Two of the most unstable domains involved in identity formation, the religious and sexual domains, come into conflict when vulnerable populations of the lesbian, gay, bisexual and transgender community experience oppression from the indoctrination of religious beliefs that persecute their sexual orientation. This conflict, aptly termed identity incongruity in this article's discourse, results in a schism that adversely affects these vulnerable populations. This paper investigates the roles of religion, spirituality and available institutional solutions to propose customized, culturally adapted, contextually based and collaborative community-level interventions that would facilitate the reconciliation of the conflicting identity domains.
In 2012, Canadian media coverage on Bill 13-an Ontario legislative proposal to require all publicly funded schools to support Gay-Straight Alliances as a means of addressing issues concerning bullied lesbian, gay, bisexual, and transgender (LGBT) students-instigated a divisive exchange among representatives of the Ontario Catholic school sector. Beyond these dialectics and polemics, a proactive mix of advocates from schools in the Waterloo Catholic District School Board (WCDSB) of Ontario took steady steps to address the circumstances of their LGBT students. This study included semi-structured interviews with ten stakeholders from the WCDSB to determine if strategies and programs deemed successful for supporting LGBT students in public, secular schools in the United States could also be successful in supporting LGBT students in publicly funded Canadian Catholic schools. The study findings revealed that the strategies and programs could indeed be successful in supporting LGBT students in Canadian Catholic schools. We further found that the success of strategies and programs was influenced by factors such as acknowledging the priority of LGBT youth's needs over ongoing disputes, realizing the significant influence of Catholic values, and recognizing the necessity for school boards to maintain legitimacy as publicly funded institutions.
Background:HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector.Methods:Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties. Thematic analysis was conducted to determine key themes from the interview data.Results:Three types of strategies were identified: (a) intrapersonal, (b) interpersonal, and (c) organizational. Intrapersonal strategies involved learning and staying informed about causes of neurocognitive challenges. Interpersonal strategies included providing practical assistance, information, counseling, and/or referrals to PLWH. Organizational strategies included creating dedicated support groups for PLWH experiencing neurocognitive challenges, partnering with other organizations with services not available within their own organization, and advocating for greater access to services with expertise and experience working with PLWH.Conclusion:Through concerted efforts in the future, it is likely that empirically investigating, developing, and customizing these strategies specifically to address HIV-associated neurocognitive challenges will yield improved social support and mental health outcomes for PLWH.
HIV-Associated Neurocognitive Disorder (HAND) is an emergent public health issue in developed countries. Consequently, people living with HIV who experience HAND will increasingly require support from community-based HIV service providers. The objective of our qualitative study was to identify barriers service providers face in addressing HAND among people living with HIV. Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed. Using thematic analysis, three types of barriers were identified: (a) personal/ professional, (b) service access, and (c) systemic. This paper draws attention to HAND-related obstacles that service providers encounter in their work and presents options to overcome them.
Nine Canadian Catholic HIV-positive gay men were interviewed to obtain a better understanding of why and how they were able to persevere in their faith despite their religion's teachings against homosexuality and contributions to the stigmatization of HIV/AIDS. By examining the lived experiences and personal perspectives of the participants, the study aimed to explore and elucidate the significant role of Catholicism and the Catholic Church both as a continued source of marginalization and oppression, as well as strength and support, for Canadian gay men living with HIV/AIDS today.
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