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Pre-Conference and C PAT HConference C O N F E R E N C E 2 0 1Program 9 - A D V A N C I N G T R A N S Programme H E A LT H A N D W E L Lpré-conférence -BEING IN CANADA et conférence conference Join us in Montreal! CPATH 2019 conférence Tiohtià:ke Joignez-vous www.cpath.ca à nous à Montréal! October 30 - November 3, 2019 30 octobre - 3 novembre 2019 1
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A CPATH 2019 Conférence The Canadian Professional Association for Transgender Health Gratefully Acknowledges Our Generous Sponsors C’est avec une grande reconnaissance que l’Association Canadienne des professionnels en santé des personnes transsexuelles remercie nos généreux commanditaires. CPATH Welcome Reception Sponsor www.td.com/ca/fr/a-propos-de-la-td/la-promesse-a-agir/ CPATH Friday Plenary Sponsors www.camh.ca www.grsmontreal.com CPATH Saturday Plenary Sponsor CPATH Sunday Plenary Sponsor ! www.mcmaster.ca www.womenscollegehospital.ca CPATH Break Sponsor www.sunlife.ca/barry.zapshalla/e/index.htm 2
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Message de la mairesse Valérie Plante Je souhaite la plus cordiale bienvenue à Montréal à toutes les participantes et à tous les participants de la Conférence de l’Association canadienne des professionnels en santé des personnes transsexuelles (CPATH). Cette conférence offre à Montréal l’occasion de réaffirmer son statut de ville de savoir, grâce aux étudiants, chercheurs et professionnels de la santé, ainsi qu’aux membres des communautés trans, qui ont un intérêt à soutenir la santé des personnes de la diversité sexuelle ou de genre et qui viennent faire part de leurs expertises, de leurs meilleures pratiques et des développements de pointe. Je vous souhaite une alliance fructueuse entre scientifiques et praticiens, au profit de l’avancement de la recherche et de la santé. À titre de collectivité, nous devons soutenir et reconnaître l’expertise et les innovations qui émergent de ce secteur. La diversité montréalaise et le bien-être des citoyennes et citoyens sont primordiales pour le développement et le rayonnement de la métropole. Montréal est une ville plus ouverte et inclusive grâce aux gens d’horizons multiples qui la composent. Cette conférence nous rappelle l’importance de célébrer la diversité et les organismes qui, par leurs actions, contribuent à l’épanouissement des personnes LGBTQ+. Je tiens à saluer les membres et professionnels de la CPATH pour l’organisation de cet événement et pour leurs contributions à améliorer la santé de nos concitoyennes et concitoyens. Je souhaite également la bienvenue à toutes celles et à tous ceux qui visitent notre belle métropole pour la première fois. Je vous souhaite une conférence fructueuse et un beau séjour à Montréal. Valérie Plant MAITRESSE DE MONTRÉAL 3
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Message from Mayor Valérie Plante I would like to extend a warm welcome to everyone participating in the Canadian Professional Association for Transgender Health (CPATH) Conference in Montréal. This conference provides Montréal with an opportunity to reaffirm its status as a city of knowledge, thanks to students, researchers and health professionals, as well as members of trans communities, who have an interest in supporting the health of people of sexual or gender diversity and who come to share their expertise, best practices and cutting-edge developments. I wish you a fruitful alliance between scientists and practitioners, for the advancement of research and health. As a community, we must support and recognize the expertise and innovations that emerge from this sector. Montréal’s diversity and the well-being of its citizens are essential to the city’s development and influence. Montréal is a more open and inclusive city thanks to its diverse population. This conference reminds us of the importance of celebrating diversity and the organizations that, through their actions, contribute to the development of LGBTQ+ people. I would like to salute the members and professionals of the CPATH for organizing this event and for their contributions to improving the health of our fellow citizens. I also welcome all those who are visiting our beautiful city for the first time. I wish you a successful conference and a pleasant stay in Montréal. Valérie Plant MAYOR OF MONTREAL 4
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Message from the Chair I am honoured to welcome you all to this celebration of community and knowledge. The CPATH family has grown since its beginnings in 2007 and its vision and direction has taken many turns since then. This is ever so vividly on display during next these few days of pre-conference training and conference. Much has happened, within the body of CPATH and nationally, since our last conference. On the national level, we have seen developments in the provision of health care to trans and gender diverse persons in British Columbia as well as in Ontario. Manitoba has recently seen healthcare professionals go to train in surgical procedures abroad. These developments allow trans and gender diverse persons to access care that was previously less available. While we have cause to be heartened, there is much work yet to do. CPATH continues to strive to see equality of access for every trans person in Canada. In terms of CPATH, in order to continue to strive for the above, we have to continue to look within ourselves as an organization to address what limits the work we do and can do. We must strive to have a body that fully represents all trans persons in Canada. Trans and gender diverse persons must be able to see themselves within us. As such we will learn from the experience of this conference - the academic offerings, the networking, the feeling of community, the failings, and the messages each of these give, to make CPATH more engaged, inclusive and representative. Please celebrate this conference with us. And from this, let us look forward to the next phase together. Dr. Michael Marshall, PRESIDENT-ELECT CO-CHAIR MONTREAL 5
