AMERICAN PSYCHOLOGICAL ASSOCIATION Society of Military Psychology (Division 19) & Society for the Psychological Study of Lesbian, Gay, & Bisexual Issues (Division 44) Joint Task Force on Sexual Orientation & Military Service FFIINNAALL RREEPPOORRTT Accepted by the APA Council of Representatives February 2009 ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 2 ReportoftheAPASociety ofMilitaryPsychology (Division19)& APASocietyforthe PsychologicalStudyofLesbian,Gay,andBisexualIssues(Division44)JointDivisionalTask ForceonSexualOrientationandMilitaryService http://www.apa.org/pi/lgbc/publications/militaryhomepage.html Printedcopiesavailable from: Lesbian,Gay,Bisexual,andTransgenderConcernsOffice PublicInterestDirectorate American Psychological Association 750FirstStreet,NE Washington,DC20002-4242 202-336-6041 [email protected] Suggestedbibliographic reference: APASocietyofMilitaryPsychology (Division19)&APASociety forthe Psychological Study ofLesbian, Gay,andBisexual Issues (Division44)JointDivisionalTask ForceonSexual Orientationand Military Service.(2009).Reportofthe jointdivisionaltaskforceonsexualorientation andmilitary service. Washington,DC:Author. Copyright©2009 by the American PsychologicalAssociation.This material may bereproducedinwhole orinpartwithoutfees orpermissionprovidedthatacknowledgmentis given to the American PsychologicalAssociation.This materialmaynotbereprinted,translated,ordistributedelectronically withoutpriorpermissioninwriting fromthe publisher.Forpermission,contactAPA, Rightsand Permissions,750FirstStreet,NE,Washington,DC20002-4242. APAreports synthesizecurrentpsychologicalknowledgeinagivenareaandmayofferrecommendations forfutureaction.Theydonotconstitute APApolicyorcommitAPAtotheactivities describedtherein.This particularreportoriginated with the APA Society ofMilitary Psychology (Division 19)&APASocietyfor the Psychological Study ofLesbian,Gay,and Bisexual Issues (Division44)JointDivisional Task Force on SexualOrientation and MilitaryService. ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 3 Society of Military Psychology (Division 19) & Society for the Psychological Study of Lesbian, Gay, and Bisexual Issues (Division 44) Joint Divisional Task Force on Sexual Orientation and Military Service CO-CHAIRS Henry L. Taylor, PhD Robin A. Buhrke, PhD MEMBERS Kimberly F. Balsam,PhD Gregory M. Herek, PhD Robert S. Nichols,PhD John Pachankis WayneS. Sellman,PhD Will Wilson, PhD. APA STAFF LIAISONS ClintonW. Anderson, PhD Heather O’Beirne Kelly, PhD ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 4 In 2005, the AmericanPsychological Association Society of Military Psychology (Division 19) andSociety for the Psychological Study of Lesbian, Gay, and Bisexual Issues (Division 44) established the Joint Divisional Task Force on Sexual Orientation and Military Service.The Task Force was charged with developing a plan for implementing the 2004 APA Resolution on Sexual Orientationand Military Service (Appendix A) and other recommendations of the APA Task Force on Sexual Orientation and Military Service (Appendix B). The Joint Divisional Task Force operated from 2005 – 2007 with funding from thetwo Divisions, the Committee on Division/APA Relations, the Board of Directors, and the Council of Representatives. The Task Force completed its Final Report in 2008. It has been approved by the Executive Committees ofboth Divisions,and received by the APA Council of Representatives. ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 5 Areas of Activity Advocacy In the 2004 ResolutiononSexual Orientationand Military Service (Appendix A),APAresolved to takea leadership roleamong nationalorganizationsinseeking toeliminatediscriminationinandby the military basedonsexualorientationthrough federaladvocacyand allotherappropriate means. The2004 APA Task Forcefurtherrecommended thattheAPAassessopportunitiesforadvocacytoeliminate discrimination in the militarybasedon sexualorientation,especiallyopportunitiesforcoalitionswith other professional organizations and/orcivilrights advocacyorganizations (Appendix B). As partofthe