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PRIDE In All Who Served

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The PRIDE In All Who Served Promotion Group was designed and refined using human centered design principles at the Hampton VA Medical Center in 2016. Each one-hour session of the ten-week, manualized, closed group provides an opportunity to connect with other LGBTQ+ Veterans to build a peer support system while improving LGBTQ+ patient health literacy. Connection to social support is a protective factor against suicide, stigma-related stress and other health outcomes for LGBTQ+ individuals. The group facilitation manual provides a comprehensive approach to implementation of the service, staff training, and guidance on how to create a welcoming environment. Veteran reactions to the service include: "I can't believe this group is at the VA!", "My life has gotten better by coming", and "I love this group! I feel better talking to my providers."

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.

Origin:

January 2016, Hampton VA Medical Center

Adoptions:

65 successful, 20 in-progress, 9 unsuccessful

Awards and Recognition:

iNET Seed Investee, iNET Spread Investee, Diffusion of Excellence National Diffusion Practice

Partners:

Diffusion of Excellence, Health Equity, LGBTQ+ Health Program, Mental Health and Suicide Prevention, VHA Innovators Network

Email

Metrics

  • Reach of Program = Improved access to affirmative care services for LGBTQ+ Veterans and rural LGBTQ+ Veterans;
  • Effectiveness of Program = Improved identity-related protective factors (e.g., identity acceptance, reduced internalized stigma)
  • Effectiveness of Program = Reduced symptoms of distress (e.g., symptoms of depression and anxiety)
  • Effectiveness of Program = Reduced suicide risk (e.g., reported likelihood of attempting suicide in the future)
  • Adoption, Implementation, Maintenance = Number of VA Facilities and Clinical Resource Hubs Consistently Offering PRIDE in All Who Served

