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Blog Out in Healthcare

Out in Healthcare: Emma Baldwin, OTS

Name: Emma Baldwin

Identity: Cisgender gay/lesbian woman, White, Anti-racist

Pronouns: She/her/hers

Background: I am a 23-year-old born and raised in Oak Park, Illinois (the first suburb West of Chicago). I have been in Indiana for my years in higher education and I am ready to take on a new place following graduation! I studied kinesiology and studio art in undergrad, and was a life-long student-athlete. I love hiking, making art, and traveling, but I am the most passionate about advocating and learning. 

Profession: I am currently a 3rd year Occupational Therapy Student (3rd year), and an artist on the side.

Area(s) of Practice or Interest: Pediatric or adult home health, early intervention, hospice home health, sexuality and mental health, neuro… primarily emerging practice areas and places where I can take on leadership roles.

What does being ‘Out in Healthcare’ mean to you?: To me so far (newbie to healthcare over here), it has meant learning how to advocate for myself and others in my school, on my fieldworks, and beyond. I found ways in my school to advocate for bias-free language, better LGBTQIA+ client education, and many more purposes, all by trying to foster inclusive conversations and providing resources. I recognize that I don’t have all the answers but I sure do have a lot of ideas, and being ‘out in healthcare’ or ‘out’ at my school allows me to advocate first-hand. Shoutout to the Coalition of Occupational Therapy Advocates for Diversity (COTAD) for helping support us students in doing so!

What is one thing everyone should know about your identity?: I think the interesting thing about my identity is that I can blend in. It can be a blessing at times and a curse in others, but it is definitely a privilege. It is challenging for me still to own who I am and vocally identify myself as queer in healthcare because no one asks. Sometimes breaking apart from the assumptions is more challenging than simply stating how I identify awkwardly off the bat… but it’s still a balancing game that I am working to figure out. 

How do you feel when your identity is included?: I think that goofy smile, one that you couldn’t wipe off my face if you tried, says it all. There is really no feeling like it.

What does “taking up space” mean to you?: To me, taking up space means being visibly unapologetically who I am. It means paving the way for future generations of me’s & you’s who don’t see ourselves represented in our fieldwork educators, healthcare providers, clients, and professors (etc.) as often. To me it means constantly navigating how to come out, when to come out, and how to feel okay with how people view me… yet it seems like the big key to all of that, is feeling okay with how I view myself. Doing this interview is just one step towards me being sure that I show my true colors and be my true self in my future work settings, for myself and for others.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: Simply asking questions and giving me the space to answer, before assuming literally ANYTHING. That is the difference between making me want to come back and avoiding it at all costs. It really is true that sometimes LGBTQIA+ individuals may not feel comfortable in receiving care from someone after assumptions are made. I recognize that healthcare is crucial and that seems crazy to say, but even knowing all of that, I have avoided seeing specific doctors or changed providers due to discomfort. To be as researched and well-informed as possible on how to make your LGBTQIA+ patients comfortable and feel included will go so far. There are so many resources out there.

Has your identity influenced healthcare that you’ve received?: Yes, and you don’t want to listen to the long uncomfortable stories. Simply asking questions at the very beginning (even on a form) could have prevented these unfortunate incidents.

Where can people find you?: You can email me at embaldwin00@gmail.com or follow me on instagram at @em.baldwin.00 & @emmabaldwindesigns. Really, feel free to reach out!!

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Blog Out in Healthcare

Out in Healthcare: Oliver Hoad, OTS

Name: Oliver Hoad

Pronouns: He/Him/His

Identity: Queer Trans Man

Background: I’m 23 and grew up in a coastal town on the east coast of Australia called Coffs Harbour. I am currently in the second year of my Bachelor of Occupational Therapy. I came out as bisexual when I was in high school, but as I grew into my identity I realised that queer was a better fit. I came out as trans in 2018 which was a huge change for everyone in my life but luckily it has been a mostly positive one! Where I live is fairly regional, and there is not a lot of acceptance towards the queer community so unfortunately there are not many opportunities for interaction with other queer people, especially those my age. When I’m not studying I am a member of a group for LGBTQIA+ young people, a peer educator for a sexual health organisation and enjoy gaming, baking and going to the beach.

Profession: I am an Occupational Therapy student and I teach primary school (elementary school) kids how to create video games afterschool on the side!

Area(s) of Practice or Interest: Interested in sexual health and paediatrics/adolescents.

What does being ‘Out in Healthcare’ mean to you?: Australia is not very progressive when it comes to the healthcare of transgender people. After I came out and had to go to the emergency department of the hospital I told them I was trans and that my name was Oliver yet the doctor continued to address me by my deadname* and female pronouns. Being out in healthcare would allow me to reduce the chances of this happening to other trans people, particularly youth, and would increase attendance and inclusivity within spaces that cause so much anxiety for young people.

What is one thing everyone should know about your identity?: People should know that we are not all the same and we do not have to all be the same. Not all trans people look like the stereotypical trans man or trans woman that may be portrayed in the media, and a lot of us have values and beliefs that are different from each other. That is ok and it doesn’t make someone any less trans.

How do you feel when your identity is included?: I feel hopeful for the future. The inclusion of trans people in different conversations is so important. It shouldn’t be a question whether or not to include us in conversation whether it be political, health related, in sports, or religion, and when this occurs it feels like progress is being made.

