L G B T Q
H E A L T H
M A T T E R S
Thursday, March 10, 2016
Full Day Schedule
Thursday March 10th is “Clinical Highlights Day” with plenary speakers, practice innovations and
research soundbytes designed for physicians, nurses, psychotherapists, and other clinicians.
There will also be general interest, non-clinical content available.
Le jeudi, 10 mars est une « Journée clinique » avec une séance plénière, des pratiques innovantes
et des segments de recherche ciblant les médecins, infirmier-ère-s, psychothérapeutes et autres
clinicien-ne-s. D’autres sessions d’intérêt général seront aussi au programme.
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 – 6:00 pm 7:45 – 8:30 am
Registration
Breakfast
8:00 am – 5:00 pm Exhibits
8:00 – 9:00 am Facilitated Caucus Meetings:
(2) LGBTQ Youth and Tobacco Provincial Caucus
9:00 – 10:30 am PLENARY: (Simultaneous Translation provided)
(1) Access to Gender Affirming Surgeries
LGBTQ Health Matters: Service Providers as Leaders
SÉANCE PLÉNIÈRE : (service de traduction simultanée au besoin)
Questions de santé LGBTQ : les fournisseurs en tant que chefs de file
10:30 – 11:00 am Refreshment Break & Exhibits
Concurrent Sessions
1:30 – 2:00 pm
Poster Presentations - Authors Present
2:00 – 3:30 pm Concurrent Sessions
3:30 – 3:45 pm Refreshment Break & Exhibits
3:45 – 5:15 pm Concurrent Sessions
5:30 - 7:00 pm
Queering Home Care (Informal social gathering with refreshments)
11:00 am – 12:30 pm 12:30 – 1:30 pm Lunch & Exhibits
OPENING PLENARY/SÉANCE PLÉNIÈRE D’OUVERTURE 9:00 – 10:30 AM LGBTQ Home Care Access Project Launch
On Clinical Highlights Day, our plenary session will feature four service providers from rural, northern
small town and urban areas of the province. Representing the disciplines of medicine, nursing, health
promotion and mental health counselling, each of our panelists is recognized for their knowledge,
skills and outstanding commitment to LGBTQ health.
As practitioners, they will speak about what drew them into their work with LGBTQ communities
and how they serve their patients and clients. From their diverse and personal perspectives, they
will share with us why LGBTQ health is important to them and what has driven them to become the
leaders that they are today. We invite you to take home some inspiration from this powerhouse panel.
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Full Day Conference
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Panelists:
Carys Massarella, MD, FRCPC, is an attending
emergency physician at St.Joseph’s Health care
in Hamilton and is also the lead physician for the
Transgender Care Program at Quest Community Health
Centre in St. Catharines. Dr. Massarella sees and treats
transgender identified clients of all ages and is a leading
expert in transgender care in Ontario. She teaches at
the Degroote School of Medicine and is an Assistant
Clinical Professor there. Dr. Massarella lectures widely on
transgender health care and has also done a TEDx talk
on “The Depathologization of Trans Identity”. She recently
appeared at TEDx Hamilton where she presented
“The False Narrative of Deception”. Dr. Massarella
also appeared in the CBC doc zone documentary
“Transforming Gender”. She was the first transgendered
person to be a President of a large teaching hospital
medical staff anywhere in the world and was named one
of the World’s 50 Transgender icons by the Huffington
Post. She also sits on the gender advisory committee for
gender independent children for Rainbow Health Ontario,
is a member of WPATH and was recently appointed to
the board of CPATH.
Sue Hranilovic, MN, NP-PHC, ACRN, considers
herself an “old nurse” and a “newer nurse practitioner”.
As a Masters-prepared Primary Health Care Nurse
Practitioner and an AIDS Certified Nurse, Sue has
provided hospital, community and primary health care in
Toronto’s inner city for over 25 years. Her practice has
included patients living with HIV, those injecting drugs
and those on methadone maintenance, transgender
patients, patients with mental health issues and those
infected with hepatitis C. She has a commitment to
continuing involvement in professional development
and community-based volunteer activities which have
included Board of Directors positions for the Canadian
Association of Nurses in AIDS Care, the Ontario HIV
Treatment Network and Fife House Foundation. Sue is
proud to have been one of the founding members of the
Committee for Accessible AIDS Treatment and to have
participated in volunteer nursing in Zimbabwe. She
has done over 60 presentations to colleagues, patients
and community and has received ten awards related
to excellence in academia and clinical care. Sue’s
high level of expertise and commitment to working
with diverse, marginalized, stigmatized, at-risk and
vulnerable populations has served her both locally and
internationally, and she hopes to continue nurturing the
resilience of the clients she walks with, learns from and
serves.
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Sharp Dopler is of Sauk/Fox, Cherokee and Irish
descent and has worked on LGBTT2SQA issues
professionally and personally since coming out around
1983. Sharp has extensive experience as a presenter
including presentations at National and International
gatherings. Sharp serves the Indigenous community as
a traditional Helper to the Elders in ceremony and enjoys
sharing the gift of the drum. Sharp has a Master’s Degree
in Canadian Studies and an honours diploma in Social
Service Work. Sharp also holds a second Dan (or 2nd
degree) Black Belt in Taekwon Do.
Betsy Martin is a queer mother, grandmother, and
great grandmother who lives in Kaministiquia – a rural
community north of Thunder Bay. Betsy was raised in
the Mennonite community where she did not have any
exposure to “gay people”. She quit school and left home
at a young age, and aside from parenting she spent
the first half of her life as a physical labourer. Betsy
later completed her HBSW at Lakehead University, and
has been a social worker in the north for the past 25
years. During the 90’s she worked in a women’s shelter
providing groups and services for adult survivor’s of child
sexual abuse. She spent several years in another small
program that worked with First Nations residential school
survivors. She has been working with Children’s Centre
Thunder Bay, a local children’s mental health agency for
the past 15 years. The bulk of Betsy’s work has been
assisting children and families who have been affected
by violence, bereavement, and trauma. Betsy is also a
co-facilitator for The Other 10% - a youth group for kids
who identify as LGBTTQ, and are often struggling with
identity, isolation, and minority stress. She had her first
opportunity to work with Rainbow Health Ontario several
years ago as a member of the advisory committee for the
gender independent children’s project. Two beliefs that
guide my own work are an understanding of the capacity
of the human spirit to “become whole” under adverse
circumstances, and an understanding of the role that
community plays in nurturing and advocating for each
other, resisting violence together, and creating healthy
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Questions de santé LGBTQ :
les fournisseurs en tant que chefs de file
Dans le cadre de la journée consacrée aux faits saillants du domaine clinique, notre séance plénière mettra en
vedette quatre fournisseurs de services de milieux ruraux, de petites villes du Nord ou de milieux urbains de
la province. Représentant les secteurs de la médecine, des soins infirmiers, de la promotion de la santé et du
counselling en santé mentale, nos panellistes sont reconnus pour leur savoir, leurs compétences et leur engagement
exceptionnel pour la santé LGBTQ. En tant que praticiens, ils parleront de ce qui les a amenés à diriger leur
pratique vers les communautés LGBTQ et de leur façon de servir patients et clients. À partir de leurs perspectives
individuelles et variées, ils nous expliqueront pourquoi la santé LGBTQ est si importante pour eux et nous diront
ce qui les a motivés à devenir les chefs de file qu’ils sont aujourd’hui. Nous vous invitons à ramener chez vous
quelques-uns des propos inspirants de ces experts de premier plan.
Les panélistes :
Carys Massarella, MD, FRCPC, est urgentiste et
médecin traitant au St.Joseph’s Health Care Hamilton et
est aussi médecin-chef du Transgender Care Program
(programme de soins aux personnes transgenres) du
Centre de santé communautaire Quest de St. Catharines.
La Dre Massarella rencontre et traite la clientèle qui
s’identifie comme transgenre de tous âges; elle est aussi
une experte de premier plan en soins aux personnes
transgenres en Ontario. Elle enseigne à la Degroote
School of Medicine, où elle est professeure adjointe en
clinique. La Dre Massarella prononce régulièrement
des conférences sur les soins de santé aux personnes
transgenres et elle a aussi livré une conférence TED sur
la « dépathologisation » de l’identité trans. Récemment,
elle est montée en tribune lors des conférences TEDx,
pour une présentation intitulée The False Narrative of
Deception (La représentation faussée de la déception).
La Dre Massarella a aussi participé au documentaire
Transforming Gender, diffusé dans le cadre de l’émission
Doc Zone du réseau CBC. Mme Massarella est la première
personne transgenre au monde à occuper un poste de
présidence au sein d’un grand établissement hospitalier
universitaire. Elle a été choisie parmi les 50 personnalités
transgenres les plus influentes au monde par le Huffington
Post. Elle siège au comité consultatif sur les enfants de
genre indépendant de Santé arc-en-ciel Ontario, est
membre de la WPATH et a été récemment nommée au
conseil d’administration de la CPATH.
Sue Hranilovic, MSc, inf., IP – soins primaires, IP
– soins du SIDA, se considère comme une « vieille »
infirmière et comme une « nouvelle infirmière
praticienne ». En tant qu’infirmière praticienne
spécialisée en soins primaires titulaire d’une maîtrise, elle
offre des soins en milieu hospitalier et communautaire
et des soins primaires à Toronto depuis plus de 25 ans.
Dans le cadre de sa pratique, elle a pris en charge des
personnes vivant avec le VIH, des personnes utilisatrices
de drogues injectables ou en traitement d’entretien à
la méthadone, des patients transgenres, aux prises
avec des problèmes de santé mentale ou atteintes
de l’hépatite C. Mme Hranilovic travaille en continu
en développement professionnel et à des activités
communautaires bénévoles. Elle a notamment siégé aux
conseils d’administration de la Canadian Association of
Nurses in AIDS Care, de l’Ontario HIV Treatment Network
et de la Fife House Foundation. Sue Hranilovic est fière
de faire partie des membres fondateurs du Committee for
Accessible AIDS Treatment, et d’avoir travaillé comme
infirmière bénévole au Zimbabwe. Elle a effectué plus de
60 présentations à des collègues, des patients et dans
des communautés, et elle a reçu 10 prix d’excellence
dans le domaine universitaire et des soins cliniques. Son
degré d’expertise élevé et son engagement à travailler
auprès des personnes marginalisées, stigmatisées,
vulnérables et à risque l’ont motivée tant à l’échelle locale
qu’à l’échelle internationale, et elle espère continuer à
favoriser la résilience des personnes qu’elle sert, auprès
de qui elle chemine et qui lui permettent de poursuivre
son apprentissage.
Sharp Dopler dont l’origine autochtone descendante
des Sauk-Fox et des Cherokees se mêle à du sang
irlandais, porte un intérêt professionnel et personnel aux
questions LGBBTTQA depuis l’affirmation de son identité,
vers 1983. Sharp possède une vaste expérience de
présentateur et est monté en tribune à maintes reprises
lors d’événements nationaux et internationaux. Sharp
travaille auprès des communautés autochtones en tant
qu’aide traditionnel aux aînés lors de cérémonies et
aime partager sa passion pour le tambour. Sharp est
titulaire d’une maîtrise en études canadiennes et d’un
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baccalauréat spécialisé en assistance sociale. Sharp est
également ceinture noire 2e Dan en taekwondo.
Betsy Martin est queer, mère et grand-mère. Elle
vit à Kaministiquia, une petite communauté rurale au
nord de Thunder Bay. Betsy Martin a grandi dans
une communauté mennonite, où elle n’a jamais eu de
contact avec des « personnes gaies ». Elle a cessé de
fréquenter l’école et quitté le foyer familial très jeune.
En plus d’être parent, elle a passé la première partie
de sa vie comme travailleuse manuelle. Plus tard, elle
a obtenu un baccalauréat spécialisé en travail social à
l’Université Lakehead, puis elle a œuvré en travail social
dans le Nord au cours des 25 dernières années. Au
cours des années 1990, elle a travaillé dans une maison
d’hébergement pour femmes, où elle offrait des services
individuels et de groupe aux adultes ayant subi des
agressions sexuelles dans leur enfance. Betsy Martin a
passé plusieurs années comme travailleuse au sein d’un
programme de plus petite envergure visant à aider les
membres des Premières Nations qui ont vécu dans les
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pensionnats autochtones. Au cours des 15 dernières
années, elle a travaillé au Children’s Centre Thunder
Bay, un organisme local de santé mentale pour enfants.
