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Case Studies on LGBTQ+ People who Use Drugs


Published Date: 06/09/2023

Expiration Date: 04/03/2026

CE Credit: CME:1CNE: 1


Given the greater risk of substance use issues amongst LGBTQ+ people, as well as evidence on the benefit of offerings tailored for LGBTQ+ people, it is crucial that LGBTQ+ people in substance use treatment and/or LGBTQ+ people who use drugs have access to tailored services. This activity will provide information on ways to tailor services for LGBTQ+ people in substance use treatment and/or LGBTQ+ people who use drugs, including the importance of using affirming language, inclusive and affirming ways to obtain medical and social histories from LGBTQ+ people who use drugs, and ways to create inclusive and LGBTQ+ affirming spaces in substance use treatment programs.


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.


Jacqueline Alba-Nguyen,MD, MPH

Jacqueline Alba-Nguyen, MD, MPH is the Assistant Medical Director of the Valley Homeless Healthcare Program (VHHP) at Santa Clara Valley Medical Center. VHHP is a primary care medical home to over 7,000 people experiencing homelessness in Silicon Valley, California. Clinically, she works in VHHP's addiction, transgender/gender diverse, and street medicine clinics. Administratively, she works with a leadership team that manages VHHP's 12 different clinical sites and advocates for improving homeless healthcare services across the county. She is a clinical preceptor for the Stanford Internal Medicine Residency, Stanford Addiction Medicine Fellowship, and Santa Clara Valley Medical Center Internal Medicine Residency. She is a graduate of the UCLA School of Medicine and UCLA School of Public Health, completed Internal Medicine Residency at UC San Francisco, and is Board Certified in Internal Medicine and Addiction Medicine.

Learning Objectives

  • Discuss clinical management for LGBTQ+ people who use drugs, including treatment initiation, dosing adjustments and best practices.
  • Recognize the importance of appropriate language to decrease stigmatization and the practical application of trauma-informed care, harm reduction and patient-centered care when working with LGBTQ+ people who use drugs.
  • Explain the importance of warm handoffs and care coordination to best support LGBTQ+ people who use drugs.

Continuing Education Credit Information