MORNING SESSION Session 1: Strengths & Silences: Experiences of LGBT Students in Rural and Small Town Schools Workshop

Objective: Examine experiences of LGBT students in small town and rural areas on matters related to bias language in schools, school safety, harassment and victimization, education outcomes, school engagement, and LGBT-related resources; identify barriers and solutions to obtaining inclusive learning environments within rural school communities. Workshop Description: GLSENs latest research, Strengths & Silences: Experiences of LGBT Students in Rural and Small Town Schools (2012) assesses how LGBT student experiences differ between students in rural and small towns compared to their high school peers in urban and suburban locales. This workshop will discuss challenges facing many LGBT students who attend schools in rural and small towns on matters related to biased language in schools, school safety, harassment and victimization, education outcomes, school engagement, and LGBT-related resources and support. In small groups, participants will explore different barriers to obtaining inclusive school climates, and brainstorm ways to improve access to more LGBT-related resources. The workshop will conclude by highlighting the resiliency and determination of students in utilizing resources provided to them to make their schools safer. GLSEN initiatives and resources will also be presented to show what is currently being done to address some of the challenges discussed throughout the workshop. Presenters: Madelaine Adelman (Ph.D., Cultural Anthropology, Duke University) is an Associate Professor of Justice & Social Inquiry at Arizona State University. She conducts ethnographic research on and teaches about law and society, gender violence, sexuality and social justice and research methods. Adelman is a cofounder and co-chair of the Phoenix chapter of the Gay, Lesbian and Straight Education Network (GLSEN), a national non-profit education organization which seeks to create safe and respectful schools for all, regardless of sexual orientation or gender identity/expression. She also co-chairs GLSEN's National Advisory Council, and is a member of GLSENs National Board of Directors. Adelman is also active with the Anti-Defamation League, where she sits on the Arizona regions Education Committee and facilitates the ADLs A World of Difference anti-bias education programs. Thera Wolven is in her final year of the Master of Social Work/Master of Public Administration program at Arizona State University. Recognized for her outstanding mentorship, community service, and academic performance, Thera is an ASU Spirit of Service Scholar. For the past two years, she has worked as a Graduate Research Assistant with the Southwest Interdisciplinary Research Center where she contributed to the evaluation of the federal Garrett Lee Smith LGBT Youth Suicide Prevention Grant. Concurrently, Thera works as a Training Coordinator for the Gay, Lesbian and Straight Education Network (GLSEN Phoenix) which ensures that each member of every school community is valued and respected, regardless of ones actual or perceived sexual orientation and gender identity/expression.

Session 2: Social Determinants of Health - How DO we get better together? Workshop Objectives: Participants will leave the workshop Having a clearer idea of what Social Determinants of Health are Introduced to methods for addressing SDH and With a list of resources With a plan for improving strategies for addressing SDH within their local LGBTQ communities Presenter Bio: Ms. RJ Shannon works as the Community Engagement and Mobilization Coordinator for the Arizona Department of Health Services HIV Prevention Program. She has served in this role for almost 12 years, while working in the HIV/AIDS arena for 15. RJ is well known for her abilities as a lecturer, workshop facilitator and community mobilizer when addressing the needs of Arizonas most vulnerable communities including communities of color, women, youth and children; and the Lesbian, Gay, Bisexual, Transgender communities. RJ has written articles and been featured in media over the years in conversations ranging from community violence to sexual health. She chaired the Phoenix Human Relations Commission and the Arizona Hate Crimes Advisory Board, while serving on several City of Phoenix Advisory Boards. She is a section co-chair for the Arizona Public Health Association, sitting Board member of the Arizona Civil Liberties Union, past member of the Arizona African American Legislative Conference Committee; acts as consultant to the Release the Fear project and over the years has served in many different roles with community organizations addressing a myriad of issues. RJ chaired the 2012 Phoenix AIDS Walk and will serve again as the 2013 chair. She has great passion regarding Social Determinants of Health or SDH because this is a social science that addresses social and health disparities our communities bore the brunt of for generations.

Session 3: LGBTQA Body Image: Lies, Gripes, Biases, Truths, Qualms and Actions Workshop Objectives

Identify and process feelings related to personal body image issues. Identify sources and promulgators of negative body image. Build an action plan to both challenge negative beliefs, and improve their body image. Gain confidence, expertise and compassion in their work with LGBTQ clients with body image issues.

