Empowering providers who work with multiply- marginalized populations michael munson Disability and Transgender Survivors: Welcome & Housekeeping Take care of yourself Power Points Archived Recording Interacting Individual with pink hair hugging themselves Who is FORGE? Trans pride flag Gender queer pride flag. FORGE 21st anniversary badge logo Map of the United States with Milwaukee marked and a pie chart showing the percentage of direct service and TTA Two Foundational Principles 1. Trauma - Informed 2. Empowerment -based What we can offer you Training and technical assistance 1-on-1 support Webinars Training Publications Demo project Support for transgender survivors Listservs Referrals EspavoProject Publications Social Media Facebook symbol with FORGE permalink (FORGE.trans) Twitter logo with FORGE twitter handle (@FORGEforward) Instagrham logo Thank you OVW circle with the grant number and acknowledgement statement Agenda Intro / Trans Basics Intersections Data: Trans Violence & Long- term Health Implications Survivor Stories Reminders and Resources Questions Setting the Stage Reclaiming and Respecting Person-first language Centrality of identity Reclaiming Respecting Quote from Dr. Lin Fraser “No one’s identity is a disorder.” ~ Dr. Lin Fraser Picture of Dr Lin Fraser Blurred lines: Trans Hierarchy of who is “trans enough” Claimed trans identity and perceived transness Medicalization vs. identity? Blurred lines: Disability Disability and health disparities? Perceived disability and claimed disability? Shift when adding multiple other variables? Language Substitution Feel free to mentally substitute language that is a better fit for you, and of course, use language that fits you, the people you serve, or how you frame the world when you speak. Use of Pictures in this Presentation Image from FORGES ESPAVO Project. Two individuals with short hair smiling and hugging. Who are Trans People? Core ConceptsSlippery DefinitionsGetting on the same page What % of population is transgender? A.0.5% B.1.7% C.3.0% hands raised It Depends! two circles one showing the estimated population from the williams institute and one showing the estimate from lynn conway and others How many people are trans? picture of a map of the us showing about 1 percent or 3 million people are trans Who are we talking about? Several pictures of individuals faces grouped together to form a larger image. Individuals images are diverse in gender identity, race, and age. A thought bubble overlays picture and says transgender Goal: More Expansive View Defining terms just gives us more labels to assign to people, rather than truly understanding who each person is. Picture of individual wearing a t-shirt that reads "No Label" Who are we talking about?2 Gender non-conforming People who transition People who are questioning People who do not fit into the binary Who else? Gender-conforming people of trans history Multiply gendered people SOFFAs (Significant Others, Friends, Family and Allies) +++ and many others Clarity: Trans-feminine Four photographs next to each other of four different individuals who identify as trans-feminine. Clarity: Trans-masculine Four pictures in a row of different individuals who identify as trans-mascluline. Clarity: Non-binary or agender Four pictures in a row of different individuals who may identify as Non-binary or agender. Terms Paradox: Definition Terms are CRUCIAL Finding out what terms the person uses and then using their language is a primary way of conveying respect and openness. Terms are MEANINGLESS Terms tell you none of what you need to know to provide appropriate services. AND… Master Status Thinking Master status and the labels of primary potency refer to the tendency of observers to believe that one label or demographic category is “more significant than any other aspect of [the observed person’s] background, behavior, or performance.” Picture of the cover of the book The Nature of Prejudice by Gordon Allport When beliefs about gender get in the way… Master Status in Action When a provider makes gender the primary issue vs. sexual assault or the issues a client prioritizes Curiosity (trans history and experiences) Types of questions (focus on transness) Invasive questions (inappropriate) Redirecting conversation (back to transness) Causality / correlations (possibly false or true) When providers can’t see past the T Nicole’sStory Picture of a trans identified person named "Nicole" Have you work with a client who is… Trans Trans + disabled Trans + survivor Trans + disabled + survivor Intersections Survivor Story 1 Cecilia Chung (audio) Picture of Cecilia Chung Cecilia Healing can take a lifetime. How can we witness and validate? Picture of Cecilia Chung Intersections 2 diagram showing the intersection of trans, disability and trauma What’s the same? Compare: Restrooms How many people living with physical (or other) disabilities cannot access restrooms? NTDS, 2011 (n=6450) pie chart showing the percentage of trans people reporting they were denied access to a