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【正文】 ic Health. However, there is a substantial shortfall in funding for Fenway39。s interest and support. Studies have ranged from the assessment of lesbians39。s initial research endeavors derived from the need to better understand the AIDS epidemic that was emerging in the gay munity in the early 1980s. The first AIDS diagnosis among Fenway patients was made in 1981, and prospective epidemiological studies soon followed. The first estimates of HIV prevalence and incidence in New England were derived from Fenway studies. Close to 100 peerreviewed publications have been generated by Fenway39。 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, with specialized activities oriented toward different munities (., AfricanAmerican women, younger Latino men). Many of these programs are conducted both in Spanish and in English. They include small group sessions, outreach, referral, and collaboration with local health organizations serving munities of color. Fenway offers smoking cessation education (including educational presentations to schools and agencies), support groups, and acupuncture. Fenway also maintains the largest gay and lesbian help and crisis intervention telephone hotline in New England. The hotline is staffed 7 nights per week and provides confidential information, referrals, crisis intervention, and support to callers nationwide. A special hotline addresses the concerns of LGBT youth. Fenway sponsors munity health education workshops, forums, and lectures that have dealt with updates on HIV treatments, prevention, and selfcare strategies as well as other munity health concerns, such as hepatitis. Research and Evaluation Department Fenway initiated one of the nation39。 shortterm crisis counseling and longerterm therapy for survivors, their partners, and other loved ones。 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 depa
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