Presenter Bio: Martie van der Voort is a counselor at Counseling and Psych Services at the University of Arizona, and has been in private practice since 2003. As an Arizona Licensed Professional Counselor, she works with all clients, especially those dealing with eating/body image, trauma (has Level II EMDR certification,) addictions and behavioral compulsions, and gender and LBGT issues. She has worked in a variety of settings, including outpatient, inpatient and community mental health, and has provided training in transgender clinical issues to the Veterans Administration, UA Campus Health, University of Phoenix, and several local agencies, as well as consultation to community therapists. She also performs regularly as an actor and singer in the Tucson community.

Session 4: Innovations in Assessment, Practice and Care for LGBTQSA Youth Workshop Objectives: The objective of this presentation is to assist health care professionals in working with LGBTQ youth by providing models of adapted instrumentation examples of modified outreach/intervention methodologies and providing baseline and outcome data specific to LGBTQSA identified youth in Southern Arizona. The University of Arizonas Southwest Institute for Research on Women (SIROW) in collaboration with Our Family Services, Open Inn, Wingspan, CODAC Behavioral Health Services (CODAC), and the Southern Arizona AIDS Foundation (SAAF) collaborate to provide Treatment Empowerment for Adolescents on the Move (iTEAM); a comprehensive systems approach for drug/alcohol and mental health treatment for homeless lesbian, gay, bisexual, transgender, and questioning youth (LGBTQ) and their straight allies (SA) in Southern Arizona. Youth, ages 15 to 23, from diverse racial/ethnic backgrounds, are enrolled in the project. iTEAM project staff conduct outreach at EONs Youth Center Lounge, local streets and hangouts, and selected high-school gay-straight alliances to identify and enroll homeless/near homeless LGBTQSA youth into the project. The iTEAM project utilizes two evidenced-based programs; a substance abuse and mental health treatment program (MET/CBT5) and an HIV prevention and substance use reduction intervention (Street Smart), as well as crisis counseling, voluntary HIV testing, comprehensive case management, and linkages to other community-based services for 300 youth (60 per year). iTEAM aims to (1) decrease substance use, (2) improve mental health, (3) increase housing access and stability, (4) improve life skills (e.g. educational involvement, employment, psychosocial functioning), (5) increase linkages to other needed services (e.g. medical, educational, entitlements), and (6) reduce HIV risk. The iTEAM project evolved from the PRISM project (2004-2008), which provided substance abuse prevention and comprehensive sexual health education to LGBTQSA youth. Lessons learned from these two projects have assisted in the development of a comprehensive system of care that meets the needs of LGBTQSA youth. This panel presentation includes interactive examples of ways to create an inclusive LGBTQSA system of care including initial assessment and screening, modified evidenced based practices, hiring of supportive program staff and providing partner agencies cross-training. We will examine iTEAMs assessments and screening tools designed to be respectful of gender identity, sexual attraction and biological sex, and participants will have an opportunity to complete this assessment in addition to discussing techniques to alter standard assessments. The iTEAM therapist will provide an overview of the modifications made to the evidenced based practices and engage participants in a brief exercise found to be effective with the needs and concerns of LGBTQ youth. Session participants will leave with concrete examples of how they can make their treatment approach more supportive for all clients. Data from both PRISM and iTEAM will be shared providing a snapshot of the participants in each project and outcome data in the areas of substance abuse, mental health, trauma, harassment/victimization, HIV risk behaviors and housing stability. Finally the panel will highlight important lessons learned, such as using data for program improvement, the importance of (and strategies for) hiring supportive staff and the fundamental values demonstrated by agency cross-training.

