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LGBTQ Case scenarios

LGBTQ Case scenarios. Case scenario discussions Pls. discuss in your groups at your table Each group has 15-20 minutes to discuss List your top 3 to 5 best practices/ solutions Flip chart papers + markers provided Pick a person to report back on practices/solution.

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LGBTQ Case scenarios

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  1. LGBTQ Case scenarios

  2. Case scenario discussions • Pls. discuss in your groups at your table • Each group has 15-20 minutes to discuss • List your top 3 to 5 best practices/ solutions • Flip chart papers + markers provided • Pick a person to report back on practices/solution

  3. Case 1: Rigid Gender Expectations One of the parents of a Gender Independent Child is seeking your help. His son Timmy 8 years old, is withdrawn, does not participate in other activities with other children and only wants to play with dolls-which further upsets the dad. The dad is very upset his son likes playing with dolls and wants his kid to be “normal” like other kids. Timmy’s mum isn’t bothered and this creates conflict between the parents. 3

  4. How do you work with this family? • Key issues? Lines of questioning? • Think of the words (Cis Gender or Gender Independent Child) and body language you might use. • Where might you feel confused or uncertain? • How do you respond to the dad? • How do you ensure Timmy is safe playing with his Barbies? • How do you address the father’s fear that his son will be gay? • How and when do you discuss the parents conflict? • Any resources you can refer the parents to?

  5. Options for parents • Work first and foremost with parent(s) • Change context from “What is wrong with my kid(s)?” to question the limitation of gender expressions for children • Often supporting GIC means supporting the parents in accepting their children • Making sure the child is safe at home and in daycare, school, and other activities • A psychiatric assessment for children is problematic to have access to healthcare later • Do not pathologize • Creates internalized stigma, self hate and oppression “something is wrong with me” for children

  6. Case 2: Cutting and lack of access to HRT • Nikki, 15 is cutting their body with blunt objects and repeatedly informed the staff they hate their body. The counsellor at Kinark CFS speaks to Nikki. Nikki mentions they identify as Two-Spirit and want to connect with an LGBTQ member of First Nations and they want to see a family physician to be prescribed feminizing hormone- estrogen and anti-androgen. • What are the priorities for the Nikki? • How would Kinark CFS proceed with the request? • Who would you refer Nikki to as the first line of support? • How would you connect Nikki with peer support? Resources: SHC trans clinical protocol, Vancouver Costal Health, WPATH

  7. Consult with Two-Spirit of the First Nations http://www.2spirits.com/ • Local resources of Two-Spirit programs, services and organization? • Refer to handout on guidelines for hormone support letter

  8. Case 3: Finding services for LGBTQ youth • One of the youth in the Residential Treatment has disclosed he is bisexual to a counselor. He was sexually abused at home and left home to survive and resorted to sex work to survive. He was arrested for smoking marijuana and sex work. He also disclosed he did not always have safe sex with his clients. Upon further counselling, he is highly agitated and seems to be exhibiting some signs of trauma. • How would YOU work with this youth? Key issues? Lines of questioning? • Think of the words and body language you might use. • Where might you feel confused or uncertain? • Any resources you can refer to?

  9. LGBT Youth Line, • Tel: 1.888.687.9622 (also MSN and chat ) • www.youthline.ca • PFLAG http://www.pflagcanada.ca/en/index.html • PFLAG is Canada's only national organization that helps all Canadians who are struggling with issues of sexual orientation and gender identity. PFLAG Canada supports, educates and provides resources to parents, families, friends and colleagues with questions or concerns, 24 hours a day, 7 days a week.

  10. Case 4: Gender queer identity • A youth in the Therapeutic Family Care is currently identifying as gender queer vs. the gender they were admitted as. • How would Kinark CFS staff work with the youth, treatment parents and biological parents to provide a stable and nurturing environment. • How would YOU work with this youth? Key issues? Lines of questioning? • How would you work with treatment and biological parents? • Think of the words and body language you might use. • Where might you feel confused or uncertain? • Any resources you can refer to?

  11. Case 5:Transphobia vs. hetero-normative • In the office you overhear two staff making fun of the appearance and demeanor of a transgender youth who was in earlier in the day. • How would you respond? • Consider: Does Kinark CFS have a policy on discrimination? • Does the policy cover gender identity and gender expression?

  12. http://www.checkitoutguys.ca/

  13. Brazen & Primed – resources for trans women and trans men Trans women’s safer sex guide http://librarypdf.catie.ca/pdf/ATI-20000s/26424.pdf

  14. Gender Journeys • Gender Journeys - a 11 week psycho-education program since 2005- facilitated by two trans-identified persons, and explores topics related to transition. Guest speakers are invited to speak on various topics related to trans and /or transitioning.

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