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"Transphobia in the Clinic"

About: Eudoria Street Centre (Clinical Treatment Team)

(as a service user),

I was moved from another centre over to the Eudoria Street clinic some months ago seeking help and was placed with a psychiatrist who refused to use my preferred name in appointments and consistently dead-named me and used incorrect pronouns (instead of they/them) when discussing me with my supportive nurse/case manager who would be in appointments with me and the psychiatrist. The nurse would even gently try to correct the psychiatrist and the psychiatrist wouldn't budge.

The psychiatrist made me cry several times in the clinic because of this and their arguing with me about prescriptions. They'd insist on writing me 2 week's worth of meds no matter how much I and the nurse explained I'm having financial difficulties and that forces me to pay for 1 month's meds twice per month. It was especially frustrating because I was eligible for free medications under the Medicare safety net and I felt they didn't seem to care. I had to go back to my GP for scripts because the psychiatrist wrote my script for 1 month after arguing a long time, but didn't tick PBS, so I had to get PBS from my GP after all that emotional energy.

I came into the office crying once because there was a Bible placed in front of the sign for inclusion of trans people. I complained to the front desk staff and I felt they acted like it was no big deal that a religious document was out on the table in front of the inclusion sign. I tried to explain to the psychiatrist why I was so upset and I felt they defended the religious document being left out for patients in the clinic. I was shaking and sobbing in the appointment and it truly traumatised me.

I talked to Transfolk of WA about what happened and I believe they were just as shocked as me about a religious document being out in a public healthcare service. On the last time I was at the clinic after asking to see a different psychiatrist (there wasn't one, just rotating short-term psychiatrists filling in), the religious book was out again after me making several verbal complaints to various staff at the clinic. I even saw a business card for a local religious association on the table.  I believe that someone (or multiple people) who works at the clinic clearly has problems with trans people and thinks they need religion as I felt there were plenty of places it could have been left but every time it was right in front of that sign.

I am deeply traumatised by all this and it's made my medical ptsd so much worse. I'm dissociating all the time and absolutely terrified of going back, so I asked to be discharged from the service so I could go to another program.

There is a lot more information, and I am making a formal complaint with the assistance for a mental health advocate but this is the basic story.

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Responses

Response from Neil Cowan, Executive Director, Armadale Kalamunda Group, EMHS nearly 2 years ago
Neil Cowan
Executive Director, Armadale Kalamunda Group,
EMHS
Submitted on 15/03/2023 at 2:19 PM
Published on Care Opinion at 3:10 PM


picture of Neil Cowan

Dear NonbinaryEndo,

Thank you for sharing your health care experience with the Armadale Kalamunda Group (AKG) though I was very sad to the read the content.

AKG aims to provide care that is always inclusive to all its consumers regardless of race, religion, sexual orientation or gender, and to also use preferred pro-nouns and never to dead-name.

I am truly sorry for the distress we have caused you, and for how you feel deeply traumatised by events.

Whilst I can confirm that we have reminded our staff of the utmost importance of language for cultural safety and diversity, I would really appreciate the opportunity to look into your concerns more specifically and encourage you to contact us via the Eudoria Street Clinic Team Leader so we can work towards resolving this issue for you. The Team Leader can be reached on 9398 6600 between 0800 and 1630hrs, Monday to Friday.

Your mental health remains very important to us, so I do encourage you to reach out to us or another health professional for support. If you prefer to discuss this matter further through alternative channels, you may contact our Consumer Liaison Service on (08) 9391 1153 or AKG_ConsumerLiaison@health.wa.gov.au

Kind regards

Neil Cowan

A/Executive Director

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Update posted by NonbinaryEndo (a service user)

Hi Neil, thanks for this reply. I asked to speak to the team leader about the situation a few weeks ago and was told they were too busy and reception wouldn’t even take my details to have them call me back. I will instead talk to the consumer liaison service when I have the energy to do so. No other trans patient deserves to be treated this way so I feel it’s important that systemic changes are made to prevent this from happening to others.

Update posted by NonbinaryEndo (a service user)

Hi again Neil.

I received 3 voicemails from the team leader of Eudoria Street on 16/3, 17/3 and 20/3. To clarify, I had no interest in speaking to them as they were made aware of what happened to me at the clinic long before I posted this story here and they never bothered to call me. In fact, I recall I was told they were too busy for reception to even take down my contact details for them to call me, despite reception being aware I'd made several verbal complaints about the transphobia I felt I experienced at the service.

I feel it's clear to me that they only called me because you asked them to (and they said so themself in the voicemail). The really upsetting thing about them calling me is that between all 3 of their voicemails, they dead named me four times. This just goes to show they didn't even read my complaint to understand why I am upset with the service; of course that is if it was not a deliberate choice to dead name me repeatedly.

I feel your leadership staff clearly needs a review and training on how to provide trans affirming healthcare and I hope that you will prioritise this so other trans patients are not traumatised by this service.

Please do not have them contact me again. I'll be speaking to the consumer liaison service soon as mentioned in my previous response. Please let me know your plan to address this apparent fundamental lack of training in trans affirming healthcare and providing safe environments for trans people to access care.

Response from Neil Cowan, Executive Director, Armadale Kalamunda Group, EMHS nearly 2 years ago
We are preparing to make a change
Neil Cowan
Executive Director, Armadale Kalamunda Group,
EMHS
Submitted on 28/03/2023 at 6:14 PM
Published on Care Opinion on 29/03/2023 at 5:27 PM


picture of Neil Cowan

Dear NonbinaryEndo,

Thank you so much for taking my phone call. It was a privilege for us to talk and for me to be able to apologise for the dead-naming. I confirmed my expectation that staff complete their Equity, Diversity and Inclusion Learning Suite awareness training within 3 months, and I confirmed I completed mine in May 2022. I updated on our efforts to increase permanent staffing, including psychiatrists and I accepted that having temporary staff was not helpful as it does not give continuity of care for any consumers. It was helpful to discuss increasing consumer engagement in our services and I would be happy to discuss that further when you are ready. I have taken your feedback seriously and I hope the assurance I have given on actions provides some comfort to you.

Kind regards

Neil Cowan

A/Executive Director

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