Transgender Training - ITCA Curriculum 2018

Transgender Care Certification Program 52 Hours

    Part 1 Class Learning Objectives
 Feb 21 Day 1  

9:00am-9:30-AM

 

Volker &

Lam

TGC 701 Foundations of Transgender Care

Introduction and Orientation

Describe program process w/needs assessment
1. Lack of knowledgeable service providers
2. Need for personal counseling
3. Need for letters of recommendation from experts
4. Support & education for family, friends, and employers

OPENING PRESENTATION – OVERVIEW: http://prezi.com/bqyer-ff1_xb/?utm_campaign=share&utm_medium=copy

  1. Describe the role of the mental health professional in working with the transgender population.

 

9:30am-10:00am

Volker & Lam

Lectures-Bio roles/ Orientation

1. Categories of Identity
  a. Biological sex
  b. Gender identity
  c. Gender roles
  d. Sexual Orientation
2. Transgender umbrella
  a. Cross-dressers
  b. Transvestites
  c. Female Impersonators
    i. for entertainment
    ii. for income
  d. Transsexuals
  e. Intersex

1. Define the major categories and subcategories of identity related to sex and gender
2. Distinguish a fetishist from a transsexual or cross-dresser.
3. Identify and distinguish problematic and defamatory terms in referring to a gender non-conforming person.

10:00am-10:30am

Volker & Lam

Transition Decisions

Identity

   I’m different

   Identifies as transgender

   Reach out

   Internet

   Groups/Clubs

            Counselors 
 Decisions

Coming out

Family & Friends

Work/School

How far to go?

     Hormones

     Surgeries

            Legal

 

  1. Describe the stages of transition
  2. Describe the secisions trans people need to make
10:30am-12:30pm

General Panel Presentation

Trans individuals will discuss the transition process, including

  1. The Question of “Who Am I?” – Exploration of Gender (non-conforming) & Sexuality 
  2. Process of transitioning 
  3. “Presenting” & “Passing” 
  4. Coming Out 
  5. Private Life, ongoing
  6. Work
  7. The clinician’s role.
  1. Integrate the previous didactic learning wiht the real life experiences of trans people.
  2. Discuss the challenges trans people face in various life areas.
12:30pm-1:30pm Lunch break w/ panel members  

1:30pm-5:00pm

Batista, Clark, & Lam

Debrief regarding Panel Members

The Transition Process

Overview of Motivational Enhancement Stages of Change

  1. Mental Health Evaluation and Therapy
  2. Hair Removal
  3. HormoneTherapy
  4. Genital Reconstruction Surgery
  1. Vaginoplasty
  2. Phalloplasty
  3. Labioplasty
  4. Metoidioplasty
  5. Chest Reconstruction
  1. Facial Feminization Surgery
  2. Voice Therapy
  3. Decisions
  1. Name Change
  2. Relationships
  3. Employment
  4. Reproduction

TRANSITION PROCESS: http://prezi.com/jfvqws5mpyj7/?utm_campaign=share&utm_medium=copy

http://www.glaad.org/transgender/allies

  1. Describe the stages of transition from a Motivational Therapy perspective. Discuss various paths each person may take. 
  2. Assist an individual in each stage of the coming out process
  3. Describe the various changes available for transition.
 Feb 22 Day 2  
9:00M-12-PM

TGC 702 Transition Challenges

Realization

Facial hair and binding

Coming out, initial and ongoing

Body changes

Finding providers

Time

Image

Relationships

Bathroom

  1. Describe in depth the challenges faced by trans people.
  2. Implement role-play with transitioning clients to help them deal with various situations.
  3. Discuss the therapist's role related to the specific challenges.
12:00pm-1:00pm Lunch  
1:00pm-5:00pm
  1. Transition Challenges (cont.) 
  2. Legal - Overview
  1. Documentation
  2. Marriage
  3. Divorce
  4. Custody
  5. Work 
  6. Accommodations
  7. Sensitivity

3. Relationships - Intimacy

  1. Family 

Differentiate the trans person’s needs from others

Changing roles

Losses

Betrayal

Family needs support and validation

b. Friends

4. Cultural Wheel

https://prezi.com/0v0bwqmabu01/cultural-wheel/

  1. Describe the legal aspects of transition
  2. Describe the relational aspects of transition
  3. Describe the obstacles to medical care and treatment
  4. Recognize those particular challenges faced by transgender individual from various cultures and countries.
 Feb 23 Day 3  

