AGLP: The Association of LGBTQ Psychiatrists firmly believes that gender identity is part of the natural spectrum of human experience and expression. The Transgender and Gender Non-Conforming (TGNC) Community has been marginalized and continues to fight for basic civil rights. On Friday February 10th, 2017, the Trump administration dropped the federal government’s appeal of a decision by Judge Reed O’Connor of the Federal District Court for the Northern District of Texas to block the Obama administration’s guidance that transgender students are legally entitled to use the school bathroom, locker rooms and other gender segregated areas that accord with their gender identity. On February 22nd they dropped the guidance entirely.
AGLP believes that the dropping of the appeal directly contradicts President Trump's pledge to protect LGBTQ people, and specifically a previous statement he made during the election that he would “leave [the guidance] alone". Discrimination and harassment are a significant source of stress for trans youth who are navigating an especially challenging period of their life and are vulnerable to depression and suicide when not supported by family and schools. We challenge President Trump to stand by his word and protect LGBTQ communities, specifically our most vulnerable trans and gender non-conforming youth.
The Transgender Psychiatry Fellowship (TPF) program is a one-year fellowship designed to train an individual in various aspects of transgender mental health care. Applicants to the TPF will have completed a residency in General Adult Psychiatry, licensed in New York State and are board eligible. Competency in LGBTQ-related mental health care is desirable.
The goal of the TPF is to teach the requisite knowledge involved in transgender medicine and surgery including transgender specific psychiatric evaluation and diagnostics, transgender-specific cultural sensitivity, hormone therapy, indications and contraindications for surgery. The fellow will see patients in the outpatient setting with various faculty, will carry a case load for acute and longitudinal care, will provide inpatient consultation, teach residents and medical students, provide different modes of treatment including psychopharmacology and psychotherapy. The fellow is expected to present a transgender-related topic during the psychiatry department grand rounds.
The fellow will receive direct clinical supervision from one of the attending on each case, consisting of individual or joint patient interview and subsequent discussion. Fellow will have both medication management and psychotherapy supervision for both acute and longitudinal cases.
Fellow will participate in monthly lectures with expert faculty in the field of transgender health that have medical, surgical and psychiatric backgrounds.
Weekly reading seminar including Journal Club.
Fellows are encouraged to participate in weekly psychosomatic fellows' seminar.
If you are interested in research, you may attend our weekly Research Fellows' Lecture Series to learn more about basic methodology and principles. You are also welcome to participate in other psychiatry research didactics.
At the end of the First Quarter, fellows should be able to:
· Be culturally sensitive to transgender-related issues
· Be proficient in diagnosing gender dysphoria
· Learn the history and evolution of sexual and gender disorders in psychiatry
· Understand the indications and contraindications to transgender surgery
· Have basic familiarity in transgender-related hormone therapy
· Work in interdisciplinary treatment teams
· Perform pre-surgical psychiatric evaluations
At the end of the Second Quarter, fellows should be able to:
Perform all of the First-Quarter-Specific goals and objectives with increasing skill plus:
· Be proficient in the pre- and postoperative management of transgender patients
· Have basic familiarity of medication interactions and contraindications
· Have basic knowledge of the physiological theories for gender dysphoria
· Have basic knowledge of the psychological theories for gender dysphoria
· Be familiar with civil rights movements and legislatorial changes affecting transgender patients
At the end of the Third Quarter, fellows should be able to:
Perform all of the above Quarter-Specific goals and objectives with increasing skill plus:
· Provide education to interdisciplinary teams on transgender mental health care
· Be proficient in providing education, support and therapy for family members and partners of transgender patients
· Have comprehensive knowledge of community-based resources for transgender patients
At the end of the Fourth Quarter, fellows should be able to:
Perform all of the above Quarter-Specific goals and objectives with increasing skill plus:
· Provide independent and comprehensive care to pre- and postoperative transgender patients
For further information about the fellowship, as well as the Center for Transgender Medicine and Surgery see the links below
A first-of-its-kind document from the Association of American Medical Colleges lays out 30 core competencies that will be rolled into physician training. The goal: a culture change in how healthcare is provided to the LGBT community.
A landmark report from the Association of American Medical Colleges includes the first guidelines for training physicians to care for people who identify as lesbian, gay, bisexual, or transgender, who are gender nonconforming, or who are born with differences of sex development. The report, released this week, establishes 30 core competencies that AAMC says physicians should be required to master.
“This groundbreaking publication represents a major step forward in giving medical schools, teaching hospitals, and health systems a roadmap for improving the care of LGBT and other individuals with differences in gender identity, gender expression, and sex development,” AAMC President and CEO Darrell G. Kirch, M.D., said in a statement.
The guidelines will encourage family and healthcare professionals to move away from thinking of these patients differently from others, Kirch added.
“Physicians and medical school faculty members are committed to treating all patients equally, yet research shows that everyone has unconscious biases that can affect how we interact with people from different experiences and backgrounds,” he said. “This new resource will help train physicians to overcome these blind spots and deliver high-quality care to all patients.”
