including caregivers. This study was designed to investigate the needs and perceptions of LGBTQ women from ages 35 to 91, including informal caregivers and older adults regarding services and support from health care providers. Questionnaires were completed by older LGBTQ women (N = 76), and follow-up interviews were conducted with 25% of caregiver respondents. The majority of subjects indicated a fear of future challenges and discrimination. Four main themes emerged when analyzing the open-ended responses: the need for health care workers who were both supportive and knowledgeable about LGBTQ issues; better and consistent recognition of same-sex partners and their rights to make decisions as primary caregivers; increased sensitivity training regarding the needs of LGBTQ patients and caregivers; and more open and accepting environments where LGBTQ patients and caregivers could feel comfortable discussing issues with the staff.     

Victimization and Microaggressions Targeting LGBTQ College Students: Gender Identity As a Moderator of Psychological Distress

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer and questioning (LGBTQ) discrimination continues to be common on college campuses. While a number of studies have examined blatant victimization among students, little attention has been given to LGBTQ microaggressions. In this study, we examine both blatant victimization and microaggressions and their association with psychological distress among LGBTQ college students (N = 497) and look at whether gender identity moderates these relationships. Both forms of discrimination are associated with lower self-esteem and greater stress and anxiety. Victimization is more negatively associated with self-esteem among trans* students. Our findings emphasize the importance of addressing both blatant and subtle forms of discrimination targeting LGBTQ college students.     

Beyond resilience: Resistance in the lives of LGBTQ youth

Resilience has come to define a wide breadth of impactful research on marginalized groups, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. This resilience framework shifted the deficit “at-risk” model of research on marginalized populations to a more nuanced strengths-based perspective. In this critical review article, we examine this research trend to understand how the shift to resilience has shaped patterns of LGBTQ youth research. In doing so, this piece calls for a more sophisticated engagement with operationalizing resilience–which is vaguely defined and often upholds dominant relations in society, such as capitalistic, heteronormative values of success and happiness. We show how a shift to understanding resistance, joy, and pleasure in LGBTQ youth's lives promotes a more dynamic and complicated look at how marginalized groups navigate their social worlds and exert power in shaping these worlds. Acknowledging and uplifting LGBTQ youth's resistance and power are necessary in pushing scholarly dialogue and the possible interventions informed by research towards a more fully transformative framework in changing and dismantling oppressive societal structures.     

Stress,Stigma, and Sexual Minority Status: The Intersectional Ecology Model of LGBTQ Health

One of the four overarching goals of Healthy People 2020 is to achieve health equity, eliminate health disparities, and improve the health of all groups, including the health of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) populations. In 2011, the Institute of Medicine (IOM) released a report that drew attention to the unique health disparities experienced by sexual minorities and underscored the need for a comprehensive approach to sexual minority health research. This article proposes a new model of LGBTQ health to help measure, explore, explain, and predict the impact of sexual minority status on health outcomes. The Intersectional Ecology Model of LGBTQ Health (IEM) demonstrates how the relentless hypervigilance of LGBTQ individuals in a heteronormative society impacts health outcomes through the primary vehicles of stigma and chronic, elevated stress. The purpose of the IEM is to guide future research and enhance public health practice for LGBTQ populations.     

How discrimination in adoptive,foster, and medical systems harms LGBTQ+ families: Research on the experiences of prospective parents

Abstract

LGBTQ+?people face multiple challenges to parenthood because of barriers such as discriminatory legislation and policies influencing foster parenting, adoption, and reproductive health services. This study documents these obstacles and examines their impact through a grounded theory analysis of interviews of LGBTQ+?prospective parents. Stressors included social isolation, unnecessary medicalization, prohibitive financial costs related to accessing social and medical services (sometimes across state lines), and being denied services, parental leave, and insurance coverage. Findings indicate that heteronormative attitudes and discrimination can lead to debilitating and enduring harm upon the economic, emotional, and relational well-being of growing LGBTQ+?families.     

Promoting Empowerment Among LGBTQ Youth: A Social Justice Youth Development Approach

Lesbian, gay, bisexual, transgender and queer-identified (LGBTQ) youth are a population with a unique set of service needs. Existing research on effective service methods with LGBTQ youth is limited. Youth empowerment holds potential as an approach that can impact well-being among youth who face discrimination. The current study explores the relationship between the social justice youth development framework (Ginwright and James, New Directions Youth Dev 96:27–46, 2002) and youth empowerment in a sample of LGBTQ youth. Multiple regression analysis of data collected through a community-based youth program identified critical consciousness and community engagement as significant predictors of empowerment. Findings suggest that programs that promote these factors among LGBTQ youth using the social justice youth development framework may enhance empowerment thereby increasing other aspects of well-being.     

