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Puente Para La Salud
Carlos Maldonado
cmaldonado@latinoaids.org
Program Director
(212) 584-9314

PUENTE PARA LA SALUD SURVEY

Survey of services for the LGBT Community
Please answer the following questioner it will provide us with an overview of the quality of services and/or needs of the LGBT community.
Thank you for taking the survey!    go back
Name:
Organization:
Telephone:
E-mail:

AGENCY POLICIES AND PROCEDURES

We have a nondiscrimination policy for staff members.
Yes No

We have a Nondiscrimination policy for clients.
Yes No

Our mission statement is inclusive.
Yes No

We offer domestic partner benefits to LGBT employees.
Yes No

Client confidentiality policies include how to deal with LGBT people who do not want information about sexually or gender on their records.
Yes No

Our sexual harassment policy includes LGBT issues.
Yes No

We have a procedure for staff or clients to grieve issues of discrimination based on sexuality and/or gender.
Yes No

Written notice is given to clients about when and for what reason information about them may be disclosed to a 3rd party.
Yes No


STAFF TRAINING/CONDUCT

All staff get basic training on LGBT people  and issues at least once.
Yes No

Some staff get advanced training.
Yes No

At least once staff member has expertise in working with LGBT clients.
Yes No

All staff treat LGBT Clients with respect and honor confidentiality.
Yes No

Staff members know how to intervene when clients act in discriminatory manner to LGBT clients.
Yes No


INCLUSIVE LANGUAGE: FORMS/ASSESSMENTS/TREATMENT

Written forms have inclusive language and encourage disclosure.
Yes No

Assessments are inclusive and encourage discussion of whether gender or sexuality issues need to be addressed in treatment.
Yes No

Case management, treatment, and aftercare plans include issues related to sexual and gender if appropriate.
Yes No

Staff members get a sexual history from all clients.
Yes No

Treatment groups, social activities, and all aspects of the program are “safe” for LGBT clients.
Yes No


VISIBILITY OF LGBT PEOPLE AND ISSUES

We advertise employment opportunities in LGBT publications.
Yes No

We have openly LGBT people on staff.
Yes No

We have openly LGBT people on the board of directors.
Yes No

We have openly LGBT people  as volunteers, sponsors, mentors.
Yes No

Our nondiscrimination policy that includes LGBT is prominently displayed.
Yes No

LGBT client’s families are included in family days/events.
Yes No

LGBT issues are discussed in treatment groups when appropriate.
Yes No

Posters, pamphlets, magazines, and other materials reflects our LGBT clients.
Yes No

We do outreach/market our services to local LGBT communities.
Yes No


RESOURCES AND LINKAGES

We have checked our referral sources to make sure that they are LGBT-sensitive.
Yes No

We have linkages to our local LGBT community.
Yes No

We screen guest speakers, volunteers, mentors, sponsors, etc, to make sure they know that we are welcoming and inclusive of LGBT people.
Yes No

 
 
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