LGBT Best and Promising Practices Throughout the Cancer Continuum for Public Health Departments

Explore the best and promising practices, understand cross-cutting issues, and filter the strategies throughout the stages of the cancer continuum.

To learn about the people involved, the methodology employed, and, of course, the more than 100 Best and Promising Practices, download the full report.

Cross-Cutting Issues
 info - Click Cross-Cutting Issue icon to show its Best Practices

Prevention/Health Promotion

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PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Include SOGI data in risk and behavioral surveillance tools, Behavioral Risk Factor Surveillance System (BRFSS), Youth Behavioral Risk Factor Surveillance System (YRBSS), Adult Tobacco Survey (ATS), etc.

Cross-Cutting Issues
  • Icon for Data

Identify LGBT liaison(s) (point person) to provide cross-cutting subject matter expertise on LGBT issues.

Cross-Cutting Issues
  • Icon for Workforce

Collaborate with community partners on LGBT-tailored prevention and health promotion activities.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Diversity

Seek and fund programs and campaigns that address LGBT cancer prevention and health promotion.

Cross-Cutting Issues
  • Icon for Systems

Enhance patient navigation projects (where available) to provide culturally relevant services for LGBT cancer survivors.

Cross-Cutting Issues
  • Icon for Systems

Implement and support LGBT-tailored programs, messages, and policies that improve access to physical activity, nutrition, obesity prevention, smoking cessation, cancer awareness, cancer related vaccines (i.e., human papillomavirus (HPV) immunizations), and chronic disease programs.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Include LGBT communities in state cancer plans.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information
  • Icon for Diversity

Include LGBT community-based organizations in state cancer coalitions.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Diversity

Integrate lessons learned from established Department of Health programs that have existing relationships with the communities (i.e., HIV/AIDS, tobacco).

Cross-Cutting Issues
  • Icon for Information

Screening

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Include LGBT as a designated special population in cancer screening programs funded by Health Departments to ensure there is adequate tailored outreach, tailored services, and program monitoring.

Cross-Cutting Issues
  • Icon for Data

Provide management, leadership, and coordination for LGBT-centered screening promotions.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Systems
  • Icon for Information

Adopt federal model of requiring LGBT non-discrimination policy statements for all Health Department-funded entities.

Cross-Cutting Issues
  • Icon for Systems

Establish partnerships with multiple (3 minimum, local or national) LGBT organizations to vet and provide technical assistance in the development and implementation of screening campaigns/materials.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Support culturally competent delivery of services that increase access to and utilization of cancer screening.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Diversity

Support recruitment and utilization of patient navigators that are culturally competent and sensitive to the disparities and needs of the LGBT population.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Diversity

Diagnosis

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Educate about the need for NAACR standards to include SOGI.

Cross-Cutting Issues
  • Icon for Data

Collaborate with NPCR, SEER, ACS, and others on the reporting of SOGI data as part of cancer incidence and mortality publications.

Cross-Cutting Issues
  • Icon for Data

Support policies and programs that address LGBT compliance with established clinical time intervals from screening to diagnosis.

Cross-Cutting Issues
  • Icon for Systems

Treatment

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Educate appropriate bodies about the importance of LGBT cultural competence training as part of provider licensing.

Cross-Cutting Issues
  • Icon for Workforce

Provide LGBT-focused CME trainings for health care providers.

Cross-Cutting Issues
  • Icon for Workforce

Establish and support incentive programs that address LGBT health care provider shortages

Cross-Cutting Issues
  • Icon for Workforce

Support policies that address and encourage LGBT culturally competent treatment.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Systems

Support policies and programs to improve LGBT compliance with established clinical time intervals from screening to treatment.

Cross-Cutting Issues
  • Icon for Systems

Collaborate with hospitals and other health care systems to include LGBT issues in Patient Bill of Rights.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Create and/or expand culturally competent LGBT provider listings/registries.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information
  • Icon for Diversity

Survivorship

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Eliminate barriers to access.

Cross-Cutting Issues
  • Icon for Systems

Collaborate with hospitals and other health care systems to include LGBT issues in Treatment Summaries and Cancer After Care Plans/Survivorship Care Plans.

Cross-Cutting Issues
  • Icon for Systems

Develop and maintain a list of LGBT culturally competent support groups, programs, and resources.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Support policies, systems change, research, and programs that enhance survivorship for LGBT patients and their families (legal, psychosocial, employment, primary care, nutrition support, access to care, etc.).

Cross-Cutting Issues
  • Icon for Information

Palliative Care & End Of Life

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Support training for palliative care and hospice providers on LGBT cultural competence.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Diversity

Eliminate barriers to access.

Cross-Cutting Issues
  • Icon for Systems

Support policies, systems change, research, and programs that increase the availability of culturally competent end-of-life and palliative care for the LGBT community.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Support LGBT-tailored interventions and health promotion.

