Enhancing care for transgender and gender diverse survivors of intimate partner violence: an Ontario-wide survey examining health and social service providers’ learning needs

• Published in: BMJ open 2024-02, Vol.14 (2), p.e075180
• Main Authors: Du Mont, Janice A, Kelly, C Emma, Seo, Hyuna, Brouillard-Coyle, Sydney, Mason, Robin, Macdonald, Sheila, Kosa, Sarah Daisy
• Format: Article
• Language: English
• Subjects: Advisors; CAI; Cisgender; Collaboration; Community service; Computer assisted instruction; Core curriculum; Curricula; Curriculum development; Domestic violence; education & training (see medical education & training); forensic medicine; Gender identity; Gender-based violence; Health services; Heterosexuality; Humans; Intimate Partner Violence; Medical education; medical education & training; Medical Education and Training; Needs; Non-binary gender; Objectives; Online instruction; Ontario; Polls & surveys; public health; Referrals; Responses; Sex crimes; Sex industry; Social networks; Social services; Social Work; Stakeholders; Survivor; Survivors; Training; Transgender Persons
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2023-075180

ObjectivesTo better understand healthcare and social/community service providers’ learning needs associated with supporting transgender and gender diverse (trans) persons who have experienced intimate partner violence (IPV).SettingAn online survey was distributed through the trans-LINK Network in Ontario, Canada.Respondents163 of 225 healthcare and social/community service providers completed the survey (72.4% response rate) between November 2022 and February 2023.Main outcome measuresExpertise, training, workplace practices and learning needs related to supporting trans survivors of IPV.MethodQuantitative survey results were analysed descriptively and open-ended responses were organised thematically. In March 2022, survey results were shared with 33 stakeholders who helped define goals and objectives for an e-learning curriculum using Jamboard, data from which were collated and organised into themes.ResultsMost (66.3%) survey respondents described having provided professional support to trans survivors of IPV, but only one-third (38.0%) reported having received relevant training, and many of the trainings cited were in fact focused on other forms of violence or trans health generally. The majority reported a mid (44.9%) or low-mid (28.5%) level of expertise and almost unanimously agreed that they would benefit from (further) training (99.4%). The most commonly recommended goal/objective for a curriculum emerging from the stakeholder consultation was to facilitate collaboration, knowledge sharing and (safe) referrals among organisations.ConclusionsThe results of this study highlight the critical need for an IPV curriculum specific to trans survivors and responsive to the needs of providers. As no one profession can address this complex issue in isolation, it is important that the curriculum aims to facilitate collaboration across sectors. In the absence of appropriate training and referrals, practitioners may perpetuate harm when caring for trans survivors of IPV.