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Thank you everyone for joining today!

Medication for opioid use disorder

Abortion

Abortion care.

This is such a big problem for Gender non-conforming folks looking for mental health services... trying to figure out who on your referral list who is knowledgable about gender affirming care and if you'll be safe when meeting a new MH provider is exhausting

I wonder how patient advisory boards would be useful at this level

One example of stigmatizing language I come across a lot is: "HIV infected"

Or " those people".

"normal women" vs "trans women" is a pretty bad one

Lucy should provide better more comprehensive referrals

Lucy should provide accurate information with regard to her care team

remember to select "all panelists and attendees" if you want your message seen by all

inappropriate referral; have her speak to another caseworker

Lucy didn't make a commitment to have the case worker call back

Yes because admin staff is often swamped

The client will assume that the domestic violence organization agrees with the organization that does not believe in abortion as an option

Yes, it is pretty easy to give a random referral instead of researching them

forget to train Admin staff

Maybe clinicians should create a "Referral List" that anyone who answers phone can provide to any caller(s)

frontline ppl are first clients experience

This tool can be found here: https://providecare.org/services/technical-assistance/

https://www.providereferrals.org/

www.futureswithoutviolence.org

www.ipvhealth.org

We've definitely seen the importance of the implementation piece. At a university utilizing our cards, at first they were just tabling with them but students weren't clear about what to do or how to use them. staff training is definitely key

I have given these patient safety cards to health care providers — they love them - and provide a way to initiate conversations with patients that some providers are uneasy starting …

Ask everybody the same questionss, ask permission to discuss this?

yes - so making sure we are not waiting for "red flags"

she was intune with possible needs of patient

Providing everyone with information

Framing the questions correctly can help a pt feel more comfortable.

i think it was a good idea that she didnt push when Jax was uncomfortable, but it also is an indication that perhaps sometime is going on and Elisa should have maybe referred her or link her to some resources

Offered birth control to help curb unwanted pregnancies without the implication that the need for it was due to abuse or sexual irresponsibility

yes Eli!

Framing IS key

safe sex practices and birth control

mention her concerns vs. administer questionnaire

Provide resources and safety cards to patient despite patient not disclosing. Increasing access to resources

use some motivational interviewing skills to see where this person's at

Love all of these examples and resources

perhaps frame the conversation around the stress on the body when there are multiple pregnancies fairly close together to open the door to a deeper conversation.

I often inquire about religous beliefs regarding pregnancy testing, unwanted pregnancies, and decisions of not wanting a birth control method before presenting concerns of sexual abuse.

https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Motivational-Interviewing-A-Tool-for-Behavior-Change

Are there patient safety type cards for other issues of concern? i love the way they can normalize a conversation for tough topics

With respect to options for folks experiencing unintended pregnancy, clients are often waiting for providers to name options first. When it comes to abortion, patients might what information, but they won't bring it up first for fear of judgement.

*want

Feel free to contact me at omq@providecare.org

health@futureswithoutviolence.org

Take care, all!

thank you