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Original poster
ArabellaScott · 07/05/2024 09:43

Question on self medication and risk:

Cass: Major shortfalls on child mental health provision, no support, no addressing of comorbidities, only have internet advice/peer support groups, higher risk actions implicated, living in a situation where care is failing them. Big problem is fearfulness among HCPs, specifically towards treating 'gender questioning'. HCPS worried about the toxicity of debate, get passed instantly to GIDS, existing issues don't get treated.

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Original poster
ArabellaScott · 07/05/2024 09:40

Mackay: What does good research look like to you? Should trans people be represented?

Cass; We need well designed studies with adequate follow up, clear comparisons with other treatment options, that's what's been lacking. Team is thinking about the most ethical and acceptable ways to do that, there will be careful engagement with service users.

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Original poster
ArabellaScott · 07/05/2024 09:39

Cass: The group that we hve least understanding about is the most common group now in clinics - female adolescents.

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Original poster
ArabellaScott · 07/05/2024 09:38

Mackay: activists think that your report presented transition as the worst possible outcome. Your response?

Cass: risk is that treatment may be given to the wrong group of people. Reason that's negative is because transition does not come without costs, fertility, sexual functions, bone health risk, limitations of surgery, etc

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Rightsraptor · 07/05/2024 09:38

Gillian McKay is wearing a rainbow lanyard.

Original poster
ArabellaScott · 07/05/2024 09:37

'no evidence that PBs 'buy time to think''

Puberty as a 'psychosexual pathway'

Do PBs make patient outcomes better? No evidence or weak evidence that wasn't replicated.

One indication thta they may be helpful for males to prevent irreversible changes to enable to pass, but a downside is it stopped looking at other ways of managing distress.

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Original poster
ArabellaScott · 07/05/2024 09:34

Gillian McKay. (Greens)

Could PBs be the right intervention for some?

Cass: Yes, hormones for some are right treatment. We don't know which young people those are. Evidence base for PBs - much less clear.

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Original poster
ArabellaScott · 07/05/2024 09:32

Question about detransitioners:

Cass talking about irreversible effects of hormones, they don't know numbers for level of regret.

Talks about a mtf transitioner who passes very well but recognises with hindsight dysphoria was caused by 'intense internalised homophobia', who will not 'detransition' but does regret.

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Original poster
ArabellaScott · 07/05/2024 09:30

'does put young people at significant level of risk' (private provision)

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Original poster
ArabellaScott · 07/05/2024 09:30

'deep concerns about private provision'

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Original poster
ArabellaScott · 07/05/2024 09:29

'Independent Review of Gender Identity Services for Children and Young People: The Committee will take evidence from— Dr Hilary Cass, Chair, The Cass Review.'

https://www.parliament.scot/chamber-and-committees/committees/current-and-previous-committees/session-6-health-social-care-and-sport-committee

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