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Message du président Je suis honoré de vous accueillir toustes à cette célébration de la communauté et du savoir. La famille CPATH s’est agrandie depuis ses débuts en 2007 et sa vision et son orientation ont pris plusieurs formes depuis lors. C’est ce que l’on pourra constater au cours de ces quelques jours de formations préconférence et de conférence. Il s’est passé beaucoup de choses au sein de la CPATH et à l’échelle nationale, depuis notre dernière conférence. À l’échelle nationale, nous avons constaté des progrès dans la prestation de soins de santé aux personnes transgenres et de genre divers en Colombie-Britannique ainsi qu’en Ontario. Le Manitoba a récemment vu des professionnels de la santé suivre une formation en chirurgie à l’étranger. Ces développements permettent aux personnes transgenres et de genre divers d’avoir accès à des soins qui étaient auparavant moins disponibles. Bien que nous ayons des raisons d’être réconfortés, il reste encore beaucoup de travail à faire. CPATH continue de travailler à assurer l’égalité d’accès pour toutes les personnes transgenres au Canada. En ce qui concerne CPATH, afin d’atteindre ce que je viens de nommer, nous devons toujours porter un regard vers l’intérieur en tant qu’organisation dans le but de comprendre ce qui limite le travail que nous faisons et que nous pouvons faire. Nous devons tendre vers un organisme qui représente pleinement toutes les personnes transgenres du Canada. Les personnes transgenres et de genre divers doivent être capables de se voir en nous. À ce titre, nous tirerons des leçons de l’expérience de cette conférence - les présentations académiques, le réseautage, le sentiment d’appartenance à la communauté, les lacunes, et les messages à extraire de chacune de ces dimensions afin de rendre CPATH plus engagée, inclusive et représentative. Veuillez célébrer cette conférence avec nous. Et à partir de ce moment, fixons ensemble notre regard vers la prochaine étape. Dr Michael Marshall PRÉSIDENT DÉSIGNÉ COPRÉSIDENT DU COMITÉ CONFÉRENCE MONTRÉAL 6
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Fostering a Rich Learning Environment CPATH conferences are known for providing a rich learning environment on several fronts. CPATH is known for curating content at the leading edges of the field, and our conferences bring together professionals – both cisgender and transgender – from a broad range of sectors and disciplines, alongside trans and Two-Spirit1 community members who are working for positive change. Perhaps most importantly, participants are welcoming and inclusive, supportive, and recognize that we each have areas where we can learn and grow, and we each bring something of value, whether as newcomers to gender affirming healthcare, or people who have a decade or more of experience. Many trans and Two-Spirit people are understandably frustrated and angry about the lack or rate of change they see in systems that can act as oppressive forces on their own and others’ lives. Partners and family members of trans and Two-Spirit people may have witnessed their loved ones struggling with challenges in accessing support and services, and may have experienced similar frustration. Many cisgender people work tirelessly with their trans and Two-Spirit colleagues and with their local trans advocacy and frontline groups to improve health outcomes and to challenge and catalyze change in systems which aren’t currently serving trans and Two-Spirit people well. Some providers may be the only person in their community who is working with trans or Two-Spirit people. And some conference participants – both trans and cisgender, Indigenous and of settler heritage – are brand new to learning about gender affirming healthcare. As part of contributing to the shared learning environment at the conference, we invite you to consider – and perhaps ask one another – “How do you most hope to learn and grow through participating in this conference? How will you orient yourself to engage with new information? How will you be open to content that may challenge deeply held convictions and ways of functioning?” Gender-related Etiquette As the conference brings together a breadth of cisgender, trans, and Two-Spirit participants, please do not assume anyone’s gender identity. Please ask about pronouns, especially when speaking of someone in the 3rd person. If in doubt, avoid pronouns or use gender neutral pronouns such as “they”. Please be aware that washrooms are for everyone and that conference participants are invited to use the washroom that is most comfortable for them. Conference washrooms will be gender neutral. A term used within some indigenous communities, encompassing sexual, gender, cultural, and spiritual identity. Reflects 1. complex indigenous understandings of gender roles and the long history of sexual and gender diversity in indigenous cultures. For more information, see http://transhealth.phsa.ca/trans-101/two-spirit 7
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Favoriser un environnement d’apprentissage enrichissant Les conférences du CPATH sont connues pour offrir un cadre d’apprentissage enrichissant à plusieurs niveaux. Le CPATH est connu pour être à la fine pointe dans son champ d’expertise, et nos conférences apportent aussi bien aux professionnels – cisgenres et transgenres – qui couvrent un large éventail de secteurs et de disciplines, qu’aux membres des communautés trans et bi spirituelles. Mais peut-être le plus important, les participants sont accueillants et inclusifs, solidaires, et savent que chacun de nous peut partager une expérience à partir de laquelle nous pouvons tous apprendre et évoluer, peu importe que nous soyons des nouveaux venus dans la volonté d’améliorer la santé des personnes trans, ou que nous ayons des années d’engagement et d’expérience en la matière. Beaucoup de personnes trans et bi spirituelles sont, avec raison, frustrées et parfois en colère face à la lenteur et/ou au peu de changements. Elles perçoivent cette situation comme des forces oppressives jouant contre elles-mêmes et contre leurs proches. Les partenaires et les familles des personnes trans et bi spirituelles les soutiennent devant les défis auxquels elles doivent se confronter pour avoir accès à du soutien et à des services. Beaucoup de personnes cisgenres travaillent inlassablement avec leurs collègues trans et bi spirituels et avec les organismes trans pour améliorer les résultats, et pour relever les défis rencontrés dans le système qui actuellement ne sert pas adéquatement les personnes trans et bi spirituelles. Quelques fournisseurs de service sont parfois les seules personnes de leur communauté à travailler avec les personnes trans et bi spirituelles. Et plusieurs participants à la conférence, personnes trans et