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Dublin: 13 °C Wednesday 19 June, 2013

Buttimer: Health professionals must be trained in transgender issues

The TD made the comment while speaking at a groundbreaking Transgender Healthcare Seminar today.

Fine Gael TD Jerry Buttimer
Fine Gael TD Jerry Buttimer
Image: Wanderley Massafelli/Photocall Ireland

HEALTH PROFESSIONALS MUST be trained to deal with the needs of transgender people, Deputy Jerry Buttimer has said.

The Fine Gael Cork South Central Deputy and Chair of the Fine Gael LGBT Group made the comment while speaking today at the Transgender Healthcare Seminar, Transaction 3, in Waterford City.

Healthcare pathways

Buttimer said:

There is a real need to develop healthcare pathways for transgender people in Ireland to ensure that they are receiving the care and attention that is needed. This presents a new challenge for our health services and for our medical professionals who are working hard to ensure that adequate systems and training are put in place.

He noted that the HSE Transgender Health Advisory Group in particular is working to develop resources for healthcare providers and to provide training to professionals on the issue.

In 2012, the working group carried out a survey of health and social care professionals which showed that, 41 per cent of respondents described their knowledge of transgender health issues as poor or non-existent, with just 19 per cent having a good or expert level of knowledge.

While 32 per cent had provided treatment to a transgender person, only 10 per cent had ever had any training on the issues involved.

Buttimer said that allowing a situation like this to continue “is not only unfair to the transgender person being treated, it is unsafe practice and puts the medical professional in a very difficult position”.

The TD concluded that he looks forward “to the day when we have full equality, comprehensive healthcare and when we see transgender elected representatives in Ireland”.

Conference

One of the conference’s organisers, Vanessa Lacey, told TheJournal.ie that the event was a groundbreaking one, and was attended by 138 people, a quarter of whom were from the Health Service Executive.

“Our objectives were to upskill service providers and give them the information that they need to upskill themselves,” she said. The conference included experts from a range of countries.

Lacey said that the organisers were delighted to have Buttimer present at the conference, and that he had invited TENI, the Transgender Equality Network Ireland, to speak to the Oireachtas Committee on Health and Children, which he chairs.

We need to up the game where GPs are getting trained, where mental health professionals are getting trained. We will provide the training. This was a foundation event and after this will come the training.

The conference itself was filmed and will be used for training purposes. Among the attendees was Philip Crowley, National Director, Quality & Patient Safety at the HSE. “To even just have someone of Dr Crowley’s stature there sends out a very big message to HSE workers and service providers,” said Lacey.

The event was organised by a local Waterford group, Transgender South East, who Lacey volunteers with, in collaboration with TENI and the HSE.

One of the main funders was the Waterford Area Partnership. “It was an amazing day,” said Lacey.

Read: Demand for LGBT Helpline so high it needs more volunteers>

Read: Ireland will work to make transgender rights an international issue – Gilmore>

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Comments (49 Comments)

  • I enjoyed watching “Soldier’s Girl” last night which dealt with the subject of “gay” men in the army and transgender issues. Based on the real life story of the relationship between Barry Winchell and Calpernia Addams. Barry Winchell was in the US Army. Troy Garity (son of Jane Fonda) plays the part of Barry. He was only 21 when he was beaten to death for having a relationship with a transgender person. This happened in 1999 which is not that long ago.

    Man’s inhumanity to man. As a species we can be quite cruel.

    Reply
  • Mr buttimer, the hse is drastically short of neurologists.

    Reply
  • Gerry is completely correct in that our health system is way behind in dealing with trans people compared to the NHS. There are issues around sexual health screening and the ability to access. There are also issues around treatment when admitted to A&E. e.g in which ward do you place a trans woman or man? Will the HSE pay for specialist treatment beyond the basics as happens in the UK.? Trans people were promised an endocrinologist in Cork some years back to deal with Munster etc.. This never happened. There needs to be a specialist both in Cork and Dublin on the same basis as in the north in Belfast where Dr. James Ingram does nothing else. GPs and front line staff have little knowledge on trans health issues, and if a trans person approaches a GP it’s hit or miss whether they wiill get a positive caring response… In short a long way to go but there is massive progress being made in a very short time.