What does “taking up space” mean to you?: As queer people, we are often told that we are taking up too much space. We are told that we are too visible within the media, we should be so “gay” in public, that our stories are being told too often and we are asked why we need a whole month to celebrate our community and their history when it “isn’t necessary”. These opinions of individuals are all such negative things that are brought up way too often! However, they bring about important conversations between two communities that may not occur if our presence wasn’t questioned so often. The space that we take up is so important even if other people don’t think that it is.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honour the identities of their patients?: Ask as many questions as possible. Ask what your patient they are comfortable with, what their pronouns are, and if they would like you to know anything about their identity. In saying that, also be respectful when asking the questions. Oh and don’t always assume that somebody fits into a binary gender simply because that is how they present!

Has your identity influenced healthcare that you’ve received?: It has definitely influenced my healthcare experience, probably being trans more than anything else. Finding a doctor who is LGBTQIA+ friendly and educated in transgender medicine is difficult in a regional area so you have to go in blind and hope for the best. There are also limited services available in these areas for transgender healthcare. In the past, I was often misgendered and called my deadname* even after telling doctors my preferred name and pronouns which is unfortunately a common problem for trans youth and people who are transitioning, especially in regional and rural areas like the one I live in. Luckily now I have found a good network of supportive doctors and allied health professionals that are educated in the needs of the LGBTQIA+ community.

Where can people find you?: You can find me on Instagram @onespicyegg or via email at olivermaxwellhoad@outlook.com

*Deadname: A deadname is the birth name of someone who has changed it. The term is especially used in the LGBTQ+ community by people who are transgender and elect to go by their chosen name instead of their given name. (Resource)

Deadnaming: Deadnaming occurs when someone, intentionally or not, refers to a person who’s transgender by the name they used before they transitioned. You may also hear it described as referring to someone by their “birth name” or their “given name.” (Resource)

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OT and Transfeminine Equipment: Breast Forms, Gaffs, and Tucking Oh My!

Transfeminine equipment or equipment for those with feminine gender expression among people assigned a male sex at birth, particularly transgender and gender non-conforming individuals may include: prostheses, breast forms, gaff, tape, tucking, padding.

Padding: Padding refers to the use of undergarments to create the appearance of larger breasts, hips or buttocks. Padding may also assist in minimizing dysphoria.

            Some padding-specific garments include:

–       Padded undergarments: Typically, useful for facilitating appearance of wide hips or full buttocks

–       Bras with pockets: Also known as mastectomy bras, they are designed to accommodate breast forms and other associated prostheses

–       Padded bras: May be preferable if breast growth is present but not at the desired size.

Prostheses: An artificial body part(s), typically made from plastics, lightweight metals, or composites. May be formed to represent a breasts, penis, scrotum, or other anatomy.

Breast forms: Prostheses that have the appearance of breasts. Typically made of soft silicone gel and adhere to one’s body or are placed in a bra. Can be considered a form of padding.

Tucking: Tucking is the practice of arranging and supporting external genitals between the legs, including the penis, scrotum, and testicles so they are not visible in clothing. There are many ways to tuck, such as pushing the penis and other anatomy between your legs and then pulling on a pair of undergarments, to tucking the testicles inside of you. People tuck for many different reasons. One might tuck in order to feel more at ease in their body (minimize dysphoria), to feel more comfortable in their clothing, or to facilitate affirmation as one’s gender. There is minimal research on the safety of tucking.

Gaff: compression underwear that minimizes the appearance of a penis, scrotum, and testicles.

Tape: tape may be used with or instead of a gaff to “tuck” or minimize the appearance of the penis, scrotum, and testicles.

Important gaff considerations:

o Choosing the right size gaff is like choosing the right size underwear. One can also measure the circumference of their waist, just above the hips for correct sizing.

o Safe tucking/gaff techniques mirror those of binding:

o Minimize frequency of wearing, take breaks throughout the week (although it may not be ideal, it is particularly important for involved anatomical and physiological systems). Reducing the intensity of wearing (daytime donning) can also reduce risk of negative effects, though not as significantly as reducing the frequency.

o Minimize duration of wearing, as in reducing the wear time throughout the years. Bottom surgery is an alternate to tucking, however it is important to note that not every individual that tucks will want bottom surgery, nor will all individuals have access to the procedure (cost, access to healthcare, etc.)

o Unsafe tucking can affect the circulatory system, musculoskeletal anatomy, fertility issues, sex and intimacy, and skin integrity.

Gaff/ tucking garment maintenance: First and foremost, follow the washing/care instructions on the packaging/garment. In general, hand washing is the best. Avoid using bleach and/or a dryer as they accelerate material breakdown/ reduce integrity of the material. Pay special attention to skin folds, folding in the tucking garments (gaffs), bulging skin adjacent to the gaff or selected garment, redness, skin abnormalities, and prolonged indentations. Pay extra attention to the effects of the trans affirming/generally affirming care that you provide.  

The risks and contraindications are 𝕒𝕝𝕞𝕠𝕤𝕥 𝕒𝕝𝕨𝕒𝕪𝕤 𝕒 𝕣𝕖𝕤𝕦𝕝𝕥 𝕠𝕗 𝕦𝕟𝕤𝕒𝕗𝕖 𝕥𝕦𝕔𝕜𝕚𝕟𝕘 and 𝕒 𝕣𝕖𝕤𝕦𝕝𝕥 𝕠𝕗 𝕒 𝕙𝕖𝕒𝕝𝕥𝕙 𝕤𝕪𝕤𝕥𝕖𝕞 𝕥𝕙𝕒𝕥 𝕗𝕒𝕚𝕝𝕖𝕕 𝕒𝕥 𝕞𝕖𝕖𝕥𝕚𝕟𝕘 𝕒𝕟 𝕚𝕟𝕕𝕚𝕧𝕚𝕕𝕦𝕒𝕝𝕤 𝕟𝕖𝕖𝕕𝕤. We need to have the knowledge based to educate our clients on safe tucking practices as healthcare provides and 𝕖𝕤𝕡𝕖𝕔𝕚𝕒𝕝𝕝𝕪 as occupational therapists. HELLO!! ADLS!! DRESSING!! Anotha time for the people in the back: we alllll know that our professors/we talk about dressing all of the time throughout our programs and throughout providing care 𝕒𝕔𝕣𝕠𝕤𝕤 𝕥𝕙𝕖 𝕝𝕚𝕗𝕖𝕤𝕡𝕒𝕟. That’s right peds friends, I’m calling you in on this too. You may have a child, adolescent, or young adult that is going to need 𝕪𝕠𝕦 to educate them on safe tucking practices.

