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Original Research

Development and implementation of a 2SLGBTQ+ competent trauma-informed care intervention

, MAORCID Icon, , PhD, , MSW, , PhD, , PhDORCID Icon & , PhDORCID Icon
Pages 335-359 | Received 06 Oct 2021, Accepted 23 Sep 2022, Published online: 17 Nov 2022

References

  • Alessi, E. J., & Martin, J. I. (2017). Intersection of trauma and identity. In K. Eckstrand & J. Potter (Eds.), Trauma, resilience, and health promotion in LGBT patients: What every healthcare provider should know (pp. 3–14). Springer.
  • Ameringen, M. V., Mancini, C., Patterson, B., & Boyle, M. H. (2008). Post-traumatic stress disorder in Canada. CNS Neuroscience & Therapeutics, 14(3), 171–181. https://doi.org/10.1111/j.1755-5949.2008.00049.x
  • Andersen, J. P., & Blosnich, J. (2013). Disparities in adverse childhood experiences among sexual minority and heterosexual adults: Results from a multi-state probability-based sample. PloS One, 8(1), e54691. https://doi.org/10.1371/journal.pone.0054691
  • Arnett, I. I. I., J. E., Frantell, K. A., Miles, J. R., & Fry, K. M. (2019). Anti-bisexual discrimination as insidious trauma and impacts on mental and physical health. Psychology of Sexual Orientation and Gender Diversity, 6(4), 475–485. https://doi.org/10.1037/sgd0000344
  • Arnold, R., Burke, B., James, C., Martin, D., & Thomas, B. (1991). Educating for a change. Between the Lines.
  • Arthur, E., Seymour, A., Dartnall, M., Beltgens, P., Poole, N., Smylie, D., North, N., & Schmidt, R. (2013). Trauma informed practice guide. Provincial Mental Health and Substance Use Planning Council.
  • Awe, E. N. (2020). 2SLGBTQIA+ black, indigenous, people of colour voices in history. The Canadian Centre for Gender and Sexual Diversity.
  • Bailey, M., & Trudy. (2018). On misogynoir: Citation, erasure, and plagiarism. Feminist Media Studies, 18(4), 762–768. https://doi.org/10.1080/14680777.2018.1447395
  • Baker, C. N., Brown, S. M., Overstreet, S., & Wilcox, P. D. (2020). Validation of the attitudes related to trauma-informed care scale (ARTIC). Psychological Trauma: Theory, Research, Practice, and Policy, 13(5), 505–513. https://doi.org/10.1037/tra0000989
  • Bauer, G. R., Scheim, A. I., Pyne, J., Travers, R., & Hammond, R. (2015). Intervenable factors associated with suicide risk in transgender persons: A respondent driven sampling study in Ontario, Canada. BMC Public Health, 15(1), 1–15. https://doi.org/10.1186/s12889-015-1867-2
  • Bolton, M. J., Buck, S., Conners, E. A., Kiernan, K., Matthews, C., McKellar, M., Proulx, J., Wall, T., Willette, C., MacPhee-Sigurdson, M., & Stewart, P. (2013). Trauma-informed: The trauma toolkit (2nd ed.). Klinic Community Health Centre. https://trauma-informed.ca/wp-content/uploads/2013/10/Trauma-informed_Toolkit.pdf/
  • Boroughs, M. S., Bedoya, C. A., O’Cleirigh, C., & Safren, S. A. (2015). Toward defining, measuring and evaluating LGBT cultural competence for psychologists. Clinical Psychology: Science and Practice, 22(2), 151–175.
  • Cénat, J. M., Hajizadeh, S., Dalexis, R. D., Ndengeyingoma, A., Guerrier, M., & Kogan, C. (2021). Prevalence and effects of daily and major experiences of racial discrimination and microaggressions among Black individuals in Canada. Journal of Interpersonal Violence, 37(17–18), NP16750–NP16778.