La majeure partie de son travail consiste à aider les
familles et les enfants touchés par la violence, un deuil
ou un traumatisme. Mme Martin est aussi coanimatrice
du groupement The Other 10 %, un groupe destiné
aux jeunes qui se désignent comme LGBTTQ et qui
sont souvent confrontés à des problèmes d’identité,
d’isolement et de stress associés à leur statut de minorité.
Elle a travaillé pour la première fois avec Santé arc-enciel Ontario il y a plusieurs années, en tant que membre
de son comité consultatif pour le projet pour les enfants
de genre indépendant. Son travail s’appuie sur deux
croyances : comprendre la capacité de l’esprit humain à
« ne faire qu’un » dans l’adversité et comprendre le rôle
de la communauté pour permettre à ses membres de se
nourrir les uns les autres et de défendre leurs droits, de
résister à la violence et de créer des espaces de vie plus
sains.
CONCURRENT SESSIONS
T1: AM
11 : 0 0 A M - 1 2 : 3 0 P M
health focuses on negative identity experiences and
poor outcomes, and often excludes bisexual people
or lumps them in together with gay/lesbian people. In
this presentation, we report experiences that young
(18 to 30 year old) bisexual and other non-monosexual
people (i.e., those attracted to more than one gender)
perceive as positively affirming of their sexual identity.
A 28-day, daily diary study was used to investigate
whether bisexual and other non-monosexual participants
encountered positive experiences related to their sexual
identity, and which type of experiences they perceived
to be positive. Using a constructivist grounded theory
approach, participants’ experiences were organized
according to a social ecological model. Experiences
were reported at the intrapersonal, interpersonal, and
social-structural/institutional levels, but most positive
sexual identity experiences occurred at the interpersonal
level. By understanding more about what bisexual and
other non-monosexual people perceive as positive daily
experiences, we can learn more about what it means
to thrive as a bisexual or non-monosexual person. This
presentation will be relevant to LGBTQ community
members broadly, researchers, and service providers.
We will discuss implications for positive well-being
research, the integration of positive psychology with
Format: Research Soundbyte
1. Positive Identity Experiences of
Bisexual and Other Non-Monosexual
People
Presenters:
Corey E. Flanders, PhD, Postdoctoral Research Fellow,
Re:searching for LGBTQ Health Team, Toronto,
Ontario;
Margaret Robinson, PhD, Researcher in Residence,
Ontario HIV Treatment Network (OHTN), Associate
Research Scientist, Centre for Addiction and Mental
Health, Member, Re:searching for LGBTQ Health
Team, Toronto, Ontario;
Melissa L. Legge, MSW, PhD Student, School of Social
Work, McMaster University, Member, Re:searching for
LGBTQ Health Team, Hamilton, Ontario
The majority of LGBTQ psychological research
focuses on psychological dysfunction. The exclusion
of strengths-based perspectives in LGBTQ psychology
limits the understanding of overall LGBTQ mental
health. Likewise, much of the research on LGBTQ
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LGBTQ psychology, and strategize ways in which to
foster (and support) positive identity for bisexual and
other non-monosexual people.
Learning Objectives:
1. Learn about the positive identity experiences of
bisexual and other non-monosexual people from a
recently conducted study.
2. Think about the benefits of using a positive psychology
approach to explore bisexual and LGBTQ people’s
experiences and health broadly.
3. Identify strategies to foster (and support) the positive
identity experiences of bisexual and other nonmonosexual people.
2. Microaggression & Microaffirmation
Among Non-monosexual Women
Co-Presenters:
Corey Flanders, Postdoctoral Researcher, Re:searching
for LGBTQ Health Team, Dalla Lana School of Public
Health, University of Toronto, Toronto, Ontario;
Margaret Robinson, PhD, Researcher in Residence,
Ontario HIV Treatment Network (OHTN), Associate
Research Scientist, Centre for Addiction and Mental
Health, Member, Re:searching for LGBTQ Health Team,
Toronto, Ontario
Bisexual and other non-monosexual women (e.g.,
pansexual, fluid) report experiencing common and
subtle moments of stigma (called microaggressions)
as well as common and subtle moments of support
(called microaffirmation). Research indicates that
experiences of microaggression and microaffirmation
have an important impact on the health of sexual minority
people. Despite this, research has been hampered by
a lack of ways to measure these experiences, and to
determine how they are related to health of bisexual and
other non-monosexual women. This research soundbyte
will share details about the creation and testing of a
microaggression and microaffirmation survey measure
designed for use with bisexual and other non-monosexual
women. The presenters developed a community-based
research project to develop this innovative survey based
on the lived experiences of bisexual and non-monosexual
women. This presentation will include the developed
questionnaire in addition to the results from a qualitative
focus group study and a large scale quantitative survey
study. Recommendations will be made regarding how
researchers and health practitioners can incorporate the
new measure into their own work.
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Learning Objectives:
1. Learn about the new measure of microaggressions
and microaffirmations and how to use it.
2. Learn about the community-based approach used to
develop the measure.
3. Learn about the impact of microaggression and
microaffirmation to the health of bisexual and nonmonosexual women, and how these experiences may
be different for non-monosexual women in comparison
to other LGBTQ people.
3. The ‘Queer Women Conversations’
Group-based HIV and STI Prevention
Intervention for Lesbian, Bisexual,
Queer and Other Women Who Have
Sex With Women in Toronto and
Calgary, Canada: Results From a Nonrandomized Cohort Pilot Study
Presenters:
Carmen Logie, PhD, Assistant Professor, FactorInwentash Faculty of Social Work, University of Toronto,
Adjunct Scientist, Women’s College Research Institute,
Toronto, Ontario;
Ashley Lacombe-Duncan, PhD Student, FactorInwentash Faculty of Social Work, University of Toronto,
Toronto, Ontario
Lesbian, bisexual, queer (LBQ) women and other women
who have sex with women (WSW) are vulnerable to
sexually transmitted infections (STI), including HIV. Yet
structural drivers of HIV/STI among WSW, such as sexual
stigma, are underexplored. Scant research has evaluated
HIV/STI prevention interventions among this population.
The Queer Women Conversations (QWC) study pilot
tested a group-based HIV/STI prevention intervention with
WSW in Toronto and Calgary, Canada. We conducted a
multicentre, non-randomised pragmatic cohort pilot study
using a pre-test/post-test design with 6-week followup. The intervention was developed in collaboration
with community-based organizations in Calgary and
Toronto, informed by key informant interviews (n=6), and
theoretically grounded in the social ecological model.
The primary outcome was sexual risk practices, and
secondary outcomes included intrapersonal (self-esteem,
STI knowledge, resilient coping), interpersonal (safer
sex self-efficacy), social (community connectedness,
social support) and structural (sexual stigma, health care
access) factors. Results and conclusions will be shared
during the session.
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Learning Objectives:
1. Describe the social and structural factors that
influence sexually transmitted infections (STI) risk
among lesbian, bisexual and queer (LBQ) women.
2. Learn about Queer Women Conversations, a groupbased STI prevention intervention that is tailored
for the needs of LBQ women and addresses social
factors, such as stigma, and interpersonal factors,
such as relationship dynamics, associated with STI
vulnerability.
3. Learn about STI prevention needs, and how to
address sexual health in a way that is inclusive of
individual, social and structural vulnerabilities, among
LBQ women.
T2: AM
Format: Seminar
2 0 1 6
C O N F E R E N C E
Learning Objectives:
1. Learn LGBTQ terms and definitions to have a better
understanding of the diversity of LGBTQ communities
and have a language with which to speak to patients.
They will also learn practices to create more inclusive
health care environments.
2. Increase their knowledge of the barriers that LGBTQ
communities experience in accessing cancer
screening.
3. Gain knowledge about LGBTQ cancer screening,
including new information transgender cancer
screening.
T3: AM
Format: Workshop
Trans Migration
LGBTQ Populations and Cancer
Screening
Presenter:
Presenter:
This is a presentation to describe the barriers that the
trans community faces as migrants and refugees. The
lack of knowledge and understanding of trans bodies
of color is impacting this particular community. I have
sat in refugee hearings with trans refugees who have
had to explain what trans means and explain their
gender identity and bodies over and over. This is not
acceptable and one of the main reasons is because of
issues around identification documents and the difficulty
of getting these documents from governments even if
there are no legal issues. Many times the presentation of
the person and the gender identity on identification does
not match and that creates many problems, including
incarceration at borders. Access to health care, shelters
and essential needs can also be very difficult for trans
refugees and non-status trans identified people. Many
times the immigration officers at the border with very
little knowledge about trans identity is the first person
that trans refugees come out to as trans to claim refuge.
After that, there are many barriers to face often including
housing and shelter issues.
Ed Kucharski, MD, Regional Primary Care Lead (Toronto
Central LHIN South), Cancer Care Ontario, Family
Physician, Sherbourne Health Centre, Toronto, Ontario
LGBTQ people are less likely to participate in regular
colon, breast/chest and cervical cancer screenings than
their heterosexual and non-transgender counterparts.
This, despite the fact that LGBTQ communities
experience additional risk factors for some of these
cancers including higher rates of alcohol and tobacco
use. LGBTQ people experience numerous communityspecific barriers in accessing these screenings including:
-discomfort arising from the highly gendered nature of
these tests -a lack of knowledge or sensitivity from health
care providers about their particular needs -systemic
barriers in accessing reminder letters and self-referrals
-health promotion messages that do not speak to their
realities -a fear of or experience of a “chilly climate” in
screening centres or doctor’s offices due to their sexual
orientation, gender identity or gender expression. In this
workshop, participants will learn: -LGBTQ terms and
definitions -LGBTQ cancer screening issues and barriers
-How to create a welcoming and inclusive environment
for LGBTQ clients -How to provide culturally and clinically
competent cancer screenings for LGBTQ clients
-New information about transgender cancer screening
-Practical methods to incorporate this knowledge into
practice Hands-on case studies will be reviewed in
small groups to incorporate LGBTQ cultural competency
knowledge into clinical practice.
Kusha Dadui, Trans Program Coordinator, Sherbourne
Health Centre, Toronto, Ontario
Learning Objectives:
1. Bring knowledge and awareness around barriers for
trans refugees and migrants and the impact of this
on the mental health and the general health of trans
newcomers.
2. Brain storm and work towards dismantling these
barriers and center the voices of trans community of
colour.
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3. Think differently about provision of service and their
role in a system that is oppressive.
Learning Objectives:
T4: AM
2. Learning how responses to gender affect students’
physical and emotional wellbeing.
Format: Workshop
“I Felt Like Fainting”: What Happens to
Bodies When Gender is Transgressed
at School
Presenter:
Karleen Pendleton Jiménez, Associate Professor,
Education, Trent University, Peterborough, Ontario
“I felt like fainting” was written in shaky words by a grade
four student describing how boys at his school were
laughed at for participating in choir. This declaration is
part of the data I collected in a two-year study of gender
and gender transgression in school children and youth in
rural Ontario. I taught gender equity workshops to grades
4-12 students in which I asked participants to document
what gender looked and felt like in their communities.
Through writing prompts, pictures, discussion, and
theatre the roughly 600 participants had the opportunity
to describe gender, as well as responses to perceived
transgressions of gender. During this presentation I will
focus on the responses that reference bodily experience.
I will present qualitative data (writing and images) that
articulate a range of physical and emotional reactions
to perceptions of gender. I will situate their responses
within the theories of biopedagogies and body becoming
pedagogies that encourage critical investigation of
the ways in which social response and treatment of
bodies influence their shape, appearance, and abilities.
In addition to presenting what the children and youth
document, I will also offer session participants a gender
workshop like those I conducted in my study, offering
more meaningful learning for conference participants, as
well as a workshop format that they can take away and
use in their own communities. Educators might use the
results to rethink curricular and policy design. Healthcare professionals would be drawn to the implications for
student health, particularly when students are identified
and targeted for possessing alternative gender identity
and/or expression. Mental health professionals would
be most interested in students’ expressions of emotion
as tied to perceptions of gender. In addition, I will share
the students’ explanations of what types of experiences
constituted harm and which were experienced as
supportive and useful.
1. Greater understanding of the types of gender coercion
that students endure in schools.
3. Learning how to create a gender workshop that
encourages participation and critical investigation.