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OT and Transmasculine Equipment: Binders, Packers, and Prostheses Oh My!

Transmasculine equipment or equipment for those with masculine gender expression among people assigned a female sex at birth, particularly transgender and gender non-conforming individuals may include: binders, packers, prostheses, and bandaging.

Prostheses: An artificial body part(s), typically made from plastics, lightweight metals, or composites. May be formed to represent a penis, scrotum, testicles, or other anatomy.

            Packers: A prosthesis with the form a penis

Binders: commercially produced binders designed for binding. Other options (usually less safe options) are sports bra, neoprene/athletic compression garments, plastic wrap, duct tape, and more. The benefits of binding far outweigh the risks, however 𝕥𝕙𝕖 𝕣𝕚𝕤𝕜𝕤 𝕒𝕣𝕖 𝕥𝕠 𝕓𝕖 𝕥𝕒𝕜𝕖𝕟 𝕧𝕖𝕣𝕪 𝕤𝕖𝕣𝕚𝕠𝕦𝕤𝕝𝕪.

Binding: Binding involves wearing tight clothing, bandages, or compression garments to flatten out one’s chest and/or other anatomical features. 

Safe binding practices include:

  • Donning neoprene/athletic compression garments or commercial binders. The limited research supports using neoprene/athletic binders over commercial binders.
  • Minimize frequency of wearing, take breaks throughout the week (although it may not be ideal, it is particularly important for involved anatomical and physiological systems). Reducing the intensity of wearing (daytime donning) can also reduce risk of negative effects, though not as significantly as reducing the frequency.
  • Minimize duration of wearing, as in reducing the wear time throughout the years. Top surgery is an alternate to binding, however it is important to note that not every individual that binds will want top surgery, nor will all individuals have access to the procedure (cost, access to healthcare, etc.)

Binding maintenance: First and foremost, follow the washing/care instructions on the packaging/garment. In general, hand washing is the best. Avoid using bleach and/or a dryer as they accelerate material breakdown/ reduce integrity of the material. A binder should never be too tight. Pay special attention to skin folds, folding in binding material, bulging skin adjacent to the binder, redness, and prolonged indentations. Pay extra special attention to the effects of the trans affirming/ generally affirming care that you provide.

According to research, some benefits of binding include:

– Increased self-esteem, confidence, ability to go out safely in public, positive mood

– Decreased suicidality, anxiety, and dysphoria

The research also notes the following risks and contraindications:

– Pain related to the musculoskeletal system and at times internal systems

– Musculoskeletal system changes including bad posturing, shoulder joint ‘popping’, fractures, and muscle atrophy

– Neurological system changes like numbness, dizziness, and more.

– GI system changes, decreased motility, and more

– Respiratory changes like SOB, coughing, and more

– Skin and tissue change like skin breakdown, wounds, and infection

𝕃𝕖𝕥’𝕤 𝕓𝕖 𝕤𝕦𝕡𝕖𝕣 𝕔𝕝𝕖𝕒𝕣

The risks and contraindications are 𝕒𝕝𝕞𝕠𝕤𝕥 𝕒𝕝𝕨𝕒𝕪𝕤 𝕒 𝕣𝕖𝕤𝕦𝕝𝕥 𝕠𝕗 𝕦𝕟𝕤𝕒𝕗𝕖 𝕓𝕚𝕟𝕕𝕚𝕟𝕘 and 𝕒 𝕣𝕖𝕤𝕦𝕝𝕥 𝕠𝕗 𝕒 𝕙𝕖𝕒𝕝𝕥𝕙 𝕤𝕪𝕤𝕥𝕖𝕞 𝕥𝕙𝕒𝕥 𝕗𝕒𝕚𝕝𝕖𝕕 𝕒𝕥 𝕞𝕖𝕖𝕥𝕚𝕟𝕘 𝕒𝕟 𝕚𝕟𝕕𝕚𝕧𝕚𝕕𝕦𝕒𝕝𝕤 𝕟𝕖𝕖𝕕𝕤. We need to have the knowledge based to educate our clients on safe binding practices as healthcare provides and 𝕖𝕤𝕡𝕖𝕔𝕚𝕒𝕝𝕝𝕪 as occupational therapists. HELLO!! ADLS!! DRESSING!! I don’t want to hear any of that “we don’t have room in our curriculum for LGBTQIA+ topics” anymore. Sis, honey, darling, we alllll know that our professors/we talk about dressing all of the time throughout our programs and throughout providing care 𝕒𝕔𝕣𝕠𝕤𝕤 𝕥𝕙𝕖 𝕝𝕚𝕗𝕖𝕤𝕡𝕒𝕟. That’s right peds friends, I’m calling you in on this too. You may have a child, adolescent, or young adult that is going to need 𝕪𝕠𝕦 to educate them on safe binding practices.