  • Chih, C., Wilson-Yang, J. Q., Dhaliwal, K., Khatoon, M., Redman, N., Malone, R., Islam, S., & Persad, Y. (2020). Health and well-being among racialized trans and non-binary people in Canada. Trans PULSE Canada Team. https://transpulsecanada.ca/research-type/reports/
  • Clark, R., Anderson, N. A., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. The American Psychologist, 54(10), 805–816. https://doi.org/10.1037//0003-066x.54.10.805
  • Cochran, S. D., & Mays, V. M. (2000). Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: Results from NHANES III. American Journal of Public Health, 90(4), 573–578. https://doi.org/10.2105/ajph.90.4.573
  • Collins, P. H. (1990). Black feminist thought: Knowledge, consciousness and the politics of empowerment. Hyman.
  • Combahee River Collective. (1977). A Black feminist statement.
  • Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. In University of Chicago Legal Forum (Vol. 1989, pp. 139–167).
  • Cuthand, T. J. (2017, May 12). Indigequeer/indigiqueer. Thirza Cuthand. http://www.thirzacuthand.com/2017/05/12/indigequeerindigiqueer/
  • Dominelli, L., & Campling, J. (2002). Anti-oppressive practice in action. In J. Campling (Eds.), Anti-oppressive social work theory and practice (pp. 85–108). Springer.
  • Eckstrand, K. L., & Potter, J. (Eds.). (2017). Trauma, resilience, and health promotion in LGBT patients: What every healthcare provider should know. Springer.
  • Eliason, M. J., & Chinn, P. L. (2017). LGBTQ cultures: What health care professionals need to know about sexual and gender diversity. Lippincott Williams & Wilkins.
  • EQUIP Health Care. (2018). Trauma-and Violence-Informed Care (TVIC) tools. Canadian Institutes of Health Research.
  • Fausto-Sterling, A. (2000). Sexing the body. Basic Books.
  • Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Kiesling, M. (2011). Injustice at every turn: A report of the national transgender discrimination survey. National Center for Transgender Equality & National Gay and Lesbian Task Force. https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf/
  • Harris, M., & Fallot, R. (Eds.). (2001). Using trauma theory to design service systems. New directions for mental health services. Jossey-Bass.
  • Inuit Tapiriit Kanatami. (2016). National inuit suicide prevention strategy.
  • Jaffray, B. (2020). Experiences of violent victimization and unwanted sexual behaviours among gay, lesbian, bisexual and other sexual minority people, and the transgender population, in Canada, 2018. Canadian Centre for Justice Statistics, pp. 1–27.
  • Jean Tweed Centre. (2013). Trauma matters: Guidelines for trauma-informed services in women’s substance use services. The Jean Tweed Centre for Women & their Families. https://www.stjoes.ca/hospital-services/mental-health-addiction-services/addiction-services/womankind-addiction-service/trauma-matters.pdf
  • Jones, S. (2015). Toward LGBTQIA+ competence. Canadian Audiologist, 2(4). https://­canadianaudiologist.ca/toward-lgbtqia-cultural-competence/
  • Keating, L., & Muller, R. T. (2020). LGBTQ+ based discrimination is associated with PTSD symptoms, dissociation, emotion dysregulation, and attachment insecurity among LGBTQ+ adults who have experienced Trauma. Journal of Trauma & Dissociation: The Official Journal of the International Society for the Study of Dissociation (ISSD), 21(1), 124–141. https://doi.org/10.1080/15299732.2019.1675222
  • Keating, L., Muller, R. T., & Wyers, C. (2021). LGBTQ+ people’s experiences of barriers and welcoming factors when accessing and attending intervention for psychological trauma. Journal of LGBTQ Issues in Counseling, 15(1), 77–92. https://doi.org/10.1080/15538605.2021.1868376
  • Kosciw, J., Diaz, E. M., & Greytak, E. (2010). School connectedness for lesbian, gay, bisexual, and transgender youth: In-school victimization and institutional supports. The Prevention Researcher, 17(3), 15–17.