Cross-Cutting Issues
  • Icon for Information
  • Icon for Diversity

Prevention/Health Promotion

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Include SOGI data in risk and behavioral surveillance tools, Behavioral Risk Factor Surveillance System (BRFSS), Youth Behavioral Risk Factor Surveillance System (YRBSS), Adult Tobacco Survey (ATS), etc.

Cross-Cutting Issues
  • Icon for Data

Identify LGBT liaison(s) (point person) to provide cross-cutting subject matter expertise on LGBT issues.

Cross-Cutting Issues
  • Icon for Workforce

Collaborate with community partners on LGBT-tailored prevention and health promotion activities.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Diversity

Seek and fund programs and campaigns that address LGBT cancer prevention and health promotion.

Cross-Cutting Issues
  • Icon for Systems

Enhance patient navigation projects (where available) to provide culturally relevant services for LGBT cancer survivors.

Cross-Cutting Issues
  • Icon for Systems

Implement and support LGBT-tailored programs, messages, and policies that improve access to physical activity, nutrition, obesity prevention, smoking cessation, cancer awareness, cancer related vaccines (i.e., human papillomavirus (HPV) immunizations), and chronic disease programs.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Include LGBT communities in state cancer plans.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information
  • Icon for Diversity

Include LGBT community-based organizations in state cancer coalitions.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Diversity

Integrate lessons learned from established Department of Health programs that have existing relationships with the communities (i.e., HIV/AIDS, tobacco).

Cross-Cutting Issues
  • Icon for Information

Screening

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Include LGBT as a designated special population in cancer screening programs funded by Health Departments to ensure there is adequate tailored outreach, tailored services, and program monitoring.

Cross-Cutting Issues
  • Icon for Data

Provide management, leadership, and coordination for LGBT-centered screening promotions.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Systems
  • Icon for Information

Adopt federal model of requiring LGBT non-discrimination policy statements for all Health Department-funded entities.

Cross-Cutting Issues
  • Icon for Systems

Establish partnerships with multiple (3 minimum, local or national) LGBT organizations to vet and provide technical assistance in the development and implementation of screening campaigns/materials.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Support culturally competent delivery of services that increase access to and utilization of cancer screening.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Diversity

Support recruitment and utilization of patient navigators that are culturally competent and sensitive to the disparities and needs of the LGBT population.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Diversity

Diagnosis

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Educate about the need for NAACR standards to include SOGI.

Cross-Cutting Issues
  • Icon for Data

Collaborate with NPCR, SEER, ACS, and others on the reporting of SOGI data as part of cancer incidence and mortality publications.

Cross-Cutting Issues
  • Icon for Data

Support policies and programs that address LGBT compliance with established clinical time intervals from screening to diagnosis.

Cross-Cutting Issues
  • Icon for Systems

Treatment

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Educate appropriate bodies about the importance of LGBT cultural competence training as part of provider licensing.

Cross-Cutting Issues
  • Icon for Workforce

Provide LGBT-focused CME trainings for health care providers.

Cross-Cutting Issues
  • Icon for Workforce

Establish and support incentive programs that address LGBT health care provider shortages

Cross-Cutting Issues
  • Icon for Workforce

Support policies that address and encourage LGBT culturally competent treatment.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Systems

Support policies and programs to improve LGBT compliance with established clinical time intervals from screening to treatment.

Cross-Cutting Issues
  • Icon for Systems

Collaborate with hospitals and other health care systems to include LGBT issues in Patient Bill of Rights.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Create and/or expand culturally competent LGBT provider listings/registries.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information
  • Icon for Diversity

Survivorship

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Eliminate barriers to access.

Cross-Cutting Issues
  • Icon for Systems

Collaborate with hospitals and other health care systems to include LGBT issues in Treatment Summaries and Cancer After Care Plans/Survivorship Care Plans.

Cross-Cutting Issues
  • Icon for Systems

Develop and maintain a list of LGBT culturally competent support groups, programs, and resources.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Support policies, systems change, research, and programs that enhance survivorship for LGBT patients and their families (legal, psychosocial, employment, primary care, nutrition support, access to care, etc.).

Cross-Cutting Issues
  • Icon for Information

Palliative Care & End Of Life

 info
PUBLIC HEALTH DEPARTMENT RECOMMENDATIONS Cross-Cutting Issues

Support training for palliative care and hospice providers on LGBT cultural competence.

Cross-Cutting Issues
  • Icon for Workforce
  • Icon for Diversity

Eliminate barriers to access.

Cross-Cutting Issues
  • Icon for Systems

Support policies, systems change, research, and programs that increase the availability of culturally competent end-of-life and palliative care for the LGBT community.

Cross-Cutting Issues
  • Icon for Systems
  • Icon for Information

Support LGBT-tailored interventions and health promotion.

Cross-Cutting Issues
  • Icon for Information
  • Icon for Diversity
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