Welcome to CoDe Rainbow

A co-designed simulation-based training on delivering affirmative health care to LGBTQIA+ youth.

Enhance your cultural humility and affirmative health care skills as you experience what it can be like to access healthcare as an LGBTQIA+ adolescent.

This training includes three scenarios starring a fictional LGBTQIA+ adolescent, Jasper. Training components were created in collaboration with LGBTQIA+ youth, community partners, and healthcare providers living in Central Ohio.

LGBTQIA+ youth experience disproportionate health risks and lack of access to care.

Increased Health Risks

Discrimination, prejudice, and internalized stigma increase LGBTQIA+ youths’ stress and their susceptibility to disease, certain physical health conditions, and many mental and behavioral health concerns.

Barriers to Care

LGBTQIA+ youth also report high levels of unmet health needs. Many LGBTQIA+ people expect to face prejudice and lack of competence in healthcare settings, often leading to hesitancy to access care or disclose LGBTQIA+ status to their providers.


LGBTQIA+ : a term used to refer to lesbian, gay, bisexual, transgender, queer, and other sexual and/ or gender minority people.
“I’ve had healthcare workers tell me ‘I just don’t know how to treat trans patients’ and the care systems recommended to me as a trans [person]... have been some of the worst places I’ve ever been. Sometimes it feels like I have to choose between getting good healthcare and getting affirming healthcare.”
Ohio Youth, Age 21, He/Him

Why is this training important?

Regardless of your profession or the specific health setting in which you practice, you will encounter LGBTQ+ children, adolescents, and young adults throughout your professional career.

5-16% of adolescents identify as lesbian, gay, bisexual, or transgender (Conron, 2020; Jones, 2021)

The physical and mental health care LGBTQIA+ youth receive is often of poor quality. Affirmative care is the delivery of healthcare by organizations, programs, and providers where they acknowledge, validate, and support the identities of their patient.

Affirmative care for LGBTQIA+ children, adolescents, and young adults is a set of knowledge and skills for which many health care providers do not receive sufficient training.


Start the simulation.

The training has 3 interactive simulation scenarios and additional educational content. For the best experience, it is recommended that you use a computer with your browser in full-screen mode. It is recommended that you use Chrome, Firefox or Edge.

30 minutes: Simulation Only

60 minutes: Full Simulation 


The following virtual reality simulation contains content that some people may find triggering. If you believe that you will find the material triggering, you may choose not to participate or you can withdraw at any time.