 

9:00am-10:00am

Batista & Clark

TGC 703 Evaluation, Assesment, & Differential Diagnoses

The WPATH Standards of Care

  1. Intentions of the Standards of Care  -overview 
  2. Hormones & Surgery
  3. Expectations
  4. Preparation for changes

WPATH & DIAGNOSIS: http://prezi.com/ohdc4vg6xrqd/?utm_campaign=share&utm_medium=copy&rc=ex0share

DSM 5:   

http://prezi.com/ths1dpiirum1/?utm_campaign=share&utm_medium=copy

  1. Describe the intention of the Standands of Car (SOC)
  2. Implement th SOC guidelines for transition
10:00am- 12:00pm

How to do and Evaluation:

Assessmnets and recommendations for clients

Areas of remediation

  1. Implemnent assessment and therapuetic strategies to assist trans peoplewith transition planning

 

12:00pm - 1:00pm Lunch  

1:00pm- 5:00pm

Volker, Lam & Batista

Areas of remediation

  • Trauma
  • Suicide Prevention
  • Addictions - Addiction 101

Religion & Spirituality 

  1. Orthodox Jews
  2. Christianity - Conservative
  3. Muslim case studies

(potential Guest)

  1. Assess for those areas that need to be addressed prior to recommendations.
  2. Determine the relevant areas to be targeted in therapy.
  3. Utilize a variety of assessment tools. 
  4. Demonstrate ability to conduct an evaluation interview. 
 Feb 24 Day 4  

9:00am - 10:00 am

Lam & Volker

TGC 705A Transition through the Lifespan 1: Child and Adolescent Care

Children & Families of Trans People Panel Members

  1. Medical Intervention 
  2. Family & School

http://familyproject.sfsu.edu/publications

 

  1. Describe the basic challenges a family faces
  2. Develop intervention strategies appropriate for various family members.
  3. Describe and define the various terms used by the younger generation of gender non-conforming people.
  4. Distinguish issues specific to children and adolescents from adults regarding gender identification and transition
  5. Use an understanding of trans people’s and family’s    experiences to develop individualized transition plans.

 

10:00am - 12:00

Children & Families of Trans People Panel Members

 
12:00-1:00pm Lunch  
1:00pm-5:00pm

SOOFAS – Workshop 

  • Breakout Groups
  • Discussion 

 

Part 2 Class Learning Objectives
 April 24 Day 5   
9:00am - 12:00pm

TGC 706 Treatment Planning & Therapeutic Issues

History Timeline and Review 

  • Cultural Competency
  • Review Transgender Umbrella and additional terminology

https://prezi.com/0v0bwqmabu01/present/?auth_key=e6w4u57&follow=jesilam&kw=present-0v0bwqmabu01&rc=ref-1983335

Letters of Recommendation

Letters of Support

  1. Travel
  2. Work
  3. School

 

  1. Implement a transition treatment plan.
  2. Write effective recommendation letters for hormones and surgeries as per SOC guidelines
12:00pm - 1:00pm Lunch   

1:00pm - 2:00pm

Clark, Batista, Volker, & Lam

TGC 705B Transition through the Lifespan 2: Senior Care

Transgender Senior Panel

  1. Prolonged effects of hormone therapy.
  2. Loss of families and/or social supports.
  3. Dealing with healthcare providers.

 Group Activities 

Assessments and 

Writing letter of recommendations

Role Play Exercises 
  1. Describe those issues specific to older adults in transition.
  2. Describe issues likely to arise for transgender people in their senior years.
 2:00pm - 5:00pm Consolidation and Processing
  1. Discuss the discrimination trans people face in the environment
  2. Describe the basic challenges a family faces
  3. Describe the etiology of the addictive process
  4. Compare and contrast the different attitudes towards trans people in various cultures
  5. Describe the impact of religion on transition
  6. Recognize the restrictions against transgender people in jails and prisons
 April 25 Day 6  
9:00am - 12:00pm

TGC 704A Medical Interventions 1 - Hormones

Hormone Therapy

Hormone Management 

Describe the hormone therapy protocols.

2 .Describe primary and side effects of hormone therapy.

12:00pm - 1:00pm Lunch  
1:00pm - 4:00pm

TGC 704B Medical Interventions 2 - Surgeries

Guest Speaker

List and describe the various medical interventions for transsexuals.

