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Addressing Substance Use Disorders in the Context of Sexual and Gender Diversity

Activity Type:

  • On Demand


Release Date: 6/1/2020

Expiration Date: 6/1/2023

  • AMA PRA Category 1: 1
  • Participation: 1

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Overview

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people have higher rates of risky substance use and substance use disorders (SUDs) as compared to the general population [1-4]. These disparities exist across multiple substance categories including tobacco, alcohol, cannabis, and cocaine. Furthermore, some substances (e.g., crystal methamphetamine) are used within a particular cultural context by a subset of the LGBTQ population. For transgender people receiving gender-affirming treatments, substance use can also have important interactions with these treatments, further increasing the relevance of identifying substance use in this patient population [5]. Minority stress theory (MST) is one conceptual framework for understanding such disparities and posits that individuals from marginalized and/or stigmatized groups experience a unique type of stress that is additive to general stress [6]. Numerous studies have linked MST constructs (i.e., discrimination, prejudice, stigma) to increased risk for substance use and SUDs among LGBTQ people. Clinicians can incorporate such knowledge into clinical practice to tailor treatment in a patient-centered, culturally-responsive manner.

**This content was captured at the 2019 APA Annual Meeting and may reference information from various sources and terminology from previous editions of the DSM.

Pricing

  • General Member - $12.50
  • Resident-Fellow Member - Free
  • Medical Student Member - $12.50
  • Non-Member - $25.00

This course is no longer free to APA members through the Course of the Month program. Promotional pricing ended June 30, 2020.

Course References

  • Medley, G., et al. (2016). "Sexual orientation and estimates of adult substance use and mental health: results from the 2015 National Survey of Drug Use and Health." Retrieved January 29, 2020, from https://www.samhsa.gov/data/sites/default/files/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015.htm

  • Lee, S. J. (2015). Addiction and Lesbian, Gay, Bisexual and Transgender (LGBT) Issues. In Textbook of Addiction Treatment: International Perspectives (pp. 2139-2164). Springer Milan.

Learning Objectives

  • Summarize the epidemiology of substance use and substance use disorders (SUDs) among lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals.
  • Describe minority stress theory and how this conceptual framework helps explain substance use related disparities among LGBTQ people.
  • Discuss the differences in substance use among LGBTQ individuals by sexual orientation, gender identity, race/ethnicity, and degree of urbanicity/rurality.
  • Identify strategies for incorporating knowledge of unique factors in substance use among LGBTQ individuals (e.g., internalized stigma, discrimination, family rejection) into clinical practice.
  • Recognize clinical situations where specialist referral and/or consultation would be appropriate.

Target Audience

Psychiatrists, Residents/Fellows

Estimated Time to Complete

Estimated Duration: 60 minutes
Begin Date: June 1, 2020
End Date: June 1, 2023

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Program Presenters

  • Petros Levounis, M.D., M.A., Chair, Department of Psychiatry, Rutgers- New Jersey Medical School. Reports no financial relationships with commercial interests.
  • Faye Chao, M.D.., Unit Chief,  Inpatient Addiction Services, Mt. Sinai Roosevelt Hospital. Reports no financial relationships with commercial interests.
  • Jeremy Kidd, M.D., MPH., Addiction Psychiatry Fellow, Department of Psychiatry, Columbia University  New York State Psychiatric Institute. Reports no financial relationships with commercial interests.
  • Brian Hurley, M.D., M.B.A, DFASAM, Director of Addiction Medicine, Los Angeles County Department of Health Services. Reports no financial relationships with commercial interests.

Program Planners

  • Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Katie Putnam, Membership Development Specialist, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Ally Brown, Senior Program Manager, Online Learning, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

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Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Flash Player: Adobe Flash Player 10.3+ 
  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

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