cisgenres, autochtones et non autochtones, en seront à leur première conférence pour en connaître plus. Comme contribution à ce partage d’un environnement d’apprentissage durant la conférence, nous vous invitons à considérer – et peut-être à ce que chacun se demande – « Qu’est-ce que vous attendez le plus comme apprentissage en participant à cette conférence ? Comment vous engagerez-vous vous-même suite à ces nouvelles connaissances ? Comment envisagez-vous ce défi de remettre en questions des comportements et des convictions profondément ancrées ? » Respecter le genre choisi Comme la conférence rassemblera un large éventail de personnes cisgenres, trans et bi spirituelles, s’il vous plaît ne présumez pas de l’identité de genre de chacun. Demandez quel pronom vous devez utiliser, spécialement si vous parlez de quelqu’un à la 3e personne. Veuillez aussi noter que les toilettes seront indifférenciées et les participants à la conférence seront invités à utiliser les toilettes dans lesquelles ils se sentiront le plus à l’aise. Les toilettes de la conférence seront neutres quant au genre. 1 Terminologie utilisée au sein de certaines communautés autochtones qui recouvre l’identité sexuelle, de genre, culturelle, et spirituelle. Il reflète la perception complexe des rôles sexuels et la longue histoire de la diversité sexuelle et de genre dans les cultures autochtones. Pour plus d’information, consultez le site suivant : http://transhealth.phsa.ca/trans-101/two-spirit 8
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A What is a Safer Space? It is becoming more common for Safer Spaces to be provided at large gatherings focusing on marginalized populations. Many CPATH conference participants may be familiar with the concept of “positive space” which helps to identify spaces and individuals that are welcoming of lesbian, gay, bisexual, transgender, Two-Spirit, and queer people. A Safer Space takes an intersectional approach, recognizing that people may seek spaces that are welcoming not only in relation to sexual orientation and gender identity, but also in relation to many other aspects of peoples’ identities or lived experiences, such as race, ability, class, etc. At the CPATH conference, we recognize that no space is entirely safe; our aim is to continuously work with people to meet their needs in a “Safer Space”. At the conference, the Safer Space is a place where anyone can relax, can talk about their experiences, and will be welcomed and affirmed whether they are or aren’t a member of trans communities, whether they are Indigenous or are of settler heritage of any race/ethnicity, regardless of sexual orientation, cultural background, religious or spiritual affiliation, age, physical or mental abilities, or their professional or personal roles and affiliations in relation to the health SAFER SPACE - FRENCH and well-being of trans people and communities.1 The Safer Space: Salon 6 The Safer Space will be available during daytime conference events. Participants who visit the safer space will notice: • An evolving set of guidelines addressing respect, diversity, and anti-oppression • That the space is located away from the main conference events/activities • The availability of decompression activities, sensory enhancement activities and supplies, educational and identity affirming resources. • That there is an easily identifiable and approachable active listener in the room. These individuals have skills in active listening, verbal and non-verbal communication, confidentiality and problem solving.2, 3 • Opportunities to provide anonymous feedback/expression/reactions in the Safer Space. 1. Opportunities to provide anonymous feedback/expression/reactions in the safer space. Adapted from Advocates for Youth. (2005). 2. Creating Safe Space for GLBTQ Youth: A Toolkit. Washington, DC: Advocates for Youth. http://www.advocatesforyouth.org/publications/publications-a-z/608-creating-safe-space-for-glbtq-youth-a-toolkit The Mental Health Foundation. (2002). Peer Support Manual. London, UK: The Mental Health Foundation. 3. http://www.mentalhealth.org.uk/content/assets/PDF/publications/peer-support-combined. Silverman, R. (2008). Peer Listening. http://www.riseaboveit.org/peer-listening.html 9
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Qu’est-ce qu’un espace sécuritaire ? Il est habituel maintenant d’offrir en général des espaces sécuritaires lors de rassemblements qui pourraient susciter de fortes émotions chez les participants. Beaucoup de participants a la conférence du CPATH sont peut-être familiers avec le concept « d’espace positif » qui aide à identifier des espaces collectifs et individuels dans lesquels les lesbiennes, les gais, les bisexuels, les bi spirituels, et les queers sont les bienvenus. Un espace sécuritaire est une approche intersectionnelle, qui reconnaît que des personnes souhaitent des espaces où elles sont les bienvenues en raison de leur orientation sexuelle ou de leur identité de genre, mais aussi avec des personnes partageant leurs origines, ou leur classe sociale, ou encore leur capacité physique ou mentale, etc. Pendant la conférence du CPATH, nous sommes conscients qu’aucun espace n’est entièrement sécuritaire. Notre objectif est donc de continuellement travailler pour rejoindre les attentes des personnes en matière « d’espace sécuritaire ». Un espace sécuritaire est un endroit où chacun peut relaxer, parler de ses expériences, et se sentir le bienvenu tout en s’affirmant, indépendamment qu’il soit ou non membre des communautés trans, qu’il soit ou non autochtone, qu’il soit ou non d’une minorité racisée ou ethnique, et indépendamment aussi de son orientation sexuelle, de son milieu culturel, religieux, spirituel, de son âge, de ses capacités physiques ou mentales, ou de ses affiliations personnelles ou professionnelles en relation avec la santé et le bien-être des personnes et des communautés trans1. L’Espace sécuritaire : Salon 6 L’espace sécuritaire sera ouvert toute la journée durant tous les événements de la conférence. Les participants qui visiteront l’espace sécuritaire remarqueront : • un ensemble de lignes directrices concernant le respect, la diversité, et l’anti-oppression ; • que l’espace est situé loin des activités et des événements de la conférence ; • la mise à disposition d’activités de décompression, d’activités d’amélioration des capacités sensorielles, et des ressources d’éducation et d’affirmation de son identité. • Qu’il y a quelqu’un identifiable et accessible offrant de l’écoute active dans la salle. Ces personnes possèdent des compétences dans la communication verbale et non verbale, la confidentialité et la résolution de problèmes.2, 3 • La possibilité de recevoir de l’aide et du soutien en toute confidentialité. 1. Adapté de : Girl’s Best Friend Foundation and Advocates for Youth. Creating Safe Space for GLBTQ Youth: A Toolkit. Washington, DC: Advocates for Youth, 2005. http://www.advocatesforyouth.org/publications/publications-a- z/608-creating-safe-space-for-glbtq-youth-a-toolkit. 2. The Mental Health Foundation. Peer Support Manual. London, UK: The Mental Health Foundation, 2002. https://www.mentalhealth.org.uk/file/1286/download?token=dhRMpN1b. 3. Silverman, R. et H. Reynolds. Peer Listening. https://web.archive.org/web/20120315140749/http://riseaboveit.org/ peer-listening.html. 10
