Features of fragile people with SARS-CoV-2 infection in isolation in a COVID-19 hotel in Rome, Italy.

IMPORTANCE

Documenting the origin of the Network for Lesbian, Gay, and Bisexual (LGB) Concerns in Occupational Therapy (hereinafter the Network) in the United States uncovers previously unknown perspectives and provides lessons for current practice.

OBJECTIVE

To explain why and how the first formal occupational therapy organization addressing LGB issues formed during 1992-1993.

DESIGN

A qualitative historical design guided our review of key informants' organizational documents and oral histories.

SETTING

Library archives and community-based interviews.

DATA: Primary documents associated with the formation of the Network, publications when the Network formed, and oral history interviews with eight key informants.

OUTCOMES AND MEASURES: Data review was conducted by multiple researchers, triangulation of findings was ensured, and constant comparative interpretations of results were conducted until thematic saturation was reached.

RESULTS

Three core themes emerged: (1) informal beginnings (when LGB practitioners sought safe connections), (2) formal beginnings (establishment of the Network), and (3) points of tension (professional resistance, fear of disclosure, and sociopolitical constraints). The Network's emergence challenged norms separating personal identity from professional roles.

CONCLUSIONS AND RELEVANCE: The foundation of the Network promoted visibility, safety, and advocacy for LGB occupational therapy practitioners. The Network unveiled the need for professional spaces to support individuals with marginalized identities. This historical lesson is an example of how hidden groups can spur change. Plain-Language Summary: This study investigated how and why the first organization supporting lesbian, gay, and bisexual (LGB) issues in occupational therapy formed in the United States in 1992-1993. Researchers reviewed historical documents and interviewed key individuals involved in the Network for LGB Concerns in Occupational Therapy. The formation of this organization highlighted tensions between personal and professional lives given that LGB practitioners did not feel safe being open about their identities. This research uncovers the hidden history of LGB issues in occupational therapy and shows how professional and societal cultures interact to bring unmet needs to light.