The promise of an intersectoral network in enhancing the response to transgender survivors of sexual assault.

Janice Du Mont,Sheila Macdonald,Sarah Daisy Kosa,Shilini Hemalal,Lee Cameron

doi:10.1371/journal.pone.0241563

Janice Du Mont, Sheila Macdonald + Show 3 more

Open Access

https://doi.org/10.1371/journal.pone.0241563

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Abstract

ObjectivesThis study explores the promise of an intersectoral network in enhancing the response to transgender (trans) survivors of sexual assault.MethodsOne hundred and three representatives of healthcare and community organizations across Ontario, Canada were invited to participate in a survey. Respondents were asked to: 1) identify systemic challenges to supporting trans survivors, 2) determine barriers to collaborating across sectors, and 3) indicate how an intersectoral network might address these challenges and barriers. Descriptive statistics were used to summarize quantitative data and qualitative data were collated thematically.ResultsSixty-seven representatives responded to the survey, for a response rate of 65%. Several themes capturing the challenges organizations face in supporting trans survivors were identified: Lack of knowledge and training among providers, Inadequate resources across organizations and institutions, and Limited access to and availability of appropriate services. Barriers to collaborating across sectors considered important by the overwhelming majority of respondents were: Lack of trans-positive service professionals (e.g., a paucity of sensitivity training), lack of resources (e.g., staff, staff time and workload, spaces to meet), and Institutional structures (e.g., oppressive policies, funding mandates). Four ways in which a network could address these challenges and barriers emerged from the data: Center the voices of trans communities in advocacy; Support competence of professionals to provide trans-affirming care; Provide the platform, strategies, and tools to aid in organizational change; and Create space for organizations to share ideas, goals, and resources.ConclusionOur findings deepen our understanding of important impediments to enhancing the response to trans survivors of sexual assault and the role networks of healthcare and community organizations can play in comprehensively responding to complex health and social problems.

Highlights

Several themes capturing the challenges organizations face in supporting trans survivors were identified: Lack of knowledge and training among providers, Inadequate resources across organizations and institutions, and Limited access to and availability of appropriate services
Persons who identify as transgender, meaning those whose gender identity does not correspond with their assigned sex at birth [1, 2], experience high rates of violence, including sexual assault [3,4,5,6,7,8]
We examined the systemic challenges organizations face in supporting trans survivors and how an intersectoral network might address these challenges and barriers to collaboration to enhance the response to trans survivors of sexual assault

Summary

Introduction

Persons who identify as transgender (trans), meaning those whose gender identity does not correspond with their assigned sex at birth [1, 2], experience high rates of violence, including sexual assault [3,4,5,6,7,8]. Experiences of sexual assault can have lasting impacts on the wellbeing of trans persons, contributing to physical health problems, including chronic fatigue syndrome, chronic pain, and irritable bowel syndrome; mental health conditions, such as post-traumatic stress disorder, depression, anxiety, and suicidality; and social isolation [9, 11]. FORGE found that among trans survivors of sexual violence, 14% reported having experienced physical scarring as a result of their victimization, 10% long-term medical conditions, and 4% disabilities [9]. Almost all (97%) trans persons who had experienced an assault had avoided at least one type of public space afterwards [12]

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Conclusion