Activity - Medical and social models of health Purpose To consider differing perspectives on health and their influence on how health and wellbeing issues for lesbian, gay, bisexual and transgender people are interpreted. Materials required Flipchart and marker pens Method Ask the group to identify the key features of the ‘medical model’ and record down one side of flipchart paper. Once the discussion is exhausted, the trainer can add to the list to ensure key points are included. Now ask for the key features of the ‘Social’ model, recording the key points down the opposite side of the flipchart. Again, the trainer can assist the group in completing the exercise as above. The trainer then summarises the two models. Now ask the group how, from the ‘medical’ model, the health concerns relating to LGBT people would be interpreted. This can be recorded or simply discussed, depending on the time allotted to the exercise. Compare and contrast the two models with participants. Finally, ask the group to consider how LGBT health might be interpreted using a social model perspective using the same approach as above. Addressing LGBT health inequalities an educational resource 2007 2 Alternative method The training group can be divided into 2-3 smaller groups who are tasked with the questions. The small groups then feed back to a plenary discussion. The advantage of this method is that it allows more discussion and debate among participants. Discussion points Lead discussion on the ‘medical model’ and its significance in the pathologising of the lives and experiences of LGBT people. Discuss the social model and its significance in understanding the lives and experiences of LGBT people. Compare and contrast the two models in relation to health inequalities and access to health services as experienced by LGBT people. Learning outcomes: by the end of this session, participants will: Understand the distinctions between medical and social models of health Recognise that these models offer different perspectives on the root causes of health inequalities as experienced by LGBT people Gain an appreciation of health as a global concept and a shared societal responsibility Also see Models of health and LGBT health inequalities Modernising the Social Model in MH Addressing LGBT health inequalities an educational resource 2007 3
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