Describe the risk factors as per SOC for hormone therapy.

Describe the risk factors as per SOC for sex reassignment surgery.

Identify contra-indications for hormone or surgery recommendation.

List medical and other healthcare resources for the trans person.

3:00pm - 4:00pm Wrap up and final comments   
April 27 Day 7  

9:00am - 12:00pm

Attorney

Rusty

TGC 707 Legal & Ethical Issues

Describe the WPATH Code of Ethics.

Explain legal problems arising from differing laws in various jurisdictions.

Describe legal protections or lack thereof currently existing for trans people in the healthcare, correctional, employment, and military systems.

Explore the ethical dilemmas regarding minors transitioning.

12-1pm  Lunch  

1:00pm - 4:00

Lam & Volker

DOC  
4pm - 5pm Wrap up and final comments  
April 28 Day 8  

9:00 am- 12:00 pm

Layne

Transgender Psychiatry/ Differential Diagnosis

 Differential Diagnosis

Exceptionswith case presentations

Body dysmorphia 

Gender queer, non or other gender 

Neuter and eunuch

Eunuchs case studies

Fetish

self mutilation 

TG as a coping mechanism 

Physical Disabilities Issues

How people feel about this? Class discussion and process 

Guest presenter 

Psychiatric physician

 Layne

Review psychiatric diagnoses and relate to transgender individuals.

Describe the interaction of psychotropic meds and hormone therapy 

Recognize those conditions out of the norm of transgender. 

Assess and treat individuals who are gender non-conforming and not typically transgender.

Implement treatment strategies for suicidal or self-mutilative individuals.

Identify those individuals who want to live in the other gender because of trauma or impaired thinking.

Identify personal biases and counter-transference regarding variations of gender non-conformance.

Assess for and therapeutically address co-occurring disorders.

Develop and implement a treatment plan for transition within the parameters of the co-occurring disorder.

12pm -1 pm Lunch  

1:00pm - 5:00pm

Lam, Clark,

Batista,

Volker

Post-op care 

happiness

going stealth

Dealing with post-op clients when another therapist approved the surgery and it didn’t work out 

3. Regrets and Remorse

Make effective and relevant referrals.

Identify potential issues and develop a treatment plan for post-hormone and post-surgery life.

Describe post-op medical and emotional issues and utilize appropriate interventions

Implement treatment interventions with post-op transsexuals who are experiencing remorse or regret about transition.

 

Transgender Care Resources

Bockting, W. O. & Coleman, E., eds. (1992). Gender Dysphoria: Interdisciplinary approaches in clinical management. Binghamton, NY: Haworth Press. $34.56 on amazon.com
Standards of Care (2013). The World Professional Association for Transgender Health free on www.wpath.org

Answers to Your Questions About Transgender People, Gender Identity, and Gender Expression. American Psychological Association. www.apa.org

Beyond the Binary: A Tool Kit for Gender Identity Activism in Schools www.gsanetwork.org

Kirk, S & Rothblatt, M. (1995). Medical, legal and workplace issues for the transsexual: A guide for transformation. Watertown, MA: Together Lifeworks.
Schroth, L. E. ed. (2014). Trans Bodies, Trans Selves: A Resource for the Transgender Community. New York: Oxford University Press.
Stevenson, M. R. & Cogan, J. C. Eds. (2003). Everyday Activism. New York: Routledge Press.
Stuart, K. E. (1991). The uninvited dilemma: A question of gender. Portland, OR: Metamorphous Press.
Teich, N. M. (2012).Transgender 101: A Simple Guide to a Complex Issue. New York: Columbia University Press.
Zucker, K. J. & Bradley, S. J. (1995). Gender Identity Disorder and Psychosexual Problems in Children and Adolescents. New York, NY: Guildford Press.

