Full Day Conference - Rainbow Health Ontario
Transcription
Full Day Conference - Rainbow Health Ontario
L G B T Q H E A L T H M A T T E R S Friday, March 11, 2016 Full Day Schedule Note: Simultaneous Translation will be provided at all plenaries and one session in each time slot. Traduction simultanée sera offerte à toutes plénières et un session par créneau horaire. 7:00 am – 3:00 pm Registration 7:45 – 8:30 am Breakfast 8:00 am – 11:00 am Exhibits 9:00 – 10:30 am Concurrent Sessions 11:00 am – 2:30 pm Lunch & Closing Plenary (Simultaneous Translation provided) Queer, Non-binary and Trans Youth: Contemporary Canadian Issues and Perspectives Dîner et séance plénière de clôture (service de traduction simultanée au besoin) Adolescents queer, non binaires et trans : perspectives et enjeux contemporains au Canada CONCURRENT SESSIONS F1: AM Format: Research Soundbyte 1. How do Two-Spirit People Understand Mental Health? Results of a Community Based Study Presenter: Margaret Robinson, Mi’kmaq scholar, Lennox Island First Nation, Researcher in Residence, Indigenous Health, Ontario HIV Treatment Network, Affiliate Research Scientist, Centre for Addiction and Mental Health, Toronto, Ontario Indigenous people who are also members of sexual and/or gender minorities (i.e., twospirit people) live with numerous intersecting oppressions that adversely impact our health. Increasingly, mental health practitioners and community workers are encouraged to adopt 9:00 AM – 10:30 AM a culturally-based treatment approach with Indigenous clients, yet little is known about twospirit culture or two-spirit perspectives on mental health. This research sound byte will present results from a community based research project that used qualitative data from 21 two-spirit people people in Ontario. Methods will be shared during the session. Interviews were transcribed and analyzed using an innovative method of Indigenous analysis based on the traditional medicine wheel and the seven Grandfather Teachings (Humility; Honesty; Respect; Courage; Wisdom; Truth; Love). This presentation will help ground efforts to improve services for two-spirit people. Learning Objectives: 1. Learn how two-spirit people define their own identity and frame mental health in the context of their own lives. 66 Full Day Conference B E C A U S E R A I N B O W H E A L T H O N T A R I O 2 0 1 6 C O N F E R E N C E 3. Animal-Assisted Interventions for LGBTQ Health 2. Learn which practices two-spirit people identified as supporting good mental health. 3. Understand how two-spirit perceptions of identity and mental health fit within the context of Indigenous culture more broadly. Presenter: Melissa Marie Legge, PhD Candidate, School of Social Work, McMaster University, Hamilton, Ontario 2. Filtered Out: LGBTQ Parents Engage with Special Needs Service Systems Using ethnographic methods, this study started from the everyday work LGBTQ parents of children with ‘special needs’ do to secure services for their children. A critical approach to intersectionality was employed to consider how certain parents, children, and families are constructed as “different” or “not fitting” in particular settings and contexts. Fifteen parents and six key informants were interviewed, all of whom were based in the Greater Toronto Area. Methods used were drawn from institutional ethnography (Smith 2005) and discourse analysis (Gee, 2005; Riessman, 2008). Study findings will be shared during the session. The findings have implications for service users, researchers, and providers of special needs service systems, particularly those who want to make special needs service provision accessible and responsive to all. Despite the need for ongoing research on animalassisted interventions (AAI) in social work practice, the evidence presented in the existing literature overwhelmingly supports their effectiveness. There are four categories of the documented therapeutic benefits of AAI for service users in a therapeutic context, which are: (1) effects on loneliness, (2) socializing effects, (3) motivating effects, and (4) physiologic and calming effects (Fine, 2010). There is scant literature that focuses on LGBTQ populations, but in a study conducted by Putney (2012), older lesbians affirmed the importance of their relationships with OTH animals, indicating that they were non-judgemental and offered steadiness and consistency. Drawing on the literature, personal experience as a social service provider engaging in AAI with service users, as well as two years’ experience conducting research in the area of animals and social work, in this presentation I will introduce attendees to what AAI are, the benefits that they provide for service users, and in particular, how these beneficial interventions could be used in conjunction with an anti-oppressive framework with LGBTQ service users. Learning Objectives: Learning Objectives: Presenter: Margaret F. Gibson, MSW, PhD, Visiting Professor, School of Social Work, York University, Toronto, Ontario 1. Learn what animal-assisted interventions are. 1. Increased understanding of LGBTQ parents’ perspectives of special needs service systems. 