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Time to TRANSformCreating Transfriendly Spaces &
Places
Dana D. Hines, PhD, MSN, RNMarissa L. Miller
Ivy Tech Community CollegeBloomington, IN
February 26, 2016
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
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
Transgender Population
Makes up an estimated 0.5 to 1 percent (~ 700,000) of the US population.
The Williams Institute, 2011
Transgender Health Care
• Postponed medical care due to discrimination
• Refused care due to their transgender status
• Harassed in medical settings
• Providers lacked knowledge
Transgender Health & Social Disparities
• Drug/alcohol use• Suicide• Depression• Sex work• Homelessness • Incarceration• Violence/homicides
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.
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.
Sarasota County, Florida
February 16, 2016
http://whnt.com/2015/09/20/colleges-using-gender-neutral-pronouns-to-be-inclusive-to-transgender-students/#ooid=9sNG1tdzohSlwdxJETAcP7vA9QJEV_9U
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
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.
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
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
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
Key Partners
• American Civil Liberties Union• School Board• Student Government Association• Local Pride Organizations• Parent Teacher Organization/Association• LGBT Alliances
Healthcare Equality Index
Patient non-discrimination policiesEqual visitation
Employment non-discriminationTraining in LGBT-centered care
Healthcare Equality Index Leaders
VA Roudebush Medical CenterEskenazi HealthIU Health Ball Memorial Hospital-Muncie
Transgender Population in Indiana
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
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
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
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