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

AL: Birmingham VA Medical Center (Birmingham, Alabama)
  • Started adoption on 07/2022.
AL: Central Alabama VA Medical Center-Montgomery (Montgomery)
  • Started adoption on 01/2019.
AL: Tuscaloosa VA Medical Center (Tuscaloosa)
  • Started adoption on 05/2018.
AR: John L. McClellan Memorial Veterans' Hospital (Little Rock, Arkansas)
  • Started adoption on 01/2023.
AZ: Carl T. Hayden Veterans' Administration Medical Center (Phoenix, Arizona)
  • Started adoption on 07/2022.
CA: Jennifer Moreno Department of Veterans Affairs Medical Center (San Diego, California)
  • Started adoption on 03/2021.
CA: Loma Linda VA Clinic (Loma Linda Redlands)
  • Started adoption on 09/2019.
CA: McClellan VA Clinic (McClellan Park)
  • Started adoption on 11/2020.
CA: Oceanside VA Clinic (Oceanside)
  • Started adoption on 07/2020.
CO: Aurora VA Clinic (Aurora, Colorado)
  • Started adoption on 10/2021.
CO: Denver VA Medical Center (Denver)
  • Started adoption on 03/2021.
CO: Grand Junction VA Medical Center (Grand Junction, Colorado)
  • Started adoption on 02/2019.
CO: PFC Floyd K. Lindstrom Department of Veterans Affairs Clinic (Colorado Springs)
  • Started adoption on 03/2021.
FL: C.W. Bill Young Department of Veterans Affairs Medical Center (Bay Pines)
  • Started adoption on 10/2021.
FL: Naples VA Clinic (Naples)
  • Started adoption on 10/2021.
HI: Spark M. Matsunaga Department of Veterans Affairs Medical Center (Honolulu) IL: Bob Michel Department of Veterans Affairs Outpatient Clinic (Peoria)
  • Started adoption on 07/2022.
IL: Danville VA Medical Center (Danville, Illinois)
  • Started adoption on 07/2022.
IL: Jesse Brown Department of Veterans Affairs Medical Center (Chicago, Illinois)
  • Started adoption on 07/2022.
IL: Marion VA Medical Center (Marion, Illinois)
  • Started adoption on 07/2022.
IN: Richard L. Roudebush Veterans' Administration Medical Center (Indianapolis, Indiana)
  • Started adoption on 07/2019.
LA: New Orleans VA Medical Center (New Orleans)
  • Started adoption on 10/2021.
MA: Edward P. Boland Department of Veterans Affairs Medical Center (Central Western Massachusetts)
  • Started adoption on 10/2021.
MI: Battle Creek VA Medical Center (Battle Creek)
  • Started adoption on 05/2023.
MI: Oscar G. Johnson Department of Veterans Affairs Medical Facility (Iron Mountain)
  • Started adoption on 10/2021.
MI: Saginaw VA Clinic (Saginaw Barnard Road)
  • Started adoption on 06/2020.
MO: St. Louis VA Medical Center-Jefferson Barracks (St. Louis Jefferson Barracks)
  • Started adoption on 11/2018.
MS: Biloxi VA Medical Center (Biloxi)
  • Started adoption on 01/2023.
MS: G.V. (Sonny) Montgomery Department of Veterans Affairs Medical Center (Jackson, Mississippi)
  • Started adoption on 03/2021.
NC: Durham VA Medical Center (Durham)
  • Started adoption on 08/2019.
NC: Fayetteville VA Medical Center (Fayetteville, North Carolina)
  • Started adoption on 03/2019.
NC: Greenville VA Clinic (Greenville, North Carolina)
  • Started adoption on 03/2021.
NC: W.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center (Salisbury)
  • Started adoption on 01/2019.
NH: Manchester VA Medical Center (Manchester)
  • Started adoption on 03/2021.
NM: Raymond G. Murphy Department of Veterans Affairs Medical Center (Albuquerque)
  • Started adoption on 10/2021.
NV: Ioannis A. Lougaris Veterans' Administration Medical Center (Reno)
  • Started adoption on 03/2021.
NY: Buffalo VA Medical Center (Buffalo, New York)
  • Started adoption on 10/2021.
NY: Franklin Delano Roosevelt Hospital (Montrose, New York)
  • Started adoption on 07/2022.
NY: Samuel S. Stratton Department of Veterans Affairs Medical Center (Albany, New York)
  • Started adoption on 01/2023.
OH: Chalmers P. Wylie Veterans Outpatient Clinic (Columbus, Ohio)
  • Started adoption on 05/2019.
OH: Chillicothe VA Medical Center (Chillicothe)
  • Started adoption on 03/2023.
OH: Dayton VA Medical Center (Dayton)
  • Started adoption on 01/2023.
OK: Jack C. Montgomery Department of Veterans Affairs Medical Center (Muskogee, Oklahoma)
  • Started adoption on 01/2020.
OK: Oklahoma City VA Medical Center (Oklahoma City)
  • Started adoption on 10/2020.
OR: Portland VA Medical Center (Portland, Oregon)
  • Started adoption on 01/2023.
OR: White City VA Medical Center (White City)
  • Started adoption on 03/2021.
PA: Coatesville VA Medical Center (Coatesville)
  • Started adoption on 03/2021.
PA: Pittsburgh VA Medical Center-University Drive (Pittsburgh)
  • Started adoption on 01/2023.
SC: Ralph H. Johnson Department of Veterans Affairs Medical Center (Charleston, South Carolina)
  • Started adoption on 05/2020.
SC: Wm. Jennings Bryan Dorn Department of Veterans Affairs Medical Center (Columbia, South Carolina)
  • Started adoption on 10/2021.
TN: Alvin C. York Veterans' Administration Medical Center (Murfreesboro)
  • Started adoption on 07/2022.
TN: Nashville VA Medical Center (Nashville)
  • Started adoption on 07/2022.
TX: Corpus Christi VA Clinic (Corpus Christi)
  • Started adoption on 03/2023.
TX: Harlingen VA Clinic (Harlingen)
  • Started adoption on 11/2020.
TX: Temple VA Clinic (Temple South General Bruce Drive)
  • Started adoption on 09/2020.
UT: George E. Wahlen Department of Veterans Affairs Medical Center (Salt Lake City)
  • Started adoption on 10/2020.
VA: Hampton VA Medical Center (Hampton)
  • Started adoption on 01/2016.
VA: Hunter Holmes McGuire Hospital (Richmond, Virginia)
  • Started adoption on 03/2020.
VA: Salem VA Medical Center (Salem, Virginia)
  • Started adoption on 03/2021.
WI: Tomah VA Medical Center (Tomah)
  • Started adoption on 02/2019.
WI: William S. Middleton Memorial Veterans' Hospital (Madison)
  • Started adoption on 01/2023.
WY: Cheyenne VA Medical Center (Cheyenne)
  • Started adoption on 05/2023.
VISN 6 Clinical Resource Hub (Remote)
  • Started adoption on 04/2020.
VISN 17 Clinical Resource Hub (Remote)
  • Started adoption on 02/2021.
VISN 19 Clinical Resource Hub (Remote)
  • Started adoption on 11/2022.