  • Laing, M. (2021). Urban indigenous youth reframing two-spirit. Routledge.
  • Lee, M. (2017). A time to act: Fatal violence against transgender people in America 2017. Human Rights Campaign Foundation. https://assets2.hrc.org/files/assets/resources/A_Time_To_Act_2017_REV3.pdf/
  • Leskowec, J., & Nguyen, T. (2017). Improving the health, safety and well-being of LGBT populations. National Network of Libraries of Medicine.
  • Livingston, N. A., Berke, D., Scholl, J., Ruben, M., & Shipherd, J. C. (2020). Addressing diversity in PTSD treatment: Clinical considerations and guidance for the treatment of PTSD in LGBTQ populations. Current Treatment Options in Psychiatry, 7(2), 53–69. https://doi.org/10.1007/s40501-020-00204-0
  • MacKay, J., Robinson, M., Pinder, S., & Ross, L. E. (2017). A grounded theory of bisexual individuals’ experiences of help seeking. The American Journal of Orthopsychiatry, 87(1), 52–61. https://doi.org/10.1037/ort0000184
  • Margolies, L., Joo, R., & McDavid, J. (2015). Best practices in creating and delivering LGBTQ cultural competency trainings for health and social service agencies. National LGBT Cancer Network.
  • Matsuno, E. (2019). Nonbinary-affirming psychological interventions. Cognitive and Behavioral Practice, 26(4), 617–628. https://doi.org/10.1016/j.cbpra.2018.09.003
  • Mayer, K., Appelbaum, J., Rogers, T., Lo, W., Bradford, J., & Boswell, S. (2001). The evolution of the Fenway Community Health model. American Journal of Public Health, 91(6), 892–894. https://doi.org/10.2105/ajph.91.6.892
  • Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91(11), 1869–1876. https://doi.org/10.2105/ajph.91.11.1869
  • McEwing, E. M. (2020). Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT) population: Education for nursing students. Nurse Education Today, 94, 104573. https://doi.org/10.1016/j.nedt.2020.104573
  • Minkler, M., & Wallerstein, N. (2019). Improving health through community engagement, community organization, and community building. In M. Minkler (Ed.), Community organizing and community building for health and welfare (pp. 37–58). Rutgers University Press. https://doi.org/10.36019/9780813553146-005
  • Nadal, K. L. (2018). Microaggressions and traumatic stress: Theory, research, and clinical treatment. American Psychological Association.
  • Nathoo, T., Poole, N., & Schmidt, R. (2018). Trauma informed practice and the opioid crisis: A discussion guide for health care and social service providers. Centre of Excellence for Women’s Health.
  • National LGBTQIA+ Health Education Centre: A Program of the Fenway Institute. (2017). Focus on forms and policy: Creating an inclusive environment for LGBT patients. Fenway Institute.
  • National LGBTQIA+ Health Education Centre: A Program of the Fenway Institute. (2020). Affirmative services for transgender and gender diverse people – Best practices for frontline health care staff. Fenway Institute.
  • Oransky, M., Burke, E. Z., & Steever, J. (2019). An interdisciplinary model for meeting the mental health needs of transgender adolescents and young adults: The Mount Sinai Adolescent Health Center approach. Cognitive and Behavioral Practice, 26(4), 603–616. https://doi.org/10.1016/j.cbpra.2018.03.002
  • Pierce, C. (1974). Psychiatric problems of the Black minority. In S. Arieti & G. Caplan (Eds.), American handbook of psychiatry (Vol. 2, pp. 512–523). Basic Books.
  • Pilling, M. D. (2022). Queer and trans madness: Struggles for social justice. Palgrave Macmillan.
