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Original Research

Professional expectations of provider LGBTQ competence: Where we are and where we need to go

, MSORCID Icon, , BS , BAORCID Icon, , PhDORCID Icon, , PhD, , PhDORCID Icon & , PhDORCID Icon
Pages 286-311 | Received 25 Sep 2021, Accepted 04 Nov 2022, Published online: 23 Nov 2022

References

  • Allen, S., & Smith Bynum, M. (2018). LGBT families: Changing attitudes and policy regarding LGBT individuals and their families. In M. A. Smith-Bynum (Ed.), Families in daily life: Macro and micro perspectives (pp. 421–439). Cognella, Inc.
  • American Association for Marriage and Family Therapy. (2021). AAMFT social policies. https://www.aamft.org/About_AAMFT/Pos_on_couples.aspx
  • American Counseling Association. (2017). Resolution on reparative therapy/conversion therapy/Sexual Orientation Change Efforts (SOCE) as a significant and serious violation of the ACA code of ethics. https://www.counseling.org/docs/default-source/default-document-library/reparative-therapy-resoltution-letter-head_edited.pdf?sfvrsn=8ed562c_4
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
  • American Psychological Association. (2012). Guidelines for psychological practice with lesbian, gay, and bisexual clients. American Psychologist, 67(1), 10–42. https://doi.org/10.1037/a0024659
  • American Psychological Association. (2013). Training videos on gender and sexual minority issues. https://www.apa.org/apags/governance/subcommittees/lgbt-training
  • American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864. https://doi.org/10.1037/a0039906
  • American Psychological Association. (2021). Guidelines for psychological practice with sexual minority persons (p. 64). www.apa.org/about/policy/psychological-practice-sexual-minority-persons.pdf
  • Anton, B. S. (2010). Proceedings of the American Psychological Association for the legislative year 2009: Minutes of the annual meeting of the Council of Representatives and minutes of the meetings of the Board of Directors. American Psychologist, 65(5), 385–475. https://doi.org/10.1037/a0019553
  • Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling. (2013). Competencies for counseling with lesbian, gay, bisexual, queer, questioning, intersex, and ally individuals. Journal of LGBT Issues in Counseling, 7(1), 2–43. https://doi.org/10.1080/15538605.2013.755444
  • Avery, A. M., Hellman, R. E., & Sudderth, L. K. (2001). Satisfaction with mental health services among sexual minorities with major mental illness. American Journal of Public Health, 91(6), 990–991. https://doi.org/10.2105/AJPH.91.6.990
  • Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943–951. https://doi.org/10.2105/AJPH.2013.301241
  • Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. American Journal of Public Health, 100(3), 468–475. https://doi.org/10.2105/AJPH.2008.152942
  • Brooks, J., McCluskey, S., Turley, E., & King, N. (2015). The utility of template analysis in qualitative psychology research. Qualitative Research in Psychology, 12(2), 202–222. https://doi.org/10.1080/14780887.2014.955224
  • Brooks, V. R. (1981). Minority stress and lesbian women. Lexington Books.
  • Budge, S. L. (2015). Psychotherapists as gatekeepers: An evidence-based case study highlighting the role and process of letter writing for transgender clients. Psychotherapy, 52(3), 287–297. https://doi.org/10.1037/pst0000034
  • Cavanaugh, T., Hopwood, R., & Lambert, C. (2016). Informed consent in the medical care of transgender and gender-nonconforming patients. AMA Journal of Ethics, 18(11), 1147–1155. https://doi.org/10.1001/journalofethics.2016.18.11.sect1-1611.