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Acknowledgements CPATH is committed to providing conference content in English and French. Unfortunately, although we are committed to providing simultaneous interpretation for the entire conference, implementing full English/French/English language access is a complex and expensive process, and requires financial resources currently beyond CPATH’s reach. The CPATH 2019 Conference will be providing simultaneous interpretation in all sessions held in room 7F Ballroom Centre. The Montreal 2019 CPATH Conference, Advancing Trans Health and Well-Being in Canada, acknowledges and thanks the Conference Planning Committee and additional volunteers for their extraordinary time and contributions to the task of organizing this year’s conference: CPATH Board Members Lee Allard (AB) - Member at Large Michael Marshall MD (AB) - President Elect Daphné Cloutier MD (QC) - Member at Large Michael Marshall MD (AB) - Treasurer (Oct. 2017-Nov. 2019) Ray Croy - Member at Large Amelia Thorpe - Secretary/Communications (Oct. 2017-Jan. 2019) Janine Farrell (BC) - Member at Large Jack Woodman - President ND, MHSc, CHE (ON) (Oct. 2017-Oct. 2019) Percy Lezard - Member at Large Conference Planning Committee: Alexandre Baril Richard Montoro (Past) Julie Temple Newhook (Past) Lorraine Grieves Annie Pullen-Sansfacon Amelia Thorpe (Past) Jennifer Ho Marjorie Rabiau Jack Woodman - Co-Chair (Past) Gin Marshall Stephanie Shostak - Co-Chair (Current) Michael Marshall - Co-Chair (Current) Francoise Susset Safer Space Steward: Nicholas McGrath Submission Review Process: Alexandre Baril Devon MacFarlane Marjorie Rabiau Chris Chapman Kimberley Manning Sam Singer Ray Croy Gin Marshall Francoise Susset Lorraine Grieves Annie Pullen Sansfacon Marria Townsend Percy Lezard Jake Pyne Jack Woodman Translation: Siobhan Morgulis Translation Services, Dalys Dallaire Translation 2019 CPATH Conference Coordinator: Gin Marshall, Conference Planner 11
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Remerciements CPATH est engagé à fournir un contenu de la conférence en anglais et en français. Malheureusement, bien que nous souhaiterions assurer l’interprétation simultanée pour l’ensemble de la conférence, la mise en oeuvre d’une interprétation anglais / français / anglais représente un processus complexe et coûteux, et nécessite des ressources financières actuellement au-delà de la portée de la CPATH. La conférence CPATH 2019 offrira des services d’interprétation simultanée pour toutes les séances tenues dans la salle 7F Ballroom Centre. La Conférence 2019 de la CPATH, Promouvoir la santé et bien-être des personnes transgenres au Canada, reconnaît et remercie le Comité de planification et autres bénévoles pour leurs contributions extraordinaire à la mise sur pied de la conférence de cette année : Membres du conseil d’administration de CPATH : Lee Allard (AB) - Member at Large Michael Marshall MD (AB) - President Elect Daphné Cloutier MD (QC) - Member at Large Michael Marshall MD (AB) - Treasurer (Oct. 2017-Nov. 2019) Ray Croy - Member at Large Amelia Thorpe - Secretary/Communications (Oct. 2017-Jan. 2019) Janine Farrell (BC) - Member at Large Jack Woodman - President ND, MHSc, CHE (ON) (Oct. 2017-Oct. 2019) Percy Lezard - Member at Large le Comité de planification : Alexandre Baril Richard Montoro (Past) Julie Temple Newhook (Past) Lorraine Grieves Annie Pullen-Sansfacon Amelia Thorpe (Past) Jennifer Ho Marjorie Rabiau Jack Woodman - Co-Chair (Past) Gin Marshall Stephanie Shostak - Co-Chair (Current) Michael Marshall - Co-Chair (Current) Francoise Susset Coordination de l’espace sécuritaire : Nicholas McGrath Comité d’évaluation des soumissions : Alexandre Baril Devon MacFarlane Marjorie Rabiau Chris Chapman Kimberley Manning Sam Singer Ray Croy Gin Marshall Francoise Susset Lorraine Grieves Annie Pullen Sansfacon Marria Townsend Percy Lezard Jake Pyne Jack Woodman Traduction : Siobhan Morgulis Services de Traduction, Dalys Dallaire Services de Traduction Coordination de la conférence 2017 de la CPATH : Gin Marshall, Plannificateurs de conférences 12
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A CPATH Pre-Conference Program Wednesday, October 30 and Thursday October 31, 2019 • Repères de développement en matière d’identité de genre et Wednesday, October 30, 2019 d’expression de genre; • Problèmes sociaux rencontrés par les enfants et les jeunes trans et leur famille; • Aborder les identités diverses, trans et de genre, dans une 7:45 am – 8:45 am Breakfast perspective multidisciplinaire et multisectorielle; 9:00 am – 10:00 am Session • travailler avec les parents et les familles, • travailler avec les écoles; 10:00 am – 10:30 am Break • évaluer les besoins en matière de suppression de la puberté, 10:30 am – 12:30 pm Session de traitement hormonal et de chirurgies; 12:30 pm – 1:30 pm Lunch Buffet • Rôle et responsabilités des professionnels travaillant avec des enfants et des jeunes trans et des groupes variés, ainsi que 1:30 pm – 3:00 pm Session leurs familles; 3:00 pm – 3:30 pm Refreshment Break 3:30 – 5:00 pm Session Bios des conférenciers : Dr. Annie Pullen Sansfaçon Ph.D éthique, travail social, est professeure titulaire à l’École de travail social de l’Université de SÉANCES DE FORMATION PRÉ-CONFÉRENCE Montréal et titulaire de la Chaire de recherche du Canada sur les enfants transgenres et leurs familles. Depuis 2010, elle a Enfants et jeunes 1, français (Session 1 – FR): consacré une grande partie de son temps de recherche à divers projets visant à mieux comprendre l’expérience des jeunes trans 