Presenter bios: Sally Stevens, Ph.D. is the Executive Director of the University of Arizona - Southwest Institute for Research on Women (SIROW) and a Distinguished Outreach Professor in the Department of Gender and Women's Studies. Dr. Stevens conducts collaborative process and outcome research in the area of health disparities, sexuality education, substance abuse and mental health, and innovations in education. While based at the University of Arizona, much of her work is community-based with a focus on gender and culture and informed by ecological perspectives and feminist theory and methodologies. She has received funding from National Institute on Drug Abuse, Substance Abuse and Mental Health Services Administration, Library of Congress in collaboration with the Office on Juvenile Justice and Delinquency Prevention, and other federal, state, local, public and private agencies. Dr. Stevens has published several edited volumes and numerous articles including a recent article titled Meeting the Substance Abuse Treatment Needs of Lesbian, Bisexual and Transgender Women: Implications from Research to Practice. Dr. Stevens was the Principal Investigator/Director of the Prism Project (2004-2008) and is the current Principal Investigator/Director of the iTEAM project (2009-2014) both which address the health needs of lesbian, gay, bisexual, transgender and questioning youth and young adults. Dr. Stevens conducts trainings on sexuality education, substance abuse and mental health treatment approaches for special populations, diversity and equity, community-based participatory action research, and program evaluation. Claudia Powell is an Associate Research Social Scientist with SIROW. Claudia has worked in the field of substance abuse treatment, HIV prevention, and domestic violence for the past 10 years. Projects include an Office on Violence against Womens project in conjunction with the Pima County Attorneys Office, evaluation of the Pima County Superior Courts Family Drug Court program that serves women involved in Child Protective Services due to their substance abuse and related behaviors and the Own Yourself project that, in conjunction with the Womens Foundation of Southern Arizona, provided Substance Abuse education and prevention and HIV prevention to African-American girls. Claudia is the Evaluator for the iTEAM project and was also the Evaluator for the recently ended Pima County Health Departments EON-Prism project, both which provides integrated substance abuse treatment and HIV prevention services to LGBTQ adolescents and young adults. Ian Ellasante is the Program Coordinator for the comprehensive network of care for LGBTQQIA youth provided by the federally funded iTEAM project. iTEAM, a five-year grant, is a collaboration of six local agencies, including CODAC Behavioral Health Services, Open Inn, Our Family Services, Southern Arizona AIDS Foundation (SAAF), Wingspan, and SIROW. Ian attended the University of Memphis in his hometown, where he earned a B.A. in English and Sociology with minors in Spanish and Biology in 2005, before moving to Tucson in 2007. Session 5: Advocacy, Building Alliances, and Being an Ally for Your LGBTQ Clients Workshop Objectives: 1. Participants will be able to identify key concepts of LGBTQQI cultural competency 2. Participants will be able to define their role as advocate and allies 3. Participants will be able to plan culturally appropriate responses when working with nonbehavioral health agencies

Workshop Summary: Cultural competence has been a necessary topic within behavioral health services for the past several decades. More recently, cultural competence for lesbian, gay, bisexual, transgender, queer, questioning, and intersex (LGBTQQI) clients has emerged as an important aspect within the cultural competence movement. Professional knowledge, skills, and awareness of our own attitudes and beliefs are central to many cultural competency trainings; however, advocacy is also an important component. Advocacy involves interpersonal and intrapersonal skills pertaining to the needs of LGBTQQI clients, from building alliances with community-based groups to assessing the attitudes and beliefs of staff at medical care offices. Whereas cultural competence has been an important component within behavioral health services, it has not necessarily been a topic of importance to other professions, such as the criminal justice systems and coalitions for the aging. Clients receiving behavioral health services will likely receive supplementary or complementary services from other organizations and agencies, such as medical care, judicial services, financial assistance, and community support. LGBTQQI clients are vulnerable to systemic forms of discrimination, such as heterosexism and homo-bi-transphobia with each additional system added to their service plans. As such, LGBTQQI clients may feel safe within the behavioral health setting, yet not engage in other for their recovery because of potential, perceived, or actual experiences of discrimination, ridicule, and harm. For instance, an LGBTQQI client receiving behavioral health services may not engage with their primary care physician due to perceived discrimination from their physicians office staff, thus hindering their recovery. Likewise, an LGBTQQI client receiving drug court services may not feel comfortable in their court-ordered group therapy due to previous homophobic threats from probation staff and clients. Our role as behavioral health professionals is to advocate for our clients by being an advocate and ally, and building alliances with non-behavioral health professionals within whom our clients will interact. The purpose of this presentation is to engage attendees in a dialogue about the activation of advocacy, the formation of alliance with other systems, and expansion of their role as an ally to the LGBTQQI communities. The ultimate goal of this workshop is to expand service skills outside of the agency to prevent, identify, and/or remove potential discriminatory barriers and practices which could affect our clients. It is important to engage organizational cultural competence as well as assess the competence of other service organization with whom our clients interact. The presenter will use Power Point slides to guide the dialogue within the workshop; however, the bulk of the presentation will include large and small group discussions, scenario-based activities, and handouts. The presenter is an experienced educator and will use group facilitation skills to create a safe, interactive environment. Presenter Bio: Chad M. Mosher, Ph.D., is currently the Chair for the College of Social Sciences at the University of Phoenix in Tucson, Arizona. He is active in the Arizona Counseling Association and the LGBTQ Coalition of Southern Arizona. Chad is a founding member of the Arizona Association for LGBT issues in Counseling, and is an experienced facilitator and speaker on LGBTQQI issues. He recently presented on the LGBQQI-A counseling competencies in El Salvador at the 2nd Annual Conference of the Psychology Association. Chad teaches and conducts research at the University of Phoenix, and is an advocate for social justice and LGBTQQI issues.