  • Pilling, M., Daley, A., Gibson, M. F., Ross, L. E., & Zaheer, J. (2018). Assessing ‘insight’, determining agency and autonomy: Implicating social identities. In J. Kilty & E. Dej (Eds.), Containing madness: Gender and ‘psy’ in institutional contexts (pp. 191–214). Palgrave MacMillan.
  • Pilling, M., Howison, M., Frederick, T., Ross, L., Bellamy, C. D., Davidson, L., McKenzie, K., & Kidd, S. A. (2017). Fragmented inclusion: Community participation and lesbian, gay, bisexual, trans, and queer people with diagnoses of schizophrenia and bipolar disorder. The American Journal of Orthopsychiatry, 87(5), 606–613. https://doi.org/10.1037/ort0000215
  • Poirier, J. M., Francis, K. B., Fisher, S. K., Williams-Washington, K., Goode, T. D., & Jackson, V. H. (2008). Practice brief 1: Providing services and supports for youth who are lesbian, gay, bisexual, transgender, questioning, intersex, or two-spirit. National Center for Cultural Competence, Georgetown University Center for Child and Human Development.
  • Poole, N. (2014). The Essentials of Trauma-Informed Care. Canadian Centre on Substance Abuse.
  • Poteat, T. C., & Singh, A. A. (2017). Conceptualizing trauma in clinical settings: Iatrogenic harm and bias. In K. Eckstrand & J. Potter (Eds.), Trauma, resilience, and health promotion in LGBT patients: What every healthcare provider should know (pp. 25–33). Springer. https://doi.org/10.1007/978-3-319-54509-7_3
  • Public Health Agency of Canada. (2018). Trauma and violence-informed approaches to policy and practice. Retrieved from the Government of Canada website: https://www.canada.ca/en/public-health/services/publications/health-risks-safety/trauma-violence-­informed-approaches-policy-practice.html#s4/
  • QMUNITY. (2018). Queer Terminology from A to Q. QMUNITY BC’s Queer, Trans, and Two-Spirit Resource Centre.
  • Registered Nurses’ Association of Ontario. (2017). Crisis intervention for adults using a trauma-informed approach: Initial four weeks of management (3rd ed.). Registered Nurses’ Association of Ontario.
  • Reisner, S. L., Conron, K. J., Tardiff, L. A., Jarvi, S., Gordon, A. R., & Austin, S. B. (2014). Monitoring the health of transgender and other gender minority populations: Validity of natal sex and gender identity survey items in a U.S. national cohort of young adults. BMC Public Health, 14(1), 1–10. https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-1224
  • Roberts, A. L., Austin, S. B., Corliss, H. L., Vandermorris, A. K., & Koenen, K. C. (2010). Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health, 100(12), 2433–2441. https://doi.org/10.2105/AJPH.2009.168971
  • Robey, N., Margolies, S., Sutherland, L., Rupp, C., Black, C., Hill, T., & Baker, C. N. (2020). Understanding s taff- and system-level contextual factors relevant to trauma-informed care implementation. Psychological Trauma: Theory, Research, Practice, and Policy, 13(2), 249–257. https://doi.org/10.1037/tra0000948
  • Ross, L. E., Gibson, M. F., Daley, A., Steele, L. S., & Williams, C. C. (2018). In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada. PloS One, 13(8), 1–23. https://doi.org/10.1371/journal.pone.0201437
  • Safren, S. A., & Heimberg, R. G. (1999). Depression, hopelessness, suicidality, and related factors in sexual minority and heterosexual adolescents. Journal of Consulting and Clinical Psychology, 67(6), 859–866. https://doi.org/10.1037//0022-006x.67.6.859
  • Serano, J. (2012, April 3). Trans-misogyny primer. Whipping Girl. https://www.juliaserano.com/av/TransmisogynyPrimer-Serano.pdf/
  • Shelton, K., & Delgado-Romero, E. A. (2011). Sexual orientation microaggressions: The experience of lesbian, gay, bisexual, and queer clients in psychotherapy. Journal of Counseling Psychology, 58(2), 210–221. https://doi.org/10.1037/a0022251