1. Intervention auprès des enfants et des et de leurs familles. Elle est coauteure du livre “Supporting Trans jeunes trans et de la diversité des genres, and Gender Creative Youth: Schools, Families, and Communities et de leur famille in Action” (Peter Lang, 2014 et édition révisée en 2018) et est l’une des cofondatices de l’organisme Enfants transgenres Objectifs: Canada, un organisme communautaire basé à Montréal travaillant 1- Les participants développeront une compréhension des avec les enfants et les jeunes trans et leurs familles. problèmes rencontrés par cette population, ainsi que de leur besoin et ceux de leur famille. Françoise Susset, Psy.D est psychologue et thérapeute conjugale 2- Les participants développeront leur capacité à accompagner et familiale avec plus de 25 ans d’expérience dans le travail les enfants, les jeunes et leurs familles dans divers contextes auprès des individus, des couples et des familles LGBT. Elle tels que les écoles, les services sociaux et les établissements s’intéresse tout particulièrement à l’évaluation et au suivi clinique de santé. des adultes et des adolescentes trans, durant et au-delà de la transition. Elle est spécialisée également dans le soutien Niveau d’expérience: tous niveaux aux familles dont l’enfant exprime son genre de manière non Description: normative (gender expansive children) afin d’aider les familles Cette formation d’une journée offerte en français (mercredi 30 et les écoles à remettre en question des notions associées à la octobre) et en anglais (jeudi 31 octobre) est conçue pour outiller sexualité, l’orientation sexuelle, l’identité de genre et l’expression les professionnels de la santé, de la santé mentale et des services de genre. Elle enseigne dans le programme de thérapie conjugale sociaux à travailler avec des enfants et des jeunes transgenres et et familiare de l’Université McGill. Elle est membre de la WPATH de la diversité des genres, ainsi que leur famille. et ancienne présidente de CPATH. Contenu: Dr. Shuvo Ghosh M.D., est codirecteur du Centre de santé Cette formation se base sur les meilleures pratiques pour travailler Meraki et directeur du programme pédiatrique de variance avec les enfants et les jeunes trans ainsi que leur famille, dans du genre de Montréal basé au Centre de santé Meraki et à une perspective d’affirmation du genre. Les sujets suivants seront l’Université McGill. Il a accompli la majorité de ses études abordés: aux États-Unis avant d’arriver au Canada dans le cadre d’une 13
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A bourse de spécialisation en pédiatrie du développement et du gender diverse and trans children and youth and their families comportement à l’Université McGill / Hôpital de Montréal pour from a transaffirming perspective. enfants. Après un diplôme de premier cycle en biologie et en Content: études linguistiques hispaniques/italiennes à la John Hopkins This training will focus on best practices for working with gender University de Baltimore dans le Maryland, il a obtenu son diplôme diverse and trans children and youth, and their families, from de médecine à l’University of Illinois at Chicago Medical School, a transaffirming perspective, and will include the following topics: suivi d’une résidence en pédiatrie à la Georgetown University de • Developmental landmarks in gender identity, gender Washington. expression; Antoine Beaudoin Gentes est le chargé de projet d’Enfants • Social issues experienced by trans and gender diverse children transgenres Canada, un organisme communautaire de référence and youth and their families; basé à Montréal qui lutte activement pour soutenir, outiller et • Approaching trans and gender diverse identities from a multi- protéger les enfants transgenres, non binaires, fluides sur le disciplinary and multi-sectoral perspective; plan du genre et leurs familles. Également superviseur artistique • Working with parents and families; du programme Espace Transition du CHU Sainte-Justine, son • Working with schools; implication vise à favoriser l’inclusion des jeunes stigmatisé.e.s au • Assessing needs in regard to puberty suppression, hormone sein de la société. Acteur professionnel de formation, il co-dirige treatment and surgery; aussi le collectif artistique queer et féministe projets hybris avec • Roles and responsibilities of professional working with gender lequel il participe à différentes productions sur scène et dans les diverse and trans children and youth, and their families. lieux publics. Faculty: Denise Medico, Ph.D., est professeure au département de Dr. Annie Pullen Sansfaçon is a Full Professor of Social Work at Sexologie de l’Université du Québec à Montréal. Ses activités the University of Montreal and the holder of the Canada Research de recherche visent le développement de pratiques cliniques Chair on transgender children and their families. She has affirmatives et réflexives. Elle est aussi psychologue au Centre published several book chapters and articles on the experience de santé Méraki et sexologue. Elle a collaboré à la création et au of trans youth and their families, as well as on trans-affirming développement de la Fondation Agnodice en Suisse qui, depuis practices, stressing the importance of social changes in order to 12 ans, œuvre pour la défense des droits des personnes trans et ensure trans youth well-being. She is the coauthor of the book le développement de pratiques affirmatives. Elle est l’auteure du “Supporting Trans and Gender Creative Youth: Schools, Families, livre Repenser le genre: une clinique avec les personnes trans and Communities in Action” (Peter Lang, 2014 and revised edition (Georg 2016), ainsi que de plusieurs articles et chapitres de livre in 2018) and is one of the co-founders of Gender Creative Kids sur l’expérience des personnes trans et la psychothérapie. Elle est Canada, a Montreal-based community organization working with membre du comité scientifique de la WAS (world association for trans children and youth and their families. sexual health). Dr. Shuvo Ghosh is one of the two Co-Directors of the Meraki PRE-CONFERENCE TRAINING SESSIONS Health Centre and the head of the Montréal Pediatric Gender Variance Program based at Meraki and at McGill University. He Children and Youth 1, French (Session 1 – FR): completed the majority of his education in the USA before arriving in Canada to do his fellowship in Developmental-Behavioural 1. Working with Trans and Gender Diverse