Morris Home Clinical Team Kade Collins MSW Laura Sorensen MSW Andrew Spiers MSS Todays Agenda Introductions Gender and Sexuality Review Microaggressions amp Social Climate Rites of Passage ID: 676734
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Trauma Informed Care for the LGBTQ Community
Morris Home Clinical Team
Kade Collins, MSWLaura Sorensen, MSWAndrew Spiers, MSSSlide2
Today’s Agenda
Introductions
Gender and Sexuality Review
Microaggressions
& Social Climate
Rites of Passage
Community Snapshot
Minority Stress Model
Trauma Informed Best Practices
Morris Home OverviewSlide3
Check In
Name
PronounsWhat program are you from and what do you do there?
Who are we? Who are You?Slide4
Lesbian
Gay
BisexualQueer
Coming Out
Same Gender Loving
MSM
So many others!
What not to say!
Some Sexuality Definitions Slide5
Sex assigned at birth
MaleFemaleIntersex
Gender IdentityGender Expression
Gender: Let’s unpack itSlide6Slide7Slide8
Sex at birth
Gender Identity
Gender Expression
Emotionally Attracted
Physically Attracted
Male Intersex Female
Man
GenderQueer
Woman
Masculine Androgynous Feminine
Attracted to men Attracted to many or all genders Attracted to Women
Attracted to men Attracted to many or all genders Attracted to WomenSlide9
Transitioning
Social
Coming out to family, friends, coworkers
Gender expression may change to be congruent with gender identity
Using new pronouns
Legal Name Change
Gender Marker Change on Legal Documents
Medical
Hormone Therapy
Gender Confirmation Surgery
Laser Hair Removal
Voice Training
Mastectomy/AugmentationSlide10
Rites of Passage Activity
What are rights of passage that everyone (or must everyone) goes through during the following stages of life:
How might each answer be different if a person identifies as LGBT?
Childhood Adolescence
AdulthoodSlide11
MicroAggressionsSlide12
Why do we do these trainings
Because we want to reduce
TransphobiaHomophobia
Cissexism
Heterosexism
Internalized Oppression
Because they add up!Slide13
Many LGBTQ students in Pennsylvania reported discriminatory policies or practices at their
school. Most
(58%) experienced
at least one form of discrimination at school during the past year.
Over 1 in 4 LGBTQ students in Pennsylvania were
disciplined for
public affection that does not result in similar action when it
occurs
between non-LGBTQ students (28
%)
Most LGBTQ students in Pennsylvania had been victimized at
school. 53% never reported to school staff. Only 24% of students who reported said it resulted in effective staff intervention.Slide14
Family Rejection
Homelessness
School to Prison PipelineIncreased substance use
High risk behaviors
Suicidality
LGBT YouthSlide15
National Transgender Discrimination Survey
Income
Transgender people are four times more likely to have a household income of less than $10,000/ year compared to the general population.School
Those who expressed a transgender identity while in grades K-12 reported alarming rates of harassment (78%), physical assault (35%) and sexual violence (12%); harassment was so severe that it led almost one-sixth (15%) to leave school or college.
Employment
Survey respondents experienced unemployment at twice the rate of the general population at the time of the survey, with rates for Black transgender people being four times the national rate, and other trans people of color at elevated rates
.
NCTE, NGLTF, 2011Slide16
Work
Ninety percent (90%) of those surveyed reported experiencing harassment, mistreatment or discrimination on the job or took actions like hiding who they are to avoid it
.Over one-quarter (26%) reported that they had lost a job due to being transgender or gender non-conforming and 50% were harassed.
Sixteen percent (16%) said they had to work in the underground economy for income such as doing sex work or selling drugs
.
Housing and Homelessness
One-fifth (19%) reported experiencing homelessness at some point in their lives because they were transgender
The
majority of those trying to access a homeless shelter were harassed by shelter staff or residents (55%), 29% were turned away altogether, and 22% were sexually assaulted by residents or staff
.
Suicide
A staggering 41% of respondents reported attempting suicide, compared to 1.6% of the general population.Slide17Slide18
Trauma informed Best Practices
Areas
Family RejectionViolence
Incarceration
Healthcare
Barriers to accessing care
Best Practices
Creating affirming environments
Utilizing LGBT-sensitive clinical interventions
Competency
AdvocacySlide19
Affirming Physical Environments
Environmental assessments
Removing unnecessary sex segregated spacesSignage
Materials displayed
Capacity for individuals to personalize their spaces
Cleanliness and Organization
Creating Choice
PrivacySlide20
Utilizing LGBT Sensitive clinical practices
Inclusive curriculums and materials
Acknowledging power dynamics between client and provider related to gender and sexualityRecognizing past traumatic experiences with service providers – and that fear of discrimination and harassment may have been a barrier to accessing services
Client identity may not be central reason for seeking services
Identifying and incorporating “chosen family” into treatment whenever possible
Recognizing that physical manifestations of trauma are compounded by complicated relationships to bodiesSlide21
Competency
Staff training at all levels
Facilitating discussions with all participantsConfidentiality
Building comfort with fluidity and ambiguity
Self-identification
Reflecting Client Language
Comprehensive understanding of non-binary identities
Self-education
Understanding IntersectionalitySlide22
Advocacy
Trainings by LGBTQ providers for staff at all levels
Addressing homophobia and transphobia in the workplaceAwareness of current policies affecting LGBTQ communities
Building a competent, affirming referral network
Non-discrimination policies
Hiring practices – making sure staff reflect the population being served
Ensuring that your funders have an understanding of LGBTQ intersectionality and the impact of trauma on clientsSlide23
History
Resilience
Leadership and OrganizingCommunity
Chosen Families
Creating our own spaces
Pride
LGBTQ CultureSlide24
Morris Home
Our Philosophy
Trans Affirming
Staffing
Training
Advocacy
Harm
Reduction
Lapse/Relapse
Sex work
Trauma informed
Environmental
Groups
TrainingSlide25
Group psychotherapy
Individual therapy
Family SessionsIndividualized Treatment Planning
Life Skills Education
Case Management
Social/Recreation
Psychiatric Care
Access to medical care
Mutual Aid opportunities (12 step)
Job readiness
Legal Support
On-site HIV Testing
What we offer