restroom Compare: Inappropriate Questions How many people living with disabilities have been asked inappropriate or invasive questions? NTDS, 2011 (n=6450) pie chart showing number of times asked inappropriate questions Compare: “Visibility” When someone is "visibly" trans, their rate of violence is 2-8x higher For people living with disabilities that are visible to others, how much higher are rates of violence and vulnerability? Question! What do you think? What else do you think is similar between people who are trans and people who are disabled? ESPAVO Project Picture of individual in white tank top, and hat, with several tattoos on arms and chest. Data Data Sources Some data is supported by multiple sources National Center for Transgender Equality (NCTE) --Injustice at Every Turn –2011 Centers for Disease Control (CDC) – Adverse Childhood Experiences (ACE) Study –2011 FORGE –2004, 2007, 2011 surveys CDC, 2011 (n=17,337) Quote from NTDS “Transgender and gender non‐conforming people face injustice at every turn: in childhood homes, in school systems that promise to shelter and educate, in harsh and exclusionary workplaces, at the grocery store, the hotel front desk, in doctors’ offices and emergency rooms, before judges and at the hands of landlords, police officers, health care workers and other service providers.” ~NTDS Trans Rates of Violence Sexual Violence pie chart showing rate of sexual violence 50-66% Was gender a contributing factor? Pie chart showing that 43% believed that gender was a contributing factor in their abuse/assault. FORGE, 2004 (n=265) Domestic Violence pie chart showing rate of domestic violence Polyvictimization chart showing polyvictimization Rates of Violence by Gender Vector chart showing rates of violence by gender vector Trans and Disability % trans and disabled? pie chart showing percentage of trans and disabled General population: ~20% Multiple disabilities pie chart showing multiple disabiltiies Type of Disability Graph showing the types of disabilities MH Care Against Will 9 percent Long-Term Physical and Mental Health Implications Lack of health care 19 –64% do not have insurance NTDS, 2011 (n=6450); & Health People 2020 Picture of an African American individual. Words on the picture state "I lost my health insurance after I was fired for being trans. #ENDA #getcovered. Visit Out2Enroll.org" Abuse in medical settings graph showing types of abuse in medical settings ACE Study (www.cdc.gov/ace) pyramid showing the ACE Study results Childhood trauma = Health Risks Alcohol and drug abuse Smoking Depression Suicide attempts Heart disease COPD Liver disease Health-related quality of life Risk for intimate partner violence Multiple sexual partners Sexually transmitted diseases (STDs) Early initiation of sexual activity Early or unintended pregnancies Fetal death Long Term Implications of Violence Graph showing implications of violence HIV Rates Graph showing HIV rates Suicide Attempts Graph showing the suicide attempts Survivor Story 2 http://forge-forward.org/event/disability-trans-survivors/ Image of Joe Dhara Image of michael munson Joe Photo by Rick Motzkus michael Joe’s take home messages 1.Focus on Strengths to help them find their empowerment 2.Help clients release shame 3.Help clients connectin the world (move away from victim model) Circular image of Joe Dhara Image Woman looking at poetry books Reminders and Resources Master Status picture of the word label of primary potency with a circle around it and a line going through it pictures of forearms, one says "and" ; the other says "both" Yes to… Terms Paradox boxes that say terms are crucial and terms are meaningless Name and pronouns Ask Listen Use Picture of a button that states "Ask me about my pronouns" Bathrooms Picture of individual giving the thumbs up sign while standing next to a sign that reads "All-gender restroom". Curiosity (vs. client- centered) Curious mind = good Curious mouth = not so good Ask appropriate and relevant questions only Picture of 2 youth peering around a wall Staying focused Listen Believe Be present Excuses Explanations Making it more complicated Yes No T/LGBT materials Picture of the cover of FORGE's brochure on healing from abuse and assault. Cover states "Its never too late, to heal from abuse or assault" Picture of a bookmark advertising FORGE's ESPAVO Project Know the resources available Picture of the cover of two of FORGE's resources "Therapist Guide" and "Self Help Guide" Keep learning Screen shot of FORGE's resource page on their website for webinars and other trainings. Strength, Shame, Connection 1.Focus on Strengths & Empowerment 2.Help clients release Shame 3.Help clients connectin the world –and make meaning in their life Image of 3 women Picture of three individuals standing together. Quote at the top of the picture states "Together we help each other heal" Carmen, Cori, and Jenn. Thank you! and Questions Michael Munson mmunson@forge- forward.org End slide Picture of a person with a beard and glasses, wearing a pink hat and pink shirt.