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.
Lee Westgate, MBA, MSW ’06, LCSW-C
Clinical Instructor, University of Maryland School of Social Work
Lee Westgate, MBA, MSW, LCSW-C is a board approved clinical supervisor in the state of Maryland. He obtained his Masters in Social Work at the University of Maryland, School of Social Work and a Masters in Business Administration with a focus on Leadership and Management at the University of Baltimore. He currently serves as a Clinical Instructor at the University of Maryland, School of Social Work. He has participated in a CSWE-sponsored National Trauma Task Force work-group that focused on the intersection of ethics and trauma-informed practice. Additionally, he was awarded an immersion fellowship through Boston University to study addiction and behavioral health. Teaching is of central importance to Lee. As a faculty member in the University of MD, School of Social Work’s graduate program he has received numerous teaching awards including the Exemplary Faculty Member of the Year Award along with the Dean’s Teaching Award for several consecutive semesters.
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
9:30 Summary & Overview of Challenges Faced by LGBTQIA+ Adolescents
10:00 Reflection Upon Relevant Clinical Frameworks
11:00 Highlight key ethical challenges related to the provision of care
11:30 Conceptualize and implement best practices for affirming care
Upon the completion of this workshop, participants will be able to
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
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Social Workers, LCPCs, and Psychologists
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