Nonclinical best practices for creating LGBTQ-inclusive care environments: A scoping review of gray literature

Abstract

Abstract Guidelines for LGBTQ-inclusive care have been developed by a number of expert organizations to mitigate significant barriers to accessing quality physical and mental health care. This scoping review synthesized nonclinical best practices for creating LGBTQ-affirming care environments as described in 12 publicly available resources. Results were organized into seven domains: (1) interpersonal quality; (2) visual cues in the physical environment; (3) facilities and administrative environment; (4) workforce and workplace; (5) trainings; (6) research, assessment, and evaluation; and (7) outreach and engagement. Innovative practices are highlighted, including margin-to-center approaches and engagement in political action. Recommendations for practice and research are discussed.