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LGBTQ-Integrative Treatment

This program aims to provide comprehensive, affirming treatment for LGBTQ individuals struggling with substance abuse and mental health disorders. Our model combines evidence-based practices with a focus on sexual health and a supportive, inclusive environment.

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LGBTQ-Integrative Treatment

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  1. LGBTQ-Integrative Treatment

  2. About Me Director of LGBTQ-Integrative Program M.A., Certified Sexuality Counselor, Certified Alcohol and Drug Counselor, and Licensed Professional Counselor Certified by the American Association of Sexuality Educators, Counselors and Therapists (AASECT) Adjunct at Hazelden Graduate School of Addiction Studies My role is 50% clinical and 50% outreach

  3. Today’s Agenda

  4. What I Will Cover LGBTQ Language Research Findings on LGBTQ Overview of LGBTQ-Integrative Treatment Model Preliminary Outcomes LGBTQ Services Outside of HSB

  5. Alphabet Soup LGBT ransgender ay esbian isexual

  6. The Need for Space LGBTTIQQ2SAAPP ansexual olyamorous transgender transsexual ntersex esbian ay isexual ueer uestioning sexual pirit llies

  7. The Genderbread Person

  8. Standard usage LGBT Health and Human Services uses LGBT as the agreed upon acronym in the United States. They don’t use GLBT, GBLT, LBGT, GLBTQ, LGBTQ, etc. LGBT stands for Lesbian, Gay, Bisexual, and Transgender.

  9. So Why Do We Use the Q? LGBTQ-------------- Q represents the “continuums” Questioning clients represent a significant portion of those engaging in our program

  10. What We Know How many people identify as LGBT? 3.4 percent of the U.S. adult population - more than 8 million people. (2012 Gallup report)

  11. What We Know • How many struggle with substance abuse? • As much as 20-30 percent of the LGBTQ community may struggle with substance use disorders (Substance Abuse and Mental Health Services Administration) - Compared with 10 percent of the population as a whole.

  12. LGBTQ Research Findings Data that informs our program

  13. LGBTQ Research Findings Hazelden’s Butler Center for Research study Statistical analysis of two samples of patients in adult residential treatment at Hazelden. Findings published in Research Update Article published in the current edition of Journal of Gay & Lesbian Social Services

  14. LGBTQ Research Findings

  15. LGBTQ Research Findings

  16. LGBTQ Research Findings • 92% of LGBTQ clients have a co-occurring disorder • Nearly twice as likely to report physical and emotional abuse • Three times as likely to have a history of sexual abuse (48%) • More likely to have polysubstance diagnoses

  17. LGBTQ Research Findings Major Issues

  18. LGBTQ-Integrative Treatment Introducing the new model

  19. LGBTQ-Integrative Model Integrative – intending to unify separate things

  20. LGBTQ-Integrative Model • Integrative – intending to unify separate things • Model suggests that LGBTQ and non-LGBTQ shared treatment experience is a critical asset… • If affirming policy and sexual health education are understood by staff and visible in the milieu

  21. LGBTQ-Integrative Model Program Background Hazelden’s Springbrook campus has been offering specialized services for LGBTQ-identifying clients for three years. LGBTQ Program Director role began in 2014 Formal program launch last month

  22. LGBTQ-Integrative Model Treatment Modalities

  23. LGBTQ-Integrative Model

  24. LGBTQ-Integrative Model

  25. LGBTQ-Integrative Model

  26. LGBTQ-Integrative Model Program Structure LGBTQ-specific groups Interventions across the multidisciplinary team Sexuality counseling Variety of curriculum

  27. LGBTQ-Integrative Model Program Structure Affirming policy backed by senior leadership Sexual health as a milieu intervention Strong regional LGBTQ bridging Specialized referral network

  28. LGBTQ-Integrative Treatment Weekly Sexual Health in Recovery Group • Proven to reduce relapse and increase program completion • Creates common ground, shared language • Gets beyond “LGBTQ” to universal sex/drug linked relapse risks • Connects recovery principles to LGBTQ / non-LGBTQ • Gets information to closeted/questioning clients

  29. LGBTQ-Integrative Program LGBTQ or Sexual Health? Sexual health bridges the gap between sensitive and affirming models

  30. Springbrook Program as Standard of Excellence in Care Ongoing research of LGBTQ population and development of evidence based practices Leading the system in implementation of sexual health curriculum Addressing higher incidence of trauma through integration with our trauma program Regular all-staff training in both LGBTQ and sexual health in recovery

  31. SpringbrookProgram as Standard of Excellence in Care LGBTQ-friendly policy, emphasizing non-discriminatory treatment of transgender clients Family and spiritual care staff with strong LGBTQ competency Certified Sexuality Counselor on staff Integration with LGBTQ community, from Twelve-Step meeting engagement to volunteer and sober community opportunities

  32. Preliminary Outcomes Measuring program impact

  33. Preliminary Outcomes Average Days in Treatment

  34. Preliminary Outcomes More likely to Engage in Extended Care

  35. Preliminary Outcomes Suggests Higher Abstinence Rates at 6/12 months

  36. Preliminary Outcomes Case Examples Living A Double Life Attempted Murder Drinking Ipecac, Receiving Electroshock “Trauma Re-enactment/Avoidance” “Sex Addiction”

  37. National System of Care Extending our reach to LGBTQ patients

  38. Our National System of Care Throughout our system we emphasize the need for individualized treatment for all of our clients. In this way, the LGBTQ population receives treatment addressing their needs at all of our facilities.

  39. Our National System of Care Beaverton—LGBTQ outpatient services rolling out presently Center City—continues to develop its strong LGBTQ support for clients Betty Ford Center—currently developing LGBTQ-Integrative programming St Paul, Chicago, Plymouth, Naples, Chelsea and our other sites-continue to explore how to best meet LGBTQ clients needs

  40. www.hazelden.org/lgbtq Access to Research Update on LGBTQ Links to podcast and video about LGBTQ program Overview of services across system Client/family/referent oriented Future training, including online offerings

  41. References A Provider's Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals (2001, SAMHSA/CSAT) BKD392: www.health.org/govpubs/BKD392/index.pdf Cass, V.C., 1979. Homosexual identity formation: A theoretical model. Journal of Homosexuality 4(3):219-235 Coleman, E., 1987. Assessment of sexual orientation. Journal of Homosexuality 14:1-2 Coleman, E., 1981/1982. Developmental stages of the coming out process. Journal of Homosexuality 7(2/3):31-43 Kort, J. (2008). Gay affirmative therapy for the straight clinician: The essential guide. New York, NY: W. W. Norton & Company, Inc Ratner, E.F., T. Kosten, A. McLellan, April 1991. Treatment outcome of PRDI Institute patients: First wave-Patients admitted from September 1988 through February 1989. In: A.T. McLellan, (ed.) Outcome Report. Eden Prairie, MN: PRIDE Institute

  42. Questions? Buster RossLGBTQ Program Director503-554-4316blross@hazelden.org

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