Sources and Citations:

http://www.phsa.ca/transcarebc/care-support/transitioning/bind-pack-tuck-pad

https://www.lgbtq-ot.com/terminology

Peitzmeier, S., Gardner, I., Weinand, J., Corbet, A., & Acevedo, K. (2017). Health impact of chest binding among transgender adults: a community-engaged, cross-sectional study. Culture, Health & Sexuality, 19, 64-75. doi:10.1080/13691058.2016.1191675 

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Blog Out in Healthcare

Out in Healthcare: Wade Robinson, OTD

Name: Wade Robinson

Pronouns: He/his

Identity: Gay man 

Background: While completing my undergraduate degree, I became passionate about the field of sexual wellness while working with various non-profit organizations that provided HIV-related services and raised scholarships for LGBTQ students. Those experiences emphasized the importance of education around sexuality, and after beginning graduate school I was delighted to discover that sexual activity is included in the domain of occupational therapy. I was able to bring OT and sexuality education together and collaborate with @sexintimacyOT for my doctoral capstone project to create a continuing education course on LGBTQ0-inclusive practice.

Profession: Occupational Therapy

Area(s) of Practice or Interest: Sexual activity and education, pediatrics, hand/orthopedics

What does being ‘Out in Healthcare’ mean to you?: I believe that generally people have many misconceptions about what it means to be LGBTQ until they know that they know LGBTQ people. In my day-to-day life, I live by the mantra of “advocacy through visibility”, and I try to do the same in a professional setting by being authentic about my own sexual identity. I think this normalizes conversations about sexuality, models to colleagues how to respond, and indicates a safe-space to clients.

What is one thing everyone should know about your identity?: Overall I think that LGBTQ visibility is a good thing, but I’ve noticed that a lot of the mainstream media highlighting LGBTQ people are pretty narrow in their scope. I just want people to check themselves for implicit biases that are easy to subscribe to and know that being gay does not mean being into interior design, subscribing to a particular style of drag, or being into drag at all for that matter. Part of allyship is celebrating LGBTQ people for their identities, so just recognize that there are countless ways for identities to differ and each is as valid as the next.

How do you feel when your identity is included?: We [LGBTQ people] have gone so long without seeing proper representation or inclusion that I definitely notice when we are included in policies and media, even with little things.

What does “taking up space” mean to you?: To me this goes back to the idea of advocacy through visibility. It’s not like I always talk about being gay, queer culture, or anything like that, but I do think it is important to share my sexual identity with the people around me. I think its personal relationships that create allies. It’s so obvious to LGBTQ people how cisnormative/heteronormative everything is by default, and that creates a lot of marginalization that the majority never considers. I think that we can use that lens for the better to recognize how other minority groups could be excluded and erased, then aim for more inclusive, mindful practice.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: I know for OT in particular, there are not very many resources, which is why I created the LGBTQ-inclusive course for my capstone project. For healthcare professionals in general, I think the National LGBT Health Education Center is the best resource for practice guidelines. Time in the clinic is precious and the experience is often stressful for clients; it would be very unusual that that time would be best spent with the client educating the clinician about their sexuality. Being educated about sexuality before interacting with clients is best practice. If somebody finds themselves in a situation where they still are unsure, I think the most import thing they could do is approach the situation with humility. 

Has your identity influenced healthcare that you’ve received?: There are two instances that come to mind in which providers made assumptions about me after I disclosed that I am gay, and both instances were regarding sexual health interestingly enough. The first time I was just completing a routine check-up and getting some vaccinations to start graduate school, and the physician suggested that I complete a battery of STD tests. Even after I explained that I have worked in sexual health, am very aware of my relative risks, and was current on all my tests, the physician suggested that I at least get an HIV test. The second time, the nurse told me that they were going to ask me some questions about my sexual health, but once I said that I was gay, they moved on to ask me about other areas of health. Afterwards, without knowing any of my risk factors or sexual habits, they proceeded to try to administer a test that was completely inappropriate and did not apply to me at all. At this point, I said I would not be doing that test, explained that I previously worked in sexual health, and commented that I was surprised that they did not ask more questions to assess which tests were appropriate. The nurse brushed off my response and quickly said that there were more questions on the template but they were optional to ask and this was standard procedure. 

Where can people find you?: Hidden away studying for the NBCOT exam, hiking, or on Instagram at @Wad_the_robin

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Blog Out in Healthcare

Out in Healthcare: Dr. Sakshi Tickoo, BOTh®, Personal Counselor

Name: Dr. Sakshi Tickoo

Pronouns: She/her/hers

Identity: Bisexual

Background: I am 23 year old cisgender female born and raised in Mumbai, India. From being an 8-year-old child interested in gynecology and pursuing Occupational Therapy at the age of 17, a lot has changed unlike my passion for understanding sexuality. When I joined OT all I knew was it enables independence, holistic in approach and has scope for creativity and research. I haven’t been disappointed with that idea ever since I graduated from Asia’s first Occupational Therapy school in 2019. I came out to my family and friends 2 years back. While my parents still believe “bisexuals” don’t exist; my brother, colleagues and friends have been extremely supportive of my choices. However, this relationship with
my own sexuality is ever evolving and I’ve so much to learn about my own body & desires. Currently, I am working as a school-based OT and on the mission of educating and equipping therapists with tools and resources to create and build upon safer, inclusive, and judgement-free spaces for sexual expression.