T5: AM
Format: Seminar
Applying the Men’s Trauma Recovery
and Empowerment Model to
Transgender and Cisgender Queer
Male Trauma Survivors
Presenters:
Peter Hall, Registered Psychotherapist, Canadian
Certified Counsellor, Canadian Certified Counsellor—
Supervisor, LGBT Team, Sherbourne Health Centre,
Associate Faculty Member, Yorkville University, Adjunct
Instructor, University of Toronto’s Factor-Inwentash
Faculty of Social Work, Toronto, Ontario;
Daniel Pugh, BSW, MSW, RSW, LGBT Team,
Sherbourne Health Centre, Toronto, Ontario
The Men’s Trauma Recovery and Empowerment Model
(M-TREM, 2001) was adapted from W-TREM, a model
for female trauma survivors (Harris, 1998). It has been
effectively implemented in Washington, D.C. since then.
M-TREM is an empirically-based, psychoeducational and
skills-based Cognitive Behavioural Therapy (CBT) group
divided into four parts: Empowerment, Trauma Recovery,
Advanced Trauma Recovery Issues and Closing Rituals.
The early focus on empowerment addresses some key
skills (e.g., self-protection, self-soothing, self-esteem,
maintaining appropriate emotional and social boundaries)
helpful to participants as they begin to deal more directly
with trauma-specific content, and lay the foundation for
the challenging work of trauma recovery. Subsequent
emphasis on trauma, positive coping skills and healing
builds on these empowerment themes. At Sherbourne
Health Centre in Toronto, we applied this model to 12
trans and cisgender (non-trans) queer (gay or bisexual)
male trauma survivors. Our pilot group consisted of
25 two-hour sessions. One facilitator (presenter) is a
registered psychotherapist, the other a registered clinical
social worker – both identify as cis gay men. Note: the
group was originally co-developed with the work of
Rupert Raj (psychotherapist, transman) who has since
retired. The group members consisted of 4 transgender
44
R A I N B O W
H E A L T H
O N T A R I O
men and 8 cisgender queer men. The group dynamics
of our pilot are noteworthy given that this is a rare male
trauma group which is trans-inclusive, bringing together
both trans and non-trans (queer) men. Whereas abuse is
common to both sub-populations, the assigned birth sex
and subsequent early childhood experiences differ, and
these commonalities and distinctions are negotiated and
navigated amongst the participants over the course of the
25-week life cycle of the group.
Learning Objectives:
1. Discuss ways in which trauma variously impacts trans
and cisgender men.
2. Determine whether it is feasible to implement the
M-TREM intervention model into programming
involving trans and cisgender male trauma survivors.
3. Discuss ways in which the M-TREM intervention
contributes to the health and wellness of GBT men.
T6: AM
Format: Seminar
Canada’s First LGBTQ2S
Transition-to-Housing Shelter:
The Toronto Experience
Presenters:
Alexandra Vamos, Policy Development Officer, City of
Toronto Shelter, Support and Housing Administration,
Toronto, Ontario; Kate Miller, Director, YMCA Sprott House, Toronto,
Ontario;
Ronnie Ali, MA, Counsellor, Egale Youth Outreach,
Toronto, Ontario
Canada’s first LGBTQ2S Transition-to-Housing youth
shelter opened in Toronto in 2015, responding to
the critical need for LGBTQ2S youth experiencing
homelessness to have access to safe shelter spaces
and specialized services. The City of Toronto began
to better understand the intersection of LGBTQ2S
self-identification and homelessness as a result of the
2013 Street Needs Assessment, which included, for
the first time, a question about identification with the
LGBTQ2S community. For the first time, there was
clear and quantifiable evidence that there was an
over-representation of LGBTQ2S youth in the city’s
shelter system, and, as such, the need to better address
LGBTQ2S-specific needs. This presentation will tell the
story of this important initiative to address the complex
needs of homeless LGBTQ2S youth in Toronto. It will
explore the roles that advocacy, community engagement,
2 0 1 6
C O N F E R E N C E
and political interest have played in shaping this unique
Transition-to-Housing shelter model and making it a
reality. It will look at the role and significance of this
specialized service delivery model in supporting the
well-being of LGBTQ2S youth and preparing them for
independent housing by describing the processes the
City of Toronto undertook to identify service needs, foster
partnerships and support project development. The
presentation will also share the early project outcomes,
and the key challenges and opportunities when planning
for, opening and delivering a tailor-made service that
supports LGBTQ2S youth to leave homelessness for good.
Learning Objectives:
1 Gain a better understanding of the unique health
and wellness issues facing LGBTQ2S youth who are
homeless.
2. Gain a better understanding of how a large
municipality such as the City of Toronto assesses
and subsequently addresses the needs of its most
vulnerable residents.
3. Identify the ways in which a partnership between local
government and the non-profit sector can leverage the
strengths of each to result in strengthened outcomes
and improved well-being for vulnerable individuals.
T7: AM
Format: Workshop
Building Positive Space in Primary
Care for LGBTQ Patients and Providers
Moderator:
Sabrena Dorris, BSc, MA, Communications/Operations
Manager, Hamilton Family Health Team (HFHT),
Hamilton, Ontario
Presenters:
Rob Kerr, MD, CCF(EM), FCFP, Family Physician,
Member, Hamilton Family Health Team (HFHT),Chair,
HFHT’s Positive Space Committee (HFHT Positive),
Hamilton, Ontario;
Devan Nambiar, Dipl. Addictions Ed, MSc, PrD (c),
Education & Training Coordinator, Rainbow Health
Ontario, Toronto, Ontario;
Jackie Bootsma, MSW, RSW, Mental Health Counsellor,
HFHT, Hamilton, Ontario;
Dr. Ken Burgess, Family Physician, HFHT;
Dawn Atwell, Practice Manager, HFHT, Hamilton, Ontario
The Hamilton Family Health Team is made up of
approximately 165 family physicians and their primary
care teams. We are committed to inclusion and access
45
B E C A U S E
L G B T Q
for all citizens of Hamilton. The HFHT Positive Working
Group was formed in 2012 to discuss ways to create a
more LBGTQ friendly organization for our patients and for
our providers. This initiative has employed strategies to
increase access and create a “positive space”. A report
released by the Social Planning and Research Council
of Hamilton found that only 57% of LGBTQ-identified
respondents were out to their family physician. The
isolation experienced by LGBTQ people can lead to a
higher rate of alcohol and drug use, smoking, mental
health issues and suicide (Peterkin and Risdon, 2003).
Some members of the LGBTQ community may be
reluctant to enroll with a family practice, or disclose
certain aspects of their personal history unless they are
certain that they will be completely welcome. Creating a
safe and LGBTQ-friendly environment for both patients
and providers aligns with our quality improvement goals
of population health approaches to increase health
equity. Members of the interprofessional HFHT Positive
Working Group will share our journey, strategies utilized,
things that worked and those that didn’t, and future
directions. We will involve participants in considering what
might be done in their organizations and about further
ideas to improve positive space in primary health care.
Learning Objectives:
1. Strategies to increase positive space for patients and
staff in a primary care health organization.
2. Outcomes of the employment of each strategy.
3. Lessons Learned and Future Directions the HFHT is
taking, and future directions participants may want to
take in their own organizations.
T8: AM
Format: Workshop
(service de traduction simultanée au besoin)
Visibly Gay and Coming Out Native
Presenter:
Theodore Syrette, 2-Spirited/Queer-Indigenous Artist &
Advocate, Sault Ste. Marie, Ontario
Visibly Gay and & Coming Out Native addresses
intersectionality of multiculturalism, from a
queerindigenous perspective. This interactive
presentation, creates guided dialogue on effects of
racism and homophobia on rural and First Nation
communities, using traditional storytelling and arts
advocacy. This research is based on the question, “what
are the impacts of racism and homophobia/biphobia/
transphobia on queerindigenous and 2spirited people;
H E A L T H
M A T T E R S
especially youth in rural communities?” Participants are
asked to sit in a sharing circle and introduce themselves:
name, home community, pronoun, and listen to a poem
written by Theodore Syrette, called I Need to Tell You
Something. This piece sets the tone of the conversation,
as it deals with themes of growing up facing cultural
identity crisis, as a First Nation youth, in Northern Ontario.
The facilitator writes the word ‘indigenous’ on a dry erase
board or flip chart. Participants are asked to share what
they know or don’t know about the word ‘indigenous’.
After a few rounds, the cloud is created and group
takes a moment to reflect on their findings. The process
is repeated, with using the word ‘queer’ on a different
piece of paper or dry erase board. Once each cloud is
completed, the facilitator, then break down aspects of
intersectionality, between the two cultural groups. This
includes highlighting the needs for these groups, but also
identifying the shared similarities, that other cultures and
groups can empower. And also begin a solid foundation
on further understanding 2Spirited people, and queer
and indigenous relations within Turtle Island/Canada.
Learning Objectives:
1. Brainstorm aspects of chosen cultural groups/
populations.
2. Highlight similarities/differences between two chosen
cultural groups/populations.
3. Identify the intersections between cultural relationships
and impacts of oppression.
T8: AM
Formule: atelier
(Simultaneous Translation provided)
Visiblement gai tout en affirmant son
identité autochtone
Présentateur :
Theodore Syrette, militant et artiste autochtone queer et
bispirituel, Sault Sainte-Marie, Ontario.
L’atelier Visibly Gay and Coming Out Native traite
de l’intersectionnalité du multiculturalisme dans une
perspective queer et autochtone. À l’aide de récits
traditionnels et d’un travail de défense des droits par l’art,
cette présentation interactive ouvre un dialogue balisé
sur les répercussions du racisme et de l’homophobie
dans les collectivités rurales et dans les communautés
des Premières Nations. Cette recherche pose la question
suivante : quelles sont les répercussions du racisme,
de l’homophobie, de la biphobie et de la transphobie
46
R A I N B O W
H E A L T H
O N T A R I O
sur les personnes queer autochtones et bispirituelles,
particulièrement pour les jeunes des collectivités rurales?
Au cours de cet atelier, on demandera aux participants
de former un cercle de partage et de se présenter : nom,
communauté où ils habitent et pronom de désignation. Ils
seront ensuite invités à écouter la lecture d’un poème de
Theodore Syrette, intitulé I Need to Tell You Something
(J’ai quelque chose à te dire). Ce poème donnera
le ton aux échanges à suivre, car il parle de grandir
en étant déchiré par une crise d’identité culturelle en
tant que jeune des Premières Nations dans le nord de
l’Ontario. L’animateur de l’atelier écrit d’abord le mot
« indigenous » (indigène) sur un tableau à essuyage
à sec ou sur un tableau-papier. Ils demandent ensuite
aux participants d’échanger sur ce qu’ils savent ou
qu’ils ignorent à propos du terme « indigène ». Après
quelques rondes de prise de parole, un nuage a été
créé et le groupe prend un moment pour réfléchir sur
les propos échangés. On répète le processus, cette
fois avec le mot « queer », écrit sur une autre feuille de
2 0 1 6
C O N F E R E N C E
papier ou sur le tableau. Une foi que chaque nuage
est finalisé, l’animateur décortique les divers aspects
de l’intersectionnalité entre les deux groupes culturels.
Il met particulièrement en évidence les besoins de
ces deux groupes et souligne les similitudes que les
autres cultures et groupes peuvent s’approprier. Il
amorce ainsi l’établissement de bases solides pour une
compréhension plus profonde des relations entre les
personnes bispirituelles, queer et autochtones dans l’Île
de la Tortue/le Canada.
Objectifs d’apprentissage :
1. Réfléchir, à l’aide d’un remue-méninges, sur les
aspects qui distinguent divers groupes culturels et
populations.
2. Souligner les similitudes et les différences entre deux
groupes culturels et populations donnés.
3. Cerner les points d’intersection entre les relations
culturelles et les conséquences de l’oppression.
