19 - 8 - Winter Program Manual

We have members across BC, and acknowledge the multiple First Nations traditional territories where we live, work and play. Our organization is housed in the Victoria Native Friendship Centre, and centered in the islands of the mid-Salish Sea, as such we specifically acknowledge our organizational host, the Victoria Native Friendship Centre, and our hosts of several nations, collectively the SENĆOŦEN speaking peoples, also referred to as the Malchosen, the Lekwungen, the Semiahmoo, and the T’Sou-ke.

We work on a way forward that is based on mutual respect and marked by stories of our communities cooperating in this time of Truth and Reconciliation.

The O_CHI logo is five rings that overlap each other surrounded by a circle of dots.

The five rings represent five marginalized communities, Indigenous/Two-Spirit, trans/nonbinary, Sex Workers, People With Disabilities, and Newcomers.

The overlap represents the intersectionality of our communities.

The colours represent the uniqueness of each, the white our common struggles The O_CHI dash states that equity is never dependent on identity The Silver center represents our common goal of improving wellness in our community The circle of dots represents our ongoing welcome to all to join us.

All Rainbow Health Co-operative Educational Materials are licensed under the Creative Commons Attribution-Non-Commercial 4.0 International License.

To view a copy of this license, visit http://creativecommons.org/licenses/bync/4.0/. Not all our documents are licensed for redistribution and are marked as reserved.

This document is not licensed for distribution and is RESERVED, but available for your use per these terms: We respectfully request that normal business standards of confidentiality are maintained and that:

•

all information in this document is treated as confidential

•

it is not shared for any other purpose without permission

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requests for information to any organization regarding this content is solely through Rainbow Health Co-operative

If you have any questions or concerns regarding this document – do not hesitate to contact us.

The Directors, Rainbow Health Co-op Phone – (888) 241-9992 Fax – (888) 623-3481 Email – directors@rainbowhealth.coop

Strategic Plan Grants

Our Co-op members, who work together to get better together, the work and effort of all O_CHI participants / community members who are generous in sharing their experiences, and the O_CHI Project Leads, Coordinators and Researchers who go above and beyond in our common effort to grow wellness in our communities. Thank You.

We acknowledge the financial assistance of the Province of British Columbia

Forward

INDEX

1 2 3 4 5 6 7 8 9 10

Safeguard Everyone Foundations of Wellness

Identify Stakeholders Directories That Work

Engage People A Community Place of Resilience

Exchange Knowledge Our Community Resource Magazine

Sustain Capacity The Way of the Wand

Collect All Data Six Jungian Thinking Hats

Create Meaning Vernacular Pattern Languages

Design Improvements Projects of Innovation

Evaluate Results Rings of Reflection

Improve Ser vices Our Framework for Change Appendices

Background Rainbow Health is BC's largest trans, Two-Spirit, nonbinary organization. We are a volunteer based, not-for-profit cooperative that began as a community initiative early in 2014. Our mission is the promotion of gender wellness through education. Gender wellness is the set of personal strategies and public policies that makes our genders a beneficial part of our lives, families and communities. With our partners, the University of Victoria and the Victoria Native Friendship Centre, we engage in Community-Based Participatory Research to develop new training, workshops, community events, and wellness services. In partnership with Norwest Community Health of Winnipeg we provide Hans Kai 4 Trans Facilitator Training, Canada’s most comprehensive gender wellness program. We publish XQQ, Our Community Resource Magazine which provides a community-based directory of transition related services across BC. In 2015, BC’s Minister of Health initiated a six-month review of trans health by over two dozen doctors, psychiatrists, surgeons, and community members (including Co-op members). The recommendations they developed were reviewed by community members from across BC. It remains the most comprehensive review of BC’s trans healthcare to date. The review identified four areas of services, transition related surgery, healthcare provider training, primary care capacity and peer-based community support. These recommendations and standards are the basis of both Trans Care BC (TCBC) and Rainbow Health’s services and programs.

Summary of Our_Community Health Initiative (O_CHI) 0_CHI is a multi-year, BC-wide Community-Based Participatory Research Project that is investigating what systemic change would be for the T2NBY Community. O_CHI is a mixed methodology research project that establishes ongoing community resources to accomplish its objectives, while maintaining a commitment to equitable access by the Indigenous community.

0_CHI views systemic change through a strengths based lens that sees a world where the T2NBY community is a respected, vital and important member of society. The start of that change is to see ourselves in that community as vital, important and worthy of respect.

0_CHI is an incubator of Community Projects of Innovation. The incubator consists of a core resource of support coordinators, a program manager, and researchers for each project. The incubator is housed at the Victoria Native Friendship Centre, and the coordinators are staff of the partner organizations.

0_CHI projects begin with a year long community consultation period, the end result is a Pattern Language, an integrated set of statements that state the practicalities and principles of problems and their solutions set out in a consistent format that follows international standards . Pattern Languages make design solutions accessible to a wide range of communities. Using those guidelines, the 0_CHI team develops a pilot project plan which becomes the basis of a grant application to fund a pilot program.

All Projects separately and collectively:

• • • • • •

Identify patient cohorts with specific needs within the T2ENBY community Develop community capacity to lead in all aspects of the research project Establish a base line of delivery and experience metrics usable by multiple agencies Ensure the safety of those directly associated with the project and those they interact with Identify service provider, healthcare system, government and community member stakeholders Design a pilot program to address the needs identified by a specific patient cohort Demonstrate and analyze the pilot program, including comparison to baseline metrics Projects are evaluated by the Trans, Two-Spirit, Nonbinary Community Council of BC whose purpose is to define, maintain, and exercise a set of community-based standards for transition related services, healthcare, and research.

The primary community deliverable of the 0_CHI project is the establishment of the T2ENBY Council.

Why This Project Matters Growing the changes needed for healthier communities requires: A convincing argument consisting of a clearly stated need and an effective solution The authority to speak and access to decision makers who will listen A network of persistent communities working together to create improvement for each Our work is to create the conditions where this growth happens. O_CHI establishes the community capacity needed to ensure that resources directed to our community’s healthcare are allocated equitably and effectively.

We acknowledge that as service providers we rely on an intangible Social License rooted in the perceptions and opinions held by our community about services and providers of services.

