Clinician's Guide to LGBTQIA+ Care :  Cultural Safety and Social Justice in Primary, Sexual, and Reproductive Healthcare - Ronica Mukerjee

Clinician's Guide to LGBTQIA+ Care

Cultural Safety and Social Justice in Primary, Sexual, and Reproductive Healthcare

By: Ronica Mukerjee, Linda Wesp, Randi Singer, Dane Menkin

Paperback | 28 May 2021

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Strive for health equity and surmount institutional oppression when treating marginalized populations with this distinct resource!

This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA+ populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA+ patient populations.

Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA+ people every day particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA+ microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people.

Book Features:
  • Emphasizes patient-centered care incorporating an understanding of patient histories, safety needs, and power imbalances
  • Provides tools for clinician self-reflection to understand and alleviate implicit bias
  • Fosters culturally safe language and communication skills
  • Presents abundant patient scenarios including specific dos and don'ts in patient treatment
  • Includes concrete objectives, conclusions, terminology, and references in each chapter and discussion questions to promote critical thought
  • Offers charts and information boxes to illuminate key information


About the Authors

Ronica Mukerjee, DNP, MSN, FNP-BC, MsA, LAc, AAHIVS teaches primary care at Yale University School of Nursing, having taught there since 2017. She is the program coordinator and creator of the Gender and Sexuality Health Justice concentration, focused on the primary care, racial and economic justice, HIV, substance use, and mental health care needs of LGBTQIA people. These courses feature experts from around the world focused on racial and economic disparities and clinical care in LGBTQIA populations. For over a dozen years, Dr. Mukerjee has been in practice specializing in care for LGBTQIA communities, people injecting drugs, HIV individuals, and refugees/asylum seekers/deportees.

Dr. Mukerjee is a certified American Academy of HIV Specialist (AAHIVS), trained in facial aesthetics, substance use disorders (including Buprenorphine certification), and forensic evaluations for asylum seekers. She is an acupuncturist and provides integrative care incorporating western and natural medicine in her practice. Dr. Mukerjee is currently enrolled in a post-masters psychiatric mental health nurse practitioner program. With a private practice in New Haven, CT; Clinical Director of an Opioid Overuse Prevention Program with a Syringe Exchange in New York City; and co-director of Refugee Health Alliance Clinics in Tijuana, Dr. Mukerjee splits her time between New York City, Connecticut, and Tijuana, Mexico. Dr. Mukerjee is the esteemed speaker for the 38th GLMA Annual Conference on LGBTQ Health.

Linda Wesp, PhD, MSN, FNP-C, RN, AAHIVS is a clinical assistant professor at University of Wisconsin Milwaukee College of Nursing and Zilber School of Public Health. She is an AANP board certified family nurse practitioner and Certified HIV Specialist through the American Academy of HIV Medicine. She has provided clinical care in community-based health care settings for LGBTQ populations for over 16 years, with an expertise in transgender health and HIV. Dr. Wesp works nationally and internationally as an author, speaker, and educator about best practices and clinical guidelines in gender affirming health care. Dr. Wesp is a member of the World Professional Association for Transgender Health Standards of Care Revision Working Group, as well as a Medical Advisory Board Member at the UCSF Center of Excellence for Transgender Health.

Dr. Wesp obtained her Bachelors of Science in Nursing at Loyola University Chicago's Niehoff School of Nursing and her Masters of Science in Nursing at University of Illinois Chicago College of Nursing. She completed her PhD in nursing at University of Wisconsin Milwaukee as a Jonas Nurse Leader Scholar, with a focus on participatory nursing research that improves access to health care and creates structural change to addresses health inequities among transgender and gender nonbinary youth of color. Linda currently maintains a clinical practice focused on gender affirming care and population health at Health Connections, Inc. in Milwaukee, WI.

Randi Singer, PhD, MSN, MEd, CNM, RN is an Assistant Clinical Professor at the University of Illinois Chicago College of Nursing. Dr. Singer obtained her Bachelors at Clark University, her Masters in Nursing from Vanderbilt University and her PhD from Widener University. A CNM with a background in human sexuality, social justice and equity education for healthcare providers, Singer's research and practice have focused on how reproductive and sexual health education through an equity lens can reduce health disparity for vulnerable and marginalized populations such as LGBTQIA pregnant and non-pregnant patients, sex workers,1st generation LatinX adolescents and pregnant teens. Although Singer has been teaching graduate nursing students at University of Illinois Chicago since 2018, she has been working in higher education since 2012 and has taught at Georgetown University, University of Pennsylvania and DePaul University Schools of Nursing. She has presented throughout the country on topics related to LGBTQ perinatal care, LGBTQ Inclusive Primary Care. In collaboration with Sex Workers Outreach Project Chicago and Howard Brown Health, Randi Singer (PI) is currently funded by the Rita and Alex Hillman Foundation and the Institute for Research on Race and Public Policy at UIC to facilitate community empowered HIV/STI prevention interventions in Chicago, IL.

Dane Menkin, MSN, CRNP is the divisional director of LGBTQ services at Main Line Health where he provides LGBTQ specific clinical care with a focus on gender-affirming-care for children, adolescents and adults. Dane's role allows for access to a large healthcare system in the region to focus on an LGBTQ-competency-curriculum implementation and workforce education. Dane is the recipient of the AANP Award for Excellence for PA in 2019. He is a member of WPATH and serves on the Board of Directors for The Jim Collins Foundation. Dane serves as adjunct faculty at Simmons University in the School of Nursing where he teaches graduate students advanced health assessment. He has presented across the country to healthcare and social service providers working with trans and non-binary clients and patients. Dane is a transmasculine identified person and works hard to utilize that lens to inform both his practice and professional contributions.

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