2. Learn about the benefits and risks associated with animal-assisted interventions. 2. Increased knowledge of how services are inequitably distributed along vectors of race, class, gender, and sexuality. 3. Learn how they can be used in a therapeutic or supportive setting with LGBTQ service users to improve health outcomes. 3. Stimulate questioning of how special needs services could be more accessible and equitable for all families. 67 B E C A U S E L G B T Q H E A L T H F2: AM M A T T E R S 3. Discuss ‘lessons learned’ and the unique challenges of facilitating and planning a rural community based ongoing/continuous support group, which is constantly in flux/moving through stages of group development. Format: Panel ‘Finding True North’: Navigating Our Way Through Changes in Trans-specific Services Within the Rural F3: AM Format: Seminar Communities of Quinte Panelists: Quest Community Health Centre: Carla Vander Voort, Social Worker, Belleville & Quinte A Model of Community Transgender West Community Health Centre, Belleville, Ontario; Care for Transgender Clients of all Eric Hargreaves, Workshop Facilitator, TRANSforum Ages Belleville & Quinte Region, Ontario; Devon Williams, Community Member, TRANSforum, Belleville & Quinte Region, Ontario; Stacey Love-Jolicoeur, Education and Support Worker, Gender Journeys CMHA HKPR, Belleville, Ontario Presenter: Within the South-East LHIN, there continues to be a significant gap in trans-specific services, including access to primary care and counselling supports. Community members have long been vocal about these gaps, which has prompted some change and service development within the region. One of these notable changes has been the development of TRANSforum Quinte – a weekly support and recreation group for trans-identified persons and their allies. TRANSforum has provided support and services to individuals from the rural communities of Belleville, Prince Edward County, Brighton and Quinte West, and is based on a community development approach. Since its inception, TRANSforum has run year round. The ongoing nature of this group has allowed for challenges, celebrations/successes and lots and lots of change! When we consider the fluidity of our individual and collective journeys, it is not surprising that it has been an ongoing challenge to establish a group environment that is flexible enough to provide ongoing and continuous support to the community, while maintaining some level of stability and integrity to the ‘True North’ of participants and the program. Changes that the program has had to contend with have been numerous, including changes in resources, membership, and needs and priorities of participants. Learning Objectives: Carys Massarella, MD, FRCPC, Attending Emergency Physician, St.Joseph’s Health Care, Hamilton, Lead Physician, Transgender Care Program, Quest Community Health Centre, St. Catharines, Ontario Trans primary care in Ontario has seen some radical shifts in the last five years. A few clinics have emerged as regional hubs, and therefore have established comprehensive primary care approaches to trans health access, and have a broad sense of how these demographics are changing as we move towards the future of trans health. At Quest Community Health Centre, we have learned that trans health care is not specialized care; it should be addressed in primary care and should be a lifelong relationship. We have also seen a dramatic increase in children and youth coming forward and identifying their gender as different from what others might expect. In this session, I plan to discuss the projection of trans experiences as health care access becomes more prevalent compared to 10 or 20 years ago, strategies for effective and affirming support for trans and gender independent children and youth, demystifying puberty blockers with practical clinical tools for assessment, administration, and monitoring, and strategies for integrating trans care into typical primary care practice. Learning Objectives: 1. How care can be provided in the community to transgender clients. 2. A model for primary care of the transgender patient. 1. Discuss rural community capacity building strategies utilized in the development services for trans-identified persons within the Quinte region. 3. How to provide care to transgender clients of all ages. 2. Explore and discuss the importance and challenges of community engagement in the planning and implementation of programming, within the context of rural settings. 