47
B E C A U S E
L G B T Q
H E A L T H
POSTER PRESENTATIONS
A. Gender Journeys CMHA HKPR:
From Project to Program
The successes and challenges of creating
and sustaining services to support trans
and gender diverse people, their allies and
communities in rural Ontario
Presenters (Authors):
Jan Tkachuk, M.A., RP, Program Coordinator Gender
Journeys CMHA HKPR, Peterborough, Ontario;
Stacey Vetzal, Education and Support Worker, Gender
Journeys CMHA HKPR, Durham Region, Ontario;
Stacey Love-Jolicoeur, Education and Support Worker,
Gender Journeys CMHA HKPR, Belleville, Ontario;
Drew Whatman, Education and Support Worker, Gender
Journeys CMHA HKPR, Peterborough, Ontario;
Lori Thompson, Education and Support Worker, Gender
Journeys CMHA HKPR, Peterborough, Ontario;
Sharon Hagan-Vetzal, Education and Support Worker,
Gender Journeys CMHA HKPR, Durham Region,
Ontario
SEE WEDNESDAY
B. Families in TRANSition Guide
Presenter:
LeeAndra Miller, MA, Registered Psychologist, Pride &
Prejudice Program, Central Toronto Youth Services,
Toronto, Ontario
The Families in TRANSition Guide has been circulated
worldwide since it was released in 2008. This guide has
been utilized by parents and families of Trans* youth,
mental health service providers, primary health care
providers, and Trans* youth themselves. The guide was
written to support caregivers of trans* youth so that in
turn they could support their children. Since the guides
release, the landscape of identities, services and systems
have significantly shifted. This poster presentation is
intended to release the new and improved guide so that
service providers across Ontario can gain awareness of
this important resource. We will highlight excerpts from
the guide, emphasize research that supports the need
for this resource and share the voices of caregivers of
transgender youth.
M A T T E R S
1:30 - 2:00 PM
Authors present
Learning Objectives:
1. Gain knowledge of research that highlights the
importance of providing resources and services
to families of transgender youth, in order to create
positive health outcomes.
2. Learn about the Families in TRANSition Guide and see
the ways in which the guide has been updated and
improved.
3. Read the experiences of caregivers of Trans* youth
and discover what they found to be helpful in the
journey of supporting their child.
C. Mind the Gap: Social Determinants of
Transgender Health Disparities
Presenter:
Maaya Kuri Hitomi, Master’s Student, Applied Social
Psychology, University of Saskatchewan, Saskatoon,
Saskatchewan
SEE WEDNESDAY
D. Work Conditions and Health of LGBTQ
Employees in Taiwan
Presenter:
(Jaden) Hsin-Yun Peng, Case Manager, Taipei City
Employment Services Office, New Taipei City, Taiwan
SEE WEDNESDAY
E. Inequalities in Social Determinants of
Health in the Ontario Trans Population
Presenter:
Rachel Giblon, MSc Candidate, Department of
Epidemiology & Biostatistics, Shulich School of
Medicine & Dentistry, Western University, London,
Ontario
SEE WEDNESDAY
48
R A I N B O W
H E A L T H
O N T A R I O
F. Brown ‘N Proud: Celebrating Queer
South Asian Men
Presenter:
Ramraajh Sharvendiran, Men’s Sexual Health
Coordinator, Alliance for South Asian AIDS Prevention
(ASAAP), Toronto, Ontario
Brown N Proud is a fun and powerful campaign from the
Alliance for South Asian AIDS Prevention that celebrates
South Asian identities, promote pride within brown bodies
and foster confidence to navigate how we connect, hookup and love. What initially inspired this campaign were
community voices and the Imagine Men’s Health study
(IMHS) results. IMHS was a community-based study
that examined the relationship between experiences
of racism, homophobia, ethno-racial identity, resilience
and risks for body image dissatisfaction, and associated
eating behaviours and attitudes among ethno-racial
men who have sex with men (MSM). Our communities
have already been speaking about their experiences
when exploring the queer community, but by having a
formalized study that further highlights these narratives,
really propelled us forward in taking some action. Out
of the four ethno-racial groups that were surveyed for
the study, South Asians were significantly more likely
to report experiences of racism and social appearance
anxiety. These unique findings demonstrated how brown
faces and bodies are rarely well represented. With the
help of an illustrator and an advisory committee, four
illustrated images were created that show different online
profiles of South Asian men. Using humour, each profile
celebrates the uniqueness of queer brown men while
creatively referencing and challenging the ignorance that
brown men experience within the gay community. The
campaign will be on display for audience members to
see and interact with in the form of a poster presentation.
See campaign: dosti.ca/brownnproud
Learning Objectives:
1. Become informed of challenges that queer South
Asian men face when navigating hooking up within the
queer community.
2. Tools to help foster resilience within queer South Asian
men.
3. Understanding that queer South Asian men are very
diverse and come from a variety of backgrounds and
experiences, don’t fall into a particular archetype, but
share similar cultural experiences.
2 0 1 6
C O N F E R E N C E
G. Using Peer Educators to Increase
Cancer Screening Rates in LGBTQ
Communities: Findings and
Recommendations
Presenter:
Mari LeBlanc, Student, School of Social Work, Ryerson
University, Toronto, Ontario
Research shows that LGBTQ communities are underscreened for colon, breast/chest and cervical cancers,
despite experiencing multiple risk factors for some of
these cancers including higher rates of smoking, obesity
and alcohol use. As a response to this health disparity,
the Canadian Cancer Society developed Get Screened,
initially using a peer-based model to increase awareness
about screening for these cancers amongst LGBTQ
populations in Ontario. While peer-based programs
have shown to be an effective way to increase rates
of cancer screening among ethno-racial populations,
there has been little to no research on how peer-based
approaches may be utilized to increase screening in
LGBTQ communities. A systematic literature review
was conducted on existing interventions using peer
educators to increase health outcomes in LGBTQ
communities. My poster presentation will share results
of this literature review. The poster will feature examples
of effective peer education interventions that increased
health outcomes in LGBTQ communities, a summary of
the use of peer educators in the Get Screened program
and recommendations on how to effectively use peer
education to increase cancer screening rates in LGBTQ
communities. For information on Get Screened, please
visit www.cancer.ca/getscreened and “like” us on
Facebook at www.facebook.com/lgbtqgetscreened.
Learning Objectives:
1. Learn about effective peer education interventions that
increased health outcomes in LGBTQ communities in
the available literature.
2. Understand what the successes and challenges of
using peer educators in the Get Screened program
were.
3. Understand recommendations on how to effectively
use peer educators to increase cancer screening
rates amongst LGBTQ populations.
49
B E C A U S E
L G B T Q
H E A L T H
H. Simple Strategies to Include Social and
Health Care Needs of LGBTQ People in
Education of Health Care Professionals
and Nurses
M A T T E R S
Congratulations
to Anna Travers and Bev Lepischak
On the occasion of their retirement as Director of Rainbow Health
Ontario and Director of LGBTQ Health programs at Sherbourne
Health Centre respectively. CPATH recognizes and thanks them for
their profound individual and collective contribution to the health
and wellbeing of queer and trans people in Ontario, across Canada,
and beyond.
Presenter:
Roya Haghiri-Vijeh, Masters of Nursing, Professor of
Nursing, Centennial College, Bradford, Ontario
Background:
There are several studies that suggest lack of education
for practitioners about the health care needs of LGBTQ
community still exists. The bachelor and diploma
nursing curriculums are condensed and heavy, and the
health care needs of the LGBTQ community are often
not addressed in sufficient number of hours. This is a
serious omission as studies suggest that individuals
who are introduced to the needs of this population show
reduced discrimination against individuals with different
gender identities or sexual orientations. Methodology and
methods, findings and conclusions will be shared during
the presentation. Throughout the poster presentation
health challenges of LGBTQ throughout the lifespan will
be discussed. During the poster presentation teaching
strategies to address the health needs of LGBTQ in
different courses are discussed. These components then
can be incorporated into teaching content in the nursing
and other health care professionals courses to increase
awareness.
CPATH is a multidisciplinary professional organization comprised
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LGBTQ in the curriculum for health care professionals.
I. Be Our Ally - Photographic Images
Presenter:
Anna Gaby-Trotz, MFA, Printmaker & Photographer,
Associate Artist, Sheatre, Kemble, Ontario
SEE WEDNESDAY
50
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R A I N B O W
H E A L T H
O N T A R I O
2 0 1 6
CONCURRENT SESSIONS
T9: (2)PM
C O N F E R E N C E
2:00 - 3:30 PM
Learning Objectives:
1. Develop understanding of the assumptions of the
transformative paradigm in relation to advancing
LGBTQ social justice through research.
Format: Research Soundbyte
1. LGBTQ Social Justice Through
Transformative Research
2. Explore methodological dilemmas in LGBTQ research
and their implications for what we ‘know’ about LGBTQ
people and communities.
Presenters:
Andrea Daley, Associate Professor, School of Social
Work, York University, Toronto, Ontario;
Judith MacDonnell, PhD, Associate Professor, School of
Nursing, York University, Toronto, Ontario;
Melissa St. Pierre, Post-Doctoral Visitor, LGBTTQI Home
Care Access Project, York University, Toronto, Ontario
3. Recognize the utility of mixed methods research
informed by the transformative paradigm to address
these methodological dilemmas.
In this presentation we explore the utility of mixed
methods research (MMR) informed by the transformative
paradigm to address the methodological dilemmas
presented in LGBTQ-related research. The transformative
paradigm facilitates an understanding of “useful
knowledge” produced through research as that which
furthers human rights and social justice through both
the research process and outcomes. Of particular
importance to this project of social justice are research
designs and methods that serve to centre the voice
of marginalized people and communities speaking
to the complexity of social, economic and political
inequities and injustices. We describe how we used
mixed methods research informed by the transformative
paradigm to explore the home care access experiences
of lesbian, gay, bisexual, transgender, Two-spirit, queer,
and intersex (LGBTTQI) people. More specifically,
we examine how we used a MMR design to address
longstanding dilemmas in LGBTQ-related research
to further the project of social justice for LGBTQ
communities. We structure our discussion by weaving
together of the assumptions of the transformative
paradigm, the research design, and the quantitative
and qualitative methods to address three dilemmas in
LGBTQ-related research including 1) sampling based on
sexual and gender identity categories; 2) intersectionality;
and 3) uncovering complex and nuanced experiences
of self-disclosure of sexual orientation and/or gender
identity. In addition, we will explore how the research
design, particularly community participation as a
research process, is integral to the production of “useful
knowledge” through LGBTQ health services access
research.
2. “I really have no knowledge, but I’d like
to have some”. An Ontario-based Study
on In-Home Health Care Providers’
Access to LGBTTQI Specific Education
Presenters:
Melissa St. Pierre, Post-Doctoral Visitor, LGBTTQI Home
Care Access Project, York University, Toronto, Ontario;
Andrea Daley, Associate Professor, School of Social
Work, York University, Toronto, Ontario;
Judith MacDonnell, PhD, Associate Professor, School of
Nursing, York University, Toronto, Ontario
The LGBTTQI Home Care Access Project is one of the
first research programmes to bring attention to issues of
access and equity for lesbian, gay, bisexual, trans, twospirit, queer, and intersex communities receiving in-home
health and/or social services from an agency in Ontario.
In this presentation, we highlight findings from the service
provider arm of the project. Surveys were completed with
379 in-home service providers from across the province
and from a range of professional backgrounds, including
personal support workers, nurses, and social workers.
We also conducted either individual interviews or focus
groups with 19 of these same providers, to gain further
insight into working with LGBTTQI seniors, providing HIV/
AIDS related in-home care, mental health, and palliative
services. The primary goal was to better understand
access to education and training opportunities for these
professionals. Findings will be presented during the
presentation. The qualitative data is used to contextualize
the findings from the survey, for example, home care
service provider perspectives regarding whether knowing
a client’s sexual orientation and/or gender identity
matters to their home care. Implications for the delivery of
LGBTTQI-affirmative home care are discussed.
51
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
Learning Objectives:
2. Understand implications for policy, programming and
education that would support LGBTQ-inclusive home
care.
2. Understand the differential access to diversity and
LGBTTQI-specific education and training opportunities
across health care professional groups.
3. Learn about an Access and Equity Framework
that can provide a user-friendly tool to enhance
organizational change to improve LGBTQ-inclusive
care in the home care sector.
1. Learn about the unique context of receiving home
care health services for LGBTTQI people.
3. Exploring the meaning of these findings in relation to
a home care LGBTTQI-specific access and equity
framework.
