Time to TRANSform: Creating Transfriendly Spaces & Places

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Time to TRANSform Creating Transfriendly Spaces & Places Dana D. Hines, PhD, MSN, RN Marissa L. Miller Ivy Tech Community College Bloomington, IN February 26, 2016

Transcript of Time to TRANSform: Creating Transfriendly Spaces & Places

Page 1: Time to TRANSform: Creating Transfriendly Spaces & Places

Time to TRANSformCreating Transfriendly Spaces &

Places

Dana D. Hines, PhD, MSN, RNMarissa L. Miller

Ivy Tech Community CollegeBloomington, IN

February 26, 2016

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Acknowledgements

• Ivy Tech Community College• Ryan White HIV/AIDS Services Program• Marissa Miller (Howard Brown, Chicago)• No financial conflicts of interest to disclose• Views expressed in this presentation are not

reflective of the Marion County Public Health Department

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Objectives

• General overview of transgender population• Highlight current policies threatening

transgender equity in schools• Highlight promising practices for transgender

equity• Describe state of transgender equity in

healthcare settings• Discuss strategies for inclusivity and diversity

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Transgender Population

Makes up an estimated 0.5 to 1 percent (~ 700,000) of the US population.

The Williams Institute, 2011

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Transgender Health Care

• Postponed medical care due to discrimination

• Refused care due to their transgender status

• Harassed in medical settings

• Providers lacked knowledge

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Transgender Health & Social Disparities

• Drug/alcohol use• Suicide• Depression• Sex work• Homelessness • Incarceration• Violence/homicides

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Senate Bills/Legislation/Laws

January 7, 2016- Indiana lawmakers introduced SB 344, legislation allegedly aimed to update the state’s civil rights law to protect LGBT Hoosiers from discrimination. • But unlike SB 100, which was introduced late last year, this new bill omits any

protections for transgender Hoosiers.SB 1007-The chapter permits separate restrooms, shower facilities, dressing facilities based on sex, sexual orientation, or gender identity.9. It imposes a burden of proof of sorts on gender identity claims. You have to have medical proof consistent with your asserted gender-identity within the past 12 months and/or a consistent and uniform assertion of the “gender-related identity” for the past 12 months. Senate Bill 35 criminalizes use of restrooms or locker rooms by transgender people as a Class A misdemeanor, On Tuesday, February 16, 2016 South Dakota state legislature passed a bill that would require public school students to use the bathroom, shower and locker room that correspond to their biological sex.

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Case StudyFramingham, MA

• Framingham Public Schools partnered with the Mass Dept. of Elementary and Secondary Education’s grant-funded initiative– Promoting Adolescent Health and School Success• Creating safe and supportive learning environments for

all students, with a special focus on transgender students.

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Sarasota County, Florida

February 16, 2016

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Transgender StudentsIndiana Schools

2012 Administrators at Cathedral High School in Indianapolis have decided that Catholic beliefs require them to refuse to recognize the fact that one of their students is transgender.https://youtu.be/n3D9v6fngFQ

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Challenges for Transgender Athletes

School Level Guidelines/PoliciesMiddle School

No rules or guidelines for gender of any kind at the middle school level

High School Indiana High School Athletic Association policy requires transgender athletes to complete gender reassignment surgery and provide proof in the form of an amended birth certificate or other government documentation.

College National Collegiate Athletic Association (NCAA) only requires hormone therapy and gender acknowledgement from the school.

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North Central High SchoolPromising/Best Practices

• Published special issue on transgender students

• Highlighted transgender students in the article

• School-wide support for Equality Alliance Club

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Creating Transfriendly Spaces and Places

• Adopt name change policies• Provide gender neutral bathrooms and locker

rooms• Adopt policies that allow transgender people

to use the bathroom or locker room that aligns with their preferred gender identity

• Provide regional-wide education and training for staff, administrators, and parents

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Creating Transfriendly Spaces and Places

• Collect data/conduct surveys to identify the needs of transgender students across all educational levels.

• Review legal issues surrounding transgender students equal access to facilities.

• Review policies and rules regulating building facilities/bathrooms– Evaluate them for inclusivity, safety, and affirmation

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Key Partners

• American Civil Liberties Union• School Board• Student Government Association• Local Pride Organizations• Parent Teacher Organization/Association• LGBT Alliances

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Healthcare Equality Index

Patient non-discrimination policiesEqual visitation

Employment non-discriminationTraining in LGBT-centered care

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Healthcare Equality Index Leaders

VA Roudebush Medical CenterEskenazi HealthIU Health Ball Memorial Hospital-Muncie

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Transgender Population in Indiana

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Healthcare Equality IndexMet all criteria except training in LGBT patient-centered care

• Parkview Whitley Hospital, Columbia City

• Columbus Regional Hospital• Parkview Health, Fort

Wayne

Repeatedly failed in equal visitation and employment non-discrimination

• Indiana University Health

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LGBT Healthcare in Indiana

• Health care providers inexperienced in LGBT health care– Least knowledgeable

about transgender health care

• LGBT health curriculum lacking in nursing and medical schools

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Nursing School Curriculum in Indiana

School Outcome/Results

University of Indianapolis(Sara Germann, Asst. Professor of Nursing)

Two courses starting sophomore year that focus on LGBTQ issues and the importance of asking questions about sexual and gender preferences.

Ball State University Did not return multiple phone calls

Ivy Tech(Calvin Thomas, VP for Health Sciences Division)

No concrete LGBTQ health issue integration • “Students taught to be cognizant of

biological, psychosocial, culture, and spiritual components of patient needs…”

Marion University(Dean of Leighton School of Nursing)

Nothing in the curriculum that addresses LGBTQ health issues• Professors do train students to ask

questions about sexual and gender health

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Moving Towards Healthcare Equality

• Eskenazi transgender health clinic• IU School of Medicine revamping curriculum

to be more inclusive of LGBTQ health needs• OutCare a comprehensive list of LGBTQ

friendly health care providers