A Social License is an inalienable attribute of any community.

As service providers we are called to stewardship of this privilege.

This intangible social license is made tangible through a Community License.

To operate without consideration of such a license is to act in a nonconsensual manner. It remains non-permanent because perceptions change as new information is acquired, and our obligation to maintain our license on an ongoing basis.

More info at xqq.ca/communitylicense

The word spread and three weeks later there many, many people at the settler's camp. There they found that Douglas had prepared large piles of many gifts, amongst them very good wool blankets, which like a settler hat might mean the difference between life and death in a cold winter. The people saw this gifting as a potlatch and a way of making peace. Douglas asked for the right to collect furs and enough land to feed the people doing the work. He showed the leaders pieces of paper with symbols on them, to the settlers these were x's to the people they were crosses, and evidence that Douglas was swearing by that which was sacred to him. They agreed that the settlers We acknowledge all the traditional knowledge keepers and could continue as guests, that reparations for the wrongs had been story tellers, in particular, Chief David Latas who was there the received and there would peace between them. This was to be reday of the treaty and Dave Elliot Sr., his great nephew for mak- newed through the ongoing process of potlatches and sharing. ing it possible for us to remember and retell this story.

But shortly after both the settlers and the people became very, very, ill. The people got infected with a pox, a disease the settlers had Our people, known in this place as trans, have lived amongst brought with them and died in the tens of thousands. The settlers got a different illness called Gold Fever, and it clouded their wisdom all peoples, in all places, in all times. and darkened their hearts. In time, our agreements to be here were For thousands of years, tens of thousands, as long as people have forgotten or ignored, and here, in the islands and the southern mainlived anywhere, people lived on these lands. The people cared for land, the corrosion of colonialism etched deeper than anywhere else these lands and waters, the lands and waters were rich and the peo- in what is called British Columbia. As such, it is here and to the people thrived. In 1763, King George of England acknowledged that ple who lived here before us we owe the most, it is here there is a these people were sovereign nations. righteous anger.

A few years later, in 1776, a small band of merchants and farmers It is why we return here to this very place, the Grove of Souls, the who had come to these territories wrote a letter to the world that place where our paths first crossed. We return to strike a new path declared that all people have the right of security, freedom and hap- into a future of mutual respect anchored by treaty between soverpiness and those rights cannot be separated from them. And that the eign peoples. There is no future for either of us without the other, purpose of all governments is to secure those rights. and that is a future we must live in cooperation and respect, not in anger and distrust.

A generation after that letter, Captain Vancouver sailed this coast and called what he saw the dreary wilderness, broken only by the Our ancestors were the guests of the people of this place, as we are many towns and villages of the people who have lived here since their guests today. We thank them for their hospitality. We look fortime immemorial. But here, on the south coast of the Island, with its ward to the day when trans and Indigenous peoples reclaim our hisoak meadows and camus fields was different and beautiful and he torical relationship. marked so on his maps. That beauty remains today as does the unbroken relationship of the people who lived here before us.

Three generations later when settlers returned, they came to these shores, knowing this was a beautiful place.

They came for one reason, the fur of marine mammals, an essential ingredient to their way of life. We have lost sight of how important fur was at that time. The furs were stripped and matted to produce a waterproof felt that was fashioned into hats and bootlets. In that time, there was no transit, people walked or rode, there was safety net, you worked or you starved, and almost all work was done outside. A waterproof hat and boots made it possible to work harder and longer outside, and thus provide for yourself and your family. A hat to those people was like a combination of a pickup truck and a smartphone would be to us today - and in relative terms, just as valuable. The people who came here came from countries where commoners did not own land, and the elite of that time were not about to start anything as radical letting anyone own land. It was called the Wakefield system and part of most euro centric colonialism.

After our ancestors had been here for just a short while, there were problems. They cut down some trees in the 10 mile point area that were not theirs to cut down. The people who lived there were under the protection of the Wsanec people and so they told them what had happened. There were other problems as well. That day on this Island there were around 49 settlers and 35,000 First Nations people.

The men came down to the settler camp in Beacon Hill and were ready to burn them out and send them back to where they came, because that is how you took care of business in that time and place.

They met Douglas who listened to what had happened. He saw what was going to happen next and he asked them, "Give me a chance to settle this another way". Douglas himself was married to a First Nations woman, and her family was known and respected in the north.

So, they relented a bit and said, What do you have in mind? Douglas said come back in three weeks and I will show you.

2008—250 Million Transistors Average 2018—7-8 Billion Transistors Average

Forward

INDEX

1

Safeguard Everyone Foundations of Wellness

Appendices

FACILITATOR TRAINING

Facilitator Training HK4T - Relevancy Hk4T – Safety HK4T - Research Project Name:

HK4T Facilitator Training, Relevancy, Safety and Research

Project Partners:

Rainbow Health Co-operative || Norwest Community Health, Winnipeg

Geographic region served:

British Columbia

Project Timeline:

Start – Jan 2019

Monthly Meetings

Training Event is October 4, 2019

Project Summary Training for facilitators of peer support groups was identified in the 2015 TransCare BC business plan. Following these recommendations, the co-op has been developing facilitator training programming in conjunction with our partner Norwest Community Health of Winnipeg. In 2018, this programming became integrated into the five-year research project we are engaged in with our partner the University of Victoria. Through several years of qualitative research involving dozens of community meetings and hundreds of community members, we see the need training and support in three areas: • • •

Relevancy – to ensure the information about transition related to gender shared is accurate and relevant Safety - Working with communities who have experienced trauma, both self-care, and avoid adding to trauma Community based research skills, the community needs to be an active partner in the research regarding it

Creating, resourcing or continuing peer support programming without adequately preparing and supporting the facilitators does not meet either known best practices or the recommendations of the TransCare BC business plan.

Sending facilitators into the community without preparation is like sending paramedics out in ambulances without any oxygen equipment.