3. Integrating a LGBTQ Focus Into Home
Care: Organizational Readiness
Presenters:
Judith MacDonnell, PhD, Associate Professor, School of
Nursing, York University, Toronto, Ontario;
Andrea Daley, Associate Professor, School of Social
Work, York University, Toronto, Ontario;
Melissa St. Pierre, Post-Doctoral Visitor, LGBTTQI Home
Care Access Project, York University, Toronto, Ontario
Despite the increasing emphasis on delivery of health
care in the community, very limited research addresses
how home care organizations meet the care needs of
the diverse LGBTQ people who receive in-home care.
Our research team, having completed Ontario-wide
home care research with service users and service
providers, undertook interviews with administrators from
Ontario’s Community Care Access Centres (CCACs) to
examine organizational readiness to address identified
gaps in home care access for LGBTQ people. Through
purposeful sampling to represent geographic diversity
of CCACs that serve urban, rural and suburban regions,
six CCACs participated. One administrator from each
CCAC who had insight into issues of access and equity
participated in a 90-minute audiotaped interview that
was transcribed and anonymized for analysis. Research
findings will be shared during the presentation. The
research findings, in conjunction with the service
user and provider findings were used to develop an
Access and Equity Framework that accounts for the
unique context of home care and which provides a
user-friendly tool for home care service organizations
to support LGBTQ inclusivity. There are implications
for understanding how to implement a comprehensive
approach to create home care services that are LGBTQ
inclusive.
Learning Objectives:
1. Develop understanding of the factors that CCAC
administrators identify as facilitating and hindering
implementation of strategies to support inclusive home
care for diverse people.
T10: (2)PM
Format: Seminar
What’s So Special About Aging
With HIV? An Interactive Seminar on
the Medical and Social Aspects of
Aging with HIV and Other Complex
Conditions
Presenters:
Ron Rosenes, MA, LLD(hon), CM, Ron Rosenes
Consulting/CWGHR, Toronto, Ontario;
Kate Murzin, Health Programs Specialist / Spécialiste en
programmes de la santé, Canadian Working Group on
HIV and Rehabilitation (CWGHR) / Groupe de travail
canadien sur le VIH et la réinsertion sociale (GTCVRS),
Toronto, Ontario
We are all aging from the minute we are born and
our likelihood of having at least one chronic illness
increases as we age (Statistics Canada, 2008). People
living with HIV carry an added burden that we are only
beginning to understand. Research tells us that people
with HIV live with more co-morbidity across the lifespan
as compared to the general population (Kendall et al.,
2014). Our session will discuss this added burden of
physical illness but will also go beyond the bio-medical.
We will examine the epidemics of depression and
addiction that impact people living with HIV and lead
to poorer health outcomes. We will also examine the
role of social determinants, which may further reinforce
health inequities experienced by people living with
HIV. An overview of research will be shared during the
presentation. It is crucial that health and social care
providers consider the ‘age’ of a person’s HIV infection,
not just the age of the person when considering their
health needs. In order to ensure that gay, bi and MSM
living with HIV receive optimal care as they age, we must
address knowledge gaps and attitudinal barriers among
service providers. We will briefly discuss the outcomes
of the Working Together Project, which demystifies
growing older with HIV and fosters understanding among
participants of the specific needs of HIV+ individuals
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in the later stages of life. Quick win projects between
community-based HIV organizations and providers of
home, community and long-term care for older adults
were used to build lasting partnerships between these
sectors.
Learning Objectives:
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C O N F E R E N C E
• Discuss community partnerships that can help youth
• Show BOA’s elements through film, audio and
photographs
• Demonstrate how the arts can lead to deep, impactful
interactions that can effectively raise awareness of
critical issues
1. Gain a deeper understanding of the added burden of
HIV on the aging process.
• Engage you in creative experiences that can be used
in professional practice and personal life
2. Understand the nature of health-related syndemics
(intersecting biomedial and social epidemics that
impact individual and community health).
Learning Objectives:
3. Be better able to access information and resources
about the care needs of older LGBTQ people living
with HIV.
T11: (2)PM
Format: Seminar
Be Our Ally: Tools for Enhancing
Youth Engagement in GSA’s
Presenters:
Joan Chandler, Founding Artistic Director, Sheatre,
Wiarton, Ontario;
Joan Beecroft, Educational Consultant and Be Our Ally
Youth Support, Grey Bruce County, Ontario;
david sereda, Theatre Artist, Singer/songwriter,
Composer and Producer, Sheatre, St. Catharines,
Ontario
Sheatre will engage you in Be Our Ally (BOA), a
collaborative project that draws on the perspectives
of 50 youth in rural and small-town Ontario. Using
interactive theatre, music, audio, photography and
educational activities, this award-winning project for
grades 5 – 12 explores the struggle of LGBTQ youth and
the impact of bullying and homophobia to foster diversity,
respect for difference, and inclusion. BOA uses group
expression and personal experience to explore issues in
a safe environment, create powerful artistic media that
encourage personal and social change help decrease
isolation and encourage a sense of positive community
promote membership and activity in GSA’s. This session
includes an oral presentation, multimedia pieces to watch
and hear, and arts activities to participate in.
We will:
• Introduce the link between the arts and health
• Outline the project’s 20-years-in-the-making history
and its social context
• Talk about GSA’s and growing up gay in Grey Bruce
1. Explore GSA’s and growing up gay in Grey Bruce.
2. Discuss community partnerships that can help youth
and show BOA’s elements through film, audio and
photographs.
3. Demonstrate how the arts can lead to deep, impactful
interactions that can effectively raise awareness of
critical issues and engage participants in creative
experiences that can be used in professional practice
and personal life.
T12: (2)PM
Format: Workshop
Coming Out and Staying Out: How to
Support and Sustain LGBTQ Inclusivity
for Senior Citizens
Presenters:
Lezlie Lee Kam, Volunteer and Co-chair, Senior Pride
Network, The 519, Toronto, Ontario;
Shoshana Pellman, Member, Senior Pride Network, The
519, Toronto, Ontario;
Kate Hazell, Facilitator of Education and Training, The
519, Toronto, Ontario;
Laura Gibbon, Education and Training Specialist and
Facilitator, The 519, Toronto, Ontario
Seniors are the fastest growing population within LGBTQ
communities. Their voices often go unheard in long-term
and community care facilities. These populations deserve
higher visibility and attention. This workshop will provide
an overview of the unique challenges facing LGBTQ
seniors in Ontario. Attendees will have the opportunity
to develop action plans for creating and sustaining safe
and supportive care environments. How can service
providers develop and incorporate knowledge and skills
to create improved care for older LGBTQ communities?
What can be done to provide an affirming and equitable
atmosphere when dealing with different health issues
unique to mature LGBTQ communities? Our facilitators
will address these questions within an atmosphere of
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collaboration and shared learning. Our objectives for
this workshop are organizational changes that focus
on sustaining safe, supportive and inclusive care
environments. This workshop has been developed and
will be delivered jointly by representatives of both the
Senior Pride Network (SPN) and The 519. The SPN began
in 2002 as a group of representatives of service provider
organizations including faith groups, who were interested
in expanding and improving programs and services for
older LGBTQ people. The 519’s Older LGBT Program
provides people with opportunities to make deeper
connections with their peers by socializing and learning
through special events, guest speakers and promoting
related community resources.
Learning Objectives:
1. Identify and discuss appropriate ways to create and
sustain safe care environments for LGBTQ seniors.
2. Identify and discuss appropriate ways to create and
sustain supportive care environments for LGBTQ
seniors.
3. Participants will write a short personal action plan
to support older LGBTQ communities within their
organizations.
T13: (2)PM
Format: Seminar
LGBTQ Family Planning for Service
Providers: Anticipating our Clients’
Needs
Presenter:
Andy Inkster, MA, Health Promoter, LGBTQ Parenting
Network, Sherbourne Health Centre, Toronto, Ontario
This seminar provides an opportunity for primary health
care and other service providers to develop and deepen
their knowledge of the legal, social, and practical
aspects of LGBTQ family planning, and become aware
of information and resources available to prospective
parents. Multiple pathways to parenthood for LGBTQ
prospective parents including adoption, sperm, egg,
and embryo donation, co-parenting, and surrogacy will
be examined. LGBTQ people have specific needs that
differ from those of cis and straight people around family
planning. Sperm, egg, and embryo donation, surrogacy,
assisted human reproduction, and adoption are all
much more common and expected for LGBTQ parents;
struggles like infertility bring unique challenges for
LGBTQ people. This workshop draws on the “pathways to
H E A L T H
M A T T E R S
parenthood” model developed by Chris Veldhoven for the
Queer & Trans Family Planning courses.
In this session, we will:
• Examine multiple pathways to parenthood for LGBTQ
prospective parents including surrogacy, donor
insemination, egg and embryo donation, and adoption
• Identify issues LGBTQ prospective parents may need
to consider such as pre-transition fertility preservation,
non-biological and adoptive parenting, post-transition
fertility options, fertility/infertility and pregnancy loss
• Examine the role of the service provider in supporting
LGBTQ prospective parents
• Become better informed to support LGBTQ
prospective parents in making decisions and finding
resources and information.
Learning Objectives:
1. Identify issues LGBTQ prospective parents may need
to consider such as pre-transition fertility preservation,
non-biological and adoptive parenting, post-transition
fertility options, fertility/infertility and pregnancy loss.
2. Examine the role of the service provider in supporting
LGBTQ prospective parents.
3. Identify resources to support LGBTQ prospective
parents in making decisions and finding resources
and information.
T14: (2)PM
Format: Community Soundbyte
1. Trans Health Forum – Identifying Trans
Community Needs in Middlesex-London
Presenters:
Leanne Powell, Public Health Nurse, Middlesex London
Health Unit, London, Ontario;
Ayden Scheim, PhD Candidate, Trudeau Scholar, Vanier
Scholar, Epidemiology and Biostatistics, Western
University, London, Ontario
The London Ontario Trans Health Working Group came
together in the fall of 2013 with the goal of organizing a
one-day forum to assess the health and social service
needs of trans community members in Middlesex County,
using a social determinants of health lens. The forum
took place on June 7, 2014 and was attended by 31
trans community members (including some partners
and parents of trans people). The forum included four
roundtable sessions, in which attendees could choose
to participate in conversation around the following
themes: primary health care, access to transition care
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at the Gender Identity Clinic at the Centre for Addiction
and Mental Health, youth, older adults, housing and
shelter, education, mental health and addictions, and
community building. Participants were asked to identify
(a) currently existing services in each area, (b) strengths
and limitations of the current services, (c) areas for
improvement, and (d) top priorities for concrete changes
or new services. This session will look at the process of
planning the forum, results and moving forward to meet
the identified needs of our trans community. There will
be opportunity for discussion about how to identify and
meet the needs of local trans communities, particularly in
smaller cities.
Learning Objectives:
1. Learn the steps used to assess the need for, plan, and
implement a health forum.
2. Discover lessons learned and ideas for moving
identified needs forward.
3. Be empowered to use the information to plan and
deliver a health forum in their area.
2. Creating an Organizational
Cultural Shift Toward Providing Trans
Competent Care
Presenters:
Zachary Templeman, Health Worker, Transgender
Communities, London InterCommunity Health Centre,
London, Ontario;
Andrew Sharpe, Nurse Practitioner, London
InterCommunity Health Centre, London, Ontario
Robbie McLaughlin, Registered Nurse, London
InterCommunity Health Centre, London, Ontario
For transgender people, London, Ontario’s landscape
has historically been fraught with barriers to accessing
medical care that felt safe, comfortable and welcoming.
Participants in London’s 2014 Trans Health Forum
consistently identified a lack of trans-positive health
and social service providers, specifically physicians
willing to provide hormone therapy. Inspired by the
Trans Health Forum and subsequent report, the London
InterCommunity Health Centre became committed to
becoming a welcoming, inclusive and positive place for
transgender individuals and the trans community. The
proposed session will showcase the Health Centre’s
three prong strategy for achieving this goal: 1. Reviewing,
updating and developing policies and practices 2.
Building staff capacity through training 3. Transforming
the agency’s culture and environment. We will highlight
successes and challenges associated with this evolution,
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touching on tactics such as: Board engagement and
leadership prioritization; role development and resource
allocation; organization-wide training and education,
including clinical protocols and capacities; policy
review; community research and engagement; and
communications and visibility. Our intention is for the
Health Centre’s journey to serve as an adaptable model
for other health and social service agencies evolving to
provide safe, comfortable, trans-competent care.
