Lesbian, gay, and bisexual (LGB)-identified individuals are currently estimated to represent approximately 2-8% of the U. S. population. Working with an LGB individual may present challenges for healthcare providers, particularly those who do not identify as LGB and/or lack prior experience with this population. This course is designed to improve cultural competence for healthcare providers working with LGB individuals. It provides a broad overview of the emotional and physical issues affecting this population; illustrates reasons why many LGB individuals do not seek treatment; and reviews the current research on treatment guidelines with an emphasis on mental health care. Additionally, models of lifespan identity development are described to provide a context within which clinicians can better conceptualize patients’ issues. Finally, this course provides practitioners with a variety of resources, including those to assist in the continued development of their skills with the LGB population.

• Distinguish between the terms “lesbian,” “gay” and “bisexual” and comprehend the continuum of sexual orientation as well as the heterogeneity of the LGB population.
• Describe LGB identity development across the lifespan and its implications for the provider-patient relationship.
• Discuss major barriers for LGB individuals seeking culturally-sensitive mental and physical health care and describe ways to address these barriers.
• Identify empirically-supported mental health treatment guidelines and strategies for working with LGB individuals.