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of domestic and homophobic violence, and parenting programs。s annual budget has exceeded $10 million. Fenway has established standards for improved cultural petence about LGBT health issues for other health providers and has developed programs to educate the general munity about specific LGBT health concerns. This health center may provide a model of prehensive LGBT health services that have a local impact. The mission of Fenway Community Health is to enhance the physical and mental health of the general munity, with an emphasis on services for LGBT individuals. Fenway is 1 of only 9 LGBTspecific munity health centers in the United States. Fenway39。本科畢業(yè)設(shè)計(jì)(論文) 外 文 翻 譯 原文: The evolution of the Fenway Community Health model Field Action Reports Fenway Community Health was founded by munity activists in 1971 in the Fenway neighborhood of Boston, Mass, and within a decade had rapidly expanded its medical services for gay men in response to the AIDS epidemic. Increased expertise and cultural petence in lesbian, gay, bisexual, and transgender (LOBT) care led to expansion of medical services to address broader munity concerns, ranging from substance use to parenting issues to domestic and homophobic violence, as well as specialized programs for lesbians, bisexuals, and transgendered individuals. Fenway began as a grassroots neighborhood clinic. In 1975, the center recorded 5000 patient care visits。s services include primary medical care and specialty HIV/AIDS, obstetrics, gynecology, gerontology, podiatry, and dermatology services。 and family planning services that include alternative insemination . Fenway has developed unique programs for munity health education and promotion, munitybased research, health policy advocacy, and leadership in ongoing and emerging LGBT health care coalitions. These programs have been evaluated by external monitors, including federal agencies, and have been replicated elsewhere in the United States. Fenway has also developed an active professional educational program, participating in the training of medical students, residents, social workers and other mental health interns, nurses, and other allied health professionals, and many staff have appointments at local professional schools. Medical Department The medical department is the largest Fenway clinical department. It includes an integrated clinical practice of physicians teamed with other primary care providers (nursepractitioners, physician39。 and advocacy to ensure that cases are aggressively investigated and prosecuted. The staff has also provided education, mining, and consultation to first responders (emergency medical technicians, police, and public officials). Wellness Programs and Community Education Over the years, Fenway has developed an integrated program of munity education and health promotion to plement its primary clinical services. Current activities include HIV risk reduction and health promotion programs for infected persons, wi