Profession: Occupational Therapist

Area(s) of Practice: Sexuality and Mental Health, Wellness and
Rehabilitation

What does being ‘Out in Healthcare’ mean to you?: It means to represent and own my authentic self as a person and professional. It allows me to be open, honest with my clients and get a better perspective towards intimacy and relationships. Moreover, it has become a means of creating safer spaces for awareness and sensitizing people on gender and sexuality. This further sets an example of courage for others to be themselves and represent what they believe in.

What is one thing everyone should know about your identity?: Bisexuals are not indecisive, confused, experimenting, or only engaging in polyamory. Sexuality is fluid and sexual expression is a personal choice. Bisexuality for me is having a slightly wider spectrum of choice- an attraction to the person of same or opposite gender. This may also look like attraction to two or more genders for someone else. So, even though it’s one identity, the way we all express it can be vastly different.

How do you feel when your identity is included?: The “B” in LGBTQ is often invisible to most people. Bisexuals aren’t straight enough for the heteronormative society and not gay enough to be included in the LGBTQ+ community. It’s a constant struggle for belongingness but as long as people who matter to me are a part of my life and let me be part of theirs, nothing else matters!

What does “taking up space” mean to you?: Taking up space is an act of resistance. To own and establish your unique brand of self in this beautiful mess of a world. This space has a certain vibe, healthy boundaries, and provides a sense of belongingness. I don’t have to wait to belong anywhere as I belong everywhere. My thought & idea matters. My voice matters. I matter.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: Look and create that space of communication about sexuality. It won’t naturally arise because most healthcare workers aren’t addressing this area making patients clueless about the services we could offer. It will be awkward but it’s a skill set we learn and get better at- just like sex! And if it’s too much for you, be open to learn from your patient and let them guide you through this.

Has your identity influenced healthcare that you’ve received?: There is often no acknowledgement or plain ignorance to how I identify. It’s always assumed that I’m a heterosexual because I identify as a cisgender woman. I’ve not been denied any healthcare facilities but most providers fail to understand what I need from them. They lack providing optimal quality care expected from them which makes it harder for me to trust them at times.

Where people can find you:
Website: sexloveandot.in
Instagram/Facebook: @sex.love.andot
Email: sex.love.andot@gmail.com

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Blog Out in Healthcare

Out in Healthcare: Sara Persutti MS, OTR/L

Name: Sara Persutti


Pronouns: They/Them


Identity: Lesbian, Non-binary


Background: I was born and raised in Buffalo, NY. I graduated with my Masters from D’Youville College. I have been practicing for 3 years (currently as a travel OT) and I have worked primarily with traumatized
youth in specialized behavior schools. This is where my passion lies and I plan to become a certified specialist in trauma interventions for youth.
I am lucky to have grown up in a city like Buffalo, where the LGBTQIA+ community is celebrated. I attend local LGBT events, hang out at LGBT bars and cafes, and support local arts and music. I have also modeled for a gender neutral shoot at my hair salon. When I am not being social I enjoy being as active as possible, whether with yoga, lifting, cycling, or hiking. Needless to say, I keep myself busy!


Profession: Occupational Therapist

Area of Practice: Youth-Young adult, School-based


What does being out in healthcare mean to you?: Since I primarily work with youth, coming out as a healthcare worker gives me the opportunity to be an LGBT role model for kids, who are experiencing their own journeys in a world that prioritizes being cisgender and straight. There is a common misguided idea that children are “too young” to be exposed to the concept of being queer, when everything they are exposed to in our current social climate emphasizes heterosexual, patriarchal relationships. Kids who feel they might be trans, gay, etc. have very little representation to identify with, and can be left confused, ashamed, and targeted by their peers. I value that my platform in healthcare allows me to be someone kids can be their authentic selves around, while showing them that being queer is both normal and something they can (and should) celebrate in themselves and others. Destigmatizing queerness in school will help kids feel safer and
more empowered to come to school, perform their occupations, and achieve to their full potential.


What is one thing everyone should know about your identity?: Non-binary lesbians are valid! My gender identity is non-binary, which means I do not identify within the culturally imposed male-female binary. Gender is socially constructed, and I don’t feel compelled to participate in concepts of masculinity and femininity. I’m just Sara! My sexuality is lesbian, which means I am attracted to women and non-binary folk (this frequently misunderstood and sometimes argued, but non-binary people have historically always been included in lesbianism!)


How do you feel when your identity is included?: Even within the LGBT community, non-binary lesbians are often looked at with a sideways head. Even people within the community need to be further educated on inclusivity. When my identity is acknowledged and respected, it feels affirming and great. At work, I have been hesitant to even come out as a lesbian at certain jobs, mostly when it seemed like there weren’t any other queer people around. Once I started encountering openly gay colleagues, I was much more confident to come out. I enjoy feeling empowered to come out on my own terms rather than let people make assumptions and judgments. Fortunately, I’ve never been in a workplace where I felt ostracized after coming out, which has made it easier and more comfortable to be myself while doing my best work.


What does “taking up space” mean to you?: Taking up space means that I feel empowered and safe to be openly and proudly queer. I should be able
to live my truth as fully as my cis and straight peers do, without any shame or disrespect. Unfortunately, LGBT people do still face stigma and discrimination, but the more we take up space and come out, the more we demand that we be considered as equals in healthcare and society as a whole.


What is one piece of advice that I would give to healthcare workers who aren’t sure how to honor the identities of their patients?: The most important thing is learning the needs of each individual patient, rather than relying on generalizations or assumptions. Ask the patient directly what their name and pronouns are so you can always address them and speak about them without invalidating their identity (and never refer to them with labels they have not used themselves). If you are unsure of something related to gender/sexual identity and need to know to help you can work with your patient, ask the patient directly, with open-ended, non-invasive questions (i.e “Are you sexually active? With which genders?”) Never assume that someone performs certain tasks or behaviors because of their identity.