Discrimination in medical care remains a serious issue for the LGBT community. According to a 2010 Lambda Legal survey, 56 percent of lesbian, gay, or bisexual respondents and 70 percent of transgender and gender-nonconforming respondents experienced at least one or more forms of discrimination in healthcare, including being denied care they needed, healthcare professionals refusing to touch them or using excessive precautions prior to contact, and being blamed for their health status.
Altering the way healthcare practitioners are trained in these areas could ultimately result in a culture change within the profession, according to Alice Dreger, professor of medical humanities and bioethics at Northwestern University’s Feinberg School of Medicine, who contributed to the AAMC report.
“We believe that once doctors start to recognize that the spectrums we are talking about are all around them in their own institutions, a deeper respect for the concerns for these patients will emerge,” Dreger wrote ina recent Slate article. “Given how radically the culture around medicine is changing, with these educational reforms inside medical schools, perhaps as soon as 10 years from now we will see a new world.”
AAMC said the competency-based model will enable medical educators to work the guidelines into existing training materials seamlessly. The association is currently developing a workshop that will focus on integrating the material into current curricula. That program will be piloted at the University of Louisville School of Medicine next year.
Congratulations to Luis F Pereira, MD, Chief Resident at Mount Sinai Beth Israel, who has been awarded the 2017 Journal of Gay and Lesbian Mental Health (JGLMH) Outstanding Resident Paper Award for his paper, "PrEP: A review for Mental Health Professionals.”
Dr. Pereira graduated from Lisbon University Medical School, Portugal, in 2004, and completed a 5-year residency program in internal medicine in 2011. Due to his interest in HIV infection, he obtained a Master’s Degree in HIV/AIDS in 2009 from the University of Barcelona, Spain. He is currently Chief Resident at Mount Sinai Beth Israel's Psychiatry Residency Program in New York, and will start a fellowship in Psychosomatic Medicine in July 2017 at New York-Presbyterian/Columbia University Medical Center, New York.
The JGLMH Outstanding Resident Paper Award consists of $500, publication of the winning manuscript in the Journal, and assistance with travel costs to attend the APA and AGLP annual meetings in San Diego in May 2017 to present the paper. The date and time of this presentation will be Monday, May 22nd, at 1:00-2:30 PM at the AGLP Hospitality Suite at the Hilton San Diego Bayfront, Sapphire Room 402.
Now in its seventh year, the JGLMH Outstanding Resident Paper Award is given for an outstanding paper written for publication by a psychiatry resident or other trainee. This award was supported in its first year by a generous grant by the William A. Kerr Foundation, and continues to be funded annually by members of AGLP, The Association of LGBTQ Psychiatrists.
The Executive Board of AGLP, The Association of LGBTQ Psychiatrists, has approved a position statement on the harmful effects of so-called 'Religious Freedom' laws, recently enacted or pending in several states. AGLP firmly believes these new laws remove civil rights protections of LGBTQ (Lesbian, Gay, Bisexual, Transgender, Questioning) citizens and are based on the hypothesis that religious beliefs are protected by the First Amendment, thereby allowing discrimination against LGBTQ citizens when that discrimination is based on personal religious belief. The position statement will become part of an official statement now being formulated by the Assembly of the American Psychiatric Association (APA) at their upcoming meeting in May in Atlanta.
View the statement...>
Exclusive: The World Psychiatric Association has condemned so-called conversion therapy and called on governments around the world to decriminalise homosexuality.
The largest international organisation for psychiatrists is to publish a statement condemning conversion therapy as unscientific, unethical, ineffective, and harmful, BuzzFeed News can reveal.
In a wide-ranging call to reduce the stigmatisation, discrimination, and resulting worsened mental health of lesbian, gay, bisexual, and transgender people, the World Psychiatric Association (WPA) will formally announce on Tuesday its opposition to any attempts to turn LGBT people heterosexual – known as “conversion therapy” or “reparative therapy”.
“There is no sound scientific evidence that innate sexual orientation can be changed,” says the WPA’s position statement, which has been supplied to BuzzFeed News.
“Furthermore, so-called treatments of homosexuality can create a setting in which prejudice and discrimination flourish, and they can be potentially harmful. The provision of any intervention purporting to ‘treat’ something that is not a disorder is wholly unethical.”
Although many psychiatric organisations in Western countries, such as the UK and the US, already publicly oppose conversion therapy, the WPA represents over 200,000 psychiatrists in over 118 countries, many of which criminalise homosexuality and, in some cases, condone attempts to “cure” it.
The WPA’s statement, which will likely be seen as controversial by many of its members, says: “A same-sex sexual orientation per se does not imply objective psychological dysfunction or impairment in judgement, stability, or vocational capabilities.” It continues: “[The WPA] acknowledges the lack of scientific efficacy of treatments that attempt to change sexual orientation and highlights the harm and adverse effects of such ‘therapies’.”
