Inclusive Services: Approaches to Improve Sexual and Reproductive Health Care for People with Disabilities

May 10, 2023

Description:

According to the National Survey of Family Growth, approximately 12% of “women of childbearing age” have a disability, and yet our educational and training programs devote little to no time in preparing us to provide accessible, appropriate, quality services to these populations. This webinar will define the population, identify the sexual and reproductive health needs, barriers to health care and health care disparities for people with disabilities, and present best practices for providing accessible, equitable sexual and reproductive health care for people with disabilities. This webinar will also discuss actionable items providers can immediately implement in their practices to make them disability accessible.

Learning Objectives:

  • Develop an inclusive definition of the populations that comprise people with disabilities
  • Identify sexual and reproductive health needs, barriers to health care and healthcare disparities for people with disabilities
  • Outline best practices for providing sexual and reproductive health care for people with disabilities
  • Identify concrete actions providers can take to improve access to and quality of sexual and reproductive health care for people with disabilities
  • Become knowledgeable on language, culture, and medical equipment suggestions

Speakers:

Erica Monasterio, MN, FNP-BC-Retired
Clinical Professor Emerita at University of California, San Francisco
35 years of clinical experience in primary care for youth and families at UCSF and the San Francisco Department of Public Health
Works in collaborations with organizations at the local, state, and national level providing training and technical assistance

Robin Wilson-Beattie, B.A
Disability Sexual and Reproductive Health Educator
Certified by the American Board of Sexology and City College of San Francisco as a Sexual Health Educator
Member of the American Association of Sexuality Educators, Counselors and Therapists (AASECT), the Women of Color Sexual Health Network (WOCSHN), and a graduate of the San Francisco Sexuality Information Training (SFSI) Sex Educator Training
Speaker, writer, and advocated for disability and sexuality

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Reproductive and Sexual Health Considerations for Transgender and Nonbinary People

December 16, 2022

Description:

This webinar is presented by Gayge Maggio, FNP-BC, AAHIVS and will focus on the reproductive and sexual health needs/considerations of transgender and gender non-conforming people. There will be a focus on learning to approach sexual health in a culturally sensitive, non-judgmental manner and how to deliver family planning needs and contraceptive options for patients who identified as transgender and/or non-binary.

Learning Objectives:

  • Discuss and perform a culturally sensitive sexual health inventory with transgender patients
  • Describe how to provide culturally sensitive, trauma-informed cervical cancer screening and the impact of testosterone on testing
  • Discuss options for contraception in assigned female at birth transgender and gender non-conforming patients

Speaker:

Gayge Maggio (She/They) FNP-BC, AAHIVS
Nurse practitioner at Callen-Lorde Community Health Center in New York City
She also works in the FlexCare program, providing walk-in primary care to patients

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Person-Centered Contraception Counseling for Family PACT Clients

October 19, 2022

Description:

Quality contraceptive care is more than just knowing the facts about all available birth control methods. In order for clients to select methods and get what they want from their birth control, it is crucial to provide contraceptive counseling that helps people identify their preferences in the context of their lives, values, and beliefs. This webinar will review best practices in person-centered contraceptive counseling and offer practical tools for providers to employ in their clinical encounters. 

Learning Objectives:

  • Demonstrate skillful, efficient, person-centered questioning for contraceptive care visits
  • Discuss reproductive desires with clients of any gender and sexual orientation
  • Identify 3 examples of plain language to explain characteristics of contraceptive methods 
  • Demonstrate Affirm-Share-Ask cycles for person-centered communication

Speakers:

Joely Pritzker, MS, FNP-C
Nurse Practitioner at Vista Community Clinic
National Trainer for Envision SRH & the PATH Framework Sexual and Reproductive Health Trainer and Consultant
Contributing author for the upcoming 22nd Edition of Contraceptive Technology

Patty Cason, RN, MS, FNP-BC
Assistant Clinical Professor
UCLA School of Nursing
President, Envision SRH

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Talking with Family PACT Clients About HPV Immunization

August 17, 2022

Description:

Since the first HPV vaccines were introduced in 2006, rates of cervical cancer and other HPV-related cancers have decreased in immunized populations. Family PACT will add HPV immunization as a benefit in July 2022 and will utilize guidelines developed by the CDC Advisory Committee of Immunization Practices (ACIP). This webinar will provide information about the effectiveness and safety of the HPV vaccine, review the current CDC recommendations for the use of the 9-valent HPV vaccine, and provide advice on how to have effective shared decision-making conversations with clients about being immunized. In addition, new Family PACT policies about coding and billing for HPV immunization services will be discussed. There will be ample time for your questions at the end of the presentation.

Learning Objectives:

  • List 2 effective strategies for engaging with patients who have vaccine hesitancy
  • Demonstrate a person-centered technique for providing a strong recommendation without coercion
  • Describe the impact of HPV vaccination on the natural history of HPV
  • Discuss the safety profile of HPV vaccines

Speakers:

Patty Cason, RN, MS, FNP-BC
Assistant Clinical Professor
UCLA School of Nursing
President, Envision SRH

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

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Putting New Family PACT Benefits to Work in Patient Care

May 11, 2022

Description:

Over the last year, the Family PACT Program has added several new benefits. These include three new contraceptive methods, a diagnostic test for Mycoplasma genitalium, and modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines. In this webinar, a description of the new benefits will be provided and the Family PACT policies that relate to their utilization will be discussed. There will be ample time to ask questions regarding these and other Family PACT benefits.

