A long-overdue Bent Alaska update — October 2013

Transgender People and Access to Care: Demystifying Gender Identity in the classroom, in the clinic and in the community

As the visibility and activism of transgender and gender-variant people has grown, providers are seeking ways to increase their understanding of the diversity of transgender experiences. This workshop will provide basic information and present strategies, standards of care, best practices, and resources for incorporating appropriate and effective support to your transgender clients. Our presenter is a member of the transgender community as well as a seasoned trainer who has presented on transgender awareness and health topics nationally for the past 12 years.

Learning Objectives

At the end of our workshop, participants will:

• Understand basic terminology, language and concepts of gender variant experiences including gender transition process and the role of mental health and social service providers.
• Distinguish between biological sex, gender identity and sexual orientation and ways in which care for transgender populations specifically differs from care for gay, lesbian, and bisexual communities.
• Identify current standards of care and approaches to supporting transgender clients and members of the client’s support system.
• Be able to incorporate a basic knowledge of gender identity into their current professional work, including resources for supervision and educational materials.

The Trainer

Samuel Lurie is the director of Transgender Training and Advocacy (www.tgtrain.org) and is recognized nationally as an expert on transgender issues and access to health care and prevention services. He has been active in community health for over 20 years, focusing on HIV/AIDS activism, harm reduction and empowerment in marginalized communities. Samuel has an interactive, engaging and thought-provoking training style, and has presented on transgender issues to over 26,000 providers in 28 states. He lives in Vermont, where he recently opened a private practice in mind-body health.

• Nearly 1 in 5 (19 percent) reported being refused care outright because they were transgender or gender non-conforming.
• Survey participants reported very high levels of postponing medical care when sick or injured due to discrimination and disrespect (28 percent).
• Harassment: 28 percent of respondents were subjected to harassment in medical settings.
• Significant lack of provider knowledge: 50 percent of the sample reported having to teach their medical providers about transgender care.
• Despite barriers, the majority has accessed some form of transition-related medical care, but only a minority has had any surgery, despite the fact that a strong majority stated wanting to have it someday.
• Respondents reported more than four times the national average of HIV infection, 2.64 percent in our sample compared to 0.6 percent in the general population, with rates for transgender women at 3.76 percent, and with those who are unemployed (4.67 percent) or who have engaged in sex work (15.32 percent) even higher.
• Over a quarter of the respondents reported misusing drugs or alcohol specifically to cope with the discrimination they faced due to their gender identity or expression.
• A staggering 41 percent of respondents reported attempting suicide compared to 1.6 percent of the general population.

The events of recent weeks beg the question: What is it in our culture that says that gay lives are worthless? Gay teens commit suicide because others tell them their lives are not worth living. And homophobes go so far as to verbally and physically attack gay people, believing their actions are perfectly justified.

As chairs of Identity Inc., the organization that runs the Gay and Lesbian Community Center in Anchorage, we take the view that political inequality is a key piece of the problem. The lack of legal protections for the gay community both in Alaska and across the country legitimizes anti-gay bias and harassment.

The kind of virulent homophobia that leads to hate crimes and teen suicides is not limited to the Outside — just recall the sea of red shirts at the Loussac Library when the Anchorage Assembly considered Ordinance 64. That Mayor Sullivan vetoed the ordinance means that right now in Anchorage, we can be fired from our jobs, kicked out of our apartments, or refused service in a restaurant based on our sexuality and have no legal protections.

By letting discrimination slide, the city of Anchorage is saying that gay and transgender Alaskans are less valuable members of the community.

This National Coming Out Day, we say that it is time for things to change — time for Anchorage to stand for fairness and equality.

I do not write this to capitalize on a disturbing national trend. I write this to break my own silence on an issue rooted deep in my own heart. When my own identity issues brought me to seriously consider suicide as a teen, a place very much like Out North kept me alive: They told me I was okay, and gave me an outlet for my otherwise destructive energy. I owe it to the child I was then to speak to children and adults now. I am grateful that I am alive to do so, and grateful that I have something to offer. I offer it sincerely.

Out North’s motto is Art for Everyone, No Exceptions. Whatever your identity, but especially if you are an LGBTQ teen who doesn’t know why to stick around for tomorrow, you are welcome here. We encourage you to explore your own mind, to work and laugh with people who are different from you, to learn how there is strength in diversity. We are holding a place for you in our community, and we are excited for you to fill it, whoever you are. We invite you to drop in from 2:30 p.m. to 6 p.m., every day after school. We have a drug-free space to do your homework, create your own art, volunteer your time, and share your experiences with new friends. We want to know you.

But seriously, if you feel isolated, we beg you to let your first act—before your final act—be to come see us, tell us your story, and let us tell you that you are valued.

• It’s 2010 and you can still be fired from your job in 29 states (including Alaska) for being lesbian, gay or bisexual and in 38 states (including Alaska) for being transgender. Pass the Employment Non-Discrimination Act (ENDA) now!
• It’s 2010 and almost 90% of LGBT youth experience harassment in school, and too many lives have been lost. Include gender identity and sexual orientation in anti-bullying programs!
• It’s 2010 and only five states plus DC recognize that love, not gender, is what matters in a marriage. Repeal the Defense of Marriage Act now!
• It’s 2010 and more than 14,000 servicemembers have been discharged from the military under the failed “Don’t Ask, Don’t Tell” law. Repeal DADT now!
• It’s 2010 and the government’s failure to recognize LGBT families for immigration purposes tears bi-national couples and families apart. Pass the Uniting American Families Act now!

Our DC staffer is on the Hill right now, and according to Senator Murkowski’s staff, the Senator is more than willing to listen to the calls. Her official phone number is (202) 224-6665, though the Senate can be reached via (202) 224-3121. LGBT Alaskans should call her and ask for her to vote for the repeal and to start and end debate over this.