Has your identity influenced healthcare that you have received?: I don’t feel I’ve been discriminated against due to my identity, but I do feel the system needs work in its approach to sexual health in general. All my doctors know that I am a lesbian, and I have been asked if I am with a partner and if I am sexually active. This is usually where the questions end, and I feel patients
would benefit from more in depth questioning. I was once asked about sex toy usage and cleaning, which may have been asked since I am a lesbian, but I would hope practitioners would ask all individuals this question.

Categories
Blog Out in Healthcare

Out in Healthcare: Matt Wild BSN, RN

Name: Matthew Wild


Pronouns: He/him/his


Identity: Gay

Background: I was born and raised in Buffalo, NY. I decided to  enter nursing school because I was always inspired by the compassionate care that nurses provided me throughout my life. 

Profession: Nursing

Area(s) of practice: Mental/Behavioral Health

What does being out in healthcare mean to you?: Being out in healthcare means accepting that you are a role model to those around you. Living my truth is not always easy, but even if it eventually inspires one person to do the same, or feel represented in some way, I’m happy. 

What is one thing you think everyone should know about your specific identity or the LGBTQIA+ community as a whole?: It’s important to never make assumptions about an individual based on your stereotypes of the collective group. Each person is unique in their own way and should be treated so.

How do you feel when your identity is acknowledged and included, in the workplace/ in media OR how do you feel when your identity is not included or acknowledged?: It is amazing to see in my lifetime, the drastic changes that have already occurred in regards to LGBTQIA+ representation in the media and in workplaces. I’m hoping that the ball keeps rolling and that this can be the case for every member of the community.

What does “taking up space” mean to you?: It means living my truth and helping those around me understand better. It means showing clients who come through the clinic doors that this is a safe space, and while we may not get everything right the first time for them, they can count on the fact that we are always evolving for the better

What is one piece of advice that you would give to a healthcare professional that is unsure of how to/inexperienced with honoring and including the identity on someone within the LGBTQIA+ community while receiving healthcare services?: Accepting that you don’t have all of the answers is the first step to a therapeutic relationship with a client in the LGBTQIA+ community. Even for me, my experiences as a gay man may be completely different than those of another gay man. Understanding that a client shouldn’t have to constantly explain their existence and identity to healthcare professionals is also important.


Has your identity influenced healthcare that you’ve received in the past? Absolutely, I remember being asked on a physical if I was “safe when I was privately with girls,” or, “a guy like you must have no problem finding a nice girl.” It’s hard for some people to understand that their assumptions can be really harmful to the mental health of people in the LGBTQIA+ community, and even in some cases deter them from receiving treatment.

Where you can find Matt:

Instagram: @mjameswild

Categories
Blog

My story

I always found the idea of ‘coming out’ as strange or forced, but like many other LGBTQIA+ individuals I went through the same process on my journey to self-discovery and establishing my identity. I came out “officially” at the age of 17, or as I would prefer to say it, I started to let people in to who I am at 17. That is the same age that I decided to pursue an education in occupational therapy.

I applied to 9 schools originally and decided to attend D’Youville College in Buffalo, NY for my combined BS and MS of human occupation and occupational therapy. OT school was challenging, energizing, and fulfilling. I was fortunate to have incredible faculty, family, and friends who supported and challenged me with my crazy ideas like starting a community wellness clinic on campus or creating the official D’Youville OT instagram page – which is where the idea of @therainbowot grew from.

It was during professional development lecture in my final year of OT school where I found enough passion and frustration to start my lifelong mission for enhancing education, inclusion, representation, and advocacy for those within the LGBTQIA+ community, inside and outside of healthcare settings. I was so excited in class when we finally had a lecture where part of the class discussion was designated to address LGBT topics in OT. There was an objective to cover vast cultures including Korean and Latinx culture in a two hour span, leaving little time to cover all of the material, including LGBT+ topics. Without saying any names, it was clear to me that the professor was unprepared to answer questions about LGBT+ topics, especially those surrounding trans individuals – so the spotlight was turned to me (the token gay person). This wasn’t a new situation to me or the first time that I was placed with the responsibility to discuss LGBT+ topics in a class. I remember feeling powerful, frustrated, and concerned. There is a great amount of pressure when discussing topics and identities of the LGBT+ community, especially when my identity of being a white, gay, male (sex) does not come close to representing the entire community. It’s important to note that at the time of this class, I hadn’t really started acknowledging my non-binary identity, so I identified as a male. My concern came from the fact that I was one student, unable to represent or educate on all LGBT+ topics in only one section of the class. What did the other sections talk about? Did they discuss what it means to be trans? Did anyone validate the trans identity or provide definitions for the letters of the acronym? From there, the fire was lit to go on my own path of providing education and resources to anyone regarding these topics and more.

Where are we now? Well, The Rainbow OT has been running for just about a year. I launched my first LGBTQIA+ 101 series, a pronoun promise campaign, and have been a guest on two podcasts discussing LGBT+ related topics and occupational therapy’s role. With the support and safe space provided for friends that I owe the world to, I was able to let others in to who I am, a proud non-binary individual. I’m still in the beginning of my journey to self-discovery, but I am so happy with where I am when I look back at where I was. Where are we going next? You’ll just have to tag along and see.

