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Changing Cis-tems: 
Providing Trans* Affirming & 
Inclusive Services 
Funding for this project comes from Health Resource Services Administration 
Grant No. XXXXXXX
About Us 
Founded in 1985, our mission is to provide 
services to those who are disenfranchised by, 
poverty, HIV/AIDS, homelessness, and/or 
gender nonconformity. 
Funding for this project comes from 
Health Resource Services Administration Grant No. H97HA24965
TransLife Center 
TransHealth 
TransHousing 
TransSafe 
TransLegal 
TransWorks 
.
Gender Binary
Gender Reality
Everyone is Unique 
Gender Identity 
Gender Expression 
Sexual Orientation 
Sex Assigned at Birth
Transgender Umbrella 
So who is transgender?
Transgender Definitions 
Transgender: a person whose sex, gender identity or 
gender expression differs from the one assigned to them 
at birth. 
Transition: The period of time in which a person begins to 
live in a gender role which is in accordance with their 
internal gender identity. May include period of time where 
person begins dressing, hormone therapy or getting 
surgery to align their physical self with internal gender 
identity. 
“Trans” can be shorthand for transgender and 
transexual and a number of additional gender-non-conforming 
identities. 
Source: Keatley, 2008. Killerman, 2013.
Transgender Cisgender 
“Transgender” was first used as a way of distinguishing people 
with no desire for surgery or hormones from transsexuals 
(people who may want to legal and medical support to align 
their internal and external gender). 
Transgender or Trans* is currently used to include all people 
who fall outside of mainstream ideas of gender. 
Cis, is a word that is becoming increasingly popular to 
describe people who are not trans or gender variant. 
Cisgender is a description for a person whose gender identity, 
gender expression, and biological sex all align (e.g. man, 
masculine, and male). 
Source: Keatley, 2008. Killerman, 2013.
The Research Transgender people are disproportionately likely to experience violence in the 
home, on the street, and in health care settings (26% report being physically 
assaulted at least once) 
Transgender people are 4 times as likely as general population to live in 
extreme poverty 
Transgender people are more likely to be uninsured (19% of study reported 
no insurance; among African American increases to 31%) and less likely to 
get preventative care (50% reported not being able to afford it). 
Recent study of more than 6,400 trans people in US, 41% of respondents 
reported attempting suicide (a rate 25 times higher than general population) 
CDC data shows new HIV infections among transgender people occur at 
almost 3 times that of non-transgender men and 9 times that of non-transgender 
women. 
SOURCES: 2011 National Healthcare Disparities Report; 
Centers for Disease Control, www.cdc.gov/hiv/transgender.pdf, 2011.; 
Injustice at Every Turn: A Report of the National Transgender Discrimination Survey, 2011.
A Culture of Inclusion
Inclusion & 
Affirmation mean… 
Inclusion: Welcoming, respecting and valuing each person’s 
unique characteristics and integrating them in an open and 
supportive environment which helps build strong clients, employees 
and agencies. 
Affirmation: To recognize and accept a person as true and valid 
and to hold them in positive regard as a member of the 
community.
Practice Tips: 
A word from the community 
Problematic Preferred 
Saying “transgendered” or 
Transgenders 
Transgender or trans 
Using language like “sex change,” “pre-op,” 
or “post op” 
People's surgical status is rarely 
appropriate to discuss 
Not using a person’s preferred name & 
insisting on using legal name 
Use name that person prefers 
Not using appropriate gender pronoun It’s Okay to ask pronoun preference 
(he/his, she/her, or they/them” 
Getting called “sir,” “guys,” “buddy” Gendered language should affirm a 
persons gender ID 
Displaying a judgemental attitude about 
a person’s ability to “pass” in affirmed 
gender 
It’s not your place to judge anyone’s 
appearance
Practice Tips: 
A word from the community 
Problematic Preferred 
Outing a person or asking about their 
trans status 
Respect confidentiality; if you don’t 
need to know, don’t ask 
Excluding a trans person from services 
b/c they are not “ideal” client 
Include everyone! 
Don’t ask trans client to choose 
between hormones or treatment 
Hormones are critical to a person’s 
health (if they choose) 
Work with a transgender person if you 
“don’t approve” of trans people 
Seek out clinical supervision if you 
need support or have feelings about 
working with trans people 
Allowing staff and other clients to use 
transphobic language or treatment 
Interrupt transphobia and call it out 
Making trans clients responsible for 
educating staff 
Agencies provide staff training and 
education around trans identity
Our Partners
Questions/Comments? 