The WPA also calls on governments around the world to scrap laws against homosexuality:
“WPA supports the need to de-criminalise same-sex sexual orientation and behaviour and transgender gender identity, and to recognise LGBT rights to include human, civil, and political rights.”
But to reduce the suffering and mental ill-health experienced by a disproportionate number of LGBT people, governments and psychiatrists alike need to go much further than decriminalising homosexuality and banishing conversion therapy, the statement says:
“[The WPA also] supports anti-bullying legislation; anti-discrimination student, employment, and housing laws; immigration equality; equal age of consent laws; and hate crime laws providing enhanced criminal penalties for prejudice-motivated violence against LGBT people.”
It also cites research demonstrating that countries that liberalise laws around homosexuality – and provide equal legal treatment – see a resulting improvement in the mental health of their LGBT citizens.
The 2015 U.S. Transgender Survey (USTS) is the largest survey examining the
experiences of transgender people in the United States, with 27,715 respondents
from all fifty states, the District of Columbia, American Samoa, Guam, Puerto Rico,
and U.S. military bases overseas. Conducted in the summer of 2015 by the National Center
for Transgender Equality, the USTS was an anonymous, online survey for transgender
adults (18 and older) in the United States, available in English and Spanish. The USTS
serves as a follow-up to the groundbreaking 2008–09 National Transgender Discrimination
Survey (NTDS), which helped to shift how the public and policymakers view the lives of
transgender people and the challenges they face. The report of the 2015 USTS provides a
detailed look at the experiences of transgender people across a wide range of categories,
such as education, employment, family life, health, housing, and interactions with the
criminal justice system.
The findings reveal disturbing patterns of mistreatment and discrimination and startling
disparities between transgender people in the survey and the U.S. population when it
comes to the most basic elements of life, such as finding a job, having a place to live,
accessing medical care, and enjoying the support of family and community. Survey
respondents also experienced harassment and violence at alarmingly high rates. Several
themes emerge from the thousands of data points presented in the full survey report.
Download the full report...>
The IT and production editors at Taylor & Francis have developed a new and streamlined way to access all of the content for articles published in the Journal of Gay and Lesbian Mental Health. AGLP members with valid and current memberships can now access the Journal directly through the AGLP website. Go to www.aglp.org, click on the Members Area link (upper right hand of the screen) and once you are logged in, a box will appear on the right side of the blue banner to access the content. The older system, using a separate username and password, is being eliminated.
Yous should find this new streamlined approach to access more user friendly. If you have any questions at all, or need to be reminded of your username and password, please contact the National Office at firstname.lastname@example.org.
The American Psychiatric Foundation (APF) Board of Directors, acting on the recommendation of the APF Legacy Fund Committee, has approved a matching grant fund of $10,000 to develop the endowment of the Association of Gay and Lesbian Psychiatrists’ John Fryer, M.D. Award. The APF Board recognizes the importance of sustaining Dr. Fryer’s legacy through this prestigious award, by honoring the contributions of LGBT leaders in the field of psychiatry.
The Fryer Award educates psychiatrists on a wide range of significant LGBT issues. Fryer lectures take place at the Annual Meeting of the American Psychiatric Association (APA) and are popular and well-attended. By publishing these lectures as papers in the Journal of Gay & Lesbian Mental Health, which has a wide circulation among psychiatrists and other mental health workers, the reach of these lectures is extended even further. Past honorees have included prominent advocates for the LGBT community, such as Barbara Gittings, Frank Kameny, Evan Wolfson, and Bishop Gene Robinson, as well as experts in psychiatry and the mental health field, including Lawrence Hartmann, Richard Pillard, Marjorie Hill, and Caitlin Ryan.
The award is named for John Fryer, M.D., the Philadelphia-area psychiatrist, who appeared with Barbara Gittings and Frank Kameny as “Dr. H. Anonymous” at the 1972 APA Annual Meeting and helped move forward the process of removing the diagnosis of homosexuality from the DSM. John Fryer, MD was born in Kentucky in 1938. He attended medical school at Vanderbilt University and completed his psychiatry residency in Philadelphia and spent the rest of his career in Philadelphia. His early years as a psychiatrist were difficult because of his sexual identity. He was forced to leave the University of Pennsylvania’s Psychiatry Residency Program when it was discovered that he was gay, and later he completed his residency at Norristown State Hospital. Dr. Fryer was never apologetic about who he was or how he presented himself, and he went on to have a distinguished career as a professor of family and community psychiatry at Temple University.
The Association of Gay and Lesbian Psychiatrists (AGLP) has instituted a fund raising campaign, in association with the American Psychiatric Foundation, which will launch with this $10,000 matching grant, to help endow this award in perpetuity. For more information about how you can get involved, please contact Roy Harker, Executive Director of AGLP at email@example.com. Tax-deductable contributions can be made through this secure link.
PLEASE NOTE: AGLP Members receive free subscription to the Journal and unlimited access to the online edition.
Log in to the AGLP Members Area to view this content for free, or visit Taylor and Francis to see about subscriptions at http://www.tandfonline.com.