The purpose of this study is to examine the social and communicative barriers LGBTQIA+ students face when seeking healthcare at campus health and counseling services at Arizona State University. Social barriers relate to experiences and internalizations of societal stigma experienced by sexual and gender minority individuals as well as the anticipation of such events. Communication between patient and provider was assessed as a potential barrier with respect to perceived provider LGBTQIA+ competency. This study applies the minority stress model, considering experiences of everyday stigma and minority stress as a predictor of healthcare utilization among sexual and gender minority students. The findings suggest a small but substantial correlation between minority stress and healthcare use with 23.7% of respondents delaying or not receiving one or more types of care due to fear of stigma or discrimination. Additionally, communication findings indicate a lack of standardization of LGBTQIA+ competent care with experiences varying greatly between respondents.

This creative project is assembled in screenplay format, providing the blueprint for a feature film. The research consisted of reading numerous screenplays, breaking down movies scene by scene, and undergoing a rigorous revision process with Thesis Director Professor Greg Bernstein. The logline of Changing Tides is: After discovering a gold-filled shipwreck, five Floridian middle schoolers head out to claim their treasure when they learn that the largest hurricane ever recorded is heading their way.