  • Cochran, S. D. (2001). Emerging issues in research on lesbians’ and gay men’s mental health: Does sexual orientation really matter? The American Psychologist, 56(11), 931–947. https://doi.org/10.1037/0003-066x.56.11.931
  • Corturillo, E. M., McGeorge, C. R., & Carlson, T. S. (2016). How prepared are they? Exploring couple and family therapy faculty members’ training experiences in lesbian, gay, and bisexual affirmative therapy. Journal of Feminist Family Therapy, 28(2–3), 55–75. https://doi.org/10.1080/08952833.2016.1179549
  • Denial, suspension, revocation, fine, letter of reprimand, or additional education—Grounds—Reinstatement, 17-97–310 Arkansas Code. (2015). https://law.justia.com/codes/arkansas/2015/title-17/subtitle-3/chapter-97/subchapter-3/section-17-97-310
  • Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the surgeon general. U.S. Public Health Service. https://drum.lib.umd.edu/bitstream/handle/1903/22834/sma-01-3613.pdf?sequence=1&isAllowed=y
  • Dunbar, M. S., Sontag-Padilla, L., Ramchand, R., Seelam, R., & Stein, B. D. (2017). Mental health service utilization among lesbian, gay, bisexual, and questioning or queer college students. Journal of Adolescent Health, 61(3), 294–301. https://doi.org/10.1016/j.jadohealth.2017.03.008
  • Eliason, M. J. (2000). Substance abuse counselor’s attitudes regarding lesbian, gay, bisexual, and transgendered clients. Journal of Substance Abuse, 12(4), 311–328. https://doi.org/10.1016/S0899-3289(01)00055-4
  • Eliason, M. J., & Hughes, T. (2004). Treatment counselor’s attitudes about lesbian, gay, bisexual, and transgendered clients: Urban vs. rural settings. Substance Use & Misuse, 39(4), 625–644. https://doi.org/10.1081/JA-120030063
  • Fish, J. N., & Russell, S. T. (2020). Sexual orientation and gender identity change efforts are unethical and harmful. American Journal of Public Health, 110(8), 1113–1114. https://doi.org/10.2105/AJPH.2020.305765
  • Gallup. (2020). Gay and Lesbian rights. https://news.gallup.com/poll/1651/Gay-Lesbian-Rights.aspx
  • Gallup. (2021, February 24). LGBT identification rises to 5.6% in latest U.S. estimate. https://news.gallup.com/poll/329708/lgbt-identification-rises-latest-estimate.aspx
  • Garnets, L., Hancock, K. A., Cochran, S. D., Goodchilds, J., & Peplau, L. A. (1991). Issues in psychotherapy with lesbians and gay men: A survey of psychologists. The American Psychologist, 46(9), 964–972. https://doi.org/10.1037/0003-066X.46.9.964
  • Govere, L., & Govere, E. M. (2016). How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews on Evidence-Based Nursing, 13(6), 402–410. https://doi.org/10.1111/wvn.12176
  • Graham, S. R., Carney, J. S., & Kluck, A. S. (2012). Perceived competency in working with LGB clients: Where are we now? Counselor Education and Supervision, 51(1), 2–16. https://doi.org/10.1002/j.1556-6978.2012.00001.x
  • Hatzenbuehler, M. L. (2014). Structural stigma and the health of lesbian, gay, and bisexual populations. Current Directions in Psychological Science, 23(2), 127–132. https://doi.org/10.1177/0963721414523775
  • Hicks, D. (2000). The importance of specialized treatment programs for lesbian and gay patients. Journal of Gay & Lesbian Psychotherapy, 3(3–4), 81–94. https://doi.org/10.1300/J236v03n03_07
  • Holmes, A. G. D. (2020). Researcher positionality—A consideration of its influence and place in qualitative research—A new researcher guide. Shanlax International Journal of Education, 8(2), 1–9. https://doi.org/10.34293/education.v8i4.3232
  • Hughes, T. (2011). Alcohol use and alcohol-related problems among sexual minority women. Alcoholism Treatment Quarterly, 29(4), 403–435. https://doi.org/10.1080/07347324.2011.608336
  • Israel, T., Gorcheva, R., Burnes, T. R., & Walther, W. A. (2008). Helpful and unhelpful therapy experiences of LGBT clients. Psychotherapy Research, 18(3), 294–305. https://doi.org/10.1080/10503300701506920
  • Johnson, D. E. (2014). The impact of microaggressions in therapy on transgender and gender-noncomforming clients: A concurrent nested design study. University of the Rockies.
  • Kaysen, D., Lostutter, T. W., & Goines, M. A. (2005). Cognitive processing therapy for acute stress disorder resulting from an anti-gay assault. Cognitive and Behavioral Practice, 12(3), 278–289.
  • King, N. (2012). Doing template analysis. In G. Symon & C. Cassell (Eds.), Qualitative organizational research: Core methods and current challenges (pp. 426–450). SAGE.