68 R A I N B O W H E A L T H O N T A R I O 2 0 1 6 C O N F E R E N C E F4: AM F5: AM Intimate Partner Violence in Lesbian, Gay, and Bisexual (LGB) Communities Trans and LGBQ Human Rights in Ontario: Community Advocacy and the OHRC’s Mandate, Protections and Policy, and Recent Legal Developments Format: Seminar Format: Workshop Presenters: Melissa St. Pierre, Post-Doctoral Visitor, LGBTTQI Home Care Access Project, York University, Toronto, Ontario; Betty Jo Barrett, Assistant Dean of Academic and Student Success, Faculty of Arts, Humanities, and Social Sciences, Associate Professor of Social Work and Women’s Studies, University of Windsor, Windsor, Ontario In this seminar we dare to name the thing that will not be named - intimate partner violence (IPV) in lesbian, gay, and bisexual (LGB) communities. We contextualize our collaborative work by first discussing how we each came to the field of LGB IPV (violence against women + LGB health lens). The methodological, political, and social challenges involved in doing research in this field are reviewed, as are the possibilities. For example, there is a myth that we know nothing about LGB IPV – this is simply not true (Barrett, 2015). We present findings from our original research on the prevalence of LGB IPV using Statistics Canada data where we use an intersectional framework to examine how sexual orientation intersects with other identity categories to create differential vulnerabilities for IPV (Barrett & St. Pierre, 2013). We also review community-based research on the help-seeking trends of lesbian and gay survivors (St. Pierre & Senn, 2010). Implications for health and social service providers as well as researchers are discussed. Learning Objectives: 1. Identify how LGB IPV is both similar to and different from violence in heterosexual, cisgender relationships. 2. Learn about estimated Canadian prevalence rates of LGB IPV. 3. Apply intersectional, anti-oppressive, and LGB affirmative frameworks to understanding variations in experiences of IPV within LGB communities. Presenters: Jacquelin Pegg, Inquiry Analyst, Ontario Human Rights Commission, Toronto, Ontario; Insiya Essajee, Counsel, Ontario Human Rights Commission, Toronto, Ontario This session will address: 1. The relationships between LGBTQ community advocacy and the OHRC’s work in advancing human rights relating to gender identity, sexual orientation, and gender expression. 2. Current Human Rights Code protections relating to trans and LBG identities. 3. OHRC policies on sexual orientation, gender identity and expression, including best practices for inclusion; confidentiality, information and privacy; coming out or transitioning; preventing and dealing with discrimination and harassment; and competing rights issues. 4. Legal developments of the past few years: decisions and settlements; the role of policy; how individual complaints can have a broader public impact. Learning Objectives: 1. Understand the Code protections for LGBT people, and how OHRC policies progressively interpret those rights. 2. Learn how the human rights system, including different aspects of the OHRC’s mandate, can support LGBT individuals and community organizations in advancing and realizing their rights, and the importance of community engagement to the work of the OHRC. 3. Hear about recent legal successes relating to sexual orientation and gender identity and expression, and how they can be leveraged for broader impact. 69 B E C A U S E L G B T Q H E A L T H M A T T E R S F6: AM F7: AM What Needs to be Done to Advance the Sexual Health of Gay, Bisexual & Other Men Who Have Sex With Men? Improving Support: Care and Services During the Preoperative Period Panelists: Dr. Maud Bélanger, MD, FRCS(C), Centre Métropolitain de Chirurgie, Montreal, Quebec; Anne Dubé, Clinical Nurse, Centre Métropolitain de Chirurgie, Montreal, Quebec Format: Panel Barry D. Adam, Distinguished University Professor of Sociology, University of Windsor, Senior Scientist and Director of Prevention Research, Ontario HIV Treatment Network, Windsor, Ontario; David Brennan, Associate Professor of Social Work, University of Toronto, OHTN Applied HIV Research Chair, Toronto, Ontario; John Maxwell, Executive Director, AIDS Committee of Toronto, Toronto, Ontario; Owen McEwen, Director, Ontario Gay Men’s Sexual Health Alliance (GMSH), Toronto, Ontario Format: Seminar Presenters: During this presentation, Dr. Maud Bélanger and Anne Dubé, clinical nurse, will address the following topics: • Preparing the patient during the preoperative period; • Presentation on the different transsexual surgeries offered by Gender Reassignment Surgery Montréal; • Postoperative care and the role of stakeholders. Thirty years of HIV research show that persistently high rates of HIV require a multi-pronged approach to the biomedical, social, and psychological syndemics affecting gay men. This panel reports on a year of efforts by researchers and ASOs to confront institutional and structural barriers in advancing gay men’s health to secure better access to new prevention technologies, mental health services, community support, and HPV vaccine. Session participants will be invited to help strategize ways to make health systems more responsive to gay men and to allocate resources where they are most likely to make a difference. Learning Objectives: 1. Understand cutting edge issues in the advancement of gay men’s sexual health. 