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

描述（由申请人提供）：女同性恋，男同性恋，双性恋和变性人（LGBT）成年人之间的药物滥用往往被忽视为国家公共卫生问题。根据全国药物滥用治疗服务调查（N-SSATS），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方案（SAMHSA，2003年a）。对男女同性恋、双性恋和变性者成年人的具体成瘾治疗需求关注不够。总体而言，该领域缺乏全面的信息和工具，以支持LGBT个人的治疗，可以很容易地融入现有的药物滥用治疗计划。为了满足这一需求，社会解决方案国际公司。建议开发和评估女同性恋，男同性恋，双性恋和变性者治疗问题的提供者（LGBT-TIPs）-一个创新的，信息丰富的，和从事产品的辅导员与LGBT成年人使用与酒精或其他物质有关的问题。该包将包括一个初级读本，其中将包括解决LGBT客户问题的策略和提示;一个在线课程，将为药物滥用顾问提供有关向LGBT个人提供药物滥用治疗的现有研究和挑战的信息;以及其他辅助意识和支持组件，如海报，客户讲义以及行政和政策材料。所有材料都将涉及男女同性恋、双性恋和变性者群体的关键问题，包括艾滋病毒/艾滋病和污名化。LGBT-TIPs将专为辅导员和其他专业人员（治疗师，心理学家，个案经理）设计，用于在不同的治疗环境中提供药物滥用服务的LGBT成年人。LGBT专家和药物滥用顾问将参与拟议方案的制定和制作。第一阶段将侧重于产品开发。第二阶段将侧重于最终确定产品和评估LGBT-TIPs产品。公共卫生相关性：女同性恋、男同性恋、双性恋和变性人（LGBT）成年人的药物滥用往往被忽视，成为国家公共卫生问题。根据全国药物滥用治疗服务调查（N-SSATS），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方案（SAMHSA，2003年a）。相比之下，研究表明，同性恋、双性恋和变性者因药物滥用而接受治疗的情况比异性恋者更严重。男女同性恋、双性恋和变性者成年人也表现出不同的药物滥用和相关健康（艾滋病毒）和社会耻辱模式。对男女同性恋、双性恋和变性者成年人的具体成瘾治疗需求关注不够，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方案。

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.