  • Kreiss, J. L., & Patterson, D. L. (1997). Psychosocial issues in primary care of lesbian, gay, bisexual, and transgender youth. Journal of Pediatric Health Care, 11(6), 266–274. https://doi.org/10.1016/S0891-5245(97)90082-1
  • Lipson, S. K., Raifman, J., Abelson, S., & Reisner, S. L. (2019). Gender minority mental health in the U.S.: Results of a national survey on college campuses. American Journal of Preventive Medicine, 57(3), 293–301. https://doi.org/10.1016/j.amepre.2019.04.025
  • Logie, C., Bridge, T. J., & Bridge, P. D. (2007). Evaluating the phobias, attitudes, and cultural competence of master of social work students toward the LGBT populations. Journal of Homosexuality, 53(4), 201–221. https://doi.org/10.1080/00918360802103472
  • Lombardi, E. L., & van Servellen, G. (2000). Building culturally sensitive substance use prevention and treatment programs for transgendered populations. Journal of Substance Abuse Treatment, 19(3), 291–296. https://doi.org/10.1016/S0740-5472(00)00114-8
  • Martos, A. J., Wilson, P. A., Gordon, A. R., Lightfoot, M., & Meyer, I. H. (2018). “Like finding a unicorn”: Healthcare preferences among lesbian, gay, and bisexual people in the United States. Social Science & Medicine (1982), 208, 126–133. https://doi.org/10.1016/j.socscimed.2018.05.020
  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
  • McCabe, S. E., Hughes, T. L., Bostwick, W. B., West, B. T., & Boyd, C. J. (2009). Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction, 104(8), 1333–1345. https://doi.org/10.1111/j.1360-0443.2009.02596.x
  • McGeorge, C. R., Carlson, T. S., & Toomey, R. B. (2015). An exploration of family therapists’ beliefs about the ethics of conversion therapy: The influence of negative beliefs and clinical competence with lesbian, gay, and bisexual clients. Journal of Marital and Family Therapy, 41(1), 42–56. https://doi.org/10.1111/jmft.12040
  • Morse, J. M. (1997). “Perfectly healthy, but dead”: The myth of inter-rater reliability. Qualitative Health Research, 7(4), 445–447. https://doi.org/10.1177/104973239700700401
  • Movement Advancement Project. (2018). Equality maps: Healthcare laws and policies. http://www.lgbtmap.org/equality-maps/healthcare_laws_and_policies
  • Movement Advancement Project. (2021a, March 12). Conversion “therapy” laws. https://www.lgbtmap.org//equality-maps/conversion_therapy
  • Movement Advancement Project. (2021b, March 12). Religious exemption laws. https://www.lgbtmap.org//equality-maps/religious_exemption_laws
  • Movement Advancement Project. (2022). Equality maps: Conversion “therapy” laws. https://www.lgbtmap.org/equality-maps/conversion_therapy
  • National Academies of Sciences, Engineering, and Medicine. (2020). Understanding the well-being of LGBTQI + populations (p. 25877). National Academies Press. https://doi.org/10.17226/25877
  • National Association of Social Workers. (2015). Sexual Orientation Change Efforts (SOCE) and conversion therapy with lesbians, gay men, bisexuals, and transgender persons. https://www.socialworkers.org/LinkClick.aspx?fileticket=IQYALknHU6s%3D&portalid=0
  • National Association of Social Workers. (2018). LGBT practice tools. https://www.socialworkers.org
  • Nelson, A. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Journal of the National Medical Association, 94(8), 666–668.
