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2SQTP-NB / P2SQT-NB Training Program and Educational Resources

Health care for Two-Spirit, trans, Indigiqueer, and gender-diverse (2STIGD) patients should be approached collaboratively and holistically to ensure positive health outcomes.

This education package seeks to share lived experiences with accessing care in New Brunswick, was created by 2STIGD individuals in consultation with other 2STIGD community members, with a goal of incorporating as many intersecting identities and voices as possible. Because the project is action oriented, we seek to share our real and lived experiences with the medical system and society at large, and we offer these resources as a way to make a change. Where we repeat ourselves in the education package, it’s intentional. Our experiences have been overlooked, erased, and misunderstood repeatedly. We want better care for others and for ourselves.  

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2SQTP-NB / P2SQT-NB Training Program

CONTENT WARNING:
This Education Package was created to help practitioners provide safer, and more informed care to Two-Spirit, trans, Indigiqueer, and gender-diverse patients. It discusses historic and contemporary topics such as colonization, residential schools, and the medical mistreatment of Indigenous Peoples, other BIPOC communities, and the 2SLGBTQIAA+ community. This package also discusses lived experiences of individuals with many other intersections and includes various sociocultural and socioeconomic factors that impact patient care.  We would urge anyone who is a member of any of these communities to consider whether reading about one’s own experience may be emotionally draining or triggering, and how best to navigate that individually. While we have taken care to consider how we are presenting this information, should members of these communities experience any difficulty with this content, the following helplines are available:

 

The Hope for Wellness Helpline is available to all Indigenous Peoples across Canada, is available 24/7, can be reached toll free at 1-855-242-3310 and has an online chat available.

 

Trans Lifeline is available 24/7 and can be reached at 1-877-330-6366 within Canada.

 

Chimo Helpline is a provincial crisis phone line in New Brunswick available 24/7 at 1-800-667-5005 (toll-free within NB), or by live chat from 5pm-12am daily.

 

Kids Help Phone Canada is available to youth 24/7 by phone (1-800-668-6868) or text (text CONNECT to 686868).

Getting Started

This section provides an introduction to the education package, including how to use it, expected learning outcomes, and terminology. 

Indigenous Gender Diversity

Indigenous health care and wellbeing should be approached collaboratively and holistically by addressing the social determinants that impact the overall health and wellbeing of Indigenous Peoples.

Underserved Communities

This section outlines up-to-date practices for caring for 2STIGD folks and other equity deserving groups including intersections such as: People of Color, Intersex, Disabled, Neurodivergent, Immigrant, Refugee, Migrant worker, Undocumented, and more.

Creating Affirming Clinical Spaces

This section outlines the most up-to-date practices in creating affirming clinical spaces using a community-informed approach. it includes topics such as informed consent, capacity to consent, social and legal transition, and more.

Gender Affirming Hormone Therapy (GAHT)

This section outlines the information that pertains to assessing, prescribing, and monitoring GAHT.

Surgery

New Brunswick Medicare now covers certain gender-affirming surgeries for 2STIGD folks living in New Brunswick. This section provides an overview of the NB system for surgery planning, referral, and coverage.

Mental Health

Mental health support for 2STIGD people will look a bit different than cisgender individuals. In order to support and affirm your patients, understanding some of these differences will go a long way to establish a trusting relationship.

Sexual and Reproductive Health

It is not always easy for 2STIGD people to find accurate and inclusive information about sexual health and sex. As PCPs, it is important to have up-to-date and inclusive information to help support and affirm patients’ sexual health needs. 

Children and Youth

This section includes important information about puberty suppression, GAHT, surgery, informed consent, and talking to caregivers.

Mentorship Calls

What is a mentorship call?

Each mentorship call includes a guest speaker presentation from a community leader, knowledge keeper, practitioner or support worker, intended to give trainees access to additional mentorship on specialized topics in gender-affirming healthcare, such as children and youth, cultural competency, mental health and reproductive care.

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