Lesbian, Gay, Bisexual, and Transgender - Treatment Issues for Providers

描述（由申请人提供）：在女同性恋、男同性恋、双性恋和跨性别（LGBT）成年人中，药物滥用经常被忽视，这是一个全国性的公共卫生问题。根据国家药物滥用治疗服务调查（N-SSATS），在2000年，只有15%的药物滥用治疗机构专门为男女同性恋者提供治疗项目（SAMHSA, 2003a）。对LGBT成人成瘾治疗的特殊需求关注不够。总的来说，该领域缺乏全面的信息和工具来支持LGBT个体的治疗，这些信息和工具可以很容易地整合到现有的药物滥用治疗计划中。针对这一需求，国际社会解决方案公司建议开发和评估女同性恋、男同性恋、双性恋和变性人治疗问题（LGBT- tips）——这是一个创新的、信息丰富的、引人入胜的产品，供咨询师用于治疗与酒精或其他物质有关的LGBT成年人。该套餐将包括一本入门手册，其中包括为LGBT客户解决问题的策略和技巧；一个在线课程，将为药物滥用咨询师提供有关现有研究和挑战的信息，这些信息与向LGBT个体提供药物滥用治疗有关；以及额外的辅助意识和支持组件，例如海报、客户讲义以及管理和政策材料。所有材料都将涉及LGBT群体的关键问题，包括艾滋病毒/艾滋病和耻辱。LGBT- tips将为咨询师和其他专业人士（治疗师、心理学家、个案管理人员）设计，用于在不同的治疗环境中为滥用药物的LGBT成年人提供服务。LGBT专家和药物滥用顾问将参与拟议项目的开发和制作。第一阶段将专注于产品开发。第二阶段将专注于最终确定产品并评估LGBT-TIPs产品。公共卫生相关性：女同性恋、男同性恋、双性恋和跨性别（LGBT）成年人的药物滥用往往被忽视为一个全国性的公共卫生问题。根据国家药物滥用治疗服务调查（N-SSATS），在2000年，只有15%的药物滥用治疗机构专门为男女同性恋者提供治疗项目（SAMHSA, 2003a）。相比之下，研究表明，LGBT个体在接受药物滥用治疗时比异性恋个体面临更严重的问题。LGBT成年人也表现出不同的药物滥用模式以及相关的健康（艾滋病毒）和社会耻辱。对LGBT成人成瘾治疗需求的关注不够，该领域缺乏全面的信息和工具来支持对这一人群的治疗，这些信息和工具可以很容易地融入现有的药物滥用治疗计划。

DESCRIPTION (provided by applicant): Substance abuse among lesbian, gay, bisexual, and transgender (LGBT) adults is often overlooked as a national public health concern. According to the National Survey of Substance Abuse Treatment Services (N-SSATS), in the year 2000 only 15 percent of substance abuse treatment facilities provided programs specifically for gays and lesbians (SAMHSA, 2003a). Insufficient attention has been paid to the specific addiction treatment needs of LGBT adults. Overall, the field lacks comprehensive information and tools to support the treatment of LGBT individuals that can be easily integrated into existing substance abuse treatment programs. In response to this need, Social Solutions International, Inc. proposes to develop and evaluate Lesbian, Gay, Bisexual, and Transgender Treatment Issues for Providers (LGBT-TIPs)-an innovative, informative, and engaging product for counselors to use with LGBT adults with problems related to alcohol or other substances. The package will include a primer, that will include strategies and tips for addressing issues for LGBT clients; an online course, that will provide substance abuse counselors with information about the existing research and challenges related to providing substance abuse treatment to LGBT individuals; and additional auxiliary awareness and support components, such as posters, client handouts, and administrative and policy materials. All materials will address key issues among the LGBT community, including HIV/AIDS and stigma. LGBT-TIPs will be designed for counselors and other professionals (therapists, psychologists, case managers) to use with LGBT adults presenting for substance abuse services in diverse treatment settings. LGBT experts and substance abuse counselors will be involved in the development and production of the proposed program. Phase I will focus on product development. Phase II will focus on finalizing the products and evaluating the LGBT-TIPs product. PUBLIC HEALTH RELEVANCE: Substance abuse among lesbian, gay, bisexual, and transgender (LGBT) adults is often overlooked as a national public health concern. According to the National Survey of Substance Abuse Treatment Services (N-SSATS), in the year 2000 only 15 percent of substance abuse treatment facilities provided programs specifically for gays and lesbians (SAMHSA, 2003a). In contrast, research suggests that LGBT individuals enter treatment for substance abuse with more severe and problems than heterosexual individuals. LGBT adults also exhibit different patterns of substance abuse and related health (HIV) and social stigma. Insufficient attention has been paid to the specific addiction treatment needs of LGBT adults and the field lacks comprehensive information and tools to support the treatment of this population that can be easily integrated into existing substance abuse treatment programs.