1 / 24

SOUTH ASIAN TRANS PEOPLE IN TORONTO: Issues Supports Rupert Raj, M.A., Counseling Psychology LGBT Counsellor Psychot

MENTAL HEALTH ISSUES. Low Self-EsteemDespairDepression AnxietyAngerSubstance UsePoor Body ImageEating Disorders. MENTAL HEALTH ISSUES (cont'd). Self HarmSuicidalityTrauma (emotional, physical, sexual, war)Psychiatric Conditions (Axis I/II)Social IsolationSocioeconomic Issues (poverty,

sherwood
Download Presentation

SOUTH ASIAN TRANS PEOPLE IN TORONTO: Issues Supports Rupert Raj, M.A., Counseling Psychology LGBT Counsellor Psychot

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. SOUTH ASIAN TRANS PEOPLE IN TORONTO: Issues & Supports Rupert Raj, M.A., Counseling Psychology LGBT Counsellor (Psychotherapist)

    2. MENTAL HEALTH ISSUES Low Self-Esteem Despair Depression Anxiety Anger Substance Use Poor Body Image Eating Disorders

    3. MENTAL HEALTH ISSUES (cont’d) Self Harm Suicidality Trauma (emotional, physical, sexual, war) Psychiatric Conditions (Axis I/II) Social Isolation Socioeconomic Issues (poverty, housing) Family Problems Relationship Problems

    4. TRANS-SPECIFIC ISSUES Transphobia (discrimination, harassment, abuse, assault) Transqueerphobia (transqueers: lesbian/bisexual/pansexual transwomen & gay/bisexual/pansexual transmen) Genderqueerphobia (genderqueers: transcend normative gender binary)

    5. RACE-SPECIFIC ISSUES Multiplicity of Issues from Various Sectors: Racism (external/internalized) Transphobia (external/internalized) Homophobia (external/internalized) Familial Estrangement Religious Oppression Ethnoracial Stigmatization LGBT Community Discrimination Settlement Issues (immigrants/refugees)

    6. SHC TRANS-SPECIFIC ISSUES Gender Dysphoria (“Gender Identity Disorder”) Gender Identity Conflict Gender Identity Confusion Impoverished Self-Esteem Negative Body Image Transitioning Pre-Transitional Issues The Transitional Process Post-Transitional Issues

    7. SHC TRANS-SPECIFIC ISSUES (cont’d) Transitioning Identity Management Disclosure Management Medical, Counselling & Legal Resources Trans-Peer & Other Community Supports Electrolysis Treatments Hormone Replacement Therapy Sex-Reassignment Surgery Relationships re: Family, Friends, Partners, Co-Workers Job/Career Change

    8. SHC TRANS-SPECIFIC ISSUES (cont’d) Sexual Identity Potentially Trans Clients Confusing or Conflicting Sexual Identity with Gender Identity Trans-Identified Clients Exploring Sexual Identity Transqueer Identity Transpeople who identify as lesbian, gay, bisexual, transensual &/or polysexual, & who are “out” or “in stealth”

    9. SHC TRANS-SPECIFIC ISSUES (cont’d) Genderqueer Identity Fluid identification & presentation where gender identity intersects with sexual identity in a non-binary paradigm Multiple challenges experienced by these mostly young people: at home, at school, at work, in society & often in trans & queer communities, & when trying to access hormones & surgery

    10. COMMUNITY RESOURCES Alliance for South Asian AIDS Prevention hoping to start group for trans people Salaam men & transmen (suspended but still social events) women & trans women & trans men Asian Community AIDS Services Transgender Women Outreach Project 519 Church Street Community Centre trans peer-support groups

    11. CLINICAL RESOURCES Mental Health & HIV: David Kelley Services (Family Services Association of Toronto) Sherbourne Health Centre Sexual Health: Hassle-Free Clinic AIDS Service Organizations (ACAS, ASAAP, BLACKCAP)

    12. SHERBOURNE HEALTH CENTRE Community-based health care centre located in central southeast Toronto *opened in September 2002 Targets 3 primary client populations: Homeless/Underhoused People Newcomers (Immigrants/Refugees) LGBT Community (approx. 50%) (Trans Clients (approx. 9%))

