Abstract
Building Inclusive Healthcare for LGBTQ+ Youth: Improving the Collection and Utilization of Patients’ Sexual Orientation and Gender Identity (SOGI) Information, Preferred Names and Gender Pronouns in a Pediatric Clinic
Highlights
Transgender and gender diverse youth are more likely than their peers to experience poor physical health and are at higher risk of depression, anxiety, self-harm and suicide [1]
We will monitor progression of proposed interventions, including: 1) tracking staff completion of in-person and online training 2) measuring staff knowledge and comfort with post training surveys 3) percentage of pediatric patients 12+ years who have preferred name or sexual orientation and gender identity (SOGI) documented in the EMR, with the goal of increasing the percentage from 0% to 50% within 3 months
The most common reason participants cited for not asking about SOGI information was lack of comfort, low level of confidence in their ability to properly obtain and document SOGI information from their patients, and minimal education and training
Summary
Transgender and gender diverse youth are more likely than their peers to experience poor physical health and are at higher risk of depression, anxiety, self-harm and suicide [1]. They often have had negative healthcare experiences related to being transgender and gender non-binary (TGNB), including being refused treatment, verbally harassed, physically or sexually assaulted [2]. Research shows LGBTQ youth value the opportunity to discuss their gender and sexuality with their healthcare provider [6] and addressing TGNB youth by their chosen or preferred name is associated with decreased rates of depression and suicide [5]. At the Mount Sinai Pediatric Associates clinic there is no standardized collection of SOGI information or gender pronouns.
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