Transcript 411 on Including LGBT Communities in CTG Proposals Scout, Ph.D. Director, Network for LGBT Health Equity at The Fenway Institute Gustavo Torrez, Manager - Network for LGBT Health.

411 on Including LGBT Communities in
CTG Proposals
Scout, Ph.D. Director,
Network for LGBT
Health Equity at The
Fenway Institute
Gustavo Torrez,
Manager - Network for
LGBT Health Equity at
The Fenway Institute
Debra Morris, MPH CHES
Director of Technical
Assistance
Tobacco Technical
Assistance Consortium
Network for LGBT Health Equity
The Network for LGBT Health Equity is community-driven network of advocates and
professionals enhancing LGBT health by countering tobacco use, and enhancing diet
and exercise. We are one of six CDC-funded tobacco disparity networks and a project
of The Fenway Institute in Boston. We advance these issues primarily by linking
people and information to advocate for policy change. We actively monitor national
and state health policymakers and urge community action when there is an
opportunity to enhance LGBT wellness.
We would like to thank our cosponsor for this webinar
This webinar is the 2nd in a series
The first webinar was for LGBT community experts/advocates, training them on how
to identify and offer assistance to their local CTG applicants.
We would like to thank our community collaborators for the LGBT engagement
Agenda
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Why integrating LGBT partners strengthens your proposal
Data sources for local LGBT health information
How to identify local LGBT partners
Examples of successful LGBT policy advocacy campaigns
Models for inclusion in CTG proposals and/or action
planning
• Comments from Tobacco Technical Assistance Consortium
staff
Goals of This Webinar
• Educate CTG applicants on the policies urging
LGBT inclusion
• Provide the information so you can successfully
integrate LGBT people into your CTG proposal and
activities
• Provide linkages to local LGBT organizations
• Build the number of LGBT focused/inclusive CTG
programs nationwide
Why integrating LGBT partners
strengthens your proposal
LGBT Cultural Competency in 1 Slide
• LGBT people have notable health disparities, for
example we smoke at rates 35-almost 200%
higher than the general population.
• Due to a legacy of discrimination, LGBT people
often do not trust that mainstream health
interventions are welcoming to them.
• You need to demonstrate a project is welcoming
to LGBT people, otherwise you will perpetuate
old or build new disparities.
LGBT Wellness Disparities in 1 Slide
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Smoking rates much higher
Major access to care barriers aggravate all health issues
Some concerns of overeating (& undereating)
Lack of data defines much of knowledge: not enough
to comment on diet/exercise widely
• Remember: We need to include LGBT people in all
health work, so we don’t accidentally create new
disparities by only changing behavior among others.
CTG Request for Applications
• There is much stronger focus on including
disparity populations routinely, sexual orientation
specifically mentioned as a possible one.
• It didn’t take as much leadership as desired (see:
http://lgbthealthequity.wordpress.com/2011/05/13/the-longawaited-community-transform-grants-thumbs-down/) but
other policy docs do show notable leadership on
including LGBT folk.
New Changes in Federal Commitment
to LGBT Disparities
A series of policy documents in the last year
capture the newly enhanced commitment to
LGBT inclusion in health activities.
Healthy People 2020
• Overarching goal: “Achieve
health equity, eliminate
disparities.”
• Disparities/inequity to be
assessed by: Race/ethnicity,
Gender, Socioeconomic
status, Disability status,
Lesbian, gay, bisexual, and
transgender status,
Geography
• New LGBT Topic Area
IOM Report
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Historic review of LGBT
health disparities
Calls for data collection,
cultural competency, &
additional research.
Read more: Is This The Biggest
48 Hrs Ever for LGBT Health? &
Why the IOM report is a healthy
change for LGBTs: Op-Ed on IOM
Report on LGBT Health
HHS Tobacco Action Plan
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“Available evidence also reports
very high smoking rates among
lesbian, gay, bisexual and
transgender populations;
however these populations
remain underrepresented in
current surveillance systems
used to monitor tobacco use.”
Read more here: HHS Tobacco
Strategic Plan Launch:
Eyewitness Account & LGBT
Inclusion Details
National Prevention Strategy
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“Pillar 4. Eliminate Health Disparities: Eliminate disparities in
traditionally underserved populations to improve the quality of
life for all Americans. Some groups are disproportionately
affected by health risks including major disorders such as heart
disease, obesity, diabetes, HIV/AIDS, or viral hepatitis; high rates
of infant mortality; and high rates of violence. Disparities often
occur under conditions of social, economic, and environmental
disadvantage. All Americans should have access to opportunities
for healthy living and be supported in their efforts to make
choices that promote long, healthy, and productive lives,
regardless of race or ethnicity; religion; socioeconomic status;
gender; age; mental health; cognitive, sensory, or physical
disability; sexual orientation or gender identity; geographic
location; or other characteristics.
