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Creating an LGBTQ+ Affirming Practice for People who Use Drugs


Published Date: 05/17/2023

Expiration Date: 03/20/2026

CE Credit: CME:1CNE: 1


Creating an LGBTQ+ affirming practice can reduce stigma and bias and ensure the provision of equitable and culturally sensitive care. A LGBTQ+ affirming practice can be developed by: utilizing inclusive language; gathering information about sexual orientation, sexual history and gender identity in a sensitive, routinized way; changing language used on office forms; adjusting the physical setting of the practice including, but not limited to, offering non-gendered restrooms; and more. This activity will help providers better understand what steps to take in order to build LGBTQ+ affirming practices for LGBTQ+ people who use drugs.


Effective June 27, 2023 the Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) announced a one-time requirement of 8 hours of training on the treatment and management of patients with opioid or other substance use disorders for practitioners who are applying for or renewing their DEA license. This 1-hour ACCME-accredited course meets the DEA/SAMHSA requirement.


Victor Sta. Ana,MD, MSED, FAAFP

Victor Sta. Ana, MD, MSED, FAAFP, (pronounced “Santa Ana”) is a family physician, Medical Director of Homeless Services at the Institute for Family Health a network of federally qualified health centers in NYC and the mid-Hudson region of New York State, and Director of Mount Sinai’s Primary Care Scholars Program for medical students interested in careers in primary care for underserved communities. Dr. Sta. Ana graduated from Brown University with a concentration in Ethnic Studies. He subsequently earned a Master’s Degree in Education and was a NYC public school teacher. He graduated from Albany Medical College and completed residency at the Institute for Family Health’s Beth Israel Residency in Urban Family Medicine. After residency he joined faculty of the then new Harlem Residency in Family Medicine. Dr. Sta. Ana’s interests include medical education, care of people experiencing homelessness, LGBTQIA+ health, addiction medicine and medical acupuncture. Dr. Sta. Ana provides care at the Family Health Center of Harlem a federally qualified health center in East Harlem, the Broadway Presbyterian Church, a shelter for people experiencing homelessness, and the Ali Forney Center, a drop-in center for LGBTQIA+ youth experiencing homelessness.

Learning Objectives

  • Explain the importance of using affirming language during a medical appointment.
  • Describe inclusive and affirming ways to obtain medical and social histories from LGBTQ+ people who use drugs.
  • Describe ways to create an inclusive and affirming space for LGBTQ+ people in substance use treatment programs.

Continuing Education Credit Information