Plenaries

FINAL-CPATH-2015-Logo-MEDIUM

Cultivating Systems Change – How it Really Happens

Friday October 2nd   8:30 am – 10:30 am

Systems change is defined as “the intentional process designed to alter the status quo by shifting and realigning the form and function of a targeted system” (Foster-Fishman, Nowell & Yang, 2007). This plenary introduces systems change initiatives intended to benefit the health and well-being of trans people and communities in four provinces. Panelists will speak about systems change initiatives they have participated in, in areas such as policy, program development and service delivery, and the intersections between human rights and health.

Panel objectives:

  1. To profile recent systems change work occurring at a provincial level.
  2. To enable participants to earn about models and approaches towards systems change that may be useful in their own contexts.
  3. To develop an understanding of factors contributing to success and challenges, constraints and opportunities, and concrete tactics that have helped to advance systems change regarding the health and wellbeing of trans people.

Moderator:

Devon MacFarlane, MA, Board President, CPATH, Manager Community Development and Service Integration, Vancouver Island Health Authority, Nanaimo, British Columbia

Devon MacFarlane, MA, currently works as the Manager for Community Development and Service Integration with Vancouver Island Health Authority, and has over 15 years experience working in health authorities, in roles addressing community development, program development, and organizational change. Over this time, a substantial focus of Devon’s work has included advancing the health and wellbeing of trans populations as well as lesbian, gay, bi, Two Spirit, and queer populations – work that is close to Devon’s heart as an out trans and queer person. In Devon’s involvement with CPATH, Devon led the consultations on success at the 2012 conference; is currently CPATH Board President and co-chairing the conference committee for the 2015 conference in Halifax, and is excited to be serving as president.

Panelists:

Gabrielle Bouchard, Peer Support and Trans Advocacy Coordinator, Centre for Gender Advocacy, Concordia University, Montreal, Quebec

Gabrielle Bouchard is the Peer Support and Trans Advocacy coordinator at the Centre for Gender Advocacy; a social justice organization affiliated with Concordia University. Recipient of the ATQ 2014 Christine Jorgensen Award, she participated in the creation of a name of common usage policy at Concordia and coordinated part of the community efforts to bring legislative changes to insure trans rights in Québec. She is the spokesperson representing the Centre in its court case against the provincial government to bring full legal equality to trans, gender-variant and intersex people in Quebec. Gabrielle provides training and workshops to social actors, front-line workers, and postsecondary institutions. She is also leading a research study on trans prevalence in Québec and is the editor of the État des faits trans au Québec 2013.

Arden Krystal, MHA, RN, Chief Operating Officer, Provincial Health Services Authority, Vancouver

Arden Krystal holds executive leadership responsibility for all nine of PHSA’s agencies – such as the BC Cancer Agency, BC Women’s and Children’s Hospitals and the BC Centre for Disease Control, as well as the Chief Nursing Office, Population Health, the Surgical Patient Registry and the Redevelopment Project at BC Children’s and Women’s Hospitals. Arden serves at the executive sponsor of the new Trans Care BC initiative, a province-wide program that will improve trans people’s access to primary care, to timely surgical care, to peer and community based supports, and will also provide education to health care providers across the province. Ms. Krystal is an Adjunct Professor at the UBC School of Nursing and holds a Certified Health Executive designation from the Canadian College of Health Leaders, a Masters of Health Administration from the University of British Columbia, and has certification from the Harvard Business School Managing Health Care Delivery Program.

Arden has a broad range of experience as a healthcare professional and has served in a variety of leadership roles during the course of her career. Her current portfolio has a total consolidated budget of approximately $1.5 billion in operating and over $600 million in capital (related to the redevelopment project). Prior to joining PHSA in April 2012, she held the position of Vice President, Clinical Operations at Fraser Health, and was the Clinical Executive Sponsor of the Surrey Hospital and Redevelopment project.

Dr. Reese Malone, DHS, MPH, CSE, CST, Education Coordinator, Rainbow Resource Centre, Winnipeg, Manitoba

Dr. Reece Malone is the Education Program Coordinator for the Rainbow Resource Centre specializing in the development and delivery of public education and training on sexual orientation, gender identity, and comprehensive sexual health and human sexuality education. He has been a sexual health consultant on trans populations both nationally and abroad including the World Health Organization – Pan American Health Organization, the Public Agency of Canada, The Alberta Children’s Hospital, and the Government of Nunavut. His work has recently been featured in Men’s Health Magazine, Canadian Counselling Magazine and American Family Therapy Magazine. Additionally, he holds a private practice clinical sexology and sex therapy practice and volunteers for Allexperts.com. On his off time he can be found foraging Manitoba’s forests for wild edibles for the most daring of palates and Winnipeg’s foodie restaurants.

