Abstract
Fenway Community Health was founded by community activists in 1971 in the Fenway neighborhood of Boston, Mass, and within a decade had rapidly expanded its medical services for gay men in response to the AIDS epidemic. Increased expertise and cultural competence in lesbian, gay, bisexual, and transgender (LGBT) care led to expansion of medical services to address broader community concerns, ranging from substance use to parenting issues to domestic and homophobic violence, as well as specialized programs for lesbians, bisexuals, and transgendered individuals. Fenway began as a grassroots neighborhood clinic. In 1975, the center recorded 5000 patient care visits; in 2000, Fenway's clinical departments recorded 50,850 visits by 8361 individuals, including more than 1100 individuals receiving HIV-associated care. The center now has more than 170 staff people responsible for clinical programs, community education, research, administration, planning, and development. Over the past few years, Fenway's annual budget has exceeded $10 million. Fenway has established standards for improved cultural competence about LGBT health issues for other health providers and has developed programs to educate the general community about specific LGBT health concerns. This health center may provide a model of comprehensive LGBT health services that have a local impact.
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Selected References
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- Groopman J. E., Mayer K. H., Sarngadharan M. G., Ayotte D., Devico A. L., Finberg R., Sliski A. H., Allan J. D., Gallo R. C. Seroepidemiology of human T-lymphotropic virus type III among homosexual men with the acquired immunodeficiency syndrome or generalized lymphadenopathy and among asymptomatic controls in Boston. Ann Intern Med. 1985 Mar;102(3):334–337. doi: 10.7326/0003-4819-102-3-334. [DOI] [PubMed] [Google Scholar]
- Mayer K. H., Ayotte D., Groopman J. E., Stoddard A. M., Sarngadharan M., Gallo R. Association of human T lymphotropic virus type III antibodies with sexual and other behaviors in a cohort of homosexual men from Boston with and without generalized lymphadenopathy. Am J Med. 1986 Mar;80(3):357–363. doi: 10.1016/0002-9343(86)90706-0. [DOI] [PubMed] [Google Scholar]