2. Better understand the institutional and structural barriers to improving gay men’s health and bringing down HIV numbers. 3. Learn about recent initiatives in gay men’s health promotion and how to become a part of overcoming barriers. 70 R A I N B O W H E A L T H O N T A R I O 2 0 1 6 C O N F E R E N C E CLOSING PLENARY & LUNCH/ DÎNER ET SÉANCE PLÉNIÈRE DE CLÔTURE 11:00 AM – 2:30 PM Queer, Non-binary and Trans Youth: Contemporary Canadian Issues and Perspectives LGBTQ youth are coming out as queer, non-binary and trans at younger ages and experiencing challenges and opportunities that are different from those of previous generations. In this panel presentation, four dynamic speakers will discuss the issues, resilience and activism of diverse and marginalized LGBTQ youth. Two researchers and two youth leaders will highlight knowledge and perspectives focused on LGBTQ youth who experience greater social exclusion. We will learn about key gaps and barriers to health, policies and programs that are making a difference, and how to engage the energy and ideas of youth themselves. Moderator: Donna Turner coordinates the development and implementation of communications strategies and materials for Rainbow Health Ontario (RHO). She is responsible for the RHO website, social media, and newsletter. She coordinates the creation of print materials such as brochures, posters, and postcards and delivers training. Donna is the RHO lead on youth, tobacco, and cancer projects. She supports the development of local networks, events and partnerships in the following Regions: North Simcoe Muskoka, Central East, and South East. Panelists: Alex Abramovich has worked in the area of lesbian, gay, bisexual, transgender, queer, questioning, and 2-Spirit (LGBTQ2S) youth homelessness for 10 years. Alex is an internationally recognized leader in the area of LGBTQ2S youth homelessness and is one of few Canadian researchers studying the phenomenon of queer and trans youth homelessness. Alex completed his Doctorate at the Ontario Institute for Studies in Education (OISE), University of Toronto. Alex currently works at the Centre for Addiction and Mental Health (CAMH) in the Social and Epidemiological Research Department, where he is researching LGBTQ2S youth homelessness and access to mental health services. Alex’s research focuses on issues regarding homophobia and transphobia in shelters and youth serving organizations, the experiences that LGBTQ2S young people have in the shelter system, and how broader policy issues serve to create oppressive contexts for LGBTQ2S youth. 71 Dr. Elizabeth M. Saewyc, PhD, RN, FSAHM, FCAHS, is Professor of Nursing and Adolescent Medicine at the University of British Columbia in Vancouver. Dr. Saewyc heads the Stigma and Resilience Among Vulnerable Youth Centre there. She is a Fellow in both the Society for Adolescent Health and Medicine, and the Canadian Academy of Health Sciences. For 20 years, Dr. Saewyc’s research and clinical practice has focused on how stigma, violence, and trauma influence adolescents’ health, coping and risk behaviours, and what protective factors in relationships and environments can foster resilience among: runaway and street-involved youth, sexually abused/sexually exploited teens, LGBT adolescents, immigrants and refugees, and indigenous youth. Bridget Liang is a mixed race, queer, transfeminine, neurodiverse, disabled, fat fangirl. They came into their queerness in Hamilton Ontario and co-founded RADAR Youth Group at the LGBTQ Wellness Centre (the Well), the first queer group in a high school in Hamilton, and were instrumental in the passing of an equity policy in the HWDSB. They have worked for a number of queer/trans organizations and groups over the years both in Hamilton and Toronto. They have been involved with community research, workshop and group facilitation, and doing performance art. Sonali Patel is a second year student at the University of Toronto with a passion for equity and inclusivity. Recognized by Harmony Canada, Sonali consistently strives to foster a safe and inclusive environment for the LGBTQ+ community. She successfully spearheaded B E C A U S E L G B T Q H E A L T H campaigns for gender-neutral washrooms, sexual health education lessons to be more inclusive to the LGBTQ+ population, and for school guidelines to accommodate transgender and gender non-conforming students in her high school. Sonali believes it is crucial for LGBTQ+ M A T T E R S youth to meet each other, thus she has been involved in planning events such as Halton Pride and the Halton Pride Semi Formal. Sonali is constantly involving herself in projects that will create a more inclusive environment. Adolescents queer, non binaires et trans : perspectives et enjeux contemporains au Canada Les jeunes LGBTQ affirment leur identité queer, non-binaire et trans à un plus jeune âge. Ils sont confrontés à des défis bien différents de ceux des générations