Session 6: New Research: Implications for Integrated Care for 1) Black American Men Who Have Sex With Men (BAMSM), 2) The Aging HIV+ Population, and 3) Transgender Youth Panel Discussant: Richard Muszynski, Ph.D., Clinical Psychologist University or Agency Affiliation: In Private Practice Email Address: rmuszynski@cox.net Panelist 1: Cymande Zalzala, Clinical Psychology Doctoral Candidate University or Agency Affiliation: Arizona School for Professional Psychology at Argosy University/Phoenix Panelist 2: Van Tullis, M.A. Clinical Psychology Doctoral Candidate University or Agency Affiliation: The Wright Institute Panelist 3: Stephanie Ignatavicius, M.A. Clinical Psychology Doctoral Candidate University or Agency Affiliation: Arizona School for Professional Psychology at Argosy University/Phoenix Workshop Objectives: 1) Participants will be aware of emerging trends in three areas of LGBTQ psychological research in three areas and the implications and obstacles to integrating primary health care and mental health care for three underserved LGBTQ populations. 2) Participants will be able to identify historical and contextual factors in Black American sexuality, particularly for MSM. 3) Participants will learn ways to approach and overcome barriers to primary health care for BAMSM. 4) Participants will be able to identify potential problems in cognitive functioning in aging HIV+ populations. 5) Participants will learn ways to approach and overcome barriers to primary health care for HIV+ people with cognitive problems. 6) Participants will be able to identify the medical needs of transgender youth. 7) Participants will learn ways to approach and overcome barriers to primary and specialty (endocrinological) health care for transgender youth. 8) Participants will be able to identify other sources of obstacles and support that impact the lives of BAMSM, the aging HIV+ population, and transgender youth that include the family, the neighborhood community, the schools, and faith communities. Workshop Description: The LGBT community has always faced obstacles to accessing and receiving quality primary health care and mental health care. The mental health professions (social work, psychology, psychiatry, counseling, marriage and family therapy) have led the way in the service professions to de-stigmatizing LGBT people, and thus can play a pivotal role in helping LGBT people get the primary health care they need. Within the LGBT community are subpopulations that have an even

harder time accessing and receiving dignified and respectful quality primary health care and prevention. Racism and conservative ideology impact African-American MSM. Ageism, cognitive impairments and decline impact the aging HIV+ population. The relative powerlessness of young people impacts transgender youth. New research currently underway examines the above three populations and their mental health and physical health needs. The presentation will help participants better understand their role and their power as mental health professionals in helping LGBTQ people access and receive quality health care. Utilizing community resources, such as family, schools, and churches to help encourage psychological and physical health in these underserved populations will also be addressed. Presenter bios: Richard Muszynski, Ph.D. earned his bachelors degree in psychology from the University of Illinois Urbana, and his masters and doctoral degrees in clinical psychology from the University of Arizona. He worked in community mental health in southern Arizona for ten years. He has been in private practice for the past 13 years, with specialty areas that include working with LGBT adults, adolescents, and children, family therapy, couples therapy, play therapy, and attachment issues. He has been a member of the LGBT Issues Committee of the Arizona Psychological Association since 1994 and he has chaired the committee for the past four years. He currently serves on the AzPA Social Diversity Committee and the board of directors of the Southern Arizona Psychological Association. Van Tullis, M.A. is a doctoral candidate in clinical psychology at the Wright Institute in Berkeley, California. He previously earned a bachelors degree in interior design from Michigan State University and practiced design throughout the country for several years. More recently, he completed postbachelorette studies in psychology at the University of Michigan before enrolling at the Wright Institute, where he earned his masters degree in clinical psychology. His clinical training experiences include primary care settings, elderly populations, and working with HIV+ veterans at the San Francisco VA Medical Center. He is a member of the LGBT Issues Committee of the Arizona Psychological Association and has recently begun serving as this committees representative to the LGBTQ Behavioral Health Coalition in Tucson. Stephanie Ignatavicius, M.A. earned her bachelors degree in psychology from the University of New Mexico, where she minored in the gender and sexuality track of the womens studies program. She earned her masters degree in clinical psychology from Argosy University in Denver and is currently a third year doctoral student in the Psy.D. program at the Arizona School of Professional Psychology at Argosy University, Phoenix. Stephanie spent two years working with the transgender community in Denver and is currently working with This is H.O.W., a transgender crisis organization in Phoenix. Her paper, Stress in Female-Identified Transgender Youth: A Literature Review of Effects and Interventions will be published in the Journal of LGBT Youth in 2013.