Talking with clients about sexual orientation and gender identity
Lesbian, gay, bisexual, transgendered, transsexual, two-spirit, intersex, and queer (LGBTTTIQ) people have specific life factors that relate to substance use and/or mental health problems. These factors include “coming out,” gender transition, societal oppression, loss of family support, isolation, and the predominance of bars in LGBTTTIQ communities.
To provide effective addiction and mental health services, therapists/counsellors need to be aware of these life factors in clients. Asking the Right Questions 2 will help service providers create an environment where all clients feel comfortable talking about their sexual orientation and gender identity.
Asking the Right Questions 2 includes:
- interview items that can be used to facilitate discussion during assessment or early in treatment
- an assessment form and guide to be used with a standard substance use, mental health, or other service assessment
- background information to help clinicians use the ARQ2 guide
- a glossary of concepts and terms
This manual is a revision of Asking the Right Questions: Talking about Sexual Orientation and Gender Identity during Assessment for Drug and Alcohol Concerns; it has been revised to include mental health issues, updated resources and an expanded glossary.
Download the entire manual in PDF format.
Please note: In the process of posting this CAMH publication online, links to external sites were reviewed. In those cases where links have changed or are no longer in use, they have been deleted from the HTML (web page) version, but remain in the PDF versions. As a result, not all web pages will exactly match their PDF and print counterparts. The PDF versions will be updated if and when the print version is updated. We apologize for any inconvenience.
- Why is this manual important?
- Findings from two phases of the ARQ project—general conclusions
Using the manual
- What is in this manual?
- Using the ARQ2 guide
- Using the background information
Part A — Client Questionnaire
Part B — Conversation Guide
Counsellor competence — This section answers some common questions from counsellors.
Appendix — Creating the guide and manual
What readers said about Asking the Right Questions:
The ARQ manual makes it easy for service providers to bring sexual orientation and gender identity issues into the room, so that clients can sense that there is sensitivity to their needs. If the service provider doesn’t raise it, the client may assume that the person isn’t aware or receptive. ARQ is an invaluable tool for agencies, medical settings and private practice therapists.
Nelson Parker, MSW; David Kelley Lesbian, Gay and HIV/AIDS Counselling Program, Family Service Association of Toronto
The way this manual presented its questions, in a straightforward, matter-of-fact format, immediately sends the message to clients that we accept them unconditionally for who they are. I think that this can ease some of their anxiety surrounding LGBTT issues, allowing them to feel more freedom in discussing their concerns.
Tammy Pajuluoma, Healthy Choice Worker; Algoma AIDS Network, Sault Ste. Marie, ON
ISBN – 978-0-88868-469-1 (PRINT)
ISBN – 978-0-88868-541-4 (PDF)
ISBN – 978-0-88868-542-1 (HTML)