Learning Objectives:

  • Describe and explain the three new contraceptive methods and explain how to discuss the advantages and disadvantages of each with Family PACT clients
  • List three circumstances when the use of the diagnostic test for Mycoplasma genitalium is clinically indicated
  • Describe four modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines

Speakers:

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

Talking with Family Planning Clients About COVID-19 Vaccination

November 18, 2021

Description:

This webinar event is a collaboration between The California Department of Health Care Services Office of Family Planning, the California Prevention Training Center, the California Department of Public Health, and “#ThisIsOurShot” Program.

Please join two OBGYNs, Dr. LaTanya Hines and Dr. Michael Policar, for a webinar training on how to effectively communicate with your clients about COVID-19 vaccination, including overall safety, safety and efficacy during pregnancy and post-partum lactation, and the evidence regarding COVID-19 vaccination and future fertility.

Learning Objectives:

  • Why it’s important for clinicians and family planning counselors to discuss COVID-19 vaccination with clients who are seen for family planning services
  • Key messages that address common concerns of reproductive-aged individuals about the COVID-19 vaccine, especially among people who are considering becoming pregnant, are currently pregnant, and those who are lactating
  • An evidence-based methodology to tackle tough vaccine conversations and get to “yes”

Speakers:

LaTanya R. Hines, MD, FACOG
Assistant PIC Baldwin Hills Crenshaw MOB
Assistant Clinical Professor
Obstetrics and Gynecology
Kaiser Permanente Bernard J. Tyson School of Medicine

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

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2021 Implementing the CDC STI Treatment Guidelines: A Conversation for Family PACT Providers

September 8, 2021

Description:

The long-awaited 2021 CDC Sexually Transmitted Infections Treatment Guidelines were published in MMWR on July 22, 2021. This webinar will focus on significant changes from the 2015 CDC STD Treatment Guidelines, including updated guidelines for the screening, diagnosis and treatment of gonorrhea, chlamydia, syphilis, pelvic inflammatory disease, genital herpes, Mycoplasma genitalium, and vaginal trichomoniasis. To assist health care providers in obtaining a sexual history, the updated “Five P’s” approach will be reviewed. In addition, current Family PACT benefits for each type of sexually transmitted infection discussed in the program will be explained.

Learning Objectives:

  • List 3 examples of sexual history questions for each the “Five P’s” of sexual history taking
  • Explain why the treatment guidelines for both chlamydia and gonorrhea genital tract infections were updated in the 2021 Guidelines
  • List the indications for obtaining chlamydia and gonorrhea samples from the anus and the oropharynx
  • Describe the consequences of Mycoplasma genitalium genital infection in males and females
  • List 2 updates in the 2021 Guidelines regarding vaginal trichomoniasis

Speakers:

Ina Park, MD, MS, 
Co-author of the CDC STI Treatment Guidelines, 2021

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

Providing Family PACT Services During COVID-19 Part 2: Understanding Benefit Changes

September 17, 2020

Description:

The ongoing COVID-19 public health emergency has caused a shift from providing exclusively in-person services to a combination of remote and in-person visits, referred to as “hybrid visits”. This webinar will provide an update of how Family PACT services (client encounters) have changed since March, 2020, focusing on the Medi-Cal/Family PACT policy for telephonic-only remote visits. A series of case studies will be presented including contraceptive visits, evaluation of genital tract infections, well person visits, and a colposcopy visit, with an emphasis on coding and billing Family PACT. There will be ample time for you to ask questions about both clinical issues and Family PACT coding and billing policies.

Speaker:

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

Implementing the 2019 ASCCP Risk-Based Management Guidelines for Abnormal Cervical Cancer Screening Tests in Your Practice

July 23, 2020

Description:

The long-awaited new ASCCP Management Guideline App is now available, as well as the print version of the 2019 Guidelines. The new guidelines are streamlined for ease of use and can be significantly more individualized than the 2012 guidance by integrating information about an individual’s previous screening test and biopsy results, and personal factors such as age and immunosuppression. The guidelines now provide recommended follow up for all 3 available cervical screening strategies. This webinar will briefly explain the rationale used in developing the Guidelines, discuss how various abnormalities should be managed, and provide interactive demonstrations of how to use the app. In addition, specific considerations for the application of Family PACT benefits, including coding and billing, will be discussed. Learning objectives: At the end of this session, the learner will be able to:

Learning Objectives:

  • Describe the risk-based paradigm for managing abnormal cervical cancer screening test results.
  • Explain how risk-thresholds guide the clinical actions of immediate treatment, colposcopy, and short-interval follow up.
  • Demonstrate use of the ASCCP app to apply the new guidelines to patient care.

Speakers:

Patty Cason, RN, MS, FNP-BC
Assistant Clinical Professor
UCLA School of Nursing
President, Envision SRH

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

Providing Family PACT Services During COVID-19 Part 1: Clinical Considerations

May 8, 2020

Description:

Since March 2020, most providers of family planning services in California have shifted patient care from in-person visits to remote visits. This webinar will be conducted in a “frequently asked questions” format, focusing on the adaptations that clinicians should make in order to successfully provide family planning care remotely during the public health emergency and afterward.

Subjects will include the role of blood pressure measurement before prescribing combined hormonal contraception, the use of injectable birth control subcutaneous depot medroxyprogesterone acetate (DMPA-SQ), syndromic treatment of sexually transmitted infections, pregnancy testing without a clinic visit and others. Recently enacted Family PACT and Medi-Cal policies regarding telehealth visits and remote enrollment of clients into the Family PACT program will be discussed. Ample time will be available for the audience to submit questions and to share information about the adaptations that you have been implementing at your clinic.

Speakers:

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Jennifer Karlin, MD, PhD
Assistant Professor & Associate Director
Course Director for Pre-Clerkship Intersession, Health Systems Science Pillar
Department of Family & Community Medicine UC Davis School of Medicine

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