précédentes. Pour cette table ronde formée de spécialistes, quatre conférenciers dynamiques discuteront des enjeux, de la résilience et de l’activisme de divers jeunes LGBTQ marginalisés. Deux chercheurs et deux jeunes leaders d’opinion mettront en lumière les connaissances et les points de vue de jeunes LGBTQ qui vivent une plus grande exclusion sociale. Nous en apprendrons plus sur les principaux obstacles et sur les lacunes en matière de santé, de politiques et de programmes qui font une différence, et sur la façon de mettre à contribution l’énergie et les idées des jeunes eux-mêmes. Animation : Donna Turner coordonne la conception et la mise en œuvre de stratégies et de documents de communication pour Santé arc-en-ciel Ontario (SAO). Elle est responsable de noter site Web et de notre présence dans les medias sociaux et de la préparation de noter infolettre mensuelle. Elle coordonne également la production d’imprimes tels que des brochures, des affiches, des cartes postales et des rapports. Elle dirige les projets SAO à propos de la jeunesse, le tabagisme et le cancer. Donna aide à la mise sur pied de réseaux locaux, d’évènements et de partenariats dans les régions suivantes : North Simcoe-Muskoka, Centre-Est et Sud-Est. Nos experts : Alex Abramovich a travaillé pendant 10 ans auprès des jeunes itinérants, qu’il s’agisse de personnes lesbiennes, gaies, bisexuelles, transgenres, queers, en questionnement ou bispirituelles (LGBTQ2S). Reconnu à l’échelle internationale comme spécialiste de cette clientèle, Alex est l’un des seuls chercheurs canadiens à s’être penché sur le phénomène de l’itinérance chez les jeunes queers et trans. Alex Abramovich a obtenu son doctorat à l’Institut d’études pédagogiques de l’Ontario (IEPO) de l’Université de Toronto. Alex travaille présentement au Social and Epidemiological Research Department du Centre de toxicomanie et de santé mentale (CAMH), où il poursuit ses travaux sur les jeunes LGBTQ2S sans domicile fixe 72 et l’accès aux services de santé mentale. Ses travaux portent sur les enjeux entourant l’homophobie et la transphobie dans les refuges et dans les organismes voués à la jeunesse, sur l’expérience vécue par les jeunes LGBTQ2S dans les réseaux de refuges et sur la façon dont les enjeux politiques plus larges créent des contextes d’oppression pour les jeunes LGBTQ2S. Dre Elizabeth M. Saewyc PhD, IA, FSAHM, FACSS, est professeure en soins infirmiers et médecine pour adolescents à l’Université de la Colombie-Britannique, à Vancouver. La Dre Saewyc dirige le Stigma and Resilience Among Vulnerable Youth Centre, un centre pour jeunes qui se trouve dans cet établissement d’enseignement. Elizabeth est fellow de la Society for Adolescent Health and Medicine et de l’Académie canadienne des sciences de la santé. Depuis 20 ans, elle concentre ses travaux et sa pratique sur les effets de l’ostracisme, de la violence et des traumatismes sur la santé des adolescents, sur les comportements adaptatifs ou à risque et sur les facteurs de protection dans les relations et les environnements susceptibles de favoriser la résilience chez les jeunes en fugue ou vivant dans la rue, sur les adolescents agressés ou exploités sexuellement, de même que sur les adolescents, les immigrants, les réfugiés LGBT, et sur les jeunes autochtones. R A I N B O W H E A L T H Bridget Liang est métisse, handicapée, queer, O N T A R I O transféminine, neurodiverse et fat fangirl [fanatique enthousiaste grosse]. Bridget s’est d’abord affirmée queer à Hamilton, en Ontario, où elle a cofondé le groupe jeunesse RADAR (RADAR Youth Group) du LGBTQ Wellness Centre (« The Well »). RADAR est le premier groupe queer dans une école secondaire à Hamilton. Bridget a joué un rôle essentiel dans l’adoption d’une politique d’équité au district scolaire de HamiltonWentworth. Au fil des années, Bridget a travaillé auprès d’un grand nombre d’organismes et de groupements queer et trans, à Hamilton et à Toronto. Bridget a aussi participé à de la recherche communautaire et à des ateliers, animé des groupes et évolué dans les arts de la scène. 2 0 1 6 C O N F E R E N C E Sonali Patel est étudiante de 2e année à l’Université de Toronto. Passionnée par tout ce qui touche l’égalité et l’inclusion, elle a été reconnue par Harmony Canada et travaille sans relâche à favoriser un environnement sûr et inclusif pour tous les membres de la communauté LGBTQ+. Sonali a entre autres mis sur pied des campagnes visant l’aménagement de salles de toilettes neutres et de cours d’éducation sexuelle plus inclusifs aptes à accommoder les étudiants transgenres ou de genre non conforme. Sonali estime qu’il est essentiel pour les jeunes LGBTQ+ de fraterniser. Dans cette optique, elle a participé à l’organisation de Halton Pride et de Halton Pride Semi Formal, deux événements liés à la fierté gaie dans la région de Halton. Sonali Patel s’engage régulièrement dans des projets visant à favoriser un environnement plus inclusif. 73
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