Hans Kai is a peer led wellness program used by groups across Canada. It directly addresses 13 of the 14 social determinants of health identified by Health Canada. HANS KAI is a unique health promotion intervention to improve participants’ health by focusing on interrelated chronic disease prevention behaviours through peer support and the strengthening of social support networks. The Hans Kai program trains community members to facilitate peer led wellness groups through a nine-session facilitator training program. The efficacy of the Hans Kai program was investigated between 2010 and 2015 by the University of Manitoba using a mixed methods intervention model over multiple sites. There were statistically significant mental health improvements from pre- to post-program. According to peer reviewed study results, 66% of the participants described specific behaviour changes because of HANS KAI participation. Positive health impacts included peer support; acquiring specific health knowledge; motivation or accountability; the empowering effect of monitoring one’s own health indicators; overcoming social isolation and knowing how to better access services. Rainbow Health and Norwest Community Health are collaborating again on additional modules for the Hans Kai program – HK4T- Trauma Management. The basis of this programming is the Posttraumatic Stress Management© (PTSM), a model developed and tested extensively in the field over the last 20 years by Robert D. Macy, PhD and his Boston based trauma response network.

The steps needed to fill the training gap for facilitators is to: • • • • • •

Develop a facilitator training standard, reviewed by the community and tested through pilot programs Ensure competency in delivering transition related information that is accurate and relevant Ensure competency in mental first aid for facilitators and dealing with traumatized individuals Develop an understanding of research to ensure evidence-based services Evaluate current facilitator programs for conformance to identified needs Make training available across BC and work toward standards of certification 1|HK4T Facilitator Training- Relevancy, Safety, Research

Facilitator Training HK4T - Relevancy Hk4T – Safety HK4T - Research Hk4T – Trauma & Self Care is a Framework Project of the Our Trans Community Health Initiative Our Trans Community Health Initiative (OTCHI) is a five-year BC-wide, community-based research project to initiate innovative service models and assess their impact on the delivery and experience of transition related services and healthcare. It creates a process to test a program model before investing in wider implementation. OTCHI is a mixed methodology research project that establishes ongoing community resources to accomplish its objectives, while maintaining a commitment to Indigenize the work. It begins with a set of Framework Projects to build the capacity to discover, define, develop, and demonstrate community-based Innovation Projects, which directly correlate to the examples called for in the TCBC standards.

The Framework Projects separately and collectively: • Develop community capacity to lead in all aspects of the research project • Establish a base line of delivery and experience metrics usable by multiple agencies • Ensure the safety of those directly associated with the project and those they interact with • Identify service provider, healthcare system, government and community member stakeholders • Measure the impact of any project or service on transition-related healthcare delivery and experience The Innovation Projects separately and collectively: • • • • •

Develop community capacity to lead in all aspects of the research project Identify patient cohorts with specific needs within the T2ENBY community Design a pilot program to address the needs identified by a specific patient cohort Demonstrate and analyze the pilot program, including comparison to baseline metrics Submit for evaluation to the Gender Diverse Community Council

All projects follow the same general frame work: consultation with stakeholders, development of a pilot program, stakeholder consensus on the program plan, completion of the pilot, evaluation of the program, and a knowledge translation and exchange process throughout that provides useful, timely information.

All projects are evaluated by a BC wide Gender Diverse Community Council, whose purpose is to define, maintain, and exercise a set of community-based standards for transition related services, healthcare, and research. These standards are referred to as a Community License. Each project concludes with recommendations from the Gender Diverse Community Council to the appropriate decision makers.

This project directly addresses three key priorities identified by the provincial government

✓

Supporting the development of new peer and community support services for the gender diverse community especially in rural and remote communities and in regions where there are gaps in services.

This provides training for facilitators to provide support to community members in all parts of BC.

✓

Creating and strengthening connections between peer and community support and health and wellbeing services including TransCare BC Care Coordination Team.

TransCare BC has been requested to act as a full partner in the design and implementation of this project.

✓

Strengthening the resources and skills within existing peer and community support services across BC This project is designed to improve the skillsets of anyone providing transition related services.

2|HK4T Facilitator Training- Relevancy, Safety, Research

Facilitator Training HK4T - Relevancy Hk4T – Safety HK4T - Research What will this project do?

The Hans Kai program: 1. Continues the delivery of the peer facilitator training that includes the most comprehensive gender wellness training available in Canada, through the HK4T- Transition Relevancy sessions.

2. Will improve the capacity of any facilitator to deal with trauma common in marginalized populations.

3. Fulfills the four recommendations on community support developed by the TransCare BC steering committee.

4. Provides essential information to underserved regions across BC 5. Provides the capacity to deliver HK4Tr-TRS Relevancy and HK4Tt-Trauma Management training for research staff.

6. Leverages the investment in programming by making it available across BC. 7. Will ensure that this service reflects the needs of the community through review by the GDCC. 8. Builds connections between regions by promoting a common source of gender diversity services information.

9. Builds self-capacity by training community members in group facilitation and trauma management skills.

10. Will improve skills in safety and ethics that will persist and are applicable to other areas of community life.

Why is this project important to the gender diverse community?

1. Nothing about us without us has become the touchstone for designing and implementing services intended for marginalized communities. This project involves the gender diverse community as a full partner.

2. The legacy of Canadian colonization can create models where a sole authority determines community services, which has both benefits and costs. Community-based services minimize costs, maximize benefits.

3. Access to transition related services is distorted by the influence of the urban areas, while the gender diverse population is distributed across all regions. This project provides a framework to address this.

4. This project improves skillsets in community representation, information management, and trauma management.

5. The cross regional connections and self-capacity developed in the project will provide awareness of resources to underserved communities and develop their ability to access those resources.

6. This project serves the gender diverse community by giving them the capability to directly influence community services that have typically been designed and delivered by non-community members.

So how will the project meet those goals and community priorities?

For Existing Programming Apply for support funding Continue delivery of facilitator training (Hk4Tr) For new programming Define project team Assess ethical requirements Define participant safety standards Complete program staff readiness Assign project roles / engage staff Identity stakeholders needs and interests Review literature Develop draft implementation Design pilot curriculum Develop pilot delivery method

Pilot phase of new programming Create training opportunity Promote training opportunity Deliver pilot training opportunity Complete data collection Analyze results Revise program design Review with Gender Diversity Community Council Update program design Report initial results to all stakeholders Complete Knowledge Exchange of initial results Establish next phase time line and processes Apply for matching and support funding

3|HK4T Facilitator Training- Relevancy, Safety, Research

INDEX

2

Identify Stakeholders Directories That Work

Rainbow Resources

A Common Source for Resource Information

Summary We have all had the experience of looking up something and ending up with broken links, or no answer. Keeping information of any kind current is a long term effort, beyond the reach of many community organizations. Yet it is those same organizations that hold the most relevant information as they are closest to their community.

