Intervention Site: UCSF Adolescent and Young Adult Clinic

UCSF Adolescent and Young Adult Clinic at Mount Zion
Division of Adolescent and Young Adult Medicine
University of California, San Francisco

Integrating the Family Acceptance Project (FAP)’s Family Support Framework into Primary Care for LGBTQ Youth & Young Adults


I learned about FAP’s innovative work 8 years ago during intern year of my pediatrics residency. FAP’s work has been an inspiration to me as I've worked with LGBTQ youth throughout my training and early career. Now as practicing adolescent medicine specialist, I have the great pleasure of collaborating with FAP to incorporate their family support model into our primary care teen and young adult clinic to comprehensively address both our LGBTQ clients’ psychological and medical needs.” — Stanley Vance, Jr., MD, Adolescent Medicine Specialist, Assistant Professor, Division of Adolescent and Young Adult Medicine, UCSF Benioff Children’s Hospital San Francisco


Collaboration with FAP:  Integrating FAP’s family support framework into primary care services to decrease risk and promote well-being for LGBTQ youth and young adults by helping families to decrease rejection and to increase acceptance and support for their LGBTQ children.

The UCSF Adolescent and Young Adult Clinic at Mount Zion
 provides primary and specialty care for teens and young adults ages 12 to 25. The staff includes doctors who are board certified in adolescent medicine, as well as nurses, nutritionists, psychiatrists, psychologists, learning specialists and social workers. Areas of expertise include general primary care including annual exams and school and sports physicals, sexual and reproductive health care, evaluation of sports injuries, eating disorders, obesity, LGBTQ affirmative health care and care for gender diverse and transgender adolescents, mental health assessments and referrals, and prevention and treatment of substance use and abuse. 


Critical Funding Needed: Help fund training and coaching for UCSF clinical staff to provide family support interventions to help ethically and religiously diverse families and caregivers to support their LGBTQ children.


This collaboration will pilot the first integration of the Family Acceptance Project’s assessment and family support approach into primary care services. This will enable medical providers to identify LGBTQ youth who are experiencing family rejection and to quickly intervene to engage families to prevent rejection-related health risks – including depression, suicidality, illegal drug use and risky sexual behaviors – while helping to increase wellness and positive development. Early identification of LGBTQ youth whose families have misinformation about sexual orientation, gender identity and expression and who respond with rejecting behaviors that contribute to increased family conflict can help to prevent and ameliorate multiple negative outcomes, including ejection and removal from the home and placement in custodial care, that are profoundly disruptive and undermine life chances and healthy futures for LGBTQ youth.

This pilot will enable our team to develop a roadmap to implement family-oriented primary care services for LGBTQ young people and their families in primary care settings and communities across the U.S.