    13. SHC EMPLOYEE REPRESENTATION Overall Staff Complement: 94 (68 F/T, 8 P/T, 18 casual/relief staff) LGBT Employees: not tracked but approx. 1/3 of overall staff 5 trans-identified staff 2 queer psychotherapists (incl. 1 trans) 5 queer physicians 3 queer nurses People of Colour/South Asian Employees: not tracked for overall staff 3 South Asian psychotherapists 3 other P.O.C. psychotherapists 1 South Asian (gay) physician 1 P.O.C. LGBT physician

    14. SHC TRANS & NEWCOMER CLIENTS LGBT Clients = approx. 50% Trans People = approx. 8% (380-465 out of 6291) Newcomers = 8.4% (526 out of 6291) People of Colour = % unknown People Living with HIV+ = % unknown

    15. SHC TRANS CLIENTS Demographic Profile Transsexual, Transgender, Genderqueer, 2-Spirit, Intersexed Age Range: 14-66+ years People of Colour (? South Asian) Immigrants/Refugees Sex Workers Physical/Emotional Disabilities Poor/Low Income Homeless/Underhoused Trauma Survivors

    16. SHC TREATMENT APPROACH Interdisciplinary Collaborative Care Model Client-Centred Collaborative Relationship Informed Consent Interdisciplinary Teams Anti-Oppression Framework Trauma Framework

    17. SHC PROGRAMS & SERVICES General Primary Health Care General Mental Health/Counselling Services Comprehensive Primary Health Care for Lesbian, Gay, Bisexual, Transgender and Transsexual Communities Supporting Our Youth (LGBT-specific) Mobile Health Care (Health Bus) Infirmary Community Chiropractic Clinic Community Naturopathic Clinic for People Living with HIV/AIDS

    18. SHC TRANS-INCLUSIVE & TRANS-SPECIFIC SERVICES Primary Health Care General Physical Health Sexual Health Hormonal Therapy Assessment (medical history, bloodwork, referral re: consultation with counsellor &/or psychiatric assessment, as indicated) Prescription Administration (injections for transmen/FTMs) Monitoring/Follow-Up

    19. SHC TRANS-INCLUSIVE SERVICES (cont’d) Mental Health Care Individual Counselling Couple Counselling Family Therapy Group Work Walk-in-Therapy Clinic On-Site Psychiatric Consultation

    20. TRANS-INCLUSIVE & TRANS- SPECIFIC SERVICES (cont’d) Groups Outside the Lines (expressive arts group for isolated lesbians, bi & trans women) Men’s/Women’s Communications Group (respectively) Gender Journeys (psychoeducational group for people considering transitioning to other gender) Transceptance (community-based, peer-support group for parents of trans children)

    21. SHC TRANS-INCLUSIVE & TRANS-SPECIFIC SERVICES (cont’d) Workshops Trans Health Project Towards A Transpositive Therapeutic Model For Parents & Family Members of Transpeople Releasing Rage through Boxing Hormone Therapy for Transpeople For Transpeople of Colour & Two-Spirit Peoples For Transpeople & their Partners Special Events Annual Trans Pride Day Queer Health Matters (annual fair) South Asian Heritage Day

    22. SHC TRANS-SPECIFIC SERVICES Information/Consultation Consultation for clients/patients & providers Community Health Initiatives Health promotion, prevention & education Research projects (SHC Infirmary & OPHA Trans Health Project focus groups, respectively) Research page included on our webpage: www.sherbourne.on.ca

    23. SHC TRANS-SPECIFIC SERVICES (cont’d) Community Partnerships Trans Pulse Project (community-based research project) Rainbow Health Network Trans Health Lobby Group Advocacy Letter advocating Ontario Ministry of Health to re-enlist sex-reassignment surgery, etc.

    24. HOW TO CONTACT US Mailing Address Sherbourne Health Centre 333 Sherbourne Street Toronto, Ontario M5A 2S5 Phone Number: (416) 324-4180 Fax Number: (416) 324-4181 Website: www.sherbourne.on.ca Rupert Raj’s E-Mail: rraj@sherbourne.on.ca

More Related