For the past 40 years, bc211 has been a leader in developing a sustainable and relevant information platform for all types of community services from food banks to crisis lines. Through partnership with United Way, bc211 is expanding their system to cover all part of BC. Through partnership with Rainbow Health Co-operative they are expanding the depth of trans informed services they make available. In the spirit of co-operation, we want to make it easier for similar community organizations to maintain their resource directories.

The agreement between Rainbow Health and bc211 is a model for all types of agencies to collaborate on building a common source for resource information – yet still retain their ability to retain their unique version or portion of the information. It is a way to add sustainability to the passion of those who care. What works well in Vancouver or Victoria may not work in less urban regions where community members may experience greater stigma. Too much information in those communities need is lost every year, a BC wide program is needed.

Rainbow Resources is like the struggling farmers in a town feeding the golden goose together to share the golden eggs.

The steps to continue the development of a BC wide community-based services information program are: • • • • •

Complete a consultation process with organizations that provide community resource information Complete a consultation process with community to detail a community-based program Resolve a process where information is verified to conform to community standards Resolve a process where information is formatted for sustainability and broad spectrum. equitable access Complete pilot phase initial data gathering, identify additional stakeholders in the process

The Rainbow Resources pilot project will: 1. Provide the design and implementation of trans, Two-Spirit, nonbinary service information into a BC wide, data management system maintained by bc211.

2. Provide essential information to underserved regions across BC 3. Update existing trans services resource information and ensure conformity to data management system standards 4. Leverage the investment in programming by making it available province wide.

5. Ensure services reflect community needs through review by the trans, Two-Spirit, nonbinary Community Council 6. Build connections between regions by promoting a common source of gender diversity services information.

7. Build self-capacity by training community members in system development and project management.

8. Improve skills in safety and ethics that will applicable to other areas of community life.

9. Create specific evaluation to providers of services to the trans, Two-Spirit, nonbinary community.

Our_Community Health Initiative (0_CHI) 0_CHI is a 5-year, BC wide Community-Based Research Project that asks the question - How do we know if our healthcare is improving? O_CHI is a mixed methodology research project that establishes ongoing community resources to accomplish its objectives, while maintaining a commitment to Indigenize our work. O-CHI is an incubator of Community Projects of Innovation. The incubator consists of a core resource of four support coordinators and a program manager, supplemented by a project lead and researchers for each project. The incubator is housed at the Victoria Native Friendship Centre, and the core team are staff of partner organization, funded through the project. The Incubator begins with a set of Launch and Framework Projects to build the capacity to discover, define, develop, and demonstrate Community Projects of Innovation, which correlate to the examples called for in the TCBC standards.

1|Rainbow Resources – a common source for trans service s information

Rainbow Resources

A Common Source for Transgender Resource Information

This project directly addresses three key priorities identified by the provincial government (TransCare BC)

✓

Supporting the development of new peer and community support services for the gender diverse community especially in rural and remote communities and in regions where there are gaps in services This provides a process to integrate information about trans informed services into all BC information programs

✓

Creating and strengthening connections between peer and community support and health and wellbeing services including TransCare BC Care Coordination Team TransCare BC has been requested to act as a full partner in the design and implementation of this project

✓

Strengthening the resources and skills within existing peer and community support services across BC This project is designed to provide complementary services to existing regional trans information services

Why is this project important to the gender diverse community?

1. This project involves the gender diverse community as a full partner.

2. Service information is best developed by community members who are stakeholders in the design and implementation of resource directories and the services contained in the directory.

3. A robust management system ensures relevancy and creates date stamping of information to ensure it is current.

4. The legacy of Canadian colonization can create information models where a sole authority determines the ‘authorized’ information available, community-based programs offset this bias.

5. This project creates a process to ‘authorize’ the more prevalent and accessible community-based information.

6. Access to gender diversity services is distorted by the influence of the urban areas, while the gender diverse population is distributed across all regions. This project provides an framework to address this imbalance.

7. This project improves skillsets in community representation, information management, and trauma management.

8. The cross regional connections and self-capacity developed in the project will provide awareness of resources to underserved communities and develop their ability to access those resources.

9. This project serves the gender diverse community by giving them the capability to directly influence the services that have typically been designed and delivered by non-community members.

1|Rainbow Resources – a common source for trans services information

A short history of bc211 bc211 has taken several different forms over the years, and has had several different names, but has always maintained a firm commitment to providing the highest quality of Information and Referral Services. As we prepare for an exciting future, we look proudly on our history, and strive to continue the legacy that has been built over the last half century.

1953 - bc211 began under the name Community Information Service.

1958 - we published the first edition of the Directory of Health, Welfare and Recreation Services in Metropolitan Vancouver, which later became the Red Book. Over the next 30 years, we continued to expand our information and referral services, and to publish yearly directories.

1985 - we began operating under the name Information Services Vancouver, with offices at the Heritage Hall in Vancouver where we stayed for 25 years.

1988 - We began offering specialized help lines in the late 80’s with the Victim’s Information Line and the Alcohol and Drug TRYLine. Over the next 20 years we continued to grow, and added the Problem Gambling Help Line, Youth Against Violence Line and Shelter and Street Help Line to the services we offer. bc211 has been instrumental in advancing information and referral standards in BC, in Canada (through Inform Canada), and in North America (through the Alliance of Information and Referral Systems).

2008 - bc211 was the first Canadian I&R agency to be accredited through the Alliance of Information and Referral Systems (AIRS). In addition to the agency accreditation, our Information and Referral Specialist and Resources and Publications Specialists must become certified through AIRS. 2010 -the 211 British Columbia Services Society, operating under the name bc211, was officially launched. Since then, bc211 has been operating 211 services in the Metro Vancouver, Fraser Valley and Squamish-Lillooet Regional Districts.

2014 - 211 service expanded to the Sunshine Coast Regional District.

