One sentence in the article is absolutely chilling: the social worker who visits the family of a 13 year old girl who told her parents the previous year she was trans: the social worker described the child as a “13-year-old white British male who was born into a biologically female body”. !!!!
I could just about accept if the social worker had written “13 year old white British youth, born biologically female but now desires to live as a boy” — but to begin the descriptions as “13 year old… male” seems criminal
Indeed. Slightly different but on a similar theme about written health care records, when my daughter's CAMHS hospital report came back stating that she "identified as male" I knew that this was incorrect because I was there when the (excellent) counsellor met with her. I wrote several letters asking why this statement had been made. When I didn't get responses, I escalated within CAMHS and I also raised a legally binding Subject Access Request (I requested her entire health record, internal communications within CAMHS relating to her and any written notes), to understand how this statement came to be made.
This series of actions eventually kicked off an incredibly productive conversation, where I met with the counsellor and senior management.
It transpired that the statement had been made following observational input from a nurse. It was confirmed the she never did identify as male at any point. The counsellor had been following the correct procedure to take multiple inputs when compiling his report. As part of the conversation, the senior management (who also oversee multiple hospital crisis teams) told me that they would review protocols so that this kind of thing didn't happen again. There were many other positives that came from the conversation too. From the conversation that I had, I believe our discussions will have a positive impact on other autistic girls who fall under their care if they meet with any of the CAMHS hospital teams within that group. There needs to be far greater discussion in health care about autistic girls and gender identity. They represent a significant cohort of children who present with gender dysphoria (48% according to a paper written by 2 Tavistock clinicians) but the conflation of autism and gender identity confusion seems to be very poorly understood.
She was presenting with gender incongruence, and I was happy for the records and referral to reflect this. However, there is a big difference between her confusion over her gender identity and an assertion that she identified as male. By stating that, they had completed a social transition on her behalf.
Her discharge report was subsequently corrected and this statement was removed. Not only was this important for the sake of her health records but it was also part of their referral to our local CAMHS team. So it was especially important that she wasn't referred on to them with this misinformation included. The referral letter was also reissued with the corrected information.