XX,

Devlynn Neu

They/Them

The Rainbow OT

Categories
Resources

LGBTQIA+ and BIPOC Resources for Healthcare Providers, Clients, and Families:

 

BIPOC LGBTQIA+ Resources:

A comprehensive resource for BIPOC LGBTQIA+ individuals and LGBTQIA+ folx created for COTAD

Black Trans TV: A digital media platform used to promote unity and dismantle the idea that Black
queer/trans folx exist separately from the black community.

Zuna Institute: A National Advocacy Organization for Black Lesbians that was created to address the needs of black lesbians in the areas of Health, Public Policy, Economic Development, and Education. http://www.zunainstitute.org/

The National Black Gay Men’s Advocacy Coalition (NBGMAC): The NBGMAC is committed to improving the health and well-being of Black gay men through advocacy that is focused on research, policy, education and training. https://www.nbgmac.org/

The National Center for Black Equity: connects members of the Black LGBTQ+ community with information and resources to empower their fight for equity and access. https://centerforblackequity.org/

Black Transmen: A a nonprofit organization focused on social  advocacy and empowering trans men with resources to aid in a healthy transition. https://blacktransmen.org/

Incite!: A national activist organization of trans and gender nonconforming people of color working to end violence against individuals and communities through direct action, dialogue, and grassroots organizing. https://incite-national.org/

Know Your Rights Camp: Works to advance the liberation and well-being of black and brown communities through education, self-empowerment, mass-mobilization, and the creation of new systems that elevate the next generation of change leaders.

The BQI Collective: Black Queer & Intersectional Collective is a grass-roots community organization that works towards the liberation of Black queer, trans, and intersex people through direct action, community organizing, education, and creating spaces to uplift our voices.

UCSC QTBIPOC: Queer & Trans Black, Indigenous, People of Color Resource Page. https://queer.ucsc.edu/resources/qpoc.html

The Okra Project: Collective that seeks to address the global crisis faced by Black Trans people by bringing home-cooked meals and resources to the community. http://www.theokraproject.org

HBTW Fund: The Homeless Black Trans Woman Funs is a fund for the community of Black Trans women that live in Atlanta and are sex workers and/or homeless. gf.me/u/x3h8h

South Asian Sexual & Mental Health Alliance (SASMHA): SASMHA’s goal is to fight cultural stigmas, educate, and empower the South Asian American community by providing resources on issues most important to us, from sex and sexuality to mental health. They also have a podcast. http://www.sasmha.org

Queer the Land: A collaborative project that works towards the liberation of Black queer, trans, and intersex people through direct action, community organizing, education, and creating spaces to uplift our voices. Queertheland.org

Princess Janae Place: PJP provides referrals to housing for chronically homeless LGBTQ adults in the New York Tri-state area, with direct emphasis on Trans/GNC people of color.

Emergency Release Fund: Ensures that no trans person at risk in NYC jails remains in detention before trial. If cash bail is set for a trans person in NYC and no bars to release are in place, bail will be paid by the Emergency Release Fund. Emergencyreleasefund.com

Rainbow Sunrise Mapambazuko: A grass roots organization for African Indigenous Black trans and queer folx that is feeding those who have been made even more vulnerable by COVID-19. RSM is in need of donations. https://www.aedh.org/en/home/what-we-do/support-for-actors-on-theground/partners/149-africa/democratic-republic-of-the-congo/214-rainbow-sunrise-mapambazuko-rsm-en

House of GG: Creating safe and transformative spaces for community to heal, and nurturing them into tomorrow’s leaders, focusing on trans women of color in the south. http://www.houseofgg.org

The Starfruit Project: The Starfruit Project supports radical healing and brilliant growth through creative writing and performance programs that center queer and trans people of color. Offerings are for practicing artists, budding artists, and anyone seeking support on their journey toward healing and growth. https://www.thestarfruitproject.com/workshops

The Black Trans Advocacy Coalition: A National organization led by Black trans people to collectively address the inequities faced in the black transgender human experience.

The Marsha P. Johnson Institute: Defends the rights of Black transgender people.

National Queer & Trans Therapists of Color Network: A network committed to transforming mental health for queer and trans people of color.

Brave Space Alliance: A Black-led, Trans-led LGBTQ Center working on the South Side of Chicago. @bracespacealliance

SNAPCO: Builds power of Black Trans and queer people to force systemic divestment from the prison industrial complex and invest in community support. http://www.snap4freedom.org

The Brown Boi Project: a community of masculine center womxn, men, two-spirit people, transmen, and our allies committed to transforming our privilege of masculinity, gender, and race into tools for achieving racial and gender justice. Located in Oakland, CA. http://www.brownboiproject.org/

The National Black Justice Coalition (NBJC): A civil rights organization dedicated to empowering Black lesbian, gay, bisexual and transgender (LGBT) people. NBJC’s mission is to end racism and homophobia. http://nbjc.org/

Black Trans Travel Fund: Works on providing resources to Black trans women to be able to access safe transportation and travel alternatives.

TGI Justice Project: A group of transgender, gender variant, and intersex people – inside and outside of prisons, jails, and detention center – fighting against human rights abuses, imprisonment, police violence, racism, poverty, and societal pressures.

