In 2016, Tennessee Governor Bill Haslam signed into law the “Counseling Discrimination Bill,” which allows a licensed counselor in a private practice to use personal (i.e., religious) beliefs as an reason to terminate care or refer away LGBT+ clients, as long as they refer the client to another counselor. In that same year, the state legislature and governor defunded the University of Tennessee, Knoxville’s Office for Diversity and Inclusion, which had spearheaded a number of LGBT+ activities and initiatives around campus. In this interactive discussion, scholars from different Tennessee institutions (and/ or who were raised and educated in Tennessee) will discuss how their scholarship and activism has been shaped by, and is helping to inform, LGBT+ policy in Tennessee, and how these lessons might be applied in other state/local contexts. The panelists will speak to a number of questions, including: How can my scholarship inform LGBT+ policy in my state? How do I connect with policymakers, practitioners, and organizations that could benefit from my expertise? How can I contribute to local advocacy efforts, and what might be my appropriate role in those efforts? How do I get involved in this arena at different stages of my career? and How can I help interested students get involved?

Sexual minority women experience a number of physical and mental health disparities compared to their heterosexual peers. One factor contributing to this disparity is access to care, of which sexual minority women also report having less than heterosexual women. In this study I examine predictors of sexual minority women's access to care in three ecological contexts: structural, community, and interpersonal. Eighty-eight sexual minority women 22 and older from Davidson County, TN responded to an online survey that gathered information about demographic factors and various aspects access to care including accessing healthcare systems, gaining access within the system, and patient/provider relationships. Multiple regression analysis was used to determine whether demographic factors were significant predictors of access to care. Age, education, and degree to which participants were open with others about their sexual orientation were significant predictors of access. Results point to significant differences in access to care within this population that has multiple marginalized identity statuses, indicating a need for attention to within-population access needs. Sexual minority women who are younger, less educated, and less out to others about their sexual orientation may be at increased risk to face barriers to care. Implications for practice and policy include a need for increased cultural competence of healthcare providers, and changes in policies that will close the insurance gap between heterosexual and sexual minority adults in the U.S.

In this hands-on preconference workshop, we will introduce dermoscopy, a proven adjunctive tool that increases sensitivity and specificity of melanoma detection and improves diagnostic accuracy for basal and squamous cell carcinomas. Participants will learn how to use a dermatoscope in clinical practice and learn the two-step algorithm to diagnose unknown skin lesions and determine the need for biopsy. Biopsy techniques will be taught with a handson evidence-based approach that can be applied at one’s home institution. Participants will leave with fundamental competence in the use of dermoscopy for early skin cancer detection, improved understanding of biopsy techniques, tools to train others, free apps, Dermoscopedia, online resources, and online and in-person courses.

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