2017 - was a milestone year for bc211. With support from all the United Ways in BC, bc211 expanded its online services province-wide. The expansion included a new website that is more user- and mobilefriendly, as well as the ability to connect with an information and referral specialist via live web chat.

The future – Let’s find out together!

Rainbow Resources

HELP US MAKE THE RAINBOW RESOURCES DIRECTORY A BETTER COMMUNITY RESOURCE ADD YOUR ORGANIZATION’S LOGO IN THE FOOTER

Primary

Helplines Secondary RP-1500.1400-400 LGBTQ Helplines Programs that provide immediate assistance for individuals who iden fy as lesbian, gay, bisexual, transgender, twospirit or queer as well as people who are in the process of coming out, people who are questioning their sexual orientation/gender identity and/or their friends and families. Included may be short-term emotional support, resources and community referrals. The service is generally free and confidential and may offer peer support. Helpline staff are generally available via telephone, email, chat and/or text.

Primary

Support Groups Secondary PN-8100.0500-070 Alcohol Use Disorder Support Groups Mutual support groups whose members are individuals who have or are at risk of an alcohol use disorder. The groups meet in-person, by telephone or via the Internet; provide emotional support, information and resources to help participants overcome their disorder; and may include faith-based and secular 12-step groups as well as non-12 step groups, and groups for anesthetists, pharmacists, psychologists, physicians or other health care professionals who are recovering from an alcohol use disorder.

Secondary PH-8500 Transgender Body Image Resources Programs that facilitate the acquisi on and safe use of devices and other apparatus that help transgender individuals present the physical characteristics of their identified or preferred gender. Included may be chest binders, breast forms, breast enhancers, shapewear, wigs or other hair pieces, gaffs, soft packers, hair growth formula and make-up.

Secondary YJ-5065 Families/Friends of LGBTQ Individuals The parents, children, heterosexual spouses or partners, friends or other relatives or significant others of individuals who identify as lesbian, gay, bisexual, transgender, queer or questioning.

Secondary PS-8200.2350 Gay Straight Alliances Student-run clubs (typically in a middle school or high school, or on college/university campuses) which provide a safe place for students to meet, support one another, talk about issues related to sexual orientation and gender identity, and work to address homophobia and transphobia. Many GSAs function as a support group and provide safety and confidentiality to students who are struggling with their identity as lesbian, gay, bisexual, transgender or questioning. In addition to support, some GSAs work on educating themselves and the broader school community about sexual orientation and gender identity issues. They may bring in outside speakers to cover a particular topic such as LGBTQ history. They may organize a "Pride Week" or "LGBTQ Awareness Events" and offer a series of educational workshops, panels and pride celebrations. Other GSAs are activist clubs and have worked to get LGBTQ issues represented in the curriculum, LGBTQ related books in the library, and progressive non-discrimination policies implemented at a district level. All of these different types of GSAs also provide a social outlet for LGBTQ students and their straight allies. GSAs help to build community at schools and lessen the isolation that LGBTQ students might otherwise experience.

Secondary PN-8100.4500-400 LGBTQ Support Groups Mutual support groups whose members identify as lesbian, gay, bisexual, transgender, queer or questioning. Some groups may include intersex individuals. Groups may also be structured for the parents, children, heterosexual spouses or partners or other relatives or significant others of LBGTQ individuals. The groups provide an opportunity for members to share their issues and concerns with others in a safe, supportive environment. Meeting formats may include in-person, telephone or Internet options.

Primary

Community Groups Secondary

Primary

Advocacy Groups Secondary TD-1600.3100-400 LGBTQ Advocacy Groups Organiza ons that support the passage and enforcement of laws and other social measures that protect and promote the rights and interests of individuals who identify as lesbian, gay, bisexual, transgender, queer or questioning or are in the process of coming out.

Primary

Primary Care Secondary

Primary

Medical / Other Secondary

Health Authorities Secondary LT-3470 Integrated Physical/Mental Health Services Systema cally coordinated, pa ent-centered physical and mental health care delivered by a team of primary care and mental health clinicians in either a primary care or mental health setting. The objectives of coordinated mental health, substance use and primary care services are to increase access to appropriate prevention, treatment, recovery and wellness services and activities; reduce disparities between the availability of services for people with mental health and substance use disorders as compared with the availability of services for people with other medical conditions; and to ensure that mental and physical health services are well integrated and coordinated among service providers.

Secondary LT-6900 Puberty Blockers Programs that prescribe medica on for transgender youth in the form of injec ons or implants that forestalls development of secondary sex characteristics (male features such as facial hair, deep voices and Adam's apples and female features such as breast development), and slows the growth of sexual organs and the production of hormones.

Puberty blockers serve the transgender community by giving future trans men and trans women more time to solidify their gender identity and a smoother transition into their desired gender identity as an adult. If a child later decides not to transition to another gender, the effects of puberty blockers can be reversed by stopping the medication. The primary risks of pubertal suppression in gender dysphoric youth include adverse effects on bone mineralization, compromised fertility, and unknown effects on brain development.

Secondary LT-1985 Gender Reassignment Surgery Programs that are staed by specialists who provide diagnos c services for people who iden fy as transgender and offer gender reassignment surgery for those who wish to pursue this option as part of their transition. The procedure usually involves extensive psychological, psychiatric and medical examinations to rule out secondary diagnoses and ensure that the individuals understand the risks of surgery; hormone therapy and surgery to create the appropriate anatomical structures for the new gender; and counseling and support services to ensure that the individuals adjust physically and emotionally to their new bodies.

Secondary LT-8950 Transgender Hormone Therapy Programs that offer hormone replacement therapy for transgender individuals who are beginning the anatomical and psychological transition to another sex and gender. The therapy involves taking estrogen (for male-to-female transition) or testosterone (for female-to-male transition) before, during, and after the surgical transition. The purpose of hormone therapy is to change the physical appearance of the individual to look like the other sex and to feel comfortable. The feminizing effects of estrogen and the masculinizing effects of testosterone may appear after the first couple of doses, though it may be several years before a person is satisfactorily transitioned.