    Reply
  • zebedee 22/02/13 #

    @ James Connolly. Thanks for that James. Not too sure what people are red thumbing for…I asked a legit question. I even apologised for my lack of knowledge on the subject….maybe I need to have a higher level of intelligence to comment on the Journal!

    Reply
  • Great to see political support (to some degree) for this. There’s a shocking amount of ignorance amongst healthcare professionals around trans* issues, and that’s before we even look at the dearth of services for trans* people to support their transition.

    Reply
  • Excuse my ignorance, but what % of the population is transgender?

    Reply
    • Does it really matter? Even if there was only one transgendered person surely they are entitled to proper healthcare.

      Reply
    • Approximately 1:8 will be a member of the LGBTQ community. That covers those who identify as being lesbian, gay, bisexual, transgender and questioning.
      I’d echo what was said just above me though – its a health service that serves all of the people all of the time, not some of the people some of the time.

      Reply
    • Dario Fo 22/02/13 #

      There will be no medical care if GP’s don’t paid outstanding claims, by the HSE. Some are a couple of months overdue.

      Reply
    • James,can i ask where did you get 1:8 from ? Seems very a very high ratio.

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    • Ian, there are 2 studies available, both carried out by renowned biologist Alfred Kinsey, (aptly called the Kinsey reports, one is based on male sexuality the other on female sexuality, carried out in 1948 and 1953 respectively).
      The 2 studies conclude that 10% of the population identify as being LGB, (obviously neither the T or the Q didn’t exist at the time). To take into account the fact that people are generally more accepting of their sexuality, and the increase in entities (adding in of the T and Q), the generally accepted ratio is 1:8, (depending who you ask, some would say its closer to 1:9, but the figure hovers between 1:8->1:9).
      Hope all that helps.

      Reply
    • I think one in eight is low.

      Reply
    • James,assuming your ratio is correct the LGBTQ community have sufficient numbers to employ professionals to deal with all aspects of their community,help each other along.

      Reply
    • I fail to see what you mean. Are you suggesting that because the numbers have reached a certain size they should be segregated from the general health system?

      Reply
    • Not at all david,but i do believe people should also be willing to help themselves, why wait on the HSE.

      Reply
    • There are lots of supports available for lgbt people mostly counseling services but its more Dublin located. There is also the gay men’s health clinic but again not everyone is close to these services. I think it only right that all citizens should get sufficient health care country wide since they are tax payers after all. The state can’t exclude a section of society no matter how small.

      Reply
    • The Gays should treat the gays so? Lesbians should only be able to treat lesbians? Transgendered treat transgendered? Sounds like the days before the Civil Rights Movement in the US!
      This isn’t about treatment for specific, it’s about how the staff that work for the HSE deal with various people. As one commentator beautifully said below, if we have doctors who look sideways at you when you request contraception then what hope is there for transgendered folk?!

      Reply
    • James,for a intelligent man that was a very immature response, that was not what i was proposing and damn well you know it,have a look at how other groups in society that help each other along and are very supportive and helpful,AA being a prime example, please stop with the “poor me’s”.

      Reply
    • @ James Connolly, well said on all your comments.

      Reply
    • Ian, I knew exactly what you meant and to an extent I agree with you, but to a greater extent, there are already many organisations available. My point was that you can’t segregate groups of patients, that’s wrong.
      This article isn’t about providing care, it’s about making the care providers far more approachable for a whole segment of society (no matter how small that segment is, after all it is a health service that serves all if the people all of the time).
      If we were to act as you describe above, it would be like employing people from the Irish Cancer Society to communicate with cancer patients – and don’t get me wrong, the ICS does Trojan work, but that’s not their job, it’s my job, it’s the doctor’s job, it’s the nurse’s job. We should be trained to deal with all patient groups, and that includes transgendered.

