Valerie j longhurst biography of mahatma gandhi

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    . Author manuscript; available in PMC: 2017 Dec 1.

    Published in final edited form as: Pediatr Clin North Am. 2016 Dec;63(6):955–969. doi: 10.1016/j.pcl.2016.07.001


    Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth – a group including non-heterosexual, gender non-conforming, and gender dysphoric children, adolescents, and young adults on multiple developmental trajectories toward LGBT adulthood -- are more likely than their peers to experience stigma in the health care environment. Providing care that is affirming and inclusive – that is, care that draws on knowledge and skills enabling a health care provider to work effectively with LGBTQ youth – is critical to improve health outcomes and quality. The broader clinical environment, clinic flow and other organization functions, and administrative systems aso need to be considered in order to ensure that clinical services are welcoming. Increasingly, examining these components and the messages they send to LGBTQ youth is not simply good care, but should be the baseline standard health care organizations apply. This is particularly important since prevalence estimates reveal that LGBTQ youth are inevitably a part of every general medical practice, whether providers realize it or not.

    This article begins by reviewing special considerations for the care of LGBTQ youth, then turns to systems-level principles underlying inclusive and affirming care. It then examines specific strategies that individual providers can use to provide more patient-centered care, and concludes with a discussion of how clinics and health systems can tailor clinical services to the needs of LGBTQ youth.

    Special considerations in LGBTQ youth care

    Ensuring high-quality care for LGBTQ youth requires providers to understand principles of caring for LGBTQ individuals as well as those of caring for young people more generally. Although most LGBTQ youth are physically and mentally healthy, certain LGBTQ y

    Alexander G Fiks

    Alexander G Fiks

    Alexander G. Fiks, M.D., M.S.C.E., The Children's Hospital of Philadelphia, 3535 Market Street, Room 1546, Philadelphia, PA

    Alexander G. Fiks, M.D., M.S.C.E., is with the The Pediatric Research Consortium, PolicyLab, and the Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, PA

    Alexander G. Fiks, M.D., M.S.C.E., Peixin Zhang, Ph.D., and Christopher B. Forrest, M.D., Ph.D., are with the Division of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA

    A. Russell Localio, Ph.D., is with the Department of Biostatistics and Epidemiology, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA

    Saira Khan, M.P.H., is with the Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC

    Alexander G. Fiks, M.D., M.S.C.E., Robert W. Grundmeier, M.D., and Dean J. Karavite, M.S.I., are with the Center for Biomedical Informatics (CBMI), The Children's Hospital of Philadelphia, Philadelphia, PA

    Alexander G. Fiks, M.D., M.S.C.E., Robert W. Grundmeier, M.D., Charles Bailey, M.D., Ph.D., and Christopher B. Forrest, M.D., Ph.D., are also with the Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA

    Evaline A. Alessandrini, M.D., M.S.C.E., is with the James M. Anderson Center for Health Systems Excellence and Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Alexander G. Fiks, M.D., M.S.C.E., and Christopher B. Forrest, M.D., Ph.D., are with the Leonard Davis Institute of Health Economics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA

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    , Peixin Zhang

    Peixin Zhang

    Alexander G. Fiks, M.D., M.S.C.E., The Children's Hospital of Philadelphia, 3535 M

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      Valerie j longhurst biography of mahatma gandhi


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