Primary

Paramedical Secondary

Primary

Counselling Secondary RP-1400.8000-260 Gender Identity Counseling Programs that provide emo onal support, informa on and guidance in a variety of se ngs for individuals whose gender identity is not in harmony with their birth assignment, and who may have a desire to change their biological sexual characteristics to conform physically with their perception of self and want to explore their options including hormone replacement therapy, gender transition and/or reassignment through surgery.

Secondary RP-1400.8000-805 Sexual Orientation Counseling Programs that provide emotional support, information and guidance for people who want to explore their sexual orientation in order to enable them to identify and feel comfortable with their orientation. Counseling and support may be offered in a variety of settings which may include individual and group counseling sessions and, if appropriate, conjoint and family counseling sessions with significant others.

Primary

Legal Services Secondary

Primary

Rec / Fitness Secondary

Community Centres

INDEX

3

Engage People A Community Place of Resilience

ᚷᚱᛟᚡᛖ ᛟᚠ ᛋᛟᚢᛚᛋ ᛖᚡᛖᚾᛏ ᚲᚨᛗᛈ

Events Planning Workbook 0_CHI Island Events DATE

EVENT

LEAD

March 2

SOURCE in Nelson

Christopher

April 2 / 5

SUMMIT at the Grove

Robyn

May 2

REDRESS at the Grove

Katrina

Jul 4

PRECIOUS at Qtown

Aug 1

HIGH at the Grove

Sep 19

WELCOME at the Grove

Nov 20

REMEMBER at the Grove

Camp is: Real-time, participatory theatre where we engage, enact, and experience our authentic selves. Camp quiets our adult self and awakens our child. We make Camp as safe as we can and prepare for the unintentional release of trauma.

Camp Invites us: To engage through a transcendental framework in which we do not have to fully understand what we are participating in to realize its benefits.

To enact through an agreed upon code of how we behave toward each other and how we make decisions together.

To trust in our experience of our authentic selves when we anchor it in these ways of engagement and enactment.

To allow the gestalt of these modes of self to become Magick, that which moves us to our fullest potential as humans.

To set our process in relationships of mutual respect with Indigenous people which we refer to the whole as Medicine and Magick.

Camp Offers these intentions: To create space to celebrate key moments and events of our community To provide a forum for our community to discuss issues of concern To provide a process to articulate workable solutions to those concerns To create a means by which their solutions are brought forward to decision makers To grow a framework of allies to create change for each of our separate communities

INDEX

4

Exchange Knowledge Our Community Resource Magazine

SUMMER 17 VOLUME III

your queer guide to pride

CROSS QUEER QUARTERLY

LGB ANNUAL TAKE BACK THE

T

( a n d d on ’ t f o rg e t t h e Q )

A Real Time Knowledge Translation and Exchange Model

We acknowledge with respect the First Nations peoples on whose traditional territories we live, work and play and whose historical relationship with the land and waters continues uninterrupted to this day.

We apologize for our collective treatment of them and commit to a different future.

We hope for a way forward that is based on mutual respect and marked by stories of our communities cooperating in this time of Truth and Reconciliation.

Our effort to Indigenize our work is a lifelong task to which we renew our commitment daily.

The Directors and Members of the Rainbow Health Co-operative

This document is the property of the Rainbow Health Co-operative and all rights are reserved. © 2018 We respectfully request that normal business standards of respect and confidentiality are maintained and that: • • •

all information in this document is confidential, it is not shared for any other purpose without permission any request for further information of any kind to any other organization is through Rainbow Health Cooperative solely.

If you have any questions or concerns regarding this document – do not hesitate to contact us.

Phone – (888) 241-9992 Fax – (888) 623-3481 Email – directors@rainbowhealth.coop

1 | XQQ, Our Community Resource Magazine – A Real Time KTE Solution

A Real Time Knowledge Translation and Exchange Model

FAQ SHEET FOR: XQQ, Our Community Resource Magazine Project Name:

XQQ, Our Community Resource Magazine

Project Partners:

Rainbow Health Co-operative || University of Victoria || Various subproject partners

Geographic region served:

British Columbia

Project Timeline: Start, Spring 2016 Ongoing Pilot complete, rollout commencing Terms Used: TRS – Transition Related Services / Surgery GDIC – Gender Diverse Individuals / Communities GDCC – Gender Diverse Community Council of BC KTE – Knowledge Translation and Exchange Project Summary For the casual reader it is likely a stretch to begin the description of a community periodical with a discussion of health research in Canada. For many researchers the idea of broad dissemination of research is problematic. Both are valid.

Although historically the public played a key role in identifying and addressing public health concerns, more recently research has tended to stress individual rather than social or environmental risk factors. This change resulted in a profound shift of how society copes with a major health crisis such as opioid usage. The focus becomes the person rather than the social and environmental factors that led to health problems in the first place. The emphasis on medical intervention over prevention as well as behavioral risk factors over social determinants obfuscates the environmental factors of health and disease. The growing disparity between the health status of rich and poor as well as between racial groups further demonstrates the less than optimal outcomes of separating the individual from their circumstance and the researcher from the community.

While the focus on individual factors has become the basis of the majority of research projects, there have been schools and individuals who have kept community concerns at the center of their work. The collective noun for this is CommunityBased Research. The promise of community-based research is to help fill the inequity and action gaps experienced by marginalized populations. Community-based research in public health focuses on “social, structural, and physical environmental inequities through active involvement of community members, organizational representatives, and researchers in all aspects of the research process”. (Israel,BA, 1998).

Community-based research includes processes to reduce the gulf between that knowledge and its application. This gap, which happens in all information development and distribution, is considered the factor that reduces research efficacy the greatest. The project component to address the disconnect between knowledge and its application is called KTE, Knowledge Translation and Exchange.

XQQ Magazine, now in its third year of publication, was developed by the Co-op as an enterprise-based resource information distribution program. It is modeled on the many niche community magazines such as Island Parent on Vancouver Island. These periodicals focus on the needs and interests of a specific population in a region. XQQ is being adapted to fulfill the KTE role for our primary project, OTHC - Our Trans Health Care, as well as continue in the role it was developed for. As the central component of the KTE strategy, it provides: • • • • •

Continuation in its role of a trans-informed services directory.

A publication venue for dissemination of results from the various research investigations.

A defined process for community members to interact and respond to research outputs.

A revenue source to maintain a self-sustaining community resource after initial capitalization.

