Lets talk about sex.... - Auckland District Health Board

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68 Other comments Some participants contributed comments that did not relate to a particular question, but were relevant to the interview scope and not included elsewhere in the results. These summarised comments are below: • Family inclusive practice (family of origin and family of choice) can be problematic, particularly if the service user is hidden, or in the closet • Peer support (Rainbow peer support) along with Rainbow support groups would improve services/outcomes • Rainbow champions/specialist should be in every service or connected to each service to have available as a resource/consult role • Training in Rainbow awareness and other minority groups should be part of qualification level training, rather than the responsibility of individual service provider organisations • Training of rest home staff is required as there are specific issues for older Rainbow service users not being addressed appropriately • Access to trained and skilled therapists is very difficult in either the public or private sector Summary of results from all key informant interviews with service providers • About half of service providers felt that service users feared being judged or discriminated against, and this was a barrier to accessing effective services • Many participants felt that Rainbow consumers feared the response of the clinician/ health professional if they identified their S.O. or G.I. and that effective service provision to Rainbow communities is ‘hit and miss’ and dependent on individual clinicians skills/experience • About half of participants felt their team had a poor understanding of Rainbow mental health and addiction issues, with the most of the remaining group indicating a moderate or variable understanding • A number of gaps in providing effective services were identified, with the main themes being a general lack of awareness of Rainbow issues and a lack of training (Rainbow/ diversity training) • Nearly a quarter of service providers did not think that services met the specific needs of Rainbow service users • A high number of service providers felt they met the needs of, or supported their Rainbow service users by being non-judgmental, non-discriminatory, open and accepting in their approach • The large majority of participants perceived little or no differences to services to Rainbow services users. Positive differences identified by a few participants was more time spent on complex issues, and the negative differences being the lack of effective engagement meant their needs were less well met
• Half of the participants felt experienced working with Rainbow service users; with the large majority of these being service providers who identify as Rainbow themselves • No-one from NGO mental health services felt very experienced working with Rainbow consumers, and rated their teams understanding/awareness of Rainbow issues as poor (7) or moderate (1); and issues around workforce skills were identified. Similarly other service types identified a training need for CSW’s on Rainbow awareness • The most common mental health and addictions issues/problems identified were addiction problems; homophobia/transphobia, family issues, discrimination; depression; problems with ‘coming out’; self harm; identity issues; risky <strong>sex</strong>ual activity or <strong>sex</strong>ual health problems; and anxiety • There are significant cultural issues for service providers and service users around their own cultural practices and religious beliefs • About a third of service providers indicated that ‘informal matching’ of Rainbow service providers with Rainbow service users occurred/could occur in their service as required • A small number of Rainbow specific roles exist, but these are mainly within addiction services • Many participants indicated they would like trans awareness training, as they had limited understanding of trans and trans issues • Most participants (83%) have never undertaken any diversity training; with all but one participant indicating they would be willing to take part in this training in the future. • Very little training is available, and is generally provided by clinicians/health professionals in a short session (half day) 69
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ASEXUALBISEXUAL QUEERTAKATAAPUI FA
Page 5 and 6:
Acknowledgements The project team i
Page 7 and 8:
Glossary and Acronyms Asexual: A pe
Page 9 and 10:
Trans/Transgender: The term transge
Page 11 and 12:
3. Key informant interviews with 47
Page 13 and 14:
• An online/web/accessible direct
Page 15 and 16:
Background Evidence from both inter
Page 17 and 18: Literature Review Review of interna
Page 19 and 20: • There is a clear policy and pro
Page 21 and 22: Methodology - Service User Anonymou
Page 23 and 24: Of the Rainbow group, one quarter i
Page 25 and 26: The respondents who found the discu
Page 27 and 28: Further comments of interest One se
Page 29 and 30: Service Engagement: A large majorit
Page 31 and 32: Identity Participants were asked ho
Page 33 and 34: The 5 participants who reported fee
Page 35 and 36: “I was assumed to be straight eve
Page 37 and 38: Figure 16 Service usuers suggestion
Page 39 and 40: 3 of these 8 participants who self
Page 41 and 42: “No, not at XXX service. My ex-pa
Page 43 and 44: Recommendations for specific Rainbo
Page 45 and 46: Methodology and results - service p
Page 47 and 48: Figure 25 Most participants (73%) w
Page 49 and 50: “[There is] no specific tool or a
Page 51 and 52: Service providers experience and co
Page 53 and 54: Figure 32 Individual experience wor
Page 55 and 56: Access to effective and appropriate
Page 57 and 58: • Providing Rainbow related liter
Page 59 and 60: Figure 38 Individual NGO service pr
Page 61 and 62: Specific gaps and barriers Most par
Page 63 and 64: Barriers: Specific barriers for acc
Page 65 and 66: Issues identified by service provid
Page 67: “Variable levels of understanding
Page 71 and 72: iv. Discussion of sexuality or gend
Page 73: Whilst there appears to be a slowly
Page 76 and 77: 76 Recommendations 1. Improve Rainb
Page 78 and 79: 78 References Associate Minister of
Page 80 and 81: 80 Human Rights Commission. (2008).
Page 82 and 83: 82 Appendices Appendix 1 Barbara, A
Page 84 and 85: 84 Clark, ME, Landers, S, Linde, R,
Page 86 and 87: 86 As noted above the first chapter
Page 88 and 89: 88 has produced some good practice
Page 90 and 91: 90 sexual minority people, terms an
Page 92 and 93: 92 Appendix 2 Key informant intervi
Page 94 and 95: 94 Appendix 3 Brief questionnaire f
Page 96 and 97: 96 If you answered yes, please rate
Page 99: Many thanks to the service provider
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Lets talk about sex.... - Auckland District Health Board

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