      Reply
    • Absolutely agree with you james, but transgender people need help and support while waiting on the HSE to provide these services,so it could only be a good thing to try and organise the assistance of trained professionals in this area,i am sure the LGBTQ community would be only to happy to donate a small contribution to achieve this.

      Reply
    • To a certain degree (in so far as their funding provides), LGBTQ organisations do Trojan work in their areas, the problem is that the little funding they do get is better spent providing direct services to the population rather than through training professionals who should be trained as part of their basic training to deal with their target audience.
      I accept your points though, Ian.

      Reply
    • I think it’s closer to 8%, studies are inflated quite a bit. Some are as low as 4, though you can bet in a society that doesn’t stigmatise it, it would probably be closer to 10 or more.

      Not quite sure what the point of this question is though? I think trans is 1 in 10,000? Probably more?

      Reply
  • I am puzzled. I assume transgender people are human beings, both male and female. Therefore what special ‘health issues’ do they have? They are entitled to the same poorly resourced health care as the rest of us – no more.

    Reply
    • Transgendered population have a whole host of conditions that are mainly specific to transgendered population and nobody else.
      You can say your comment about any patient – oncological patients are just male and female, so are renal patients, geriatric, paediatric, whoever…
      They all get a general level of care that is deemed acceptable by international standards. It’s not entirely true for transgendered population, where many surgeries to correct reproductive systems are not provided for publicly as they are not deemed life threatening, yet can have a huge effect on the mental health of the patient, more so than many conditions of lesser importance carried for other patient groups (freely), yet would have less of a negative impact upon the life of the patient were they not provided for.
      Add to that, sex (identifying as male or female, not the act) is extremely important, and many transgendered people don’t feel comfortable identifying as either male or female – which is where the training more specifically comes into play, that is dealing with the psychological aspect of the condition. (Of course also the medical/surgical, but for the most part, we are trained here, it’s just a matter of making options available freely and publicly and removing the heir of mystery around it.
      Transgender happens along with everything else, it always will, deal with it and move on. (That’s to the HSE and government).

      Reply
    • You’ll note it doesn’t say we need to develop special treatments for transgender people, but facilitate pathways to care.

      This involves educating doctors about transgender people, so they are prepared to deal professionally and compassionately with them when they present — whether that’s with a sore throat, a sexual health issue, or an issue relating to their gender.

      Imagine for a moment you’re a transgender person, who may not feel 100% at home in their body… How keen would you be to undergo an hands-on examination by a doctor? Especially when that doctor may have no knowledge or education on transgender issues. Even more troublesome when a vast majority of doctors, particularly in rural areas, would look sideways at you for wanting contraception; never mind something as complex and taboo as being trans.

      Reply
    • “They are entitled to the same poorly resourced health care as the rest of us – no more.”

      That’s assuming they don’t have special “health issues” and that their status doesn’t complicate regular health issues.

      As it would happen, you’re wrong on both counts.

      Reply
  • You must be very thick skinned!

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  • For the smart arses, go educate yourselves .I hope you never have to parent a transgendered child in a country that the health care /education system haven’t a clue .To the rest of you,thanks

    Reply
  • And the misogyny award goes to John Fagan. Congratulations.

    Reply
  • I have to echo hippo’s question….his comment did not seem offensive.
    Why was it removed?

    Reply
  • Why was my lizard comment removed? There was no offense intended to anyone. There was no bad language and I put a bit of effort into writing it.

    For a journalistic outlet ye certainly have no qualms about censorship! #manlizardawareness2014

    Reply
    • #manlizardawareness2014 is now trending on Twitter.