Learning Objectives:
1. Understanding of organizational trans-competency
and the importance of universal uptake/participation
across an organization (recognizing the necessity of
a comprehensive cultural shift within health and social
service agencies).
2. Understanding of the process London Intercommunity
Health Centre took in providing better care to trans
clients and ways that process can be adapted to fit
other health and social service agencies.
T15: (2)PM
Format: Seminar
Indigenizing Research to Examine
Resilience among HIV-Positive Two-Spirit Men: Findings from the
2-Spirit HIV/AIDS Wellness and
Longevity Study (2SHAWLS) in Ontario
Presenters:
David J. Brennan, PhD, Associate Professor, Social
Work, University of Toronto, Ontario HIV Treatment
Network, Applied HIV Research Chair in Gay and
Bisexual Men’s Health, Toronto, Ontario;
Tony Nobis, Ojibway, Rocky Bay First Nation, Executive
Director, Ontario Aboriginal HIV/AIDS Strategy, Toronto,
Ontario;
Randy Jackson, Kettle and Stony Point First Nation
(Anishinaabe), PhD Candidate, School of Social Work,
McMaster University, Hamilton, Ontario
Research reports often pathologize Aboriginal
communities by focusing on deficits, challenges and
barriers to care. Little is known about the factors that
support resiliency, health and wellness among Two-Spirit
HIV-positive men. Thus, the Two-Spirit HIV/AIDS Wellness
and Longevity Study (2SHAWLS) - a communitybased research project – was undertaken to examine
resiliency among long-term HIV-positive two-spirit men.
This collaborative project included a research team
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comprised of both Indigenous people and White settler
academics and staff. The research team was committed
to the foregrounding of Indigenous knowledges in the
study design, including data collection and analysis. The
Medicine Wheel – a common North American Aboriginal
symbol that represents an individual’s healing journey
– was used throughout the data collection process and
analysis as a grounding tool to focus the research.
Aboriginal sharing circles (i.e. focus groups) were used
to gather data in three locations (Toronto, Hamilton
and Ottawa, Ontario), where participants (n=14) were
asked only one question: “What’s allowing you to live
well long-term with HIV?” The recorded and transcribed
data were analyzed in several stages. Selected key
quotes were mapped to the Medicine Wheel in areas
expressing similar meaning by all members of the team,
codes that expressed a relationship to one another
were grouped and then labelled consistent with the
teachings of the Medicine Wheel and their relationship
to our study questions, and data visualization was used
to present findings using the Medicine Wheel. Validity
was established by independently verifying coding work
and utilizing member-checking of the findings with our
community advisory committee. The final analysis will be
shared during the presentation. The research team will
discuss examples of lessons learned and will present the
findings from a scoping literature review and thematic
analysis of the academic literature on the topics of
resilience among HIV-positive Two-Spirit men.
Learning Objectives:
1. Develop an understanding of the historical,
biomedical, social, spiritual, sexual, and behavioural
factors affecting health, wellness and resiliency of twospirit Aboriginal people living with HIV long term.
2. Learn about new Indigenous and decolonizing
methodologies being used to conduct responsible
community-based research with Aboriginal
populations.
3. Understand the state of academic literature on the
resilience of two-spirit Aboriginal people living with
HIV.
H E A L T H
M A T T E R S
T16: (2)PM
Format: Workshop
(service de traduction simultanée au besoin)
Working with Gender Diverse Children
and Youth
Presenters:
Stephen Feder, MD, MPH, Head, Division of Adolescent
Medicine, Co-director of Diversity Clinic, Children’s
Hospital of Eastern Ontario (CHEO), Ottawa, Ontario;
Sebastien Pangallo, RSW, MSW, Children’s Hospital of
Eastern Ontario (CHEO), Ottawa, Ontario
The demand for services for this largely underserved
cohort of children and youth has increased exponentially.
Efforts to respond to this previously unmet need have
been challenging but extremely rewarding. This workshop
will discuss the approach in working with gender diverse
children and youth at the Children’s Hospital of Eastern
Ontario based on our experience since 2011.
We will use a case-based approach to discuss issues
such as:
•Access
• Assessment components
• Family work
• Transitioning social and hormonal
Prepubertal
Postpubertal
• Support systems
Parent support group
Youth support group
Working with siblings
•Challenges
Aging out of pediatric services
Mental health comorbidity
Reticent families
Learning Objectives:
1. Discuss current practices and support of gender
diverse youth.
2. Understand challenges and strength of gender
diverse youth.
3. Explore options for gender diverse youth.
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T16: (2)PM (Simultaneous Translation provided)
Formule: atelier
Travailler avec les enfants et jeunes
de genre variant
Présentateurs :
Stephen Feder, M.D., M. Sp., chef, division de la
médecine de l’adolescence, codirecteur de la clinique
sur la diversité, Centre hospitalier pour enfants de l’est
de l’Ontario (CHEO), Ottawa (Ontario);
Sébastien Pangallo, travailleur social autorisé, M.T.S.,
Centre hospitalier pour enfants de l’est de l’Ontario
(CHEO), Ottawa (Ontario).
La demande de services pour ces enfants et ces
adolescents, une clientèle largement sous desservie,
s’est accrue de manière exponentielle. Les efforts visant
à répondre à ces besoins sont ardus, mais extrêmement
gratifiants. Dans cet atelier, il sera question de la
démarche mise de l’avant au Centre hospitalier pour
enfants de l’est de l’Ontario pour l’intervention auprès des
enfants et des adolescents de genres diversifiés, dans le
contexte de l’expérience vécue depuis 2011.
2 0 1 6
Pour ce faire, les animateurs auront recours à une
approche par étude de cas, qui permettra d’aborder les
enjeux suivants :
• L’accès
• Les composantes de l’évaluation
• Le travail de la famille
• La transition sociale et hormonale
La clientèle prépubère
La clientèle postpubère
• Les mécanismes de soutien
Les groupes de soutien aux parents
Les groupes de soutien pour adolescents
Le travail avec les frères et les sœurs
• Les défis
Vieillir et quitter les services pédiatriques
La comorbidité en santé mentale
Les familles réticentes
Objectifs d’apprentissage :
1. Explorer les pratiques actuelles et le soutien offert aux
jeunes de genres diversifiés.
2. Comprendre les défis des jeunes de genres diversifiés
et les forces qui les distinguent.
3. Explorer les choix qui s’offrent à ces jeunes.
CONCURRENT SESSIONS
T17: (3)PM
Format: Research Soundbyte
1. Online Media, Fandom Participation,
and LGBTQ Representation: Insights for
Practice with LGBTQ Youth and Young
Adults
Presenters:
Lauren B. McInroy, Doctoral Student, Factor-Inwentash
Faculty of Social Work, University of Toronto, Toronto,
Ontario
Virtually all young people (99%) in Canada are online. A
significant minority also post their own creative content,
including artwork, audio/video clips, and remixed
video (Steeves, 2014a, 2014b, 2014c). LGBTQ young
people may be particularly engaged and active users
of online media (GLSEN, 2013). Clinicians working with
this population need to understand these activities, and
the context in which they are occurring. Online media
C O N F E R E N C E
3:45 - 5:15 PM
provides important opportunities for LGBTQ young
people to develop relationships (platonic, romantic,
and/or sexual), acquire sexual health information, build
connections with the community, and access resources
and specific services. ‘Fandom’ refers to vibrant digital
communities composed of fans of various media (e.g.,
television shows, books, movies), many of whom produce
and consume ‘Fanwork’ or materials created by fans
based upon characters, plotlines, settings, and/or other
distinctive elements of those media (e.g., stories, art,
music, multi-media). For LGBTQ fans, gaps and/or
ambiguity in media open up opportunities to integrate,
increase, and/or elaborate upon LGBTQ representation
and/or content, allowing individuals to appropriate and
creatively (re)interpret existing media to create narratives
more representative of themselves and/or their fantasies.
This presentation will discuss the findings of a qualitative
study undertaken in Toronto on online media participation
by LGBTQ young people, focusing particularly on
participants’ experiences of fandom and its impact on their
development and psycho-social well-being. The potential
use of fandom in practice settings with LGBTQ youth will
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also be discussed. Permitting young people space to
discuss their fandom activities can foster the working
relationship, identify sources of support and individual
strengths, detect areas of clinical concern, and open
opportunities for creative self-expression and exploration.
Learning Objectives:
1. Introduction to online fandom as a significant
developmental and community space for many
LGBTQ youth and young adults.
2. Awareness of the impact of online media use,
particularly fandom participation, on LGBTQ young
people’s mental health and well-being through
discussion of the results from a study investigating
these emerging areas of research.
3. Introduction to strategies for integrating online media
participation, particularly fandom, into practice
settings with LGBTQ youth and young adults.
H E A L T H
M A T T E R S
Learning Objectives:
1. Introduction to existing discourses on LGBTQ young
people’s identification processes and self-labelling
practices; particularly focussing on the lack of
attention to socio-demographically diverse populations
of LGBTQ youth.
2. Awareness of the significant impact of social
environment and individual socio-demographic
context on same-sex attracted and gender nonconforming adolescents’ understanding and use of
language and terminology, particularly for socially
marginalized sub-populations, using the results of a
large-scale clinically-based study.
3. Acquisition of strategies for increasing the
inclusiveness of clinical settings for diverse
populations of LGBTQ youth through the assessment
of the particular environmental contexts.
3. Queer, Queering and Questioning:
2. The Impact of the Dominant Health Care Education Through Digital
Socio-Cultural Context on Narrative
Self-Identification & Labelling by LGBTQ
Presenters:
Young People: Clinical Implications
Presenter:
Lauren B. McInroy, Doctoral Student, Factor-Inwentash
Faculty of Social Work, University of Toronto, Toronto,
Ontario
LGBTQ youth negotiate and reconcile their individual
sexual attractions and gender identification within
taxonomies of identity which are meaningful in the
dominant socio-cultural systems they inhabit. There
remains a lack of attention to the complex ways in
which various sub-populations of LGBTQ young people,
including ethno-racial minority youth, negotiate their
multiple identity categories, and how the identification
of these diverse populations may impact practice with
them. Clinicians working with young people should
be knowledgeable about the contemporary language
around sexuality and gender used by same-sex attracted
and gender non-conforming adolescent clients. This
presentation will discuss a mixed-method study with
a sample of ethno-racial minority, low-income LGBTQ
young people (n=500, age 13—22) drawn from a
clinical population in Miami-Dade County, Florida, and
will investigate the role that socio-demographic and
contextual factors may play in access to discourses of
sexuality and sexual identity taxonomies for same-sex
attracted and gender non-conforming adolescents and
young adults. The impact on clinical practice with diverse
populations of adolescents in the Canadian context will
be discussed throughout.
Albina Veltman, MD, FRCPC, Associate Professor,
Department of Psychiatry & Behavioural
Neurosciences, McMaster University, Diversity &
Engagement Chair, Undergraduate MD Program,
McMaster University, Hamilton, Ontario;
Tara La Rose, PhD, Assistant Professor, Trent University
BSW Program, Peterborough, Ontario
Lack of training, limited medical knowledge and scant
access to relevant information are contributors to health
care barriers experienced by queer patients. There is
a clear need for additional attention to LGBTQ health
care education evidenced by a recent survey of Deans
of medical education in 150 North American universities
which found that 70% of respondents rated their school’s
LGBTQ-specific curriculum as “fair” or below. Additional
research suggests a positive correlation between
medical students’ knowledge of the issues affecting
queer patients and exposure to this population; affirming
attitudes towards queer patients are developed on the
basis of patient interactions and through LGBTQ-related
curriculum. Digital media technology is proving to be
a powerful tool in medical education. Through “storying
circles” (semi-structured interviews), participants were
encouraged to develop and share narratives about
LGBTQ health care encounters. Qualitative data was
used to elucidate and synthesize relevant themes such
as successes and challenges, needed resources, and
barriers to effective care, using digital narrative research
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techniques to inform the process. This material was used
to create short digital narrative texts of “vignettes”.
Together, the texts will become a virtual library of
e-learning materials for inclusion in a variety of health
care professional education programs. This presentation
will focus on the important themes elucidated during
the process of creating the digital narrative texts about
LGBTQ health. Practical suggestions on how to best
integrate LGBTQ health issues into health education
curricula will be discussed.
Learning Objectives:
1. Describe the health care disparities, stigma and
discrimination experienced by LGBTQ individuals.
