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Addressing the HIV prevention needs of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth

Addressing the HIV prevention needs of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. Hank Tomlinson, PhD American Psychological Association 2007 DASH Funded Partners Meeting Atlanta, Georgia. Why should we be concerned about young men who have sex with men (YMSM) ?.

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Addressing the HIV prevention needs of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth

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  1. Addressing the HIV prevention needs of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth Hank Tomlinson, PhD American Psychological Association 2007 DASH Funded Partners Meeting Atlanta, Georgia

  2. Why should we be concerned about young men who have sex with men (YMSM) ?

  3. New HIV diagnoses by exposure category – young men aged 13-24 (33 areas w/NBR) Rangel, M.C., Gavin, L., Reed, C., Fowler, M.G., and Lee, L.M. (2006).   Epidemiology of HIV and AIDS among adolescents and young adults in the United States.  Journal of Adolescent Health, 39, 156-163.

  4. New HIV diagnoses by gender and exposure category – youth aged 13-24 (33 areas w/NBR) Males Females Rangel, M.C., Gavin, L., Reed, C., Fowler, M.G., and Lee, L.M. (2006).   Epidemiology of HIV and AIDS among adolescents and young adults in the United States.  Journal of Adolescent Health, 39, 156-163.

  5. 2003 HIV infections among 13-24 year olds by exposure category (male and female, n=3,896) (33 areas) Rangel, M.C., Gavin, L., Reed, C., Fowler, M.G., and Lee, L.M. (2006).   Epidemiology of HIV and AIDS among adolescents and young adults in the United States.  Journal of Adolescent Health, 39, 156-163.

  6. Our project’s mission To strengthen the capacity of youth-serving organizations to prevent risk behaviors and improve health outcomes among lesbian, gay, bisexual, and questioning youth We do so by providing capacity building assistance to: • education agencies • community-based organizations • national nonprofit organizations • faith-based organizations • Other organizations or agencies who aspire to decrease HIV infection rates among LGBQ youth

  7. How the project works Professional Development CBA (non-PD) Needs Assessment

  8. An overview of the HLGBSP: • Origins of the project • Needs assessment • Curriculum Development • Workshop sponsorship • Evaluation of the workshop • Future plans

  9. Origins of the project • Project began as partnership with 6 collaborating national professional organizations: ▫ American Counseling Association, ▫ American School Counselor Association ▫ National Association of School Psychologists ▫ National Association of School Nurses ▫ National Association of Social Workers ▫ School Social Work Association of America • Initially funded by CDC/DASH in 1999 • 2.6 FTE at APA • 17 members in our national training cadre

  10. Qualitative Content analysis of professional literature Key informant Interviews Focus group of school professionals working with high enrollments of youth of color Quantitative Survey developed and distributed to school counselors, nurses, psychologists, and social workers with assistance from our partner organizations (N=~4000) Needs assessment

  11. Curriculum development • Need for preventive services documented across all four school professions • Content areas based on results of needs assessment • Team of writers nominated by our professional partners • Continuous updates based on extensive formative evaluation, trainer observations, and expert review of materials

  12. Critical elements of HLGBSP workshop curriculum • Based on the Theory of Planned Behavior • Relates concretely to the professions’ scope of work within a school • Scientifically grounded; based on population data on LGBQ adolescents and health • Involves participants in active learning

  13. Theory of planned behavior

  14. Components of the curriculum • School professional’s role • Overview of risk & resilience • School-based preventive interventions • Planning next steps • Toolbox

  15. Sponsoring the workshop • Full-day, 6-hour session • Co-led by 2 trainers • Designed for audiences of fewer than 35 people • Co-sponsorship with youth-serving organization, SEA, LEA, or national association partner • Appropriate for annual meetings, in-service training days, weekend workshops, and special events • Originally designed for presentation to members of a single profession, but current model embraces mixed groups. • 40 workshops to date, approximately 1100 professionals served

  16. Previous trainings

  17. Evaluation • Formative evaluation during design of curriculum and initial revisions • Process-oriented evaluation for first cooperative agreement (1999-2004) • Outcome-oriented evaluation for second and current cooperative agreement (2004-11)

  18. Qualitative evaluations 2002-03

  19. Outcome evaluations (2004+)

  20. Contact Information If you are interested in the HLGBSP or would like to have us train in your area, please contact: Hank Tomlinson, PhD Director, HLGBSP htomlinson@apa.org 202-336-6036 http://www.apa.org/pi/hlgbsp/

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