Owen Daniel-McCarter: odaniel-mccarter@chicagohouse.org
Thank You! 
Community Advisory Board 
Atlantis Hoskin 
Danielle Ruys 
Aja Fe’Rae Blalark 
Keisha Allen 
Vickie Lawson 
Victoria Archambault 
Kourtney Berry 
Staff 
Josie Lynne Paul, LCSW, Director, TransLife Center 
Channyn Parker, TransCare Coordinator, TransLife Center 
Owen Daniel-McCarter, Esq, TransLegal Director, TransLife Center 
Lex Lawson, TransWorks Coordinator, TransLife Center 
Kevin Pleasant, TransHousing Manager, TransLife Center 
.
References 
Brill, S.,& Pepper, R. (2008). The Transgender Child: A Handbook for Families and 
Professionals. San Francisco, CA: Cleis Press. 
Centers for Disease Control and Prevention. HIV Infection Among Transgender People, 
2011. www.cdc.gov/hiv/transgender/pdf/transgender.pdf 
Garafalo, R., Deleon, J., Osmer, E., Doll, M., Harper, G. Overlooked, misunderstood, and at-risk: 
Exploring the lives and HIV risk of ethnic minority male-to-female 
transgender youth. Journal of Adolescent Health 2006;38:230-236. 
Grant, Jaime M., Lisa A. Mottet, Justin Tanis, Jack Harrison, Jody L. Herman and 
Mara Keisling. Injustice at Every Turn: A report of the National Transgender 
Discrimination Survey. Washington: National Center for Transgender Equality and 
National Gay and Lesbian Task Force, 2011. 
Keatley, J. (2008). “Transgender People: Epidemiology and Treatment.” Slide set. Center of 
Excellence for Transgender Health University of California, San Francisco. 
2011 National Healthcare Disparities Report. January 2012. Agency for Healthcare Research 
. 
and Quality, Rockville, MD.
References 
National Coalition for LGBT Health’s Disparities Working Group. HEALTH PRIORITIES SLIDE 
Killerman, Sam. Comprehensive List of LGBTQ Terms & Definitions. It’s 
pronouncedmetrosexual.com. Retrieved February 1, 2013 from 
http://itspronouncedmetrosexual.com 
Live Oak and UCAN (2007). Clinical Philosophy Training Series: Trauma, Violence and Loss, Module 3. 
Chicago, IL: Live Oak and UCAN. 
British Columbia Ministry of Health (2005). Harm Reduction: A British Columbia Community Guide. 
. 
British Columbia: Ministry of Health. 
Transgender Law Center (2011). 10 Tips for Working with Transgender Patients (Brochure). San 
Francisco, CA: Transgender Law Center. 
Committee on Lesbian, Gay, Bisexual , and Transgender Issues, NASW (2008). Position 
Statement, Transgender and Gender Identity Issues. Socialworkers.org. Retrieved 
February 1, 2013 from ww.socialworkers.org/da/da2008/finalvoting/do cuments/Transgender%202nd 
%20round%20-%20Clean.pdf

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Trans 101, Know Your Chicago 2014; Transitioning: Challenging Our Understanding of Gender Tour

  • 1. Changing Cis-tems: Providing Trans* Affirming & Inclusive Services Funding for this project comes from Health Resource Services Administration Grant No. XXXXXXX
  • 2. About Us Founded in 1985, our mission is to provide services to those who are disenfranchised by, poverty, HIV/AIDS, homelessness, and/or gender nonconformity. Funding for this project comes from Health Resource Services Administration Grant No. H97HA24965
  • 3. TransLife Center TransHealth TransHousing TransSafe TransLegal TransWorks .
  • 6. Everyone is Unique Gender Identity Gender Expression Sexual Orientation Sex Assigned at Birth
  • 7. Transgender Umbrella So who is transgender?
  • 8.
  • 9. Transgender Definitions Transgender: a person whose sex, gender identity or gender expression differs from the one assigned to them at birth. Transition: The period of time in which a person begins to live in a gender role which is in accordance with their internal gender identity. May include period of time where person begins dressing, hormone therapy or getting surgery to align their physical self with internal gender identity. “Trans” can be shorthand for transgender and transexual and a number of additional gender-non-conforming identities. Source: Keatley, 2008. Killerman, 2013.