The National Queer and Trans Therapists of Color Network (NQTTCN): The NQTTCN is a healing justice organization that actively works to transform mental health for queer and trans people of color in North America. Together we build the capacity of QTPoC (queer and trans people of color) mental health practitioners, increase access to healing justice resources, provide technical assistance to social justice movement organizations to integrate healing justice into their work. Our overall goal is to increase access to healing justice resources for QTPoC. https://www.nqttcn.com/

Black Visions Collective: a trans- and queer-led social-justice organization and legal fund based in Minneapolis-St. Paul. https://www.blackvisionsmn.org/about

Black AIDS Institute: Working to end the Black HIV epidemic through policy, advocacy and high-quality direct HIV servicers. http://www.blackaids.org

National Black Justice Coalition: A civil rights organization dedicated to empowering Black LGBTQ+ people. http://nbjc.org/

The LGBTQ+ Freedom Fund: posts bail to secure the safety and liberty of people in jail and immigration detention. https://www.lgbtqfund.org/

Trans Women of Color Collective: A network of dedicated cultivating sustainable projects for and by transgender women of color.

For the Gworls: raises money to assist with Black trans people’s rent & affirmative surgeries. https://www.facebook.com/forthegworls

Black Trans Femmes in the Arts: A collective of Black trans women and non-binary femmes who are dedicated to creating space for Black trans femmes in the arts. @btfacollective

By Us For Us: A collective of queer, femme, and non-binary Black and POC artists and organizers. @Bufu_byusforus

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LGBTQIA+ Resources:

The Trevor Project: The Trevor Project’s Trainings for Professionals include in-person Ally and CARE trainings designed for adults who work with youth. These trainings help counselors, educators, administrators, school nurses, and social workers discuss LGBTQ-competent suicide prevention. https://www.thetrevorproject.org/education/

Healthy People 2020: Lesbian, Gay, Bisexual, and Transgender Health https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian gay-bisexual-andtransgender-health

Sex and Intimacy OT: Our mission is to dismantle restrictive norms related to sexuality and intimacy which limit clients and limit ourselves. We strive to promote understanding, respect, and empowerment for individuals as sexual beings. https://www.sexintimacyot.com/

Sex Love and OT: a sexuality, mental health, and OT advocate, writer, and practitioner. Dr. Tickoo works as a school-based OT in Mumbai, however her work is not limited to kids. Dr. Tickoo’s work explores the integration of sexuality in OT practices for people of all ages. http://www.sexloveandot.in

The LGBT OT: resource for LGBT+ specific OT practice and clients. By: Jadyn Sharber, MSOT, OTR/L. https://www.lgbtq-ot.com/

LGBTData.com serves as a no-cost, open-access clearinghouse for the collection of sexual orientation & gender identity data and measures. (By Dr. Randall Sell). http://www.lgbtdata.com/

Trans Justice Funding Project: Community-led funding initiative to support grassroots trans justice groups run by and for trans people. http://www.transjusticefundingproject.org

Transgender Law Center: offers legal resources to advance the rights of transgender and gender nonconforming people. https://transgenderlawcenter.org/

Reclaim: Resources for Queer and Trans youth. https://www.reclaim.care/what-we-do/resources-forqueer-and-trans youth.html

The Transgender District: The transgender district aims to stabilize and economically empower the transgender community through ownership of homes, businesses, historic and cultural sites, and safe community spaces. http://www.transgenderdistrictsf.com

CHANGE: Promoting gender equality by advancing the sexual and reproductive health and rights of women and girls worldwide. http://www.srhrforall.org/

National Center for Transgender Equality: advocates to change policies and society to increase understanding and acceptance of transgender people. In the nation’s capital and throughout the country, NCTE works to replace disrespect, discrimination, and violence with empathy, opportunity, and justice. https://transequality.org/

Youth Breakout: Works to end the criminalization of the LGBTQ+ youth in New Orleans to build a safer and more just community. http://www.youthbreakout.org

Trans Cultural District: The world’s first-ever legally recognized Trans district, which aims to stabilize and economically empower the Trans community. http://www.transgenderdistrictsf.com

LGBTQ+ Freedom Fund: Posts bail LGBTQ people held in jail or immigrant detention and raises awareness of the epidemic LGBTA overincarceration. http://www.lgbtqfund.org

The Network for LGBTQIA+ Occupational Therapists. http://www.otnetwork.org/

The National Resource Center on LGBT Aging (SAGE) Advocacy for LGBT+ Adult and Elderly Populations. https://www.lgbtagingcenter.org/

GLMA: Health Professionals Advancing LGBTQ Equality (previously known as the Gay & Lesbian Medical Association). http://www.glma.org/

NALGAP: The Association of Lesbian, Gay, Bisexual, Transgender Addiction Professionals and Their Allies is a membership organization founded in 1979 and dedicated to the prevention and treatment of alcoholism, substance abuse, and other addictions in lesbian, gay, bisexual, transgender, queer communities. http://www.nalgap.org/

The Centers for Medicare & Medicaid Services is working with national and local organizations to endure the LGBT community get quality health insurance and health care information. https://www.cms.gov/Outreach-and-Education/Outreach/Partnerships/LGBT

Coalition of Occupational Therapy Advocates for Diversity (COTAD): The Coalition of Occupational Therapy Advocates for Diversity (COTAD) formed in 2014 through a collaboration that occurred between members of the AOTA Emerging Leaders Development Program. COTAD has grown tremendously since its early days and has added individuals to its Executive Board and general membership. Now established as a non-profit organization, COTAD operates as group of individuals from across the United States all working towards a common goal of promoting diversity and inclusion within the occupational therapy workforce and increase the ability to occupational therapy practitioners to serve an increasingly diverse population. COTAD’s new Ignite Series: https://www.cotad.org/ignite-series 

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LGBTQIA+ Educational Podcast Episodes:

https://otafterdark.com/

https://ot4lyfe.com/35/

https://seniorsflourish.com/sexuality-identity-occupational-therapy/

www.occupiedpodcast.com/074