Cybelle Rieber, MEd, Coordinator, prideHealth, Nova Scotia Health Authority, Halifax, Nova Scotia

Cybelle Rieber is the Coordinator of the prideHealth Program with Nova Scotia Health in partnership with the IWK in Halifax Nova Scotia. Her role includes providing LGBTIQ cultural competency education across the health care systems, policy and administrative procedure consultation, liaising with community, health authority and government regarding trans health issues, advocating and educating regarding the need for greater access to health care, and assisting people to navigate the health care systems. She brings years of experience of health advocacy work, systems navigation and education. She holds an MA in Education, specializing in organizational learning.

Bringing Determinants of Health Into Practice

Saturday, October 3rd, 8:30 am – 10:00 am

With the World Professional Association of Transgender Health urging the de-psychopathologisation of gender variance (2010) and the acceptance of the Standards of Care v7 (2011), the intent and scope of trans* health is shifting worldwide. Although the “physical” aspects of transition (hormones, surgeries, primary medical care, etc.) continue to be central, the intersections of determinants of health and trans* health become a principal focus of interest (WPATH Standards of Care). Determinants of trans* health include but are not limited to income and distribution, education, unemployment, job security and working conditions, early childhood development, food insecurity, housing, social exclusion, social safety networks, health services, immigrant experience, Aboriginal status, race/ethnicity, and disability.

Panel objectives:

  1. To create an awareness and understanding of determinants of health in relation to transgender health.
  2. To identify ways of incorporating determinants of health into everyday practice.
  3. To provide a guiding framework for tailoring institutional programs and services to meet the needs of people who identify as trans* and their loved ones using a determinants of health lens.
  4. To identify collaboration opportunities to address gaps in services and policies across multiple settings (determinants of health intersect differently in different contexts).

Moderator:

Devon MacFarlane, MA, Board President, CPATH, Manager, Community Development and Service Integration, Island Health, Nanaimo, British Columbia

Devon MacFarlane, MA, currently works as the Manager for Community Development and Service Integration with Vancouver Island Health Authority, and has over 15 years experience working in health authorities, in roles addressing community development, program development, and organizational change. Over this time, a substantial focus of Devon’s work has included advancing the health and wellbeing of trans populations as well as lesbian, gay, bi, Two Spirit, and queer populations – work that is close to Devon’s heart as an out trans and queer person. In Devon’s involvement with CPATH, Devon led the consultations on success at the 2012 conference; is currently CPATH Board President and co-chairing the conference committee for the 2015 conference in Halifax, and is excited to be serving as president.

Panelists:

Dr. Adrian Edgar, MD, CCFP, Medical Director, Clinic 554, Fredericton, New Brunswick

Adrian Edgar is a trans man, family doctor, and the Medical Director at Clinic 554 – a family practice specializing in trans, queer, and reproductive health, in Fredericton, New Brunswick. He currently serves on the Board of Directors for AIDS New Brunswick, is the provincial representative to the Equity and Diversity Committee of the College of Family Physicians of Canada, and is a faculty member with the Departments of Family Medicine at Dalhousie University and Memorial University of Newfoundland. Adrian is a founding member of the New Brunswick Transgender Health Network, and worked on the Community Engagement Team for Canada’s largest trans health needs assessment, the Trans PULSE Survey, in Ontario in 2009. He is now collaborating to expand the survey nationally. Adrian has presented trans health research at the World Professional Association for Transgender Health (Norway), the Gay and Lesbian Medical Association (USA), and the Canadian Professional Association for Transgender Health (Canada). He has presented prison health research at the World Health Organization and lectured on trans and queer health at universities across the country. He has also published work in refugee health, HIV stigma, and peace through health. Adrian trained at Toronto’s Sherbourne Health Centre and the Gender and Sexual Identity Service for children and youth, as well as Vancouver Coastal Health’s Three Bridges Community Health Centre. As a clinician, Adrian has worked on a maternal addictions team, a midwifery collaborative, a street health and sexworker outreach team, at several abortion clinics, and on a number of Reserves and First Nations. He practices harm reduction, inclusive care, and is proud to have attended every CPATH conference since the organization’s inception.