A social media presence to focus attention of community members, service providers and government resources.

2 | XQQ, Our Community Resource Magazine – A Real Time KTE Solution

A Real Time Knowledge Translation and Exchange Model This project directly addresses three key priorities identified by the BC government’s TransCare BC program

✓

Supporting the development of new peer and community support services for the gender diverse community especially in rural and remote communities and in regions where there are gaps in services.

This provides a framework to distribute information about trans informed services in all BC regions.

✓

Creating and strengthening connections between peer and community support and health and wellbeing services including TransCare BC Care Coordination Team.

TransCare BC has been requested to act as a partner in the implementation of this project.

✓

Strengthening the resources and skills within existing peer and community support services across BC This project provides complementary services by promoting existing regional trans information services.

What will this project do?

The XQQ Magazine project will: 1. Provide five print editions of the magazine distributed across British Columbia 2. Provide weekly digital updates to the magazine in between print dates.

3. Provide a publication format better suited to in depth discussion of topics of interest and issues of concern.

4. Provide a communication venue for Gender Diversity Community Council of BC at the summits and in between.

5. Provide information on services and resources to underserved regions across BC through Rainbow Resources 6. Leverage the investment in the publication by making it available across BC. 7. Build connections between regions by promoting a common source of gender diversity services information.

8. Improve skills in safety and ethics that will persist and are applicable to other areas of community life.

Why is this project important to the gender diverse community?

1. Currently there is no resource magazine for the gender diverse community of British Columbia.

2. It will provide usable access to the information developed in several research projects.

3. Nothing about us without us has become the touchstone for designing and implementing services intended for marginalized communities. This project involves the gender diverse community as a full partner.

4. It fulfills the four recommendations on community support developed by the TransCare BC steering committee.

5. Access to transition related services is distorted by the influence of the urban areas, while the gender diverse population is distributed across all regions. This project provides a framework to address this.

6. The cross regional connections and self-capacity developed in the project will provide awareness of resources to underserved communities and develop their ability to access those resources.

7. This project serves the gender diverse community by giving them the capability to directly influence community services that have typically been designed and delivered by non-community members.

8. This project establishes a model for self-sustaining community enterprises.

3 | XQQ, Our Community Resource Magazine – A Real Time KTE Solution

INDEX

5

Sustain Capacity The Way of the Wand

INDEX

6

Collect All Data Six Jungian Thinking Hats

Community-based Systemic Change Using Proximity Heuristics to Leverage Whole Consciousness Data Collection

What are we talking about?

What are Pattern Languages?

Pattern Language Introduction Development Pattern Language 1.0

Architecture Patterns Positive Outdoor Space

Outdoor spaces which is merely “left over� between buildings will, in general, not be used.

Therefore Make all the outdoor spaces which surround and lie between your buildings positive. Give each one some degree of enclosure; surround each space with wings of buildings, trees, hedges, fences, arcades, and trellised walks until it becomes an entity with a positive quality.

Pattern Language 2.0

Software Patterns Design Patterns is a modern classic in the literature of object-oriented development, offering timeless and elegant solutions to common problems in software design. It describes patterns for managing object creation, composing objects into larger structures, and coordinating control flow between objects. The book provides numerous examples where using composition rather than inheritance can improve the reusability and flexibility of code. Note, though, that it's not a tutorial but a catalog that you can use to find an object-oriented design pattern that's appropriate for the needs of your particular application--a selection for virtuoso programmers who appreciate (or require) consistent, wellengineered object-oriented designs.

Pattern Language 3.0

Human Activity Patterns Learning by Creating Learn through actively creating rather than through memorization You have started to learn and maybe you want more excitement. You are not willing to learn just by acquiring knowledge and skills

Therefore Launch and implement your own project to improve your knowledge and skills

Introduction Vernacular Pattern Languages Vernacular Pattern Languages are the addition of conscious use of intuition and parallel thinking to the process of creating a pattern language. Here are the basics.

2008—250 Million Transistors Average 2018—7-8 Billion Transistors Average

Vernacular: The form of a language that a particular group uses naturally.

Introduction How to Use this Workbook Begin with the Musing. Keep the End in Mind present in a cloud of suggestions with a definite boundary.

The Big Idea (s) Nothing stands alone, all things in the universe exist in pairs, at the most fundamental, the observer and the observed. Applying this concept we begin by selecting two of the houses.

Nexus

Forces

Two-eyed Seeing

Systemic Change Map Begin with the end in mind

Community As Integrator

Patient As Stakeholder

Systemic Change Map Re-shaping Social Perception

Community As Integrator

Conscious Social Change

Reconciliation

Trans Wellness

Patient As Stakeholder

Systemic Change Map Targeting Current Opportunities 2019 BC Budget $58 billion

Community As Integrator

Conscious Social Change

Reconciliation 2019 Health – $20.6 billion

Trans Wellness

Patient As Stakeholder 2019 Mental Health $10 million

BC Government investment in mental health is little more than a rounding error 9.1% of disability claims are mental health issues

Systemic Change Map FINDING OUR PRIORITIES

1

1

1

2 3

2 3

4

4

3

5 2

4

2

The Musing

The Musing is specifically not specific — but still with enough of a boundary to fully envelop the purpose of the musing.

My gender experience is different because I am trans, I am not trans because my gender experience is different.

I am able to see the world in a radically different way.

Our alignment with a Radical Faerie way of living is our public declaration that our community wellness is never sustainable on a hetero/homo normative model that simply adds a few more categories. We seek an approach that: Intends to deliberately disrupt the thoughtless consumption of the gift of this world.

Yearns to be identity, body and sex positive.

Contends with any identity as a threshold to be surpassed once attained,

Sets our feet on a path of reconciliation based in relationships of mutual respect.

Acknowledges our history as Canadians and the need to decolonize our work.

The Big Idea (s) IS

The big idea is the center of the musing. It is indicated by an infinity symbol, to show it as dynamic, primal and on-going. We choose a house for each realm of the lemniscate.