Pediatrics at McGill University/Montréal Children’s Hospital. After Children and Youth and Their Families an undergraduate degree in Biology and Hispanic/Italian Linguistic Studies at Johns Hopkins University in Baltimore, Maryland, he Objectives: obtained his medical degree at the University of Illinois at Chicago 1. Participants will develop an understanding of the issues faced Medical School, followed by residency in Pediatrics at Georgetown by, and the needs of gender diverse and trans children and University in Washington, DC. youth, and their families. Antoine Beaudoin Gentes is the project coordinator for Gender 2. Participants will develop their ability to support children, youth Creative Kids Canada, a Montreal-based community organization and their families in various environments such as schools, that actively support, equip and protect transgender, non-binary, social services, and health settings. gender creative children and their families. He is also the artistic Experience level: All levels. supervisor of the Espace Transition program at CHU Sainte- Justine where he pursues his involvement that aims to promote Description: the inclusion of stigmatized youth in our society. Trained as a This one-day training offered in French (Wednesday 30th October) professional actor, he co-directs the queer and feminist art and in English (Thursday 31st October) is designed to initiate collective projets hybris with whom he participates in various health, mental health and social care professionals to working with productions on stage and in public spaces. 14
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A 2. Primary Care and Informed Consent Andrée-Anne Talbot, MD. is a family physician with a degree from the University of Montreal. She has been following transgender Approaches in Transgender Health and non-binary people in Montreal using an informed consent (Session 2 - EN) approach since 2013, and works in hospitalization at Barrie Please note that this 2 day training includes the Memorial Hospital in Ormtown. ½ day pre-conference training entitled: Gender Affirming Charles-Olivier Basile, MDCM. is a family physician who graduated Surgeries: Exploring Options and Post-Op Care from McGill University. He has been following transgender Objectives: and non-binary people in Montreal using an informed consent 1. Participants will be able to apply an informed consent approach approach since 2017. He also works in palliative care in Montreal. in assessing the needs of trans and non-binary individuals Devon Simpson, MSW is a long-term Montreal based community wishing to access transition-related care worker, trans health advocate and harm reduction worker working 2. Participants will develop their ability to accompany individuals with queer, trans, non-binary and questioning people and their questioning their transition or wishing to reverse some or all families (both chosen and of origin). They have worked in a variety aspects of their transition. of settings including the Gender Advocacy Centre, Project 10 and Head & Hands. With a specific focus on ensuring access Experience level: Intermediate, some experience in trans health to support and care for people in the trans community, Devon recommended currently holds a clinical social work position at Clinique 1851 Description: (CIUSSS du Centre-Sud-de-l’Île-de-Montréal) facilitating access to This 2 day training is designed for all health and mental health trans affirmative health care services. professionals involved in assessing the needs of trans and Daphney Prophète, BScN. is a Clinical Consultant and non-binary individuals wishing to access gender-affirming care. Organizational Development specialist and a member of Drs Many clinicians are committed to moving away from a gatekeeping Brassard, Bélanger and Bensimon’s medical team at the role but still struggle with what approach to adopt that respects Montreal Surgical Center. She, along with Henri Labelle, is one of and prioritizes their client’s needs while considering the various the liaison professionals connecting with clinicians and patients potential risks to an individual that presents with a more complex requiring information and support. mental health/health profile. Henri Labelle, BSW. is a social worker and psychotherapist and Content: a member of the Montreal Surgical Center team. He, along with This training will focus on best practices from an informed Daphney Prophète, is one of the liaison professionals connecting consent perspective and will include the following topics: with clinicians and patients requiring information and support. • Acknowledging and reducing sources of minority stress; • Supporting trans and non-binary individuals with greater mental 3. Overlapping Spectrums: Gender Diversity health and medical challenges; and Neurodiversity (Session 3 – EN) • Challenging DSM and ICD classification Description: • Defining “informed consent” in health and mental health Current research and clinical practice have identified an emerging settings; overlap of gender diversity with various neurodiversities. Clinicians • Addressing the needs of individuals wishing to detransition, in trans health are often tasked with supporting clients who identify retransition or who regret aspects or their entire transition; as trans who may also be autistic, have ADHD, or experience • Role and responsibilities of mental health providers; intellectual, sensory, or social differences. This workshop will focus • Role and responsibilities of medical providers. on assessment within these overlapping spectrums, provide support Faculty: in clarifying social and medical transition needs for gender diverse Françoise Susset, Psy.D. is a clinical psychologist and couple and and neurodiverse clients, review at a high level some recent research family therapist. Her current focus is working with gender diverse in this field, and provide participants with tools and frameworks for children, youth and their families, and helping schools challenge supporting trans neurodiverse clients with preparation for social and notions regarding sexuality, sexual orientation, gender identity and medical transition. gender expression. Françoise is responsible for the training and clinical supervision of many clinicians across Canada wishing to Faculty: integrate transgender health in their practice. She teaches in the Ashleigh Yule is a registered psychologist and doctoral candidate McGill University M.A. program in Couple and Family therapy and in school/applied child psychology. She specializes in child and is past president of CPATH. adolescent mental health with a focus in transgender health. Ashleigh provides gender affirming counselling, assessment, 15