  • Shipherd, J. C., Berke, D., & Livingston, N. A. (2019). Trauma recovery in the transgender and gender diverse community: Extensions of the minority stress model for treatment planning. Cognitive and Behavioral Practice, 26(4), 629–646. https://doi.org/10.1016/j.cbpra.2019.06.001
  • Shipherd, J. C., Green, K. E., & Abramovitz, S. (2010). Transgender clients: Identifying and minimizing barriers to mental health treatment. Journal of Gay & Lesbian Mental Health, 14(2), 94–108. https://doi.org/10.1080/19359701003622875
  • Shipherd, J. C., & Sloan, C. A. (2019). The therapy room and beyond: Necessary action when working with gender minority people. Cognitive and Behavioral Practice, 26(4), 589–591. https://doi.org/10.1016/j.cbpra.2019.07.011
  • Singh, A. A. (2017). Understanding trauma and supporting resilience with LGBT people of colour. In K. Eckstrand & J. Potter (Eds.), Trauma, resilience, and health promotion in LGBT patients. Springer. https://doi.org/10.1007/978-3-319-54509-7_10
  • Smith, I. A., & Griffiths, A. (2022). Microaggressions, everyday discrimination, workplace incivilities, and other subtle slights at work: A meta-synthesis. Human Resource Development Review, 21(3), 275–299. 15344843221098756. https://doi.org/10.1177/15344843221098756
  • Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. HHS Publication No.(SMA) 14-4884. Substance Abuse and Mental Health Services Administration.
  • Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. The American Psychologist, 62(4), 271–286. https://doi.org/10.1037/0003-066X.62.4.271
  • Sweeney, A., & Taggart, D. (2018). (Mis)understanding trauma-informed approaches in mental health. Journal of Mental Health (Abingdon, England), 27(5), 383–387. https://doi.org/10.1080/09638237.2018.1520973
  • Szymanski, D. M., & Balsam, K. F. (2011). Insidious trauma: Examining the relationship between heterosexism and lesbians’ PTSD symptoms. Traumatology, 17(2), 4–13. https://doi.org/10.1177/1534765609358464
  • Tam, M. W., Taylor, O., Andrade-Romo, Z., Goldberg, J. M., Pilling, M. D., & Ross, L. E. (2022). 2SLGBTQ+ Competent Trauma-Informed Care: A mixed methods evaluation of an intervention to enhance the capacity of multi-disciplinary service providers. Manuscript submitted for publication.
  • Testa, R., Sciacca, L., Wang, F., Hendricks, M., Goldblum, P., Bradford, J., & Bongar, B. (2012). Effects of violence on transgender people. Professional Psychology: Research and Practice, 43(5), 452–459. https://doi.org/10.1037/a0029604
  • Toronto Long-Term Care Homes and Services. (2008). Diversity our strength: LGBT tool kit for creating lesbian, gay, bisexual and transgendered culturally competent care at toronto long-term care homes and services. Toronto Long-Term Care Homes & Services.
  • Watson, L. B., DeBlaere, C., Langrehr, K. J., Zelaya, D. G., & Flores, M. J. (2016). The influence of multiple oppressions on women of color’s experiences with insidious trauma. Journal of Counseling Psychology, 63(6), 656–667. https://doi.org/10.1037/cou0000165
  • Willging, C. E., Salvador, M., & Kano, M. (2006). Pragmatic help seeking: How sexual and gender minority groups access mental health care in a rural state. Psychiatric Services, 57(6), 871–874. https://doi.org/10.1176/ps.2006.57.6.871
  • Williams, M. T. (2020). Microaggressions: Clarification, evidence, and impact. Perspectives on Psychological Science: A Journal of the Association for Psychological Science, 15(1), 3–26. https://doi.org/10.1177/1745691619827499

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