1. Inclusion & trans young people
Professor Julia Hirst & Daisy Marshall
Sheffield Hallam University
Trans Forming Services Conference
21 November 2016

2. Evaluation of sexual services in communities (Julia)
Our talk
Evaluation of sexual services in communities (Julia)
Follow on study (Daisy)
Recommendations
Comments & questions

3. Sexual Health Services (community)
young people centred
friendly, non-judgemental, easy to understand, informal and professional, knowledge that's reliable, good communication skills ... inclusive
When there're good ... they're really good!

4. Like a well-informed friend that you can trust (Jon) They know what they’re doing .. not formal or intimidating (Sam) It’s lovely, they’re lovely .. like talking to your mates but they’re a professional .. they’re just really, really nice (Jen) Total accepting of where you are (Noah)

5. Who are service users? male / female ..... other!
fluid, non-binary, neutral, trans, female, male
bisexual, bi and open, pansexual, panromantic, asexual, gay, lesbian, straight, 'heterosexual for now'
how do we understand who we are working with if we continue to try and fit people into heteronormative, misrepresentative boxes?
CATEGORSATION & EXCLUSION .. how do we understand who we are working with if we continue to try and fit them into these heteronormative boxes?

6. What does sexual health mean?
1. Holistic mind & body health:
It’s a no brainer! If you get rid of worries to do with your sexuality and that, then it’s got to have an effect on your head (Kris)
Physical health's important but the effect on your mental health is massive. (Dan)
.. and related to this - building confidence
Talking to someone you can absolutely trust … it’s so important (Cole) 
If you can talk about sex you can talk about anything (Lola)

7. 2. Protecting health ..free condoms & dental dams?
Not free? That’s just stupid .... (Kris)
We need them [condoms]. We have sex lives (Jen)
You won’t stop people having sex but you’ll stop ‘em using condoms (Max)
Nobody ever died of having a condom on t’ready (Kris)

8. 3. Not just about clinical services, but who you are, relationships, home life, social class, where you live:
I know I’m lucky to live round here. Like it’s not posh but people are nice and understanding and my school was good. Well, not all of it. But they tried hard (Leah)
I hate it round here. It’s miles from everywhere. There’s nowt here (Kris)
Everything’s shut down where I’m from. Everything. That’s why I come to town, to this group (SAYiT) (Will)

9. 4. Importance of SRE and PSHE at school
Two out of 29 young people said their SRE was 'excellent' - majority poor or none at all, too late, heteronormative
I feel badly let down by school. We heard about STIs and that, but I was struggling with some big stuff and I just didn’t know what to do (Cole)
PSHE was really good and I learnt that women could have pubic hair. And it’s okay. But the boys didn’t do stuff about the women, like nothing on periods and stuff and they should know (Tom)

10. You just have to educate the teachers
You just have to educate the teachers. It’s the most important thing you can do for us young people (Finn)
BEYOND SRE .... importance of schools ... over to DAiSY

11. Schools as heteronormative spaces
It was always very gender separated. It's been like that throughout everything we've learned. It was always, ‘There’s only two genders. There’s only this and there’s this' (Alice)
They’d hired a really dodgy person who was really homophobic […] he said, ‘So this is about LGBT gay stuff, but I don’t agree with this’ (Millie)
He was saying that anything bar straight sex is wrong. Put up a list of different sexualities and stuff, and said 'put them in order of how worse they are and how bad they are' (Luke)
DAISY

12. They [school] changed their names [trans students] on the register and changed the gender on the register. But not all teachers would say that and not all teachers would use the [chosen] pronouns for either case (Millie) We were in PSHE and my teacher, who knew definitely that I was openly trans said, ‘Get in mixtures of boys and girls’. I was in one of all girls and the teacher came over and went, ‘Come on, you can't have all girls' (Harry)

13. There was this woman who […] wore typically male clothing rather than wearing dresses, […]. Our teacher was like, because you had to make inferences, ‘well she was a lesbian’. What? Is she? Was she? All you know is that she wore a suit instead of a dress. It doesn't mean she's gay (Jack)
I compare thee to a summer's day, […] was written for a man. The teacher kept saying, 'He was explaining to the woman', and I was like, 'No he wasn't. He was explaining to a bloke!' Every time, people started correcting her […] you could see her consciously saying her and everyone would be like, 'No, it was a dude going after a dude' (Harry

14. “When I first started going to school and wearing makeup and stuff, I had this particular teacher who would laugh at me. I was friends with a lot of girls and I'd go to the toilet with them. I'd wait outside. I wouldn't go in the toilet because I knew obviously they'd have a problem with it. He [teacher] would always come round and check in the toilet and he was really rude to me. Whenever he saw me in the corridor he'd smirk or he'd start giggling to himself and put his head down and stuff. He just made me feel like crap (Jasmine)

15. Recommendations Staff training (on law & practices)
Schools have responsibility to find out what young people need - don't wait for young people to have to tell you
Protectionism & 'exposure'
PE: curriculum, changing rooms
Universal toilets
On-going dialogue

16. Useful resources for trans inclusivity
Teacher training:
Toilets:
@cctoilettalk