  • 10. Transgender Cisgender “Transgender” was first used as a way of distinguishing people with no desire for surgery or hormones from transsexuals (people who may want to legal and medical support to align their internal and external gender). Transgender or Trans* is currently used to include all people who fall outside of mainstream ideas of gender. Cis, is a word that is becoming increasingly popular to describe people who are not trans or gender variant. Cisgender is a description for a person whose gender identity, gender expression, and biological sex all align (e.g. man, masculine, and male). Source: Keatley, 2008. Killerman, 2013.
  • 11. The Research Transgender people are disproportionately likely to experience violence in the home, on the street, and in health care settings (26% report being physically assaulted at least once) Transgender people are 4 times as likely as general population to live in extreme poverty Transgender people are more likely to be uninsured (19% of study reported no insurance; among African American increases to 31%) and less likely to get preventative care (50% reported not being able to afford it). Recent study of more than 6,400 trans people in US, 41% of respondents reported attempting suicide (a rate 25 times higher than general population) CDC data shows new HIV infections among transgender people occur at almost 3 times that of non-transgender men and 9 times that of non-transgender women. SOURCES: 2011 National Healthcare Disparities Report; Centers for Disease Control, www.cdc.gov/hiv/transgender.pdf, 2011.; Injustice at Every Turn: A Report of the National Transgender Discrimination Survey, 2011.
  • 12. A Culture of Inclusion
  • 13. Inclusion & Affirmation mean… Inclusion: Welcoming, respecting and valuing each person’s unique characteristics and integrating them in an open and supportive environment which helps build strong clients, employees and agencies. Affirmation: To recognize and accept a person as true and valid and to hold them in positive regard as a member of the community.
  • 14. Practice Tips: A word from the community Problematic Preferred Saying “transgendered” or Transgenders Transgender or trans Using language like “sex change,” “pre-op,” or “post op” People's surgical status is rarely appropriate to discuss Not using a person’s preferred name & insisting on using legal name Use name that person prefers Not using appropriate gender pronoun It’s Okay to ask pronoun preference (he/his, she/her, or they/them” Getting called “sir,” “guys,” “buddy” Gendered language should affirm a persons gender ID Displaying a judgemental attitude about a person’s ability to “pass” in affirmed gender It’s not your place to judge anyone’s appearance
  • 15. Practice Tips: A word from the community Problematic Preferred Outing a person or asking about their trans status Respect confidentiality; if you don’t need to know, don’t ask Excluding a trans person from services b/c they are not “ideal” client Include everyone! Don’t ask trans client to choose between hormones or treatment Hormones are critical to a person’s health (if they choose) Work with a transgender person if you “don’t approve” of trans people Seek out clinical supervision if you need support or have feelings about working with trans people Allowing staff and other clients to use transphobic language or treatment Interrupt transphobia and call it out Making trans clients responsible for educating staff Agencies provide staff training and education around trans identity
  • 17. Questions/Comments? Owen Daniel-McCarter: odaniel-mccarter@chicagohouse.org
  • 18. Thank You! Community Advisory Board Atlantis Hoskin Danielle Ruys Aja Fe’Rae Blalark Keisha Allen Vickie Lawson Victoria Archambault Kourtney Berry Staff Josie Lynne Paul, LCSW, Director, TransLife Center Channyn Parker, TransCare Coordinator, TransLife Center Owen Daniel-McCarter, Esq, TransLegal Director, TransLife Center Lex Lawson, TransWorks Coordinator, TransLife Center Kevin Pleasant, TransHousing Manager, TransLife Center .
  • 19. References Brill, S.,& Pepper, R. (2008). The Transgender Child: A Handbook for Families and Professionals. San Francisco, CA: Cleis Press. Centers for Disease Control and Prevention. HIV Infection Among Transgender People, 2011. www.cdc.gov/hiv/transgender/pdf/transgender.pdf Garafalo, R., Deleon, J., Osmer, E., Doll, M., Harper, G. Overlooked, misunderstood, and at-risk: Exploring the lives and HIV risk of ethnic minority male-to-female transgender youth. Journal of Adolescent Health 2006;38:230-236. Grant, Jaime M., Lisa A. Mottet, Justin Tanis, Jack Harrison, Jody L. Herman and Mara Keisling. Injustice at Every Turn: A report of the National Transgender Discrimination Survey. Washington: National Center for Transgender Equality and National Gay and Lesbian Task Force, 2011. Keatley, J. (2008). “Transgender People: Epidemiology and Treatment.” Slide set. Center of Excellence for Transgender Health University of California, San Francisco. 2011 National Healthcare Disparities Report. January 2012. Agency for Healthcare Research . and Quality, Rockville, MD.