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A and consultation services for gender creative and transgender children, adolescents, and their families. She works in private Thursday, October 31, 2019 practice in Calgary and as a visiting professional in remote and rural areas of Alberta. She also has a 20-year background in autism assessment, treatment, and research. Her research 7:45 am – 8:45 am Breakfast interests include facilitating health and wellbeing for transgender children and youth, and her dissertation research focuses 9:00 am – 10:00 am Session on the experiences and perspectives of transgender autistic 10:00 am – 10:30 am Break adults. http://www.aycp.ca/ 10:30 am – 12:30 pm Session Noah Adams is a registered Social Worker and PhD student in 12:30 pm – 1:30 pm Lunch Buffet Adult Education and Community Development at the University of Toronto. He conducts research on transgender sucidality and 1:30 pm – 3:00 pm Session the transgender healthcare experiences and strategies of autistic 3:00 pm – 3:30 pm Refreshment Break individuals. Noah is also a transgender and autistic person. 3:30 – 5:00 pm Session http://noahjadams.com/ 5:00 pm – 7:00 pm WELCOME RECEPTION Dr. Bruce Pipher is an Assistant Clinical Professor with the University of British Columbia in the department of psychiatry LOCATION: and Clinical Director of the Interior Health Children’s Assessment Sheraton Club Lounge, Network. He has been practicing and teaching in the field of 37th Floor developmental psychiatry for over 20 years working collaboratively Thank you to Our on a number of mental health initiatives both provincially Welcome Reception Sponsor and nationally. Dr. Pipher provides mental health services to transgender youth in the Interior of BC and working with Transcare PRE-CONFERENCE TRAINING SESSIONS BC on supporting the development and coordination of youth and family friendly services throughout the BC. Children and Youth, English (Session 4 – EN): Lorraine Grieves is a registered clinical counsellor and active 1. Working with Trans and Gender Diverse member of the British Columbia Association of Clinical Counsellors. She has a Master’s degree in Counselling Children and Youth and Their Families Psychology and has been practicing as a helping professional Objectives: since the early 1990’s in a diverse range of roles and programs. 1. Participants will develop an understanding of the issues faced https://www.lorrainegrieves.com/ by, and the needs of gender diverse and trans children and youth, and their families. 2. Participants will develop their ability to support children, youth and their families in various environments such as schools, social services, and health settings. Experience level: All levels Description: This one-day training offered in French (Wednesday 30th October) and in English (Thursday 31st October) is designed to initiate health, mental health and social care professionals to working with gender diverse and trans children and youth and their families from a transaffirming perspective. Content: This training will focus on best practices for working with gender diverse and trans children and youth, and their families, from a transaffirming perspective, and will include the following topics: • Developmental landmarks in gender identity, gender expression; • Social issues experienced by trans and gender diverse children and youth and their families; • Approaching trans and gender diverse identities from a multi- disciplinary and multi-sectoral perspective; 16
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A • Working with parents and families; 2. Primary Care and Informed Consent • Working with schools; Approaches in Transgender Health • Assessing needs in regard to puberty suppression, hormone treatment and surgery; (Session 5) (Day 2 of 2 - EN) • Roles and responsibilities of professional working with gender Please note that this 2 day training includes the diverse and trans children and youth, and their families.. ½ day pre-conference training entitled: Gender Affirming Faculty: Surgeries: Exploring Options and Post-Op Care Dr. Annie Pullen Sansfaçon is a Full Professor of Social Work Objectives: at the University of Montreal and the holder of the Canada 1. Participants will be able to apply an informed consent Research Chair on transgender children and their families. approach in assessing the needs of trans and non-binary She has published several book chapters and articles on the individuals wishing to access transition-related care experience of trans youth and their families, as well as on trans- 2. Participants will develop their ability to accompany individuals affirming practices, stressing the importance of social changes questioning their transition or wishing to reverse some or all in order to ensure trans youth well-being. She is the coauthor of aspects of their transition. the book “Supporting Trans and Gender Creative Youth: Schools, Families, and Communities in Action” (Peter Lang, 2014 and Experience level: Intermediate, some experience in trans health revised edition in 2018) and is one of the co-founders of Gender recommended Creative Kids Canada, a Montreal-based community organization working with trans children and youth and their families. Description: This 2 day training is designed for all health and mental health Françoise Susset, Psy.D is a clinical psychologist and couple and professionals involved in assessing the needs of trans and family therapist. Her current focus is working with gender diverse non-binary individuals wishing to access gender-affirming care. children, youth and their families, and helping schools challenge notions regarding sexuality, sexual orientation, gender identity Many clinicians are committed to moving away from a and gender expression. Françoise is responsible for the training gatekeeping role but still struggle with what approach to adopt and clinical supervision of a great number of clinicians across that respects and prioritizes their client’s needs while considering Canada wishing to integrate transgender health in their practice. the various potential risks to an individual that presents with a She teaches in the McGill University