AL: Huntsville VA Clinic (Huntsville)
  • Started adoption on 10/2021.
CA: Fresno VA Medical Center (Fresno)
  • Started adoption on 10/2021.
CA: Jerry L. Pettis Memorial Veterans' Hospital (Loma Linda, California)
  • Started adoption on 01/2024.
CA: Tibor Rubin VA Medical Center (Long Beach)
  • Started adoption on 01/2024.
FL: Malcom Randall Department of Veterans Affairs Medical Center (Gainesville)
  • Started adoption on 01/2024.
FL: West Palm Beach VA Medical Center (West Palm Beach)
  • Started adoption on 01/2024.
GA: Atlanta VA Medical Center (Atlanta, Georgia)
  • Started adoption on 07/2022.
ID: Idaho Falls VA Clinic (Idaho Falls)
  • Started adoption on 07/2022.
KY: Franklin R. Sousley Campus (Lexington-Leestown)
  • Started adoption on 01/2024.
KY: Robley Rex Department of Veterans Affairs Medical Center (Louisville)
  • Started adoption on 01/2024.
ME: Togus VA Medical Center (Togus)
  • Started adoption on 12/2022.
MN: St. Cloud VA Medical Center (St. Cloud)
  • Started adoption on 04/2023.
NC: Charles George Department of Veterans Affairs Medical Center (Asheville)
  • Started adoption on 10/2021.
NJ: East Orange VA Medical Center (East Orange)
  • Started adoption on 01/2024.
NV: North Las Vegas VA Medical Center (North Las Vegas)
  • Started adoption on 03/2023.
OH: Cincinnati VA Medical Center (Cincinnati, Ohio)
  • Started adoption on 01/2024.
PA: Abie Abraham VA Clinic (Butler)
  • Started adoption on 01/2024.
PA: Butler VA Medical Center (New Castle Road)
  • Started adoption on 01/2024.
TN: James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee)
  • Started adoption on 07/2022.
WA: Seattle VA Medical Center (Seattle)
  • Started adoption on 01/2024.

DE: Wilmington VA Medical Center (Wilmington, Delaware)
  • Started adoption on 07/2022.
  • Unable to attain necessary staff
GA: Carl Vinson Veterans' Administration Medical Center (Dublin)
  • Started adoption on 10/2021.
  • Lack of sufficient leadership/key stakeholder buy-in
IL: Captain James A. Lovell Federal Health Care Center (North Chicago)
  • Started adoption on 07/2022.
  • Unable to attain necessary staff
MT: Fort Harrison VA Medical Center (Fort Harrison)
  • Started adoption on 03/2023.
  • Lack of foundational affirmative care
NE: Omaha VA Medical Center (Omaha, Nebraska)
  • Started adoption on 07/2022.
  • Staff left agency
PA: James E. Van Zandt Veterans' Administration Medical Center (Altoona)
  • Started adoption on 03/2023.
  • Staff changes
WA: Jonathan M. Wainwright Memorial VA Medical Center (Walla Walla)
  • Started adoption on 01/2023.
  • staffing changes and Cerner issues
WI: Clement J. Zablocki Veterans' Administration Medical Center (Milwaukee, Wisconsin)
  • Started adoption on 07/2022.
  • Unable to attain necessary staff
VISN 9 Clinical Resource Hub (Remote)
  • Started adoption on 11/2020.
  • Lack of sufficient leadership/key stakeholder buy-in
  • Centralized decision-making that hinders ability to complete tasks (i.e. bureaucracy)

Multimedia

Videos

Above:

PRIDE Awareness Month, June 2021

Above:

PRIDE Awareness Month, June 2021

Above:

PRIDE Awareness Month, June 2021

Above:

PRIDE In All Who Served iEX Talk, October 2021

Above:

Presentation for US Professional Association for Transgender Health, November 2023