Description
According to a seminal report prepared by the Institute of Medicine, the annual national costs associated with chronic pain are estimated to be $560 to $635 billion. Providers attempting to respond to this growing clinical crisis face difficulties in providing effective interventions for complex pain despite its prevalence and the parallel growth of the opioid epidemic. There is a profound deficit of empirically-based best practices for pain management, and much of this deficit is driven by stigma and archaic conceptualizations of pain. Furthermore, pain as a phenomenon is fundamentally medicalized and subject to myriad provider-based biases, both of which are significant drivers of ineffective and disparate care. There is also a lack of attention to how individuals assign value and meaning to their lived experience of being in pain. This training aims to ethically frame the need to listen to individuals reporting pain by highlighting the human costs resulting from ineffective treatment, the connection between chronic pain and early complex trauma, and the available research-informed strategies to engage with patient populations that have been failed by medical institutions.
*This workshop meets the Maryland Board of Social Work Examiners' ethics requirements.
Instructor
Lee Westgate, MSW, MBA, LCSW-C, LCSW (he/ him/ his) is a transgender advocate with extensive professional experience in social work policy, practice, research, and education. He has held numerous organizational leadership roles, and has served as an educational consultant to a variety of associations and organizational clientele. He has served as a medical social worker in the fields of oncology, critical care, as well as in integrated behavioral health settings. Mr. Westgate has participated in a CSWE-sponsored National Trauma Task Force workgroup that focused on the intersection of ethics and trauma-informed practice, and he was awarded an immersion fellowship through Boston University to study addiction and behavioral health. He has participated in AIDS Education and Training Center on behalf of the University of Maryland, School of Social Work, Baltimore, MD since 2017 and participated in the MidAtlantic AIDS Education and Training Workgroup on COVID and HIV. Mr. Westgate continues to serve as a Clinical Instructor at the University of Maryland, School of Social Work and his scholarship includes integrated behavioral health, clinical work with LGBTQIA+ populations, working with individuals with chronic and life-threatening illness, healthcare policy, and health equity. As a faculty member, he has received numerous teaching awards including the Energizer Award, the Camara Jones Faculty Award of 2022, the Innovation in Social Work Award of 2022, the Exemplary Faculty Member of the Year Award along with the Dean’s Teaching Award for several consecutive semesters. He has been published in The Journal of Sociology & Social Welfare, The Social Worker, The Journal of Employee Assistance, Infusion Magazine, Provider Magazine, and Social Work Today.
Bibliography & References
BIBLIOGRAPHY & REFERENCES
Aramburu Alegría, C. (2018). Supporting families of transgender children/youth: Parents speak on their experiences, identity, and views. International Journal of Transgenderism, 19(2), 132–143. https://doi-org.proxy-hs.researchport.umd.edu/10.1080/15532739.2018.1450798
Avery, D. (2020). Nearly 1 in 10 transgender Americans use nonprescription hormones, study finds, NBC News. Retrieved from: https://www.nbcnews.com/feature/nbc-out/nearly-1-10-transgender-americans-use-nonprescription-hormones-study-finds-n1247920
Delozier, A. M., Kamody, R. C., Rodgers, S., & Chen, D. (2020). Health Disparities in Transgender and Gender Expansive Adolescents: A Topical Review From a Minority Stress Framework. Journal of Pediatric Psychology, 45(8), 842–847. https://doi.org/10.1093/jpepsy/jsaa040
FreeState Justice (2019). Needs Assessment Reveals Five Most-Pressing Issues Facing LGBTQ Marylanders. Retrieved from: https://freestate-justice.org/needs-assessment-reveals-five-most-pressing-issues-facing-lgbtq-marylanders/
Geist, C., Greenberg, K. B., Luikenaar, R. A. C., & Mihalopoulos, N. L. (2021). Pediatric Research and Health Care for Transgender and Gender Diverse Adolescents and Young Adults: Improving (Biopsychosocial) Health Outcomes. Academic Pediatrics, 21(1), 32–42. https://doi-org.proxy-hs.researchport.umd.edu/10.1016/j.acap.2020.09.010
Oransky, M., Burke, E. Z., & Steever, J. (2019). An Interdisciplinary Model for Meeting the Mental Health Needs of Transgender Adolescents and Young Adults: The Mount Sinai Adolescent Health Center Approach. Cognitive and Behavioral Practice, 26(4), 603–616. https://doi.org/10.1016/j.cbpra.2018.03.002
Promoting Health Equality and Nondiscrimination for Transgender and Gender-Diverse Youth. (2020). Journal of Adolescent Health, 66(6), 761–765. https://doi-org.proxy-hs.researchport.umd.edu/10.1016/j.jadohealth.2020.03.016
Shipherd, J. C., Berke, D., & Livingston, N. A. (2019). Trauma Recovery in the Transgender and Gender Diverse Community: Extensions of the Minority Stress Model for Treatment Planning. Cognitive and Behavioral Practice, 26(4), 629–646. https://doi.org/10.1016/j.cbpra.2019.06.001
Agenda & Learning Objectives
AGENDA:
9:00 Introduction
9:30 Summary & Overview of Challenges Faced by LGBTQIA+ Adolescents
10:00 Reflection Upon Relevant Clinical Frameworks
10:45 Break
11:00 Highlight key ethical challenges related to the provision of care
11:30 Conceptualize and implement best practices for affirming care
LEARNING OBJECTIVES:
Upon the completion of this workshop, participants will be able to
- Conceptualize the scope, depth, and complexity of clinical pain management with attention to population-related care disparities.
- Recognize the behavioral health dimensions of pain management to include the mult-faceted manifestations of pain the present within the context of Clinical Care.
- Employ best practices for rapport building with the patient population, and tactics for supporting the interdisciplinary team with maintaining patients with pain management concerns in care.
Late Fees and Refunds
Fee & Registration:
Cost is $65 and includes CE credit. Registering after 11/24/2021 will incur an additional $20 late fee. *Cancellations must be received 24 hours in advance prior to the live interactive webinar to receive a refund or a credit letter.
*All cancellations will be subjected to a $35.00 administration fee
Target Audience
Social Workers, LCPCs, and Psychologists