      Reply
    • Although I personally thought that your comment was sarcastic and demeaning, but you did effort into it and didn’t use crass language. It shouldn’t have been deleted, it should have been left to the mob to argue against your point. Thats what I like about this site. It is a platform for discussion. But I’m starting to think twice now the more i see this happening. We are Irish, we take the piss. If somebody is going to make an ignorant statement like Hippocrateeth did, then the worst that can happen is that people look at it and say “what a fool”. Censorship is lame.

      Reply
    • Aoife Barry 23/02/13 #

      Hi there,
      Hippocrateeth, this article is a serious one about transgender issues and healthcare. As such, I did not feel that your comment about being a lizard trapped in a man’s body was appropriate in the context – not to mention the fact it was off topic and some may have found it offensive.

      The spirit it was written in might not have been offensive but surely you can understand how it would have derailed the conversation.

      The comment section isn’t a free-for-all, we simply ask that people stay on topic and play fair.

      I’m sure if it was a subject that meant a lot to you, that you would appreciate us taking the same actions if someone posted such an off-topic comment.
      Thanks
      Aoife

      Reply
    • Excuse me Aiofe, in case you haven’t been informed I was included in last week’s Top Comments so I’m pretty sure I am well aware of what constitutes a top-notch comment.

      Down with censorship, free the conversation.

      Reply
    • There have been no recorded instances of a human with lizard chromosomes. There are cases of biological women (i.e. people who naturally grow women’s genitals, breasts, bone structure etc) who have male (XY) chromosomes (the condition is called Androgen Insensitivity Syndrome). Similarly, there are XX people who naturally grow penises etc.

      Of course, that doesn’t explain the transgender experience. One of the “sexed” organs of the body is the brain – there are subtle differences in the brain structures of men and women. It seems that a transgender person’s brain is one that corresponds to their gender identity, and not their assigned sex. And, since the brain is the source of one’s identity, of one’s sense of self, it is, therefore, according to the theory, impossible for a transgender person to identify with their birth sex.

      In other words, I was born with a woman’s brain in a man’s body. Because of that, it is impossible for me to see myself as male – my brain won’t let me. And I tried very very very hard for many decades to identify as male – in the end, the effort nearly killed me. I don’t wear a dress because I want to be a woman – I want no such thing! I’d much prefer if I were able to identify as male – my life would have been so much easier and better – but it just wasn’t possible. I don’t take estrogen pills because I want breasts – I take estrogen pills because I need them in order to function properly.

      Reply
  • What kind of nonsense is this?

    Reply
  • Is David Eike correct about ye trying to take over the world?

    Reply
  • Producer 24/05/13 #

    Neurologist and Lizards need to step back and look at how confusing the transgender issue is for a proportion of humanity who dont understand it. In simple terms think of an hermaphrodite.Thats how complex the human condition is. We are entities living in a body. Make the best of it. Think of the many kinds of people there are in this world? If you have athletes foot theres a biological war at your feet.You have not stepped out of bed yet and theres a war on, in your life. You rise up and your faced with your own dilemmas. Theres war on the radio, internet, TV.Theres a war in your garden between slugs and plants. Fashion wars, food wars, animal wars, biological neurological and physical.Tend to these elements of confusion in life before questioning another human beings Origin and their way of dealing with life. People are different, Get over it!!! We were Burning witches not long ago, thats how behind we are. Peoples concept today of the human condition is poor compared to what future concepts will be.Who you are will matter more to you in the end, rather that the person passing you in the street? Introduce Cafes, social outlets ,offices, hospitals, hotels, that accept all walks of life and you close the gap in Economy of acceptance verses indifference. Let the happy support the miserable, give people what they need with your compassion first and the rest will fall into place.There are a million statistics in the world.Only one matters,Is there more love than hatred.

    Reply
  • #fightthesystem

    Reply
  • Dear God.

    Reply
  • Imagine the sight of it

    Reply
  • zebedee 22/02/13 #

    I made the assumption Hippo is male base on his “man lizard”#

    Reply

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