APAassessmentofadvocacy opportunities,in 2005 as the Task Forcebeganits work, ClintonW.Anderson,PhD,Director,Lesbian,Gay,Bisexual,andTransgenderConcerns Office, contacted the Service Members’Legal Defense Network,theAmerican CivilLiberties Union,andthe National Gay andLesbianTaskForcetoseekinformationabouttheirinterestandactivities in thisarea andtoseektheirrecommendationsforAPAadvocacy. Three areas ofadvocacy were identifiedinthese consultations: (1) Repealby CongressofTitle X,UnitedStatesCode,Section 654 (Appendix B4),the lawthat requires thatall persons who engageinhomosexualconductbeseparated fromthe U.S. armedservices,andadoption by Congress oflawsthatprohibitsexualorientation discrimination in the U.S.military; (2) OverturningTitle X,UnitedStates Code,Section 654,in the Courts; (3) Psychotherapyprivilege forsexual orientationwithinthe U.S.military system. Repeal.In thelasttwo Congresses,Rep. Martin Meehan(D-MA)introducedThe Military Readiness EnhancementAct(Appendix C),whichaims toamend Title 10,United States Codeto replace thecurrent policyconcerninghomosexualityin theArmedForces with apolicyofnondiscriminationonthebasisof sexual orientation.So far,therehasbeen no equivalentbill introduced in the Senate. APAGovernment RelationsstaffHeatherO’Beirne Kelly,PhD,andJeffMcIntyre,have been monitoring the bill forAPA. Rep.Meehan hasretired and Rep.Ellen O.Tauscher(D-CA)has indicatedinterestinleadershiponthe bill. Ahearingon thebill washeldonJuly23,2008,by the House Armed Services CommitteeMilitary Personnel Subcommittee,SusanA.Davis (D-CA),Chair. APAhas developed abriefingsheetsupporting theadoptionoftheMilitary ReadinessEnhancementAct,whichhas been published on the APA’swebsite asa resource forAPAmembers touseinadvocacy (AppendixD). . Amicus briefs. APAhasnotbeen contactedby partiesto militarycases requesting thatwe file an amicus briefinanycase,butifsuch acasedoes come before the U.S.SupremeCourt,APAwouldbeverylikely to considerfilingabrief,becauseofits clearpolicyposition on theissues,becauseofitshistoryoffiling similarbriefsinearliermilitary cases,andbecauseofthestrong body ofresearch relevantto the issues. Psychotherapyprivilege. TheAPAOffice ofthe General Counsel,incollaboration with theLesbian,Gay, Bisexual,and TransgenderConcerns Office,developeda requestforrule-making thatwassentto the DepartmentofDefense on December17,2007 (Appendix E). In itsletter,theAPArequestedthatthe Departmentamend the administrativeseparationpolicytopreventstatementsaboutsexualorientation made withinthepsychotherapist-patientcontextfrombeing used forthe purpose ofadministrative separation forhomosexualconduct. APAreceiveda responsedated April 3,2008,thatindicated a willingnessonthepartofthe Departmenttoconsiderpolicychange(Appendix F). Data Collection The2004 APATaskForcefurtherrecommendedthatthe APAfacilitatethe collectionofdatafrommilitary psychologists who are mental healthproviders aboutthe implementation ofthe U.S.lawon homosexuality in thearmedservicesandthe impactofthe lawonmentalhealth servicesprovision. ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 6 TheTaskForcedevelopeda questionnaire to collectinformation frommilitary clinicalpsychologistsabout theimplementationofthe U.S.lawon homosexuality in the armedservices andtheimpactofthelawon mentalhealthservices provision. Initially,the Task Force hopedtogain accessthrough the Department ofDefenseto militaryclinicalpsychologists,butinformal contacts withthe Departmentindicated clearly thatsuchaccess wouldbe veryunlikelytobegranted. As an alternative,theTaskForcedecided touse thequestionnairetosurvey approximately600 active and retired military-related practitioners whowere subscribedto the Division 19 practice list-serve. In collaboration withtheAPACenterforWork Force Analysisand Research,theLesbian,Gay,Bisexual,and TransgenderConcerns Office implemented the onlinesurveyinfall 2007 using SurveyGizmo.Duringaperiodoffourweeks fromSeptember27to October29,2007,severalemail messages were posted on the listby thelistadministratorrequesting subscribers’ participation in thesurvey anddirecting themtothe