Mindful Continuing Education

1. Although lesbian, gay, bisexual, and transgender (LGBT) adults in the United States typically are well adjusted and mentally healthy, they are more likely to use alcohol and drugs and to continue heavy drinking into later life.

2. Adverse, punitive, and traumatic reactions from parents and caregivers in response to the children’s LGB identity closely correlate with LGB adolescents’ use of illegal drugs, depression, and:

3. General health studies reveal particular vulnerabilities among LGBT populations, including each of the following EXCEPT:

4. .LGBT individuals frequently experience alienation due to lack of acceptance and support from their families of origin, which often creates emotional distress, particularly when sources of support are limited.

5. Most LGBT individuals who make a conscious choice to separate from their family of origin as an attempt to enhance their identities, report sadness, loss, and a lowering of their self-esteem as a result of the decision to separate.

6. While coming out can be a difficult, emotion-laden undertaking, not coming out can also exact an emotional toll in dealing with the dissonance of "passing" as heterosexual.

7. The American Psychological Association's DSM-5 now uses the gender dyspathy to refer to 'the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender.'

8. LGBT health experts agree that discrimination, ____________, and other social pressures increase the risk for LGBT individuals, particularly LGBT youth, to use and alcohol to reduce and cope with stress.

9. Geography may play a role in the behavioral health of LGBT individuals in that those in rural areas report feeling more comfortable coming out since they tend to live in close knit communities where support is common.

10. Research shows that hate crimes based on sexual orientation bias have more serious and long lasting psychological effects than other crimes because of the link to:

11. Among adults, gay men are at greater risk for suicide attempts and completions, and rates of depression and suicide attempts among transgender persons are higher than for nontransgender populations.

12. LGBT individuals differ from members of other racial and ethnic minorities because social stigma often renders them invisible to their families, to others in the community, to each other, to society in general, and to behavioral healthcare providers and researchers. ,

13. In contrast to youth are particularly vulnerable to harassment, rejection and negativity, older LGBT individuals tend to have the least difficulties with adjustment and identity issues of all groups across the lifespan.

14. Which of the following is NOT one of the person-level factors that contribute to health and recovery for LGBT populations?

15. A history of trauma, including rejection by significant individuals as a consequence of prejudice, and the experience of victimization and violence tend to be significant factors that impede recovery for LGBT individuals.

16. One of the ways that health care providers can help LGBT clients is by hiring LGBT staff to whom all these clients are referred, as these staff members are likely to be more capable of meeting specific needs.

17. One service delivery issue that is important to LGBT individuals is that clinical treatment and recovery supports services should be available, and should be grounded in a _____________ approach.

18. An important instrument in recovery is to incorporate activities that promote social inclusion, such as:.

19. The invisibility of LGBT populations plays a role in engendering a lack of culturally appropriate services and hinders access to supportive peers also seeking recovery.

20. In order to advance recovery opportunities for LGBT people, experts recommend providing training and technical assistance in each of the following ways EXCEPT:

21. Treatment from mental health and substance use disorders for LGBT clients should be approached in an individualized fashion, promoting a limited number of well-respected recovery models.

22. Clinicians who work with transgender individuals do not necessarily need to be experts on this population, but rather need to engage with empathy, support, education, and acknowledgement.

23. Recommended supports for recovering LGBT clients should include disseminating competent practices in partnership with primary care providers and community based organizations.

24. While promoting evidence based practices for trauma recovery in LGBT populations, the use and expansion of current research on LGBT related minority stress should be a priority.

25. The term _____________ refers to those who possess biological characteristics of both sexes or sexual anatomy that is indeterminable.