Yasmeen Persad, Education and Training Facilitator, The 519 Community Centre, Toronto, Ontario

Yasmeen Persad is a trans woman of colour originally from the Caribbean. She has been providing education and training around LGBTT related issues for the past 8 years. Her experience ranges from working with Trans Youth, HIV Positive Women, Sex Workers and many diverse populations. She provides training to front-line shelter workers around Trans community inclusion and support. Yasmeen has presented at many universities across North America on various topics about access for Trans people. She has been part of ground-breaking recognition of trans women as women in the Violence Against Women sector.

Research to Practice to Research:
Integrating Emerging Evidence Based Research Into Trans Health Practice

Sunday, October 4th 11:00 am – 12:30 pm

This panel discussion includes both researchers and health practitioners. Together, panelists will:

  1. Explore challenges and tensions inherent in providing evidence based research for a very diverse and hard to reach population (engaging trans people in the research and/or leading the research) including the challenges of embedding and situating trans identities within broader health research: combating the reality of population erasure in broad health research.
  2. Highlight successful techniques for translating research into practice (keeping in mind the challenges for clinicians whose case load only includes a few trans identifies people vs. those who are in larger centers and can build a clinical practice specifically for trans identified folks)
  3. Explore processes and systems that support and enable researchers and clinicians to interact and work together to formulate and frame research questions that are most relevant to clinical practice.

Presenters:

Dr. Mary Bryson, PhD, Director and Professor, Institute for Gender, Race, Sexuality and Social Justice, University of British Columbia, Vancouver, British Columbia;

Mary K. Bryson is Director, Institute for Gender, Race, Sexuality and Social Justice and Professor, Language and Literacy Education, Faculty of Education, University of British Columbia in Vancouver, BC, Canada. Mary is a proud Board of Directors member of Vancouver’s Catherine White Holman Wellness Centre, which provides low-barrier wellness services to transgender and gender diverse people. Mary is a queer trans* advocate for social justice efforts within higher education and far beyond the University. Mary led a successful campaign for same-sex partner benefits at their Vancouver home university — UBC, in 1989, and has taught courses in queer theory and trans* gender and sexuality studies. Mary was diagnosed and treated for breast cancer and during that period (2007-2009), authored a queer and trans* cancer blog Adventures in Deconstruction. Dr. Mary Bryson’s Cancer’s Margins research focuses on social media, sexuality and gender and the politics of social justice initiatives that aim to create and to support both all-genders, trans* and queer public knowledge sites and culturally safe care provision.

Greyson Jones, PhD Student, Dalhousie University, Halifax, Nova Scotia;

Greyson Jones is in the Interdisciplinary PhD program in Health Professions at Dalhousie University. With an MA from the University of Windsor in 2014, his areas of speciality include: medical anthropology/sociology; social data analysis; sex and gender; feminist epistemology; LGBT health; queer theory; globalization; and social movements. Much of Grey’s past work involves critical perspectives surrounding medical research, practices, and provisioning for sexual- and gender-minoritized populations; and his current dissertation research applies an intersectional lens to the study of healthcare experiences, inequities, and accessibility barriers for transgender populations in cross-cultural contexts. Additionally, Grey runs a popular blog and youtube channel on trans/queer culture and does extensive work with queer social movements online.

Françoise Susset, MA, Clinical Psychologist, Couple & Family Therapist, Montreal, Quebec

Françoise Susset is a clinical psychologist and couple and family therapist. Her principal areas of interest are working with trauma survivors and sexual minority issues. She is co-founder of The Institute for Sexual Minority Health. Françoise works within a “minority stress” framework, acknowledging the impact of discrimination on people’s mental health and development. Her clinical work centers on trans adults and teens, during transition and beyond. She also focuses on supporting gender variant children, helping families and schools challenge notions regarding sexuality, sexual orientation, gender identity and gender expression. Françoise is a member of WPATH and has served on the Board of CPATH for 4 years. She recently published an article entitled: “Vulnérabilité et stigmatisation des enfants non normatifs dans l’expression de leur genre” (“Vulnerability and Stigmatization of Gender Non-Conforming Children”) in the Revue québécoise de psychologie and contributed a chapter entitled: “Between a Rock and a Hard Place: The Experience of Parents of Gender-Nonconforming Boys” in Meyer and Pullen-Sansfaçon’s book: Supporting Transgender and Gender Creative Youth.

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