1. LGBT
Lesbian, Gay, Bisexual, and Transgender
By: Iliana Alfaro

3. LGBT and Utah
Seventy-three percent more couples identify same-sex relationships in the 2010 census, compare to The Salt Lake Tribune
At 26 percent, SLC has the highest percentage same sex couple raising kids (population about 1 Million) U.S. census.
State ban on same-sex marriage was ruled unconstitutional on federal court and has been legal since October 6, 2014.
The Advocate magazine listed Salt Lake City as number 1 for the gayest cities in American for its most improved gay status.
The most restrictive states for adoption are Mississippi and Utah, where same sex couples can not legally adopt at all.

4. Lesbian, Gay, and Bisexual
Same sex attraction.
Anatomically unable to procreate together (this answer was from my cousin).
Can not identify by physical or certain mannerism. They come in all shapes, sizes, age, etc .
Most lesbian, gay, bisexual people are comfortable with their own biological sex. It is not the same as being transgender.
No one knows what really causes sexual orientation. Some individuals find out in their middle childhood, others in adulthood years, some may say they were born that way.
People who are lesbian, gay, and bisexual work in all types of jobs and live in all types of situation .

6. Transgender
One's gender identity or gender expression not matching to one's assigned sex.
They can be heterosexual, homosexual, or bisexual. Not a sexual orientation.
Usually does not require surgery
It is diagnosed as a Gender identity disorder
Include people who are transvestites, drag queens/king, cross dressers, as well as transsexual.
Transvestites and cross dressers do not want to change their gender completely. It is part of their performance/event.

7. Transsexual Falls under the transgender umbrella
Gender identity doesn't match their assigned sex. Someone who is born in the wrong body. Need to transition.
Stages of transitioning include:
-Discovery and research
-Therapy
-Coming out
- Hormones
-Living full time
-Passing as male or female
-Name change
-Surgery
-Living a new life
Stages by: Autumn Asphodel. Transwoman.

9. Issues that LGBT face Homelessness (youth-trans and gay) Violence
Health concerns (HIV, anal cancer)
Discrimination
Legal rights
Lack of health care
Rejection of loved ones
Inability to conceive
Marriage inequality
Suicide

10. AOTA on LGBT
Sex is a ADL
Occupational therapy is a safe place to address sexuality, fears, concerns
Assistance with problem solving
Network for Lesbian, Gay, Bisexual and Transgender Concerns in OT (Blog)

11. Culture Competency and LBGT
Clients may prefer a specialized therapist in LGBT or one who is LGBT
BUT... if you are not here are some things that might help :)
Know all terminology. What terms are appropriate to use. Ask what term they prefer.
Do not make assumptions and attribute everything to LGBT.
Educate yourself beforehand, do not use this time to discover about the culture.
Do not attribute pathology to LGBT.
Do not place all the stresses on LGBT.
Do not underestimate the impact of being LGBT.
Educate yourself on current political issues
1973- American Psychiatric Association removed homosexuality from DSM-V
2003-Lawrence vs Texas- Landmark decision by the US Supreme Court. Struck down sodomy laws in Texas and 13 other states, making same-sexual activity legal in the US.
-Davina Kotulski, Ph. D.
Remember your AOTA Code of Ethics and Ethics Standards!

12. Raising Zay video
childrenshospital-hormone-therapy-enquirer/ /

13. Resources
Asphodel, A. (n.d.). Difference Between Transgender & Transsexual. Retrieved February 19, , from The L word [Motion picture]. (2004). Showtime Entertainment. Carmen Carrera. (n.d.). Retrieved January 26, 2015, from Carmen_Carrera Carmen Carrera. (2015, January 1). Retrieved January 29, 2015, from Davina, K. (2013, October 7). Culturally Competent Therapy with LGBT Clients Davina Kotulski, Ph D. Retrieved March 1, 2015, from MacRae, N. (2013, January 1). Sexuality and the Role of Occupational Therapy. Retrieved February 18, 2015, from rdp/sexuality.aspx#sthash.wiZHyPXW.dpuf Part 1: Transgender in Cincinnati. (n.d.). Retrieved February 23, 2015, from hormone-therapy-enquirer/ / Sexual Orientation Myths Facts | LGBT | CWRU - Lesbian Gay Bisexual Transgender Center Case Western Reserve University. (n.d.). Retrieved March 1, 2015, from Transgender. (n.d.). Retrieved February 20, 2015, from Transgender vs Transsexual - Differences Explained (with video). (n.d.). Retrieved February 20,2015, from