  • Nowaskie, D. (2020). A national survey of U.S. psychiatry residents’ LGBT cultural competency: The importance of LGBT patient exposure and formal education. Journal of Gay & Lesbian Mental Health, 24(4), 375–391. https://doi.org/10.1080/19359705.2020.1774848
  • Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889. https://doi.org/10.1037/ccp0000037
  • Padgett, D. K. (2016). Qualitative methods in social work research (3rd ed., Vol. 36). Sage Publications, Inc. https://us.sagepub.com/en-us/nam/qualitative-methods-in-social-work-research/book239301
  • Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27(5), 367–385. https://doi.org/10.3109/09540261.2015.1083949
  • Powell, H. A., & Cochran, B. N. (2021). Mental health providers’ biases, knowledge, and treatment decision making with gender-minority clients. Psychology of Sexual Orientation and Gender Diversity, 8(4), 451–457. https://doi.org/10.1037/sgd0000444
  • Rock, M., Carlson, T. S., & McGeorge, C. R. (2010). Does affirmative training matter? Assessing CFT students’ beliefs about sexual orientation and their level of affirmative training. Journal of Marital and Family Therapy, 36(2), 171–184. https://doi.org/10.1111/j.1752-0606.2009.00172.x
  • Ross, L. E., Doctor, F., Dimito, A., Kuehl, D., & Armstrong, M. S. (2007). Can talking about oppression reduce depression? Journal of Gay & Lesbian Social Services, 19(1), 1–15. https://doi.org/10.1300/J041v19n01_01
  • Safren, S. A., & Rogers, T. (2001). Cognitive-behavioral therapy with gay, lesbian, and bisexual clients. Journal of Clinical Psychology, 57(5), 629–643. https://doi.org/10.1002/jclp.1033
  • Sandelowski, M. (1997). “To be of use”: Enhancing the utility of qualitative research. Nursing Outlook, 45(3), 125–132. https://doi.org/10.1016/S0029-6554(97)90043-9
  • Scasta, D., & Bialer, P. (2013). Position statement on issues related to homosexuality (p. 1). American Psychiatric Association.
  • Schulz, S. L. (2018). The informed consent model of transgender care: An alternative to the diagnosis of gender dysphoria. Journal of Humanistic Psychology, 58(1), 72–92. https://doi.org/10.1177/0022167817745217
  • Senreich, E. (2009). A comparison of perceptions, reported abstinence, and completion rates of gay, lesbian, bisexual, and heterosexual clients in substance abuse treatment. Journal of Gay & Lesbian Mental Health, 13(3), 145–169. https://doi.org/10.1080/19359700902870072
  • Senreich, E. (2010). Are specialized lgbt program components helpful for gay and bisexual men in substance abuse treatment? Substance Use & Misuse, 45(7–8), 1077–1096. https://doi.org/10.3109/10826080903483855
  • Sexual and Gender Minority Research Office. (2021). Strategic plan to advance research on the health and well-being of sexual & gender minorities (p. 19). National Institutes of Health.
  • Shi, Q., & Doud, S. (2017). An examination of school counselors’ competency working with lesbian, gay and bisexual and transgender (LGBT) students. Journal of LGBT Issues in Counseling, 11(1), 2–17. https://doi.org/10.1080/15538605.2017.1273165
  • Shipherd, J., Green, K., & 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
  • Substance Abuse and Mental Health Services Administration. (2015). Ending conversion therapy: Supporting and affirming LGBTQ youth (HHS Publication No. (SMA) 15-4928). https://store.samhsa.gov/product/Ending-Conversion-Therapy-Supporting-and-Affirming-LGBTQ-Youth/SMA15-4928
  • Substance Abuse and Mental Health Services Administration. (2020a, April 16). LGBT training curricula for behavioral health and primary care practitioners. https://www.samhsa.gov/behavioral-health-equity/lgbt/curricula
  • Substance Abuse and Mental Health Services Administration. (2020b, December 15). Lesbian, gay, bisexual, and transgender (LGBT). https://www.samhsa.gov/behavioral-health-equity/lgbt
  • The World Professional Association for Transgender Health. (2011). Standards of care for the health of transsexual, transgender, and gender nonconforming people. https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_English.pdf
  • Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14(1), 99. https://doi.org/10.1186/1472-6963-14-99
  • U.S. Department of Health and Human Services. (2020). LGBT – Healthy people 2030. https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbt
  • Walsh, K., & Hope, D. A. (2010). LGB-affirmative cognitive behavioral treatment for social anxiety: A case study applying evidence-based practice principles. Cognitive and Behavioral Practice, 17(1), 56–65. https://doi.org/10.1016/j.cbpra.2009.04.007
  • Whalen, K. (2012, December 13). (In)validating transgender identities: Progress and trouble in the DSM-5. National LGBTQ Task Force. https://www.thetaskforce.org/invalidating-transgender-identities-progress-and-trouble-in-the-dsm-5/
  • Williams, N. D., & Fish, J. N. (2020). The availability of LGBT‐specific mental health and substance abuse treatment in the United States. Health Services Research, 55(6), 932–943. https://doi.org/10.1111/1475-6773.13559
  • 2018 Wisconsin Statutes & Annotations—Rules and code of ethics. (2018). 455.08 Wisconsin Statutes & Annotations. https://law.justia.com/codes/wisconsin/2018/chapter-455/section-455.08/

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