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Feminism: Sex and gender discussions

“Genuinely” single sex wards are not the best standard of care for all and in particular, trans and non-binary service users - survey

89 replies

IwantToRetire · 15/03/2023 16:43

Through desk-based research and a survey, led by a trans and non-binary researcher, we have asked the question: what are trans and non-binary people’s experiences of single sex spaces in mental health settings in England?

We have asked this question in order to centre the experience of trans and non-binary service users on single sex wards and to better understand what needs to change to make mental health settings safer places for trans and non-binary people experiencing mental distress.

This research found that there is significant variation in trust policies relating to trans and non-binary service users, with gaps between trust policies and peoples’ actual experiences that indicate the urgent need for a better standard of care for trans and non-binary service users. Trans and non-binary service users face serious discrimination and harm within care settings from staff and other service users.

Our key recommendations for services are are:
~ Recognise that single sex wards are not the best standard of care for all service users, in particular, trans and non-binary service users, and take steps to assess and mitigate possible negative impact.
~ Locate the problem in services, not in service users: ask how services and practice can change to support and include trans and non-binary service users.
~ Name the political nature of trans health in policy, education and practice, and the ways in which the needs of trans and non-binary service users may be being neglected or undermined in services.
~ Set out how gender-affirming care and physical health needs of trans patients in mental health inpatient settings will be met with emphasis on not being an obstacle to gender-affirming care.

Extract from www.nsun.org.uk/news/new-nsun-research-report-single-sex-spaces/

NSUN = National Survivor User Network

OP posts:
midgemadgemodge · 16/03/2023 08:01

If that's what transmen want then they should be allowed

Since they remain female that is also an option for them

Shelefttheweb · 16/03/2023 08:01

Ofcourseshecan · 16/03/2023 07:41

And this is so bloody predictable! Realising they have been allowed or encouraged to seek irreversible damage to their previously healthy bodies. In pursuit of a delusion. Heartbreaking.

There is probably an element of that, but I suspect it is more that transitioning never solved the mental health crisis that drove them to transition in the first place. That whilst ‘gender affirming’ and the process of transitioning provides some temporary distraction, it doesn’t actually work.

PermanentTemporary · 16/03/2023 07:59

I wouldn't want it to be accepted that transmen would go to an open ward.

What this might do is start a greater discussion on abuse and risk in inpatient mental health services. I just hope* that it's a discussion accepting the particular physical vulnerabilities of women and to male abuse. Not a discussion only about the overpowering importance of staff not misgendering each other and having 'awareness' of nonbinary identities.

*I don't have very much hope of this

gogohmm · 16/03/2023 07:56

I don't think you can have a single policy because the needs of patients vary depending on why they are accessing in patient settings. For short stays, especially emergencies and surgical, then I think patients should simply placed where there's a bed. For longer stays eg geriatric/dementia wards then single sex becomes necessary due to their needs/potential issues. For long stay situations like mental health, rehab single rooms should be used wherever possible anyway.

As most hospital wards are built with a number of bays plus side rooms, mostly it's possible to segregate anyway - and by definition gynaecology, which has its own ward here, is single sex! (Actually breast surgery shares the ward so very much a female sex zone).

If I'm in an accident and smash my leg up for instance, I really couldn't care less if there's a man in the next bed, it's just not the same as a sensitive surgery

PermanentTemporary · 16/03/2023 07:54

@Laladybird sorry.

AFAB 'assigned female at birth', also known as women and girls.

DSDs - disorders of sexual development, also known as variations in secual development or VSDs. A definite category but types of disorder that are included in it are disputed.

midgemadgemodge · 16/03/2023 07:53

"Open" ward for all with female only because of the biological need

Like sports

Brefugee · 16/03/2023 07:51

i may have stopped reading and not taken in the rest of the survey. So I'll read again :)

Brefugee · 16/03/2023 07:50

~ Recognise that single sex wards are not the best standard of care for all service users, in particular, trans and non-binary service users, and take steps to assess and mitigate possible negative impact.

nope.
Do you have any natal women conducting this survey?

Because all the questions are about "woe are the trans". They can have 3rd spaces. Women and men want their own single sex spaces. We have seen the side effects of transwomen being in women's wards. No. Thank. You.

Laladybird · 16/03/2023 07:49

What do DSD and AFAB stand for here?

piedbeauty · 16/03/2023 07:48

I'd imagine the suicide rate of people who have medically transitioned, and who have realised they have made a monumental mistake from which there is no going back, is much higher than the suicide rate of young people who think they are trans.

