1. Session # F2b October 17, 2014 Turning Fragmented Comments into Integrated Conversations: Addressing Sexuality & Spirituality in Clinical Care Claudia Grauf-Grounds, Ph.D., LMFT, Professor, Marriage & Family Therapy Director of Clinical Training and Research Tina Schermer Sellers, Ph.D., LMFT, ASSECT Certified Sex Therapist Director of Medical Family Therapy SEATTLE PACIFIC UNIVERSITY Collaborative Family Healthcare Association 16 th Annual Conference October 16-18, 2014 Washington, D.C., U.S.A.

2. Faculty Disclosure We have not had any relevant financial relationships during the past 12 months. (we wish…)

3. Learning Objectives At the conclusion of this session, you will be able to: Listen and respond more effectively to patient concerns surrounding sexuality and/or spirituality Describe how clinical conversations about sexuality and spirituality can fit into evidenced-based patient care Discuss the importance of the providers’ own reactivity to the topics of sexuality and spirituality in providing high quality clinical care Identify how conversations that address sexuality and/or spirituality can improve culturally competent population care

4. Introductions

5. Definitions Sexuality Spirituality Why put these topics together?

6. Group Brainstorm How or when do issues of sexuality or spirituality come up in clinical encounters?

7. In dyads: Rate from 0-10 how “hot” each of these topics are for you in your clinical work. Discuss how or when these topics come up in your particular context; how do you usually respond? How were you trained to deal with sexuality? With spirituality?

8. The Self of the Provider Premise: Less reactivity leads to more curiosity – helps us listen & respond more effectively helps to open up and not close down conversation Self of the provider exercises in Sexuality Self of the provider exercises in Spirituality

9. Practice & Research Reminder: ENGEL + Need for Biospychosocial-spiritual Care

10. Under-addressed issues: Sexuality as a clinical topic Spirituality as culturally-competent care

11. Clinical Care & Training Implications

12. Your Learning Assessment: Q & A is required for CE credit HOW CAN YOU: Listen and respond more effectively to patient concerns surrounding sexuality and/or spirituality? CAN YOU: Describe how clinical conversations about sexuality and spirituality can fit into evidenced-based patient care? Discuss the importance of the providers’ own reactivity to the topics of sexuality and spirituality in providing high quality clinical care? Identify how conversations that address sexuality and/or spirituality can improve culturally competent population care?

13. Bibliography / References Coleman, E. et al (2013). Summit on medical school education in sexual health: Report of an expert consultation. Journal of Sexual Medicine 10(4): 924-938. Crinti, S. et al. (2014) The state of sexual health education in U.S. Medicine. American Journal of Sexuality Education. 9(1); 65-80. Foley, S., Wittmann, D., & Balon, R. (2010). A Multidisciplinary Approach to Sexual Dysfunction in Medical School Education. Academic Psychiatry, 34(5); 386-389. Ford, D.W., Downey, L, Engelberg, R., Back, A.L., & Curtis, J. R. (2012). Discussing religion and spirituality is an advanced communication skill: An exploratory structural equation model of physician trainee self-ratings. Journal of Palliative Medicine, 15(1); 63- 70. Giami, A. (2006). Editorial: Training health professionals in sexuality. Sexual and Relationship Therapy, 21(3): 267-271.Sexual and Relationship Therapy, Vol 21(3).

14. Bibliography / References Julliard, K. et al. (2008). What Latina patients don't tell their doctors: A qualitative study. Annals of Family Medicine 6(6): 543-549. McCord, Gary, et al. (2004). Discussing Spirituality With Patients. A Rational and Ethical Approach. Annals of Family Medicine, 2(4):356-361. Miller, L. (2014). Spirituality in Clinical Practice: This Issue and Beyond. Spirituality in Clinical Practice, 1(2): 77-79. Morreale, M.K., Arfken, C.L, & Balon, R. (2010). Survey of Sexual Education Among Residents From Different Specialties. Academic Psychiatry, 34(5);346-348. Olson, M. M., Sandor, M. K., Sierpina, V. S., Vanderpool, H. Y., & Dayao, P. (2006). Mind, body, and spirit: Family physicians' beliefs, attitudes, and practices regarding the integration of patient spirituality into medical care. Journal of Religion and Health, 45(2);234-247.

15. Bibliography / References Owens, A., & Tepper, M. (2007). Sexual Health - State of Art Treatment and Research. Westport: Praeger. Rasinski, K. A., Kalad, Y. G., Yoon, J. D. & Curlin, F. A. (2011). An assessment of US physicians’ training in religion, spirituality, and medicine. Medical Teacher, 33(11), 944- 945. Saguil, A., Fitzpatrick, A. L., & Clark, G. (2011). Are residents willing to discuss spirituality with patients? Journal of Religion and Health, 50(2); 279-288. Ventres, W. (2013). Beyond religion and spirituality: Faith in the study and practice of medicine. Perspectives in Biology and Medicine, 56(3): 352-361.

16. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!