Videos

The Middle Sexes, Parts 1-11, https://www.youtube.com/watch?v=ZFoe_0_gThw 

Trans, Chris Arnold, director, IICS website
Intersex, IICS website
Oprah on Transgender, IICS website

Resources (to date)

Advocates for Youth- Ten Tips for Parents of a Gay, Lesbian, Bisexual or Transgender Child & I Think I Might be Transgender, Now What Do I Do? www.advocatesforyouth.com

ANSWERS TO YOUR QUESTIONS About Transgender People, Gender Identity, and Gender Expression American Psychological Association. www.apa.org

BEYOND THE BINARY: A Tool Kit for Gender Identity Activism in Schools www.gsanetwork.org

CDC Centers for Disease Control & Prevention. Lesbian, Gay, Bisexual, and Transgender Health—Youth www.cdc.gov

COLAGE Kids of Trans Program (for children with transgender parents) www.colage.org

Deaf Queer Resource Center www.deafqueer.org

EVERYDAY ACTIVISM. Michael R. Stevenson and Jeanine C. Cogan, Ed. New York:Routledge, 2003.

FACT SHEET: Transgender & Gender Nonconforming Youth in School. Sylvia Rivera Law Project www.srlp.org

Gay/Straight/Trans Alliances: A Student Guide www.doe.mas.edu/hssss/GSA/Intro.html

Gender Education & Workplace Advocacy www.gender.org

Gender non-conforming: http://www.refinery29.com/trans-person-deciding-not-to-pass

www.genderspectrum.org-- child, family, medical, mental health issues/resources

GLBTQ: The Survival Guide for Queer and Questioning Teens by Kelley Huegel—grades 9 and up

GLSEN www.glsen.org (Gay, Lesbian and Straight Education Network) HARSH REALITIES: The Experiences of Transgender Youth in Our Nation’s Schools. & Miami-Dade County

Public Schools Gender Resource Guide (available from the YES INSTITUTE, Miami Florida)

International Foundation for Gender Education www.ifge.org

Intersex Society of North America www.isna.org

If YOU ARE CONCERNED ABOUT YOUR CHILD’S GENDER BEHAVIORS: A Guide for Parents. Children’s National Medical Center www.childrensnational.org

Lambda Legal Defense and Education Fund www.lambdalegal.org

LINKS for Transgender Youth www.genderadvocates.org

LOVE MAKES A FAMILY. By Gigi Kaeser & Peggy Gillespie—all grades

LUNA by Julie Ann Peters A story of a transgender brother/Grades 9 and up

MY GENDER WORKBOOK :How to Become a Real Man, a Real Woman, the Real You, or Something Else Entirely. By Kate Bornstein. New York: Routledge, 1998.

National Center for Transgender Equality www.transequality.org

National Coalition for Gay, lesbian, Bisexual and Transgender Youth www.outproud.org

National Gay and Lesbian Task force www.thetaskforce.org

National Youth Advocacy Coalition www.nyacyouth.org

OUR TRANS CHILDREN & TRANSFORMING FAMILIES by Mary Boenke www.pflag.org

PFLAG (Parents, Families, and Friends of Lesbians, Gays, and Transgender) www.pflag.org

QUEER YOUTH ADVICE FOR EDUCATORS by Abe Louise Young.

Safe Schools Coalition www.safeschoolscoalition.org . Model School District Policy Regarding Transgender and Gender NonConforming Students— www.casafeschools.org

THE FAMILY BOOK by Todd Parr. K-grade 3

THE TRANSGENDER CHILD by Stephanie Brill and Rachel Pepper. 2008.

The World Professional Association for Transgender Health www.wpath.org

TransFaith Online. Spiritual and Religious Issues www.transfaithonline.org

Transgender Law.org

Transgender Living on YouthResource www.youthresource.com

TRANSITIONS OF THE HEART—Stories of Love, Struggle and Acceptance by Mothers of Transgender and Gender Variant Children by Rachel Pepper. Cleis Publishers, 2012.

TRANSGENDER VISIBILITY: A Guide to Being You. Human Rights Campaign www.hrc.org

Trans Youth Family Allies www.imatyfa.org

Trevor Helpline Crisis Intervention for LGBT Youth 24 hours a day/7 days a week 1.800.850.8078

WORKING WITH TRANSGENDER YOUTH: Getting Down to Basics. A CWLA/LAMBDA Legal Joint Initiative www.lambdalegal.org & www.cwla.org

Gender Role Interviews:

https://www.youtube.com/watch?v=-VqsbvG40Ww

Bruce Jenner:
https://www.youtube.com/watch?v=8oxPAn_8-uY

Gender Queer-ies:
https://www.youtube.com/watch?v=kJ9ly4cK9tg

REGRETS & REMORSE:

https://www.youtube.com/watch?v=uQ9vATBiZOo