THAT'S the kind of data we need to be keeping over the long term.

piedbeauty · 16/03/2023 07:44

@Davros - that sounds very difficult. Sending you my best wishes. 💐

PermanentTemporary · 16/03/2023 07:43

I think saying that these women do or don't have specific issues that could be healed by psychotherapy isn't necessarily right either. Hard to know given the fact that NHS mental health services are shredded to almost nothing. Sometimes inpatient admission is what it takes, and goodness knows there are some amazing people working in the services too. Alongside some abusers.

Mental heth presentations have a cultural element. What is going on in the culture will be represented in services too.

I note that the report's author received some replies apparently from people with DSDs, which questioned the premise of placing trans and DSDs together as the same issue. So obviously as a serious scientific researcher they left those responses out. I suppose at least they documented what they did.

Ofcourseshecan · 16/03/2023 07:41

Shelefttheweb · 16/03/2023 07:37

Not got time at the minute to search bu it was a Swedish study. Sweden keeps a lot of information linked up about their citizens which enables them to study populations over the long term. This particular study compared mortality or transitioned men with the rest of the male population.

And this is so bloody predictable! Realising they have been allowed or encouraged to seek irreversible damage to their previously healthy bodies. In pursuit of a delusion. Heartbreaking.

piedbeauty · 16/03/2023 07:40

Mixedberrygenderfluidmuffin · 15/03/2023 16:54

Everybody wants the best possible care for trans patients.

But it’s important to recognise that for many women genuinely single sex spaces ARE the best standard of care, and it is not possible to include trans identifying men in those spaces, as that makes them mixed sex.

Female patients are not a resource to be used to provide ‘gender affirmation’ to males.

Exactly. Sometimes the needs of women and trans people will clash, and women and girls should not be asked to set aside their own fears so they can affirm trans people or make them happy.

Ofcourseshecan · 16/03/2023 07:37

Apparently there are lots of "AFAB trans" people in the mental health system.

That would fit in with what we now know about girls who are autistic and/or with mental health issues being persuaded that they are ‘in the wrong body’. Thinking their feelings of alienation stem from being trans, when (to a non-ideological adult’s eye) they obviously have issues that could be healed by psychotherapy or counselling or other mental-health care.

Shelefttheweb · 16/03/2023 07:37

9Feb · 16/03/2023 01:11

@Shelefttheweb , you put
”For example we know that men who transition (and therefore “gender affirmed”) are more than nine times more likely to commit suicide.”

This is sad, and worrying. Could you please give me a source for this? Nine times more likely than ..? Men who might identify to themselves as women but who don’t formally transition, men in general, or something else?

Not got time at the minute to search bu it was a Swedish study. Sweden keeps a lot of information linked up about their citizens which enables them to study populations over the long term. This particular study compared mortality or transitioned men with the rest of the male population.

Ofcourseshecan · 16/03/2023 07:36

TheBiologyStupid · 16/03/2023 00:17

Christ, that poor person has a lot of serious issues!

Yes, poor soul, that sounds desperate. I have heard from service users how horrific these places can be.

Ereshkigalangcleg · 16/03/2023 07:31

Christ, that poor person has a lot of serious issues!

Yes, I think safeguarding is very important, I don't think they are better off with any men at all.

Joystir59 · 16/03/2023 05:52

What exactly does non binary mean?

SinnerBoy · 16/03/2023 05:49

She's probably dodged a bullet by avoiding Darwin, it's hotter than somewhere very hot and very humid. I've just had a 20 minute walk round the shops and now I've stopped dripping, I'm going to have a shower.

Shame though, I may be here till Sunday and would have been up for a lurk at the back of the crowd.

SinnerBoy · 16/03/2023 05:41

I ❤️ JK Rowling mum not clocking her toddler picking up crap and eating it off the steps made me giggle...

SinnerBoy · 16/03/2023 05:38

What was that cameraman doing filming a baby in a buggy?

BoreOfWhabylon · 16/03/2023 01:37

Adelaide!
https://www.youtube.com/live/1C-lu7weTCA?feature=share

9Feb · 16/03/2023 01:11

@Shelefttheweb , you put
”For example we know that men who transition (and therefore “gender affirmed”) are more than nine times more likely to commit suicide.”

This is sad, and worrying. Could you please give me a source for this? Nine times more likely than ..? Men who might identify to themselves as women but who don’t formally transition, men in general, or something else?

Boiledbeetle · 16/03/2023 00:44

lifeturnsonadime · 15/03/2023 18:48

I'd love to know what is going on with risk assessments in health care settings.

They used to be holistic and take into account the positions of all service users. Now it's fuck women so long as the men with special identities are get what they want.

And in the NHS we know that actually truly means 'fuck' women literally, then deny they've been raped as it was a single sex ward full of women.

Every time the TRAs push out a piece of 'centre us and fuck the rights of women' they push yet more actual women to the "I've had enough off this make believe shit" side.