Coming Out of the Family Closet: Stories of Adult Women with LGBTQ Parent(s)

Research about children of LGBTQ parent(s) tends to be politically interested and evaluative, assessing the degree to which children with LGBTQ parent(s) are being raised well. As a consequence, much of that research glosses over the distinct experiences of children with LGBTQ parent(s) and how they tell their own stories. This article attends to that shortcoming by detailing how some children with LGBTQ parent(s) construct their identities. We draw upon data from interviews with 26 adult-children, specifically young, white women who were born to, or adopted by, heterosexual parent(s) who later divorced and began living as LGBTQ. We analyze the children’s interviews as coming out narratives, detailing how many tell a story of coming out as a process of growing up and negotiating specific family closets. We then discuss how these are gendered and racialized narratives of coming out, reflecting the way racism and sexism intersect with homophobia and the stories told about experiencing it. We also suggest that these are stories of a particular generation of adult-children, reflecting specific families and the homophobia of the times. We end by suggesting how future generations of adult-children with LGBTQ parent(s) will likely narrate their identities differently.

Feminist and queer criminology: A vital place for theorizing LGBTQ youth

Creating safe environments for lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ) youth has become a significant public health concern. Despite the disparities in the risk factors associated with identifying as a member of the LGBTQ community, the theoretical frameworks for understanding these issues, particularly within criminology, have been limited. The purpose of this work is to review the historical treatment of gender and sexual orientation within criminology. More specifically, this work reviews how gender was introduced into criminology through the work of feminist criminology, followed by the need for theorization that further analyzed sexual orientation. This then became the focus of queer criminology. After tracing the historical development of gender and sexual orientation, the author uses the theoretical foundations of both to show how it applies to recognizing the issues faced by LGBTQ youth. Finally, the author discusses why consideration of these frameworks is paramount in understanding the issues faced by LGBTQ youth, as well as how such consideration and understanding can help mend the existing gap in providing safer environments for LGBTQ youth.     

Communicating corporate LGBTQ advocacy: A computational comparison of the global CSR discourse

Corporations are increasingly engaging with political and social issues through corporate social responsibility (CSR) initiatives, in new areas such as lesbian, gay, bisexual, transgender, queer (LGBTQ) advocacy. Informed by institutional theory and stakeholder theory, this article systematically, comparatively, and computationally examines the intersection of LGBTQ advocacy and CSR communication. In particular, it contributes to the literature by (1) examining the global LGBTQ CSR discourse constructed by Fortune Global 500 companies (136,820 words) with semantic network analysis and structural topic modeling; (2) surveying non-profit organizations’ guidelines and comparing corporate values with them; and (3) exploring how stakeholder expectations and institutional factors influence CSR communication. Results indicate 6 corporate topics and 9 non-profit topics, which were explicated by referencing organizations’ original writing. It is further shown that stakeholder expectations and institutional factors not only affect whether or not corporations report LGBTQ efforts, but also affect what topics they highlight in CSR reports. Corporations in democratic countries with substantial stakeholder expectations emphasize areas that need high investment and exceed legal obligations.     

Outness among LGBTQ Social Work Students in North America: The Contribution of Environmental Supports and Perceptions of Comfort

This study examines various environmental factors that may impact a lesbian, gay, bisexual, transgender, or queer (LGBTQ) social work student's level of ‘outness’ (disclosure) with regard to their sexual orientation or gender identity. An internet-based survey was conducted, comprised of LGBTQ undergraduate and graduate students from social work programs across North America (n = 1,018). Utilizing Pearson's chi square analysis, significant associations correlated between outness and the following six areas: (1) LGBTQ student perception of other students' overall level of comfort with their sexual orientation or gender identity within the program; (2) the number of faculty that know about their sexual orientation or gender identity; (3) the number of students that know about their sexual orientation or gender identity; (4) how supported they felt with regard to their LGBTQ identity within the program; (5) the percent of faculty that are supportive of LGB and Q issues; and (6) awareness of openly LGBTQ administrators or staff members. Implications for social work education and practice are examined, as are suggestions for continued research.