School of Public Health

Permanent URI for this communityhttp://hdl.handle.net/1903/1633

The collections in this community comprise faculty research works, as well as graduate theses and dissertations.

Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.

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Author: search.filters.author.Shin, Richard

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    LGBTQ+ cultural-competence training effectiveness: Mental health organization and therapist survey outcome results from a pilot randomized controlled trial
    (Wiley, 2023-08-25) Boekeloo, Bradley; Fish, Jessica; Turpin, Rodman; Aparicio, Elizabeth M.; Shin, Richard; Vigorito, Michael A.; Lare, Sean M.; McGraw, James S.; King-Marshall, Evelyn
    Lesbian, gay, bisexual, transgender, queer/questioning and other sexual and gender diverse (LGBTQ+) persons frequently lack access to mental health service organizations (MHOs) and therapists who are competent with LGBTQ+ clients. Existing continuing education programmes to better equip therapists to work with LGBTQ+ clients are often not widely accessible or skills focused, evaluated for effectiveness and inclusive of MHO administrators who can address the organizational climate needed for therapist effectiveness. A virtual, face-to-face, multi-level (administrators and therapists) and multi-strategy (technical assistance, workshop and clinical consultations) LGBTQ+ cultural competence training—the Sexual and Gender Diversity Learning Community (SGDLC)—was tested in a pilot randomized controlled trial. Ten organizations were randomly assigned to the intervention (SGDLC plus free online videos) or control (free online videos only) group. Pretest/posttest Organization LGBTQ+ Climate Surveys (n = 10 MHOs) and pretest/posttest Therapist LGBTQ+ Competence Self-Assessments (n = 48 therapists) were administered. Results showed that at pretest, average ratings across organization LGBTQ+ climate survey items were low; twice as many items improved on average in the intervention (10/18 items) than control (5/18 items) group organizations. At pretest, therapist average scores (range 0–1) were highest for knowledge (0.88), followed by affirmative attitudes (0.81), practice self-efficacy (0.81), affirmative practices (0.75) and commitment to continued learning (0.69). Pretest/posttest change scores were higher for the intervention relative to the control group regarding therapist self-reported affirmative attitudes (cumulative ordinal ratio [OR] = 3.29; 95% confidence interval [CI] = 1.73, 6.26), practice self-efficacy (OR = 5.28, 95% CI = 2.00, 13.93) and affirmative practices (OR = 3.12, 95% CI = 1.18, 8.25). Average therapist and administrator satisfaction scores were high for the SGDLC. These findings suggest the SGDLC training can affect organizational- and therapist-level changes that may benefit LGBTQ+ clients.
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    UMD PRC Mental Health Therapist LGBTQ+ Competency Self-Assessment
    (2023-06) Boekeloo, Bradley O.; Fish, Jessica N.; Aparicio, Elizabeth M.; Shin, Richard; Smith-Bynum, Mia; Vigorito, Michael; Lare, Sean; University of Maryland Prevention Research Center
    The Mental Health Therapist LGBTQ+ Competency Self-Assessment was created by the University of Maryland Prevention Research Center for mental and behavioral health professionals to self-reflect and assess their own competencies related to providing LGBTQ+ affirmative care in the following areas: knowledge, attitudes, self-efficacy, and practice. This self-assessment takes 15-20 minutes to complete. Each section includes scoring information and interpretations to assist professionals in understanding their current levels of LGBTQ+ competencies. For additional training resources and information, please visit the UMD-PRC Resources Page and consider participating in the UMD-PRC Sexual and Gender Diversity Learning Community Certificate Program.
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    UMD PRC Organizational LGBTQ+ Climate Assessment
    (2023-06) Boekeloo, Bradley O.; Fish, Jessica N.; Aparicio, Elizabeth M.; Shin, Richard; Smith-Bynum, Mia; Vigorito, Michael; Lare, Sean; University of Maryland Prevention Research Center
    The Organizational LGBTQ+ Climate Assessment was created by the University of Maryland Prevention Research Center for administrators of mental and behavioral health organizations to assess the performance of their mental and behavioral health primary organization/practice in serving LGBTQ people. This assessment works best when administrators identify a specific "primary organization/practice" that is the focus for change and growth. This may be a group of service providers who share one organizational administrative system or a solo practitioner. Throughout this assessment, "organization" refers to one administrative system or solo private practice. This assessment takes 15-20 minutes to complete. To calculate domain total scores, add the score for all items under each domain. The higher the scores, the more welcoming and inclusive your organization is for LGBTQ+ and other diverse people. For additional training resources and information, please visit the UMD-PRC Resources Page and consider participating in the UMD-PRC Sexual and Gender Diversity Learning Community Certificate Program.