2. Recognize digital media technology as an important
tool in health care education.
3. Identify various ways of integrating LGBTQ health
issues into health education curricula.
T18: (3)PM
Format: Seminar
Lessons Learned: Clinical Pearls
and Information That You Need
to Know When Delivering Health
Care and Harm Reduction Services
to Transgender and Gender Non
Conforming Clients
Presenters:
Sarah Eckler, MD, Family Physician, Queen West
Community Health Centre, Toronto, Ontario;
Max Ducsharm, Harm Reduction Worker, Queen West
Community Health Centre, Toronto, Ontario
Transgender (Trans) and Gender Non Conforming (GNC)
clients often face barriers to health care and social
services, in terms of supports for medical transition,
primary care, and general services to improve wellbeing;
made more difficult due to conditions of poverty and
transphobia. These barriers often originate out of service
providers’ misinformation and a lack of education,
contributing to stigma for trans folks. Barriers to health
care contribute to a number of negative health impacts
and lower participation in primary prevention initiatives.
Staff at Queen West Community Health Centre have
been working for over four years to improve services and
reduce barriers to these services for trans clients. During
the session, we will present key information that will be
useful to both clinical and non-clinical individuals who
provide health care, support and harm reduction services
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to trans and GNC clients. Topics that will be discussed
include: providing health care and other services
to trans clients from a harm reduction perspective,
implementation and distribution of safer hormone
injection kits, issues around testosterone and pregnancy,
the importance of pronouns and the unique challenges
faced by trans clients living in poverty.
Learning Objectives:
1. Introduce and explore the concept of harm reduction
as it applies to service delivery to trans and GNC
clients.
2. Present information regarding the development and
use of Safer Hormone Injection Kits at Queen West
Community Health Center.
3. Present information that will be useful in providing
health care to trans clients that is not readily available
in existing trans health care guidelines and references,
including practical tools and clinical pearls to support
improved clinical care.
T19: (3)PM
Format: Workshop
Coming Home: Strengthening Families
of LGBTQ Youth
Presenters:
Lorraine Gale, MSW, Coordinator, Out and Proud
Program, Children’s Aid Society of Toronto, Toronto,
Ontario;
Lindsay Elin, MSW, RSW, Individual and Family Therapist,
Central Toronto Youth Services, Toronto, Ontario;
LeeAndra Miller, MA, Registered Psychologist, Pride &
Prejudice Program, Central Toronto Youth Services,
Toronto, Ontario
Research demonstrates that family support is a
significant protective factor impacting LGBTQ health
outcomes (Family Acceptance Project; TransPulse).
When parents or caregivers reject LGBTQ youth, health
and mental health risks escalate. When families are
supportive, LGBTQ young people tend to have higher
self-esteem, better outcomes and positive futures; and
risks are significantly reduced. Despite the significant
protective factor that family acceptance provides for
LGBTQ youth, social service and health care providers
often focus on supporting the youth exclusively, without
tapping into the family’s potential for support. This
strategy may be based in the assumption that parents
who first reject their LGBTQ youth cannot change.
However, the Family Acceptance Project demonstrates
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that families often do become more accepting, especially
with support, and that this acceptance has measurable
impacts on youth outcomes. It is crucial that service
providers learn to work effectively with, not only LGBTQ
youth, but also their families. We will share research and
practice knowledge about why working with families of
LGBTQ youth is important and how to effectively do this
work. The workshop will provide an overview of relevant
research and current practice models, including the
experiences and practices at both CAST and CTYS
in their work with LGBTQ youth and their families/
caregivers. CTYS presenters will also describe their
experiences using attachment-informed approaches in
family therapy and group work with parents/caregivers
of trans* youth involved in the Families in Transition
Program. The workshop will include hands-on activities
to allow participants to practice using specific skills and
tools for working with families of LGBTQ youth, designed
to build compassion and strengthen family relationships.
Learning Objectives:
1. Gain knowledge of research and current practices
related to the importance of working with families of
LGBTQ youth, and the potential for families to accept
and support their young people, thereby improving
youth outcomes.
2. Learn about current practice models that are effective
in working with LGBTQ youth and their families.
3. Build their capacity to work with families of LGBTQ
youth and have opportunities to practice these skills
within the workshop.
T20: (3)PM
Format: Panel
Improving LGTB Health Data:
Assessing Survey Measures of Sex,
Gender and Sexual Orientation
Panelists:
Greta Bauer, PhD, Associate Professor and Graduate
Chair, Epidemiology & Biostatistics, Schulich School
of Medicine & Dentistry, Western University, London,
Ontario;
Ayden Scheim, PhD Candidate, Trudeau Foundation
Scholar, Vanier Scholar, Epidemiology & Biostatistics,
Western University, London, Ontario;
Christoffer Dharma, MSc Candidate, Epidemiology &
Biostatistics, Western University, London, Ontario
H E A L T H
M A T T E R S
have incorporated measurement of sexual orientation.
This is typically a single item (e.g., Statistics Canada
asks “Do you consider yourself to be: a. homosexual,
b. heterosexual, c. bisexual). However, attraction,
behaviour, and identity are often discordant, and findings
of health disparities differ depending on the dimension
of sexual orientation measured. Therefore, this single
item measuring sexual orientation measure may be
insufficient. Data on trans people are still not collected
as part of large government population health surveys
in Canada, as there is no option for trans people to
identify themselves. Such data are also rarely collected
in investigator-driven research outside of trans-specific
studies, or are collected in ways that may be problematic.
Moreover, if incorporated, some existing survey measures
run the risk of resulting in widespread exclusion of
trans participants from data analysis and results. Very
limited cognitive testing of survey measures has been
undertaken with regard to assessing appropriateness
of inclusion of sex, gender and sexual orientation in
large population health surveys. Using a mixed method
approach with a diverse sample of Canadians. We will
present quantitative data on agreement between the two
measures and also present qualitative data regarding
how participants understood these questions in light of
their own sex, gender, and sexual orientation. We will
provide preliminary recommendations for researchers.
Finally, we will discuss where opportunities may exist for
making change in data policies.
Learning Objectives:
1. Understand the importance and implications of valid
measurement of sexual orientation, sex, and gender in
health surveys.
2. Identify the strengths and limitations of uni- and multidimensional measures of sexual orientation, gender,
and sex for research or data collection, in the context
of Canada’s diversity.
3. Consider changes in data collection policies and
practices that would enhance inclusion and analysis of
data on LGBT people.
With the goal of promoting health equity for LGB
communities, population health surveys in Canada
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T21: (3)PM
Format: Film Screening
Followed by Q & A with the filmmaker
and director, Nancy Nicol
“No Easy Walk to Freedom”:
Lessons of the Movement to
Decriminalize Homosexuality in India”
Presenter:
Nancy Nicol (Producer, Director, Editor), Professor,
Visual Arts and Art History Department, York University,
Toronto, Ontario
No Easy Walk to Freedom, a new documentary by
veteran filmmaker Nancy Nicol, tells the story of the
struggle to strike down Section 377 of the Indian Penal
Code, and decriminalize homosexuality in contemporary
India. Filmed in Delhi, Mumbai, Bangalore, Lucknow
and rural India, and told through the voices of lawyers,
activists and community leaders, No Easy Walk to
Freedom exposes human rights violations perpetrated
under the law and documents the growth of queer
organizing in India in the context of this historic battle to
overturn a colonial-era law. Please note: the full screening and questions and
answer session will go beyond the 90 minutes allotted for
the session.
Learning Objectives:
1. Community building - learning lessons of the struggle
in India - the relationship between the legal challenge
and community organizing from a inter sectional
perspective.
2. Broaden an understanding of the movement for
LGBTQ rights in India.
3. Connect South Asian participants and nonSouth Asian participants in Canada with LGBTQ
organizations in India.
2 0 1 6
C O N F E R E N C E
T22: (3)PM
Format: Panel
LGBTQ and Disabled: Promising
Practices – Panel of Community
Leaders
Moderator:
Kate Welsh, Community Activist, Masters Student,
Social Justice Education, Toronto, Ontario
Panelists:
Andrew Morrison-Gurza, MA, Disability Awareness
Consultant, Toronto, Ontario;
Lynx Sainte-Marie, Creator of QueerofGender, Toronto,
Ontario;
Inali Barger, London, Ontario
Queer/Trans Disabled Folks live in the intersection
of ableism and queer/transphobia and possibly
racism, classism, sexism etc. Community leaders will
engage in conversation surrounding issues of coming
out to caregivers and compounded vulnerability,
desexualisation of people with disabilities, systemic
and social barriers, asexuality as a protective coping
mechanism, coming “out” as disabled in the digital
dating age, and social models of disability including
the intersection with communities of care. Panelists will
focus on the importance of queer and trans people with
disabilities leading advocacy efforts.
Learning Objectives:
1. A better understanding of barriers faced by LGBTQ
people with disabilities.
2. Reflecting on promising practices when working with
LGBTQ people with disabilities.
3. Importance of awareness-raising in local communities
including continuing this discussion in local
communities.
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H E A L T H
M A T T E R S
T23: (3)PM
T24: (3)PM
Attention: Hazards of Burnout, Handle
with Compassion
(service de traduction simultanée au besoin)
Format: Workshop
Presenter:
Lu Lam, MEd, CCC, Counsellor, David
Kelley LGBTTQQI2SA+ & HIV/AIDS Counselling, Family
Service Toronto, Toronto, Ontario
This experiential workshop will invite participants to
recognize the hazards of burnout, and to care for our
burnout as practitioners within the LGB2STTIQQA
counselling and therapy field. We will explore how
burnout is (re)produced and how we can address
burnout in relation to our self, our communities, and
systemically. When burnout impacts on our well-being,
our ethical decision making is compromised, and
our capacity to be present and empathic with our
clients diminishes, thus endangering the therapeutic
relationship. Particularly if we are working with
LGB2STTIQQA with complex identities and lived realities
of multiple oppressions, and do not centre our own selfcare in efforts to attend to our burnout, we endanger our
commitment to ethical practice; we risk jeopardizing our
most marginalized clients’ quality of care, and increase
the potential of reproducing institutional inequalities
in our clinical practice. An integration of mindfulness
compassion practice and social justice/ anti-oppression
principles will be introduced to centre embodied
knowledge as a transformative tool to respect and attend
to our burnout. Mindfulness is framed as pedagogy in
efforts to decolonize mainstream approaches to mental
health.
Learning Objectives:
1. Provide a critical cultural and social perspective
on recognizing the risks and hazards of burnout in
LGB2STTIQQ counselling and therapy field.
2. Centering embodied knowledge of mindfulness to
decolonize mainstream approaches to mental health
that fosters conditions for burnout.
3. Offer mindfulness compassion practices to the
supporting emotional, mental, physical and spiritual
pain of our burnout.
Format: Research Soundbyte
1. LGBTQ Tobacco Use Prevention and
Cessation Intervention Preferences: A
Qualitative Analysis of Focus Groups
Presenter:
Bruce Baskerville, Senior Scientist, University of
Waterloo, Propel Centre for Population Health Impact,
Adjunct Professor, University of Waterloo, School of
Public Health and Health Systems, Waterloo, Ontario
The problem of tobacco in Canada is not over.
Victimization, bullying, family and peer stress, aggressive
tobacco industry marketing are just a few of the reasons
why LGBTQ youth and young adults pick up the habit to
smoke. The LGBTQ community bears an undue burden
from tobacco. A 2012 survey found that 38% of the
LGBTQ adult community in Toronto smokes. To address
this health inequity for LGBTQ youth and young adults,
our team at Propel in collaboration with the Canadian
Cancer Society, Rainbow Health Ontario, the University
of Toronto and partners in Ottawa engaged members
of the LGBTQ community and conducted focus groups
in Toronto and Ottawa to identify preferred evidenceinformed interventions that will prevent and stop tobacco
use among LGBTQ youth and young adults. We recruited
LGBTQ youth and young adults in Ottawa and Toronto
using strategies that included a Facebook ad campaign
and posters at partner agencies. Focus group participants
responded to questions about their attitudes towards
smoking, quitting and ideas for helping to quit. They were
presented with three program scenarios – group cessation
counselling, four social marketing campaign ideas,
and a mobile health cessation application. Participants
provided opinions on what they liked and did not like
about the program options and which of the options was
most preferred. Qualitative analysis of the focus group
transcripts was conducted using the framework approach.
