Melissa Gordon was working at a domestic violence shelter for women when she first saw the problem facing the GLBT community.
Late in the night, a transgender man who was born a woman entered the shelter seeking help. He had been beaten by his girlfriend and, since he was still anatomically female, sought solace at the shelter.
"Why do we have a man here?" arose a comment from one of Gordon's co-workers.
"Women don't hit that hard anyway," another worker later told the victim and sent him back to his violent partner. Gordon couldn't believe what she had seen.
The counselors wouldn't have dismissed a straight woman back into a violent, heterosexual relationship so carelessly, she said.
"That kind of reaction can be very damaging and doesn't empower the victim the way it should," Gordon said.
A lack of understanding or perhaps the worker's own personal beliefs had effected the victim's treatment and raised a frightening question in Gordon's mind; How common is this problem?
A problem realized
You may go to them for help when battling addiction or mental illness or to find refuge from an abusive partner.
They are practitioners trained in the field of social work. But, according to Gordon, if you're GLBT you may not get the treatment you deserve.
That's why she has organized the GLBT Mental Health Summit at UT on April 17.
Gordan, a graduate student in University of Tennessee's School of Social Work, has worked in the field for nearly nine years and is an intern with National Association of Mental Illness (NAMI) Tennessee, a grassroots, self-help organization dedicated to improving the quality of life for individuals with mental illness.
"Being a lesbian, I see how people can still be homophobic in 2009 even in the social service field," Gordon said.
The event will bring together students in the university's social work program, licensed therapists and psychologists from Middle Tennessee and people who have experienced bias from social service workers to raise awareness of the damage that can be caused by cultural insensitivity.
The breakdown
Steven Davidson, a licensed clinical social worker and psychotherapist, said many academic programs are missing the mark when it comes to preparing students to properly work with the GLBT community.
"In many academic programs there still isn’t very much education on GLBT culture," Davidson said. "Someone can come out of a graduate program and be properly trained on mental health issues, but not have the cultural sensitive to work with GLBT pop. Universities are not taking that extra step to say, 'This is what you need to do to be sensitive to each culture and minority out there.'"
Gordon hopes the Mental Health Summit will fill that gap and bring the importance of cultural sensitivity to the attention of participating professionals and students.
"After witnessing the ways LGBT populations were treated by social service populations, I wanted to use my internship at NAMI to increase positive outcomes for LGBT populations seeking mental health treatment," Gordon said. "The cultural competence agenda should go beyond race and gender."
Whether seeking help for substance abuse, refuge from violence or an evaluation of mental health, sexuality often becomes an overriding factor for social workers and practitioners working with GLBT people, Gordon said.
"It (sexuality) can either become the sole focus or it goes completely ignored," Gordon said, but neither option is sufficient for providing quality care. "It should be a part of a person's recovery plan, but not the sole focus."
When it comes to mental illness, Gordon said some practitioners try to treat a person's sexuality rather than the illness they initially sought help for.
Some of them recommend their patients undergo so-called 'reparative' therapy to help them overcome their sexuality. Gordan said such treatment can be damaging to a patient and counter-productive to satisfying their overall mental health needs.
Speakers throughout the day will address other areas in which cultural insensitivity can be the most harmful including; "When Personal Values Conflict with Professional Ethics” with Paula Foster, LCSW, Director of Therapeutic Support at Nashville Cares; and "Addressing Substance Abuse Issues in Psychotherapy with LGBT Clients" with Davidson.
Davidson said most recovery programs for substance abusers are spiritually based and family oriented. That can cause GLBT people to feel unwelcome or as if they must change their personal beliefs to be successful in the program.
"You want to refer a GLBT client to a treatment program or provider who will be culturally sensitive and who isn’t going to have a rigid interpretation of spirituality," Davidson said. "Treatment centers have to acknowledge that GLBT people have a family of choice and it may not be a biological or legal family."
He said success rates are higher for individuals who are treated fairly and inclusively in culturally sensitive programs.
Davidson said all major mental health organizations, such as the American Psychological Association (APA) and the National Association of Social Workers (NASW), state in their code of ethics that treatment should not vary by patient based on sexual orientation. Likewise, the U.S. Department of Health & Human Services produced a best practice guideline titled “Providers Introduction to Substance Abuse Treatment for LGBT Individuals.”
But, none of that is beneficial if a practitioner's negative personal views on the GLBT community affect their work.
"I know which treatment centers I’d refer to and the ones I would not," Davidson said. "Those of us who work with GLBT folks on a frequent basis know what the resources are. Some programs are better equipped to serve GLBT folks than others."
A philanthropic flare
This isn't the first time Gordon has turned her own adversity into a philanthropic endeavor. After suffering severe brain trauma in a car accident, it took Gordon months to recover. She had to learn to walk and talk again. By the time she was out of the hospital, her bills had piled up and a mountain of hospital debt had amassed.
Gordon applied for food stamps. Her friends held fundraisers for her. Now at 29 years old, she's back on her feet but a mountain of medical bills and a bruised credit record still loom in the back of her mind. Drawing on her own experience to help others, Gordon organized the Brain Injury Fund of Tennessee to offer financial assistance to other survivors of severe brain trauma.
"If I didn’t have the brain injury, I wouldn’t know the difficulty in receiving Social Security Disability Income and dealing with the debt," Gordon said. "Not to be cliché, but everything happens for a reason."
To become a sponsor of the GLBT Mental Health Summit, contact Melissa Gordon at policy@namitn.org.
Agenda
8:30-9:00 a.m. Registration-UTCSW Front Lobby
A light breakfast will be served.
9:00-9:15– Welcome and Opening Remarks-
Stigma No More: Why GLBT Issues Should be Included into the Cultural Competence Agenda”
Melissa Gordon, Public Policy Intern,
NAMI Tennessee and Dewayne Jenkins, HIV/CTS Specialist Nashville Cares
9:15-10:45 Workshop 1: “When Personal Values Conflict with Professional Ethics”
Paula Foster, LCSW, Director of
Therapeutic Support, Nashville Cares
10:45-11:00 Break
11:00-12:30 Workshop 2: Addressing Substance Abuse Issues in Psychotherapy with LGBT Clients
Steven Davidson, LCSW, Psychotherapist,
Nashville Psychotherapy
1230-1:30 Working Lunch, Part 1: “Art Therapy for GLBT Persons with Mental Illness”
Melissa Green L.C.S.W
Part 2: Performance for LGBT Clients with Major Mental Illness”, Adande Lane and Gregory King
Door Prizes Awarded
1:30-3:00 Workshop 3: Gender Identity and Self-Affirming Practice LJ Ratliff, LCSW East End Body in
Balance and
Marissa Richmond Ph.D. , TTPC Lobbyist
3:00-3:15 Announcements & Break
3:15-4:30 Closing Workshop: Moving from Planning to Practice
Integrating GLBT Issues into the Cultural
Competence Agenda, Policy Implications, and Best Evidence Based Practices for LGBT Populations with Major Mental Illness