  • 20. References National Coalition for LGBT Health’s Disparities Working Group. HEALTH PRIORITIES SLIDE Killerman, Sam. Comprehensive List of LGBTQ Terms & Definitions. It’s pronouncedmetrosexual.com. Retrieved February 1, 2013 from http://itspronouncedmetrosexual.com Live Oak and UCAN (2007). Clinical Philosophy Training Series: Trauma, Violence and Loss, Module 3. Chicago, IL: Live Oak and UCAN. British Columbia Ministry of Health (2005). Harm Reduction: A British Columbia Community Guide. . British Columbia: Ministry of Health. Transgender Law Center (2011). 10 Tips for Working with Transgender Patients (Brochure). San Francisco, CA: Transgender Law Center. Committee on Lesbian, Gay, Bisexual , and Transgender Issues, NASW (2008). Position Statement, Transgender and Gender Identity Issues. Socialworkers.org. Retrieved February 1, 2013 from ww.socialworkers.org/da/da2008/finalvoting/do cuments/Transgender%202nd %20round%20-%20Clean.pdf

Editor's Notes

  1. Welcome & Introductions
  2. Provide Overview of Chicago House Founded in 1985, our mission is to serve individuals and families by providing housing, employment services, medical linkages, HIV prevention services, and other supportive services to those who are disenfranchised by HIV/AIDS, poverty, homelessness, and/or gender nonconformity All Chicago House services are provided without discrimination and are designed to guide people towards wholeness and self-sufficiency
  3. Our culture tends to limit its understanding of gender to only two options: Male and Female Our gender is often translated for us at birth. However, we know that life is more complex.
  4. We think that gender is a lot more complicated and looks a little something like this: There are a lot of things to consider, a lot of pressures at play, and we have all been conditioned in such a way that our first instinct is a very limited model.
  5. Gender Identity Gender identity refers to an individual’s sense of being a man, a woman, neither of these, both, and so on—it is one’s inner sense of being and one’s own understanding of how one relates to the gender binary. Everyone has a gender identity. Gender Expression Gender expression describes how people manifest masculinity, femininity, both, or neither through their appearance, behavior, dress, speech patterns, and more. This term refers to how a person expresses their gender identity or the cues people use to identify gender. Sexual Orientation Sexual orientation refers to sexual, affectional, and/or romantic attraction, and is different from gender identity. Gender and sexual orientation are often lumped together, despite being different, because of societal expectations around sex and gender. Transgender individuals can have any sexual orientation. Lesbian, gay, bisexual, and straight are examples of sexual orientations. Everyone has a sexual orientation. Biological Sex refers to a person’s biological status and is typically categorized or assigned as male, female, or intersex. There are a number of indicators of biological sex, including sex chromosomes, internal reproductive organs, and external genitalia. Emphasize that everyone is unique and lives each of these categories in different ways. Example: Kevin Aviance, famous singer, designer
  6. These are the core terms that we want to share with you around transgender definitions. Define Terms Emphasize the importance of honoring an individual’s claimed gender identity. Example: If you are working with a person and you perceive them to be male or their chart or file states they have been assigned male at birth, and they are presenting as female, don’t make the assumption they are male and use male pronouns. Always ask which gender pronoun they use? Address them with the preferred name and Language is important; it defines human relationships. That is why it’s important use language of equality and inclusion.
  7. So why do we say ‘cisgender’ instead of ‘non-transgender’? Because, referring to cisgender people as ‘non trans’ implies that cisgender people are the default and that being trans is abnormal. Many people have said ‘transgender people’ and ‘normal people’, but when we say ‘cisgender’ and ‘transgender’ neither is implied as more normal than the other. Using the word ‘cisgender’ is also an educational tool. To simply define people as ‘non-trans’ implies that only transgender people have a gender identity. But that’s not true. Like sexual orientation, race, class, and many other identities, all of us have a gender identity. Again, I want to emphasize that Language is important; it defines human relationships. That is why it’s important use language of equality and inclusion.
  8. “Keisha is right – it doesn’t happen all at once. From violence to poverty to lack of healthcare, research shows that the cards are stacked against transgender people.” sr Talk through statistics on slide. Additional points to highlight: Violence – Injustice at Every Turn report shows transgender people face higher rates of violence than cis-gender counterparts. Poverty - 15 percent of the sample population earns less than $10,000 per year (an additional 21 percent earns less than $20,000); Injustice at Every Turn
  9. Emphasize inclusion and affirmation Vs. exclusion and tolerance
  10. CAB member: Talk through Practice Tips from the community
  11. In this work we are partnered with a wide range of organizations.