Transcending Transphobia: Delivering Affirmative Care ~ #MacroSW Chat April 19, 2018

The trans flag - blue and pink horizontal stripes - with the caduseus (sign for meidcine - two snakes wrapped around a stick - in the middle and words: DO NO HARM _No Rx for discrimination
Image: National Center for Transgender Equality

Transcript via symplur



This week, Fae Johnstone @FaeJohnstone (White, Trans, She, They), a trans organizer and consultant from Ottawa, will help us gain a deeper understanding of the complexities of trans identities. Their talk , titled Stepping Up on Queer and Trans Youth Mental Health, is one of two essential resources for this week’s chat.


Please watch the 24-minute video, Stepping Up. In it, Fae explains basic vocabulary (nonbinary, cissexism, gender identity, assigned gender, etc.), plus the extraordinary and depressing statistics on lgbtq youth mental health. They share their own story of walking out the door every day as a queer trans youth.

The second essential resource for this week’s chat is Affirmative Care for Transgender and Gender Non-Conforming People, with practical tips and training resources.

This chat will give you resources on how to support trans clients, and ideas about how we can collectively address the structural factors that perpetuate negative health outcomes in trans communities. Pat Shelly of @UBSSW is the host. Join us! 9 PM EDT / 8 PM CDT /

Questions for discussion:

Q1  What do we know about the health and well-being of trans communities? Name some unique barriers to quality health services.

Q2 What does a ‘gender-affirming’ approach to supporting trans people look like in practice for organizations and individuals?

Q3 How can social workers work in solidarity with trans and gender-diverse communities? What are some macro approaches?

Q4 What are the differences between Canadian and American legal and human rights protections for transgender communities?

Q5 What other aspects of the lives of transgender people would you like to see explored in future #MacroSW chats?


Two are highly recommended to watch and read before the chat:

(24 minute video)
Johnstone, Fae. (2017, November 29). Stepping Up on Queer and Trans Youth Mental Health [Video File]. Retrieved from

(pdf you can download)
National LGBT Health Education Center. (2016)  Affirmative Care-for Transgender and Gender Non-conforming People: Best Practices for Frontline Health Care Staff Boston, MA: Fenway Institute.

Additional Resources:

Trans 101 [8 min. video] (Australia) :

Trans Care BC (Canada):

Health Care Action Center

The  Trans PULSE Project: Research on health of transgender Ontarians

World Professional Association for Transgender Health (WPATH) Standards of Care for the Health of Transgender and Gender Non-Conforming People:

Protections against discrimination for trans people in the USA:

Protections against discrimination for trans people in Canada:


Photo: International Association for Youth Mental Health

Fae Johnstone (she/they) is a 4th year Bachelor of Social Work student at Carleton University in Ottawa, Canada. She is an experienced social justice educator, community organizer and creative facilitator. Her expertise focuses on trans inclusion within social service agencies, creating community-based supports for trans youth and addressing the social determinants of health that shape the lives of trans youth. Fae can be found on Twitter at @FaeJohnstone.

About #MacroSW:

#MacroSW is a collaboration of social workers, organizations, social work schools, and individuals working to promote macro social work practice. Macro social work practice focuses on changing larger systems, such as communities and organizations. It encompasses a broad spectrum of actions and ideas, ranging from community organizing and education to legislative advocacy and policy analysis. The chats are held weekly on Twitter every Thursday at 9 p.m. EST (6 p.m. PST). Click here for a list of chat partners. For information about how to participate in the #MacroSW chat, view our FAQs. For chat schedule and chat archives check out:



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