internetsiteatwhich thequestionnaire couldbecompleted. Data werecollected anonymouslyand analyzed exclusivelybystaffmembersofthe APALesbian,Gay,Bisexualand TransgenderConcerns Office. No data wereshared withanyone outside the APA. Seventy-five respondentscompleted thesurvey (approximately 12.5% ofthe list subscribers). Thesurveyand thesummaryoftheresultsareincluded as AppendixG. In itsdeliberations,theTask Forcealsoconsidered thepotentialbenefits ofresearch on militaryservice personnel,butdecidedthatthechallengestoaccessing lesbian,gay,andbisexual militarypersonnel for research would be beyond the resourcesofthe Task Force. As aproxy forsurveydataonlesbian,gay,and bisexualservice members,KimberlyF.Balsam,PhD, provideda summaryoftheresultsofresearchshe conducted withseveralcolleaguesonlesbian,gay, andbisexualveterans(Appendix H). ProfessionalEducation In the 2004 ResolutiononSexual Orientationand Military Service (Appendix A),APAresolved toactto ameliorate thenegativeeffectsofthecurrentlawthrough thetrainingandeducationofpsychologists. The2004 APATaskForcefurtherrecommendedthatthe APAdevelop educationalmaterials withthe goal ofimprovingthe capability ofmilitarypsychologists to provide effectiveservicesand tohelp consumersoftheseservicesunderstand thelimits ofconfidentiality. Withregardtothedevelopmentofeducational materials,the APATaskForceinits reportenvisioned that the materials couldbedevelopedthrough acollaborative effortofDivisions19and44,APAGS,and the APAEthics Office and mightincludethe following: Aprofessionaljournal articleonconfidentialityand otherissuesrelated to providingpsychological services tomilitary personnelunderthecurrentlaw; Informational materials (e.g.,pamphlet,webpage)summarizingissues relevanttosexual orientation andtheprovisionofservices by militarypsychologists;and Informational materialsforservicemembers addressinggeneral issues ofconfidentiality inall psychologicalservices in the U.S.military. Workshop. RobinA.Buhrke,PhD,and BradJohnson,PhD,collaboratedon thedevelopmentofa workshop formilitaryclinical psychologists designedtohighlightappropriate andethicalstrategies for addressing theneeds ofGLBclientsin militarysettings. This workshop wasoriginallyplannedtobe offeredasa CEworkshopatthe2006 APAConventioninNewOrleans. Membersofthe Division44 Executive Committeeviewedandapprovedtheproposed workshop.Atthe March2006 meeting,Robin Buhrkenotedinherupdate thata workshop ofthiskind wouldnotbeoffered atthe 2006 APAconvention, butmay beofferedfor2007.TheTask Forceplanned atwo-hoursymposiumduringthe normalprogram forthe2007convention withone hourcontributedby Divisions19and 44. Aworkshop formilitaryclinical psychologistsdesigned tohighlightappropriate andethicalstrategies foraddressingtheneeds ofGLB ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 7 clientsin militarysettings was planned andconductedattheannual APAconvention in 2007. The workshop blueprintwillbemadeavailabletoothers tofacilitatea broaderimpact.Ajointsymposiumwas alsoconducted attheconvention. Publications An articlebyBrad Johnson (United States Naval Academy)and Robin Buhrke (DukeUniversity)entitled “Service Delivery in a‘Don’tAsk,Don’tTell’World:Ethical CareofGay,Lesbian,and BisexualMilitary Personnel”wasaccepted forpublicationinProfessional Psychology:Research andPractice. Gregory Herek(UniversityofCalifornia,Davis)and Aaron Belkin (University ofCalifornia,Santa Barbara) authored achapteron “Sexual OrientationandMilitary Service:Prospects forOrganizational and Individual ChangeintheUnitedStates”toappearin A.B.Adler,T.W.Britt,&C.A.Castro (Eds.),Studies in Military Psychology. Kimberly Balsam(UniversityofWashington)andcolleagues are preparingseveral manuscripts for publicationbased on thedata they collectedfrom445GLBTmilitaryveterans. PublicandMemberInformationaboutSexualOrientationandMilitary Service The APALesbian,Gay,Bisexual,andTransgenderConcernsOfficehas publishedcontentrelatedthe sexual orientation and militaryservice on the APAwebsite http://www.apa.org/pi/lgbc/publications/militaryhomepage.html Inter-divisionalCollaboration In addition to theJointDivisionalTaskForce,during the periodoftheTaskForce’soperationin2005- 2007,Divisions 19 and44haveeachsentrepresentatives to the other’smid-winterexecutivecommittee meetings,in orderto facilitatecollaboration. Thiscommitmenthasbeenrenewed for2008-2010. ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 8 Summary of Outcomes Aworkshopformilitaryclinicalpsychologistsdesigned tohighlightappropriate andethicalstrategies foraddressing theneeds ofGLBclientsin militarysettings was planned andconductedattheannual APAconvention in 2007. The workshopblueprintwill be madeavailable to others to facilitate a broaderimpact.Ajointsymposiumwasalsoconductedatthe convention. Severalprofessionalpublications,onepractitioner-oriented article,andone contemporaryresearch reviewofsexual orientationand militaryservice,have beenpublished. Publicserviceinformation formilitary personnelonsexualorientation,currentfederallawinthisarea, resources foradvocacy,support,andclinicalassistance was developed anddistributed. TheTaskForcedevelopedprocedures toenable APAto take aleadershiprole amongnational organizations to eliminate discriminationbasedonsexualorientation in militaryservice. In ordertoameliorateeffectsofcurrentlaw,APAhas requested thattheDepartmentofDefense address existingregulations explaining therulesofconfidentiality whichapplywhen military personnelreceivepsychological diagnosticandtreatmentservices. TheTaskForce,withthe assistanceoftheAPAresearchoffice,hasdeveloped,administeredand analyzed asurvey tocollectdata fromactiveduty,retiredand civilian militarypsychologists who are mentalhealth providers,aboutthe implementation ofthe U.S.lawonhomosexualityinthe armed services and theimpactofthelawon mental healthservicesprovision. TheTaskForce worked withthe APAGovernmentRelations StafftodevelopanAPAFactSheet basedona researchsummary by Greg Herekand AaronBelkin to be used whencontacting Congressional Staffand membersofCongress. 2007APApresident,Sharon Brehm, wroteSecretaryofDefense RobertM.Gates to requestthe establishmentofpolicybythe DepartmentofDefenseregarding psychotherapist-patientprivilege in administrativeseparationproceedingson thebasis ofhomosexualconduct. ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 9 Task Force Recommendations TheTaskForcehas completed developinga Strategic PlantoimplementtheAPACouncil’s Resolution on SexualOrientation and MilitaryService,butmuch work remains to be done. Inordertocomplete the planned actionsdescribed above,the Task Force makes the following recommendations: Funding to send liaison representativesforthe nextthreeyearstothemid-yearmeetingsofthe respectivedivisionsshouldbeprovidedby the divisions.The Executive Committees ofDivision 19 and Division44 have approved the fundingandhaveappointed two liaisons (BradJohnson (19)/Jim Fitzgerald (44)).They will take theleadin thefollow-upofremaining issues in thesix areas.The Executive Committees shouldconsiderappointinganad-hocjointcommittee between19/44 withthe liaisonsco-chairing thejointcommitteetocontinuethe work. Liaisons shouldcontinue working withClinton Anderson (OfficeofLGBTConcerns)andPublic InterestGovernmentRelationsStaff. ActiveLegislative Advocacy Monitorlegal casesinanticipationofconsidering filinga brief Executive advocacy to followup on requestforrule-making. ReportoftheAPAJointDivisionalTaskForceonSexualOrientation&MilitaryService 10 Table of Appendices Appendix A 2004 APAResolutionon SexualOrientation and MilitaryService Appendix B Final Reportofthe APATaskForceon Sexual Orientation and Military Service Appendix C Military Readiness EnhancementActof2007 Appendix D American Psychological AssociationBriefing Sheet,SexualOrientation and Military Service Appendix E RequestforRule Making on Sexual OrientationDisclosuresin Psychotherapy AppendixF Responseto the RequestforRule Making Appendix G Psychological Services Access forLesbian,Gay,and BisexualMilitary Service Members: Resultsofa SurveyofMilitary Clinical Psychologists Appendix H Summary ofthe results ofresearch with gay,lesbian,andbisexualveterans
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