This work will culminate in a one-day long knowledge
exchange event in Toronto with decision-makers and
members of the community to discuss intervention options
and next steps for development. Developing effective
interventions for LGBTQ youth and young adults will
reduce morbidity and mortality associated with smoking
and improve the overall population health of Ontarians in
the process.
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Learning Objectives:
1. Learn about the preferred intervention options within
and across the LGBTQ community.
2. Gain an understanding of the qualitative methods used
to draw conclusions.
3. Engage in the next steps for creating effective
interventions for the LGBTQ community.
2 0 1 6
C O N F E R E N C E
3. Pieces to Pathways: Report on
LGBTTQQ2SIA Substance Use Among
16-29 Transitionally Aged Youth in
Toronto
Presenters:
Geoffrey Wilson, Project Coordinator, Pieces to Pathways,
Toronto, Ontario;
Tim McConnell, Peer Support Worker & Substance Abuse
Counsellor, Toronto, Ontario;
2. Access to Health Services for Trans*
People in the Quebec City Region
Presenter:
Olivia Kamgain, Public Administration Master’s Candidate,
École nationale d’administration publique (ENAP),
Montreal, Quebec
In this session, we will take a look at the results of a
research study on access to health services for trans*
people in Quebec. It is well established in the literature that
trans* people face barriers to accessing health services
(Rotondi et al., 2013; Sanchez et al., 2009; Xavier et al.,
2013). However, few scientific studies have examined
the reasons for those barriers. This study is designed
to identify and understand the organizational aspects
affecting access to health services by trans* people. This
exploratory study focuses on the area served by the Centre
de santé et services sociaux de la Vieille-Capitale, the
largest local health and social services network in Quebec.
Semi-structured interviews were conducted with people
who self-identify as a trans*, who use or are likely to use
health services in the Quebec City region (n1=7), as well
as with staff and key informants in the local health network
(n2=9) . The data from the literature were also included to
perform a triangulation of data and to determine the extent
of erasure (Namaste, 2000; Bauer, 2012). The results of the
study will help to understand the organizational aspects
affecting access to health services. They will also help to
develop courses of action to make health services more
inclusive and sensitive to the realities of trans* people
(trans-friendly).
Learning objectives:
1. Discuss the successful practices of health agencies that
promote access to health services for trans* people.
2. Develop courses of action for managers and health
practitioners to improve access to health services for
trans* people.
3. Understand the organizational factors affecting access
to health services for trans* people.
63
Pieces to Pathways is a peer-led initiative that conducted a
needs assessment of substance use among LGBTTQQ2SIA
youth aged 16-29 residing or accessing services in Toronto,
Canada. This project was conducted between January
to March 2015 and funded through the Toronto Central
LHINs (Local Health Integration Network). This project is
primarily supported by Breakaway Addiction Services in
collaboration with LOFT Community Services, Sherbourne
Health Centre, Toronto East General Hospital Withdrawal
Management Services and TRIP (Toronto Ravers Information
Project). We engaged in a three-stage process: 1. Met with
organizations providing services to LGBTTQQ2SIA folks,
youth and substance users to discern their perceptions of
these populations and their needs. 2. We conducted an
online and offline survey. 3. We conducted focus groups
to derive more specific information on program content for
substance use supports. Pieces to Pathways has completed
all of these stages, written a comprehensive report, made
program recommendations to our funders and we will share
our findings.
Learning Objectives:
1. Increase audiences’ knowledge about substance use
among queer and trans transitionally aged youth in
Toronto.
2. Encourage audience to critically examine existing
supports servicing queer and trans substance users.
3. Increase dialogue about substance use and how it
affects queer and trans people.
B E C A U S E
L G B T Q
T24: (3)PM
Formule : communication de recherche
(Simultaneous Translation provided)
1. La prévention du tabagisme chez les
personnes LGBTQ et leurs préférences
quant aux méthodes de cessation :
analyse quantitative de groupes de
discussion
Présentateurs :
Bruce Baskerville, prépose principal à la recherche,
Université de Waterloo, Propel Centre for Population
Health Impact, professeur adjoint, Université de
Waterloo, École de santé publique et des systèmes de
santé, Waterloo (Ontario)
Le problème du tabagisme au Canada est loin d’être
résolu. Victimisation, intimidation, pressions de la famille
et des pairs et marketing insistant des compagnies
de tabac ne sont que quelques-unes des raisons qui
expliquent pourquoi les adolescentes et les jeunes
adultes LGBTQ se mettent à fumer. Le tabagisme
impose un fardeau indu à la communauté LGBTQ. Un
sondage réalisé en 2012 révélait que 38 % des adultes
de la communauté LGBTQ de Toronto fumaient. Pour
faire face à cette inégalité en matière de santé, l’équipe
de Propel, en collaboration avec la Société canadienne
du cancer, Santé arc-en-ciel Ontario, la direction de la
santé publique de Toronto, l’Université de Toronto et nos
partenaires à Ottawa et des membres de la communauté
LGBTQ, ont mis sur pied des groupes de discussion
à Toronto et à Ottawa afin de définir les interventions
fondées sur des données probantes qu’ils préfèrent
pour prévenir le tabagisme et favoriser la cessation de
fumer chez les adolescents et les jeunes adultes LGBTQ.
Des adolescents et de jeunes adultes LGBTQ ont été
recrutés à Ottawa et à Toronto à l’aide d’une campagne
publicitaire dans Facebook et d’affiches installées
chez des organismes partenaires. Les participants
au groupe de discussion devaient répondre à des
questions sur leur attitude par rapport au tabagisme et
à la cessation de fumer, et sur des idées pour aider à
cesser de fumer. On leur a présenté les scénarios de
trois programmes – counselling pour cesser de fumer
en groupe, quatre idées de campagnes de marketing
social et une application mobile pour aider à cesser
de fumer. Les participants ont livré leur opinion sur ce
qu’ils aimaient ou n’aimaient pas dans les programmes
proposés, et sur les options qu’ils préféraient. Une
analyse qualitative de la transcription des discussions du
groupe a été réalisée à l’aide d’une approche-cadre. Ces
H E A L T H
M A T T E R S
travaux se termineront par une rencontre d’échange de
savoir d’une journée avec les décideurs et les membres
de la communauté, qui se sont aussi penchés à cette
occasion sur les options d’intervention et les prochaines
étapes de développement. La création d’interventions
efficaces auprès des adolescents et des jeunes adultes
LGBTQ permettra de réduire la morbidité et la mortalité
associées au tabagisme et d’améliorer la santé globale
des Ontariens en cours de route.
Objectifs d’apprentissage :
1. Se familiariser avec les options d’intervention
préférées au sein de la communauté LGBTQ.
2. Comprendre les méthodes qualitatives utilisées pour
dégager des conclusions.
3. Participer aux prochaines étapes pour la création
d’interventions efficaces auprès de la communauté
LGBTQ.
2. Accessibilité aux services de santé pour
les personnes trans* dans la région de
Québec
Présantatrice :
Olivia Kamgain, candidate à la maîtrise en administration
publique, l’École Nationale d’administration publique
(ENAP), Montréal, Québec
Dans le cadre de cette communication, nous
présenterons les résultats d’une recherche portant sur
l’accès aux services de santé pour les personnes trans*
au Québec. Il est bien établi dans la littérature que les
personnes trans* rencontrent des barrières à l’accès
aux services de santé (Rotondi et al., 2013; Sanchez
et al., 2009; Xavier et al, 2013). Cependant, peu de
recherches scientifiques se sont intéressées aux facteurs
explicatifs de ces barrières. Cette recherche se propose
donc d’identifier et de comprendre les facteurs liés à
la dimension organisationnelle qui influencent l’accès
aux services de santé pour les personnes trans*. Cette
recherche exploratoire se concentre sur le territoire du
Centre de santé et services sociaux (CSSS) de la VieilleCapitale, le plus important réseau local de services de
santé et de services sociaux au Québec. Des entrevues
semi-dirigées ont été réalisées auprès de personnes
s’identifiant trans* qui utilisent ou sont susceptibles
d’utiliser les services de santé de la région de Québec
(n1=7) ainsi qu’auprès du personnel et d’informateursclés au sein du réseau de la santé du territoire (n2=9).
Les données provenant de sources documentaires ont
également été incluses afin de faire une triangulation
des données et cerner la mise en œuvre du concept
d’effacement (Namaste, 2000; Bauer, 2012). Les
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résultats de cette recherche permettent d’une part, de
comprendre les dynamiques reliées à l’organisation qui
influencent l’accès aux services de santé. D’autre part,
ils permettent de fournir des pistes d’actions afin de
rendre les services de santé plus inclusifs des réalités
trans* (trans-friendly).
Objectifs d’apprentissage :
1. Discuter des pratiques gagnantes au sein des
organisations de santé qui favorisent l’accès aux
services de santé pour les personnes trans*.
2. Fournir des pistes d’actions aux gestionnaires et
intervenant-es en santé pour améliorer l’accès aux
services de santé pour les personnes trans*.
3. Comprendre les facteurs organisationnels qui
influencent l’accès aux services de santé pour les
personnes trans*.
3. « Pieces to Pathways » : rapport sur
la consommation de drogues chez les
personnes LGBTTQ de Toronto en âge
de transition 16 à 29 ans
Présentateurs :
Geoffrey Wilson, coordonnateur de projet, Pieces to
Pathways, Toronto (Ontario);
Tim McConnell, préposé au soutien par les pairs et
conseiller en toxicomanie, Toronto (Ontario);
« Pieces to Pathways » est un projet dirigé par des
pairs dans le cadre duquel on a réalisé une évaluation
des besoins en matière de drogues chez les personnes
LGBTTQQ2SIA de 16 à 29 ans qui vivent à Toronto ou
obtiennent des services dans cette ville. Le projet a été
2 0 1 6
C O N F E R E N C E
réalisé de janvier à mars 2015 et son financement a été
assuré par l’intermédiaire du Réseau local d’intégration
des services de santé (RLISS) du Centre-Toronto. Ce
projet est appuyé en grande partie par l’organisme
Breakaway Addiction Services, en collaboration avec les
services communautaires LOFT de Toronto, le Centre
de santé Sherbrourne, les services de gestion de la
désintoxication du Toronto East General Hospital et TRIP
(Toronto Ravers Information Project). Les travaux liés à
ce projet ont été effectués en trois étapes : 1. Rencontre
avec les organismes offrant des services aux personnes
LGBTTQQ2SIA, aux jeunes et aux toxicomanes afin de
cerner la perception de ces personnes et de préciser
leurs besoins. 2. Réalisation d’un sondage en ligne et
hors ligne. 3. Organisation de groupes de discussion
visant à recueillir de l’information plus précise sur le
contenu des programmes de soutien en toxicomanie.
Pieces to Pathways a réalisé toutes ces étapes, a rédigé
un rapport exhaustif et a formulé des recommandations
sur les programmes et les a transmises à ses bailleurs
de fonds. Cette communication leur permettra de
présenter leurs conclusions.
Objectifs d’apprentissage :
1. Accroître les connaissances de l’auditoire sur la
toxicomanie chez les jeunes queer et trans en âge de
transition à Toronto.
2. Inciter l’auditoire à analyser de manière critique le
soutien existant à l’intention des toxicomanes queer
et trans.
3. Accroître le dialogue sur la toxicomanie et sur ses
effets sur les personnes queer et trans.
QUEERING HOME CARE 5:30 - 7:00 PM LGBTQ Home Care Access Project Launch
Join Andrea Daley, Judith MacDonnell and Melissa St.
Pierre at a project launch of key findings from the ‘LGBTQ
Home Care Access Project’. After five years of research,
collaboration, and partnerships, York University
researchers Andrea Daley (Social Work) and Judith
MacDonnell (Nursing) and Melissa St. Pierre (PostDoctoral Visitor and Project Coordinator) are unveiling the
findings of their research. In partnership with Rainbow
Health Ontario and the Toronto Central Community Care
Access Centre, this CIHR-funded Ontario-based project
has explored how LGBTQ communities experience
home care services,
in addition to service
providers’ experiences
working with LGBT clients. Please join us as we discuss
the research, the core findings, and showcase our
information sharing materials.
All are welcome to this informal social gathering, where
food and beverages will be served.
Informal social gathering with refreshments.
65

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