M.A. program in Couple and more complex mental health/health profile. Family therapy. Françoise is past president of the Canadian Content: Professional Association for Transgender Health (CPATH). This training will focus on best practices from an informed Dr. Shuvo Ghosh is one of the two Co-Directors of the Meraki consent perspective and will include the following topics: Health Centre and the head of the Montréal Pediatric Gender • Acknowledging and reducing sources of minority stress; Variance Program based at Meraki and at McGill University. • Supporting trans and non-binary individuals with greater He completed the majority of his education in the USA before mental health and medical challenges; arriving in Canada to do his fellowship in Developmental- • Challenging DSM and ICD classification Behavioural Pediatrics at McGill University/Montréal Children’s • Defining “informed consent” in health and mental health Hospital. After an undergraduate degree in Biology and Hispanic/ settings; Italian Linguistic Studies at Johns Hopkins University in Baltimore, • Addressing the needs of individuals wishing to detransition, Maryland, he obtained his medical degree at the University retransition or who regret aspects or their entire transition; of Illinois at Chicago Medical School, followed by residency in • Role and responsibilities of mental health providers; Pediatrics at Georgetown University in Washington, DC. • Role and responsibilities of medical providers. Antoine Beaudoin Gentes is the project coordinator for Gender Faculty: Creative Kids Canada, a Montreal-based community organization that actively support, equip and protect transgender, non-binary, Françoise Susset, Psy.D. is a clinical psychologist and couple gender creative children and their families. He is also the artistic and family therapist. Her current focus is working with gender supervisor of the Espace Transition program at CHU Sainte- diverse children, youth and their families, and helping schools Justine where he pursues his involvement that aims to promote challenge notions regarding sexuality, sexual orientation, gender the inclusion of stigmatized youth in our society. Trained as a identity and gender expression. Françoise is responsible for professional actor, he co-directs the queer and feminist art the training and clinical supervision of many clinicians across collective projets hybris with whom he participates in various Canada wishing to integrate transgender health in their practice. productions on stage and in public spaces. She teaches in the McGill University M.A. program in Couple and Family therapy and is past president of CPATH. 17
C PAT H C O N F E R E N C E 2 0 1 9 - A D V A N C I N G T R A N S H E A LT H A N D W E L L - B E I N G I N C A N A D A Andrée-Anne Talbot, MD. is a family physician with a degree Within an informed consent paradigm, clinicians need to have from the University of Montreal. She has been following sufficient knowledge of surgical options and surgical outcomes transgender and non-binary people in Montreal using an to ensure that people seeking such care have expectations of the informed consent approach since 2013, and works in process that is as close as possible to their experience. hospitalization at Barrie Memorial Hospital in Ormtown. Content: Charles-Olivier Basile, MDCM. is a family physician who • Types of gender affirming surgeries graduated from McGill University. He has been following - Preparation transgender and non-binary people in Montreal using an - Surgical process informed consent approach since 2017. He also works in - Post-surgical care palliative care in Montreal. - Expected results • Health, mental health and psycho-social considerations Devon Simpson, MSW is a long-term Montreal based community • Potential barriers to surgeries worker, trans health advocate and harm reduction worker working with queer, trans, non-binary and questioning people Faculty: and their families (both chosen and of origin). They have worked Daphney Prophète, BScN. is a Clinical Consultant in a variety of settings including the Gender Advocacy Centre, and Organizational Development specialist and a member of Project 10 and Head & Hands. With a specific focus on ensuring Drs Brassard, Bélanger and Bensimon’s medical team at the access to support and care for people in the trans community, Montreal Surgical Center. She, along with Henri Labelle, is one of Devon currently holds a clinical social work position at Clinique the liaison professionals connecting with clinicians and patients 1851 (CIUSSS du Centre-Sud-de-l’Île-de-Montréal) facilitating requiring information and support.. access to trans affirmative health care services. Henri Labelle, BSW. is a social worker and psychotherapist and Daphney Prophète, BScN. is a Clinical Consultant and a member of the Montreal Surgical Center team. He, along with Organizational Development specialist and a member of Drs Daphney Prophète, is one of the liaison professionals connecting Brassard, Bélanger and Bensimon’s medical team at the with clinicians and patients requiring information and support. Montreal Surgical Center. She, along with Henri Labelle, is one of the liaison professionals connecting with clinicians and patients requiring information and support. 5:00 pm – 7:00 pm Henri Labelle, BSW. is a social worker and psychotherapist and WELCOME RECEPTION a member of the Montreal Surgical Center team. He, along with LOCATION: Sheraton Club Lounge, Daphney Prophète, is one of the liaison professionals connecting 37th Floor with clinicians and patients requiring information and support. Thank you to Our Welcome Reception Sponsor 3. Gender affirming surgeries: Exploring options and post-op care (Session 6 – EN) Objectives: Participants will increase their ability to discuss surgical options and expectations for convalescence with individuals undergoing gender-affirming surgeries. Experience level: All experience levels Description: This ½ day training is offered by 2 staff members, a nurse and a social worker, from the Montreal Surgical Center team who work closely with patients before during and following their surgery (https://www.grsmontreal.com/en/home.html) This training designed for clinicians who meet with trans and non-binary individuals in order to discuss gender affirming surgical options and prepare for the various stages involved in accessing such care. 18
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