HHS ACA LGBT Factsheet
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“In addition, the Affordable Care Act is funding
preventive efforts for communities, including millions
of dollars to use evidence-based interventions to
address tobacco control, obesity prevention, HIVrelated health disparities, and better nutrition and
physical activity. The Department of Health and
Human Services intends to work with community
centers serving the LGBT community to ensure the
deployment of proven prevention strategies.”
Read more here: New Government Factsheet on
LGBTs & Health Care Reform
Summary
Including the LGBT population in your CTG
application & work is not only scientifically
indicated, it reflects the latest policy directives
from HHS.
Data sources for local LGBT health
information
LGBT local needs
assessments
Michigan: Breaking the Habit; Southeastern Michigan LGBT Tobacco Use Report (2006)
New Mexico: New Mexico LGBT Tobacco Community Survey (2006); Adding Sexual Orientation Questions to
Statewide Public Health Surveillance: New Mexico's Experience (2010)
Arizona: Smoking Prevalence and Cessation among Lesbian, Gay, Bisexual, and Transgender Residents in
Arizona (2008); Tobacco Use and Interventions among Arizona Lesbian, Gay, Bisexual, and Transgender People
New York: A Blueprint for Meeting LGBT health and Human Services Needs in NYS (2010)
Minnesota: Creating an Effective Tobacco Plan for Minnesota's Gay, Lesbian, Bisexual, and Transgender
Communities (2005)
Idaho: Idaho Tobacco Prevention and Control Program (2004)
North Carolina: North Carolina Report- Tobacco Disparities in the LGBT Community (2004)
Ohio: Ohio LGBT Report: Voices of the Lesbian, Gay, Bisexual, Transgender on: Tobacco Use, Tobacco Control,
and the Effects of Tobacco
Colorado: Tobacco Control Needs in Colorado
For more, check out our website for further assessments: lgbttobacco.org
States that have included LGB on BRFSS
Sexual orientation included (22 and DC)
Sexual orientation not included (19)
Sexual orientation included in specific counties (2)
* Leigh Evans, MPH, The Fenway Institute, 2011
Information not available (7)
LGBT national data sources
Full probability
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NHIS same sex household data
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Pooled YRBS data (caveats)
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National Survey of Family Growth
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(NATS?)
• Tobacco use among sexual minorities in the USA, 1987 to May
2007: a systematic review Tobacco Control August 2009. Joseph
Lee, Gabriel Griffin, Cathy Melvin
Community based sample
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National transgender survey (tobacco info in full report only,
not exec summary)
How to identify local LGBT partners
Our secret formula
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Do we have members in your state?
Is there one or more community centers in
your state?
If you’re a large city, you could also have one
of the 12 health centers.
Are there members of the National Coalition
for LGBT Health in your state?
Is there an “equality federation” in your state
But let’s make it easy…
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We will send each of you an email with the
names of one more key LGBT
leaders/organizations in your state
Examples of successful LGBT policy
advocacy campaigns
Examples 01
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DC - CIA passage in Washington DC
CA – legislators refusing tobacco money
CA – assisting getting tobacco out of
pharmacies
WA – No tobacco funds pledge for pride
On the horizon
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MO – created an LGBT tobacco/wellness
action plan, now moving to
implementation phase
IL, DC – CPPW subcontracts in action
GA – planning LGBT wellness campaign
heavily focused on policy changes
Our Tools/Assistance
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LGBT organizational wellness policy toolkit
Online LGBT organizational environmental
scan
Online resource library: needs assessments,
sample reports, etc.
We can do LGBT cultural competency
trainings + help you find local experts +
provide technical assistance to them.
Models for inclusion in CTG
proposals and/or action planning
How you can include us – big picture
1. Subcontract to local LGBT organization(s).
– Fund a project that pushes for policy changes in LGBT
organizations.
– Fund local organization to assist general coalitions
working on policy change (e.g. clean air measures)
2. Require other subcontractors to demonstrate
LGBT inclusion in their work.
3. Add smart LGBT measures to health surveys to
evaluate LGBT disparity changes.
Where to mention LGBT in proposal
1. Needs section (10 pts) – write 1-2 paras describing LGBT
community & health disparities
2. Leadership Team & Coalitions (20 pts) – a. Commit to
include LGBT leadership in the leadership team or
coalition. B. Secure letter(s) of support from LGBT groups
3. Community Transformation & Implementation Plan (20
pts) – include or plan to include LGBT targeted activities in
the implementation plan
4. Performance Monitoring & Evaluation (10 pts) – Commit
to adding LGBT measure in eval measures. (we have
resources to assist)
Comments from Tobacco Technical
Assistance Consortium staff
Questions
THANK YOU!
We look forward to working with you to collaboratively address LGBT wellness disparities.
Please take 2 minutes to complete an evaluation on this call:
http://www.zoomerang.com/Survey/WEB22CJFN25YF9/
Additional questions?
Feel free to contact us whenever needed
Network for LGBT Health Equity
[email protected]
The Fenway Institute | Fenway Health
1340 Boylston Street | Boston, MA 02215
voice: 401-263-5092 | fax: 401-633-6092
Our Blog
Debra Morris
Tobacco Technical Assistance Consortium
[email protected]