The BIG Hospital SBIRT Initiative

A Learning Collaborative to Expand SBIRT into Hospitals and Other Medical Settings

Drugs are a Local Phenomenon for LGBTQ Populations: Implications for SBIRT

Free webinar produced in partnership with NAADACNational SBIRT ATTCNORC, and SAMHSA


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Presentation Slides:

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The 2011 Institute of Medicine report titled “The Health of Lesbian, Gay, Bisexual, and Transgender People” argues persuasively that there is a need for more attention to these subpopulations from clinical, research and policy perspectives. In support of this broad goal, this webinar examines the ways that drugs are experienced as local phenomena in the LGBTQ community, reviews the methods for working with LGBTQ populations within a minority-stress model, and discusses implications of these perspectives on the implementation of SBIRT. Together these models and approaches will be presented within a general health disparities framework.
Learning Objectives:
Upon completion, participants will be able to: 
  • Appreciate the social geography of substance use for LGBTQ populations;
  • Understand the ways that substance use relates to broader health disparities; and
  • Consider the ways that local contextual knowledge can improve SBIRT implementation.

Niranjan Karnik, MD, PhD

Associate Professor in the Child & Adolescent Psychiatry Section and Department of Psychiatry at Rush Medical College

Dr. Karnik is also an adjunct faculty member in the Department of Community, Systems and Mental Health Nursing at the Rush College of Nursing. At Rush University, he is also Medical Director of the Road Home Program: Center for Veterans and their Families, and Director of the Rush University Life Course SBIRT Training Program. He concurrently serves as an Associate Faculty Member of the MacLean Center for Clinical Medical Ethics at the University of Chicago. His research focuses on community-based interventions for high-risk populations with psychiatric and substance use disorders. In the past, he has worked with refugee children on the Pakistan-Afghan border, street children in India, foster youth in Central Illinois, and incarcerated youth in California. He worked at a youth homeless shelter in San Francisco and is continuing this work with homeless youth in Chicago. The major focus of his research is on using mobile health technologies to bridge the needs of vulnerable youth and enable providers to deliver services to at-risk populations.

Tanya Friese, DNP, RN, CNL, USN(ret)

Nursing Education Manager for Interprofessional Continuing Education, Rush University

Dr. Friese served as a Hospital Corpsman during the first Gulf War. After service-connected disabilities resulted in her retirement from the Navy, she completed a bachelor’s degree in public health and a master’s and doctoral degree in nursing. Friese teaches in the Department of Community, Systems, and Mental Health Nursing at Rush University is the nursing education manager for interprofessional continuing education, and the educational coordinator for the Road Home Program at Rush. Her areas of expertise include veterans and their families, mental health, individuals with disabilities and people who identify as LGBTQ.

Nicholas Turner, LCSW, CADC

Mr. Turner received his Master of Arts in social work from the University of Chicago’s School of Social Service Administration. He has worked in various mental health and substance abuse settings with children, adolescents and adults. He also co-authored the book Mindfulness-Based Sobriety, a treatment guide for addiction recovery that was published by New Harbinger Publishing in January 2014. Turner is a licensed clinical social worker (LCSW), certified alcohol and drug counselor (CADC) and a member of the Association for Contextual Behavioral Science and the Motivational Interviewing Network of Trainers.


Tracy McPherson, PhD, Senior Research Scientist, NORC at the University of Chicago