From the Art of Explanation

1. The Big Idea 2. How the idea affects you 3. A story about the Big Idea 4. The Big Idea is Like…..

5. The Steps to the Big Idea 6. This is what you should do next

FIRST HOUSE

SECOND HOUSE

CONSTRAINT

CONSTRAINT

BENEFIT

BENEFIT

PRINCIPLE

PRINCIPLE

FORM

FORM

FEELING

FEELING

SCOPE

SCOPE

COHORT

COHORT

THE BIG IDEA (S) Green—Brainstorm—No Bad Idea

White—What do we know?

Black - Analyze

Yellow—Why should we bother?

Blue—What is this really about?

Red—How do we feel?

Nexus

No musing has meaning without context. Relevancy is a value of time, person, and place.

There are no preset specifics to the nexus.

We look at the white rings on the Grokendisc for prompts in our grokking. It can be groups of people, groups of events, groups of time, groups of class The Nexus for this topic are: 1.

2.

3.

4.

Nexus are Green—Brainstorm—No Bad Idea

White—What do we know?

Black - Analyze

Yellow—Why should we bother?

Blue—What is this really about?

Red—How do we feel?

Forces

Four forces are selected as part of the dynamic.

We look at the red, yellow, black, and blue rings.

What are the benefits?

What are the principles?

What are the constraints?

What are the feelings?

Green—Brainstorm—No Bad Idea

White—What do we know?

Black - Analyze

Yellow—Why should we bother?

Blue—What is this really about?

Red—How do we feel?

Intersection One

Intersection one overlays the four forces over the nexus and identifies where the forces sit. Some force separate and some bind. Some might do both depending on situation.

Nexus One Force One Force Two Force Three Force Four

Nexus Two Force One Force Two Force Three Force Four

Nexus Three Force One Force Two Force Three Force Four

The intersection of all

The intersection of all

The intersection of all

Nexus Four Force One Force Two Force Three Force Four

Force One Nexus One Nexus Two Nexus Three Nexus Four

Force Two Nexus One Nexus Two Nexus Three Nexus Four

The intersection of all

The intersection of all

The intersection of all

Force Three Nexus One Nexus Two Nexus Three Nexus Four

Force Four Nexus One Nexus Two Nexus Three Nexus Four

The intersection of all

The intersection of all

Nexus One Nexus Two Nexus Three Nexus Four Force One Force Two Force Three Force Four The intersection of all

Volume II—Cloud Seeding

SEEDS

SEEDS

The Cynefin framework (/kəˈnɛvɪn/ kuh-NEV-in)[1] is a conceptual framework used to aid decision-making.[2] Created in 1999 by Dave Snowden when he worked for IBM Global Services, it has been described as a "sense-making device".[3][4] Cynefin is a Welsh word for habitat.[5]Cynefin offers five decision-making contexts or "domains"—obvious (known until 2014 as simple),[6] complicated, complex, chaotic, and disorder—that help managers to identify how they perceive situations and make sense of their own and other people's behaviour.[a] The framework draws on research into systems theory, complexity theory, network theory and learning theories.[7] The idea of the Cynefin framework is that it offers decision-makers a "sense of place" from which to view their perceptions.[8] Cynefin is a Welsh word meaning habitat, haunt, acquainted, familiar. Snowden uses the term to refer to the idea that we all have connections, such as tribal, religious and geographical, of which we may not be aware. [9][5] It has been compared to the Maori word turangawaewae, meaning a place to stand

2018 Memorial medicine wheel Produced at Vnfc two-spirit gathering By

ᚷᚱᛟᚡᛖ ᛟᚠ ᛋᛟᚢᛚᛋ ᛚᚨᛒᚤᚱᛁᚾᛏᚺ

2019 Memorial medicine wheel Produced at Vnfc two-spirit gathering By

ARTPIECE INFO AT XQQ.CA/MMW19

ᚷᚱᛟᚡᛖ ᛟᚠ ᛋᛟᚢᛚᛋ ᛚᚨᛒᚤᚱᛁᚾᛏᚺ

PURPLSOC2015 - KEYNOTE

Pattern Language 3.0! and Fundamental Behavioral Properties

Takashi Iba Associate Professor!

Faculty of Policy Management, Keio University!

Ph.D in Media and Governance! iba@sfc.keio.ac.jp

1. New Domains of pattern languages

Three Generations of Pattern Languages

Since the late 2000s Since the late 1990s Since the late 1980s Since the late 1970s

Pattern Language 3.0

Pattern Language 2.0

Pattern Language 1.0

Human Action Software Architecture

1. New Domains of pattern languages

Three Generations of Pattern Languages

Pattern Language

Object of Design

Act of Design

Purpose

Forms of Human Action (Innovation, Education, Learning, Presentation, Collaboration)

Design Act is Embeded in Actions over Time

Connecting People who have Different Experiences

Design

3.0

a series of action

Pattern Language

Non-Physical Forms (Software, Interface, Organization)

Design Act is Iterated over Time Design

2.0

Design

release

Physical Forms (Architecture)

Pattern Language

1.0

Bridging the Gap between Expert and Non-Expert Designers

release

Design Act is Basically Carried out in a Period

Bridging the Gap between Designers and Users

Design

complition

• Iba, T., "Pattern Language 3.0 Methodological Advances in Sharing Design Knowledge," in the International Conference on Collaborative Innovation Networks 2011 (COINs2011), 2011! • Iba, T., "Pattern Language 3.0: Writing Pattern Languages for Human Actions," Invited Talk, in the 19th Conference on Pattern Languages of Programs (PLoP2012), 2012

2. New Process of creating pattern languages

Pattern Writing Sheet for helping new writers to write their patterns Pattern Name

7

(Ideas of Pattern Name)

Give a Name to this pattern

When or where does the problem occur?

Specify the context.

6-2

Refer to the image when thinking of a Name

Because of these Forces

What kind of situation is it when the problem occurs?

Think of new words to express this pattern.

Try to sketch the pattern 6-1 showing the conflicting forces and the solution that resolves the conflict.

Forces

4-1

Forces in a pattern are laws or tendencies 4-2 that we cannot change and which make the problem difficult because they can be incompatible.

In this context

A good name expresses the essence and is memorable. Usually very ordinary language with two nous or nous and adjective. Utter the name in order to check whether it is easy to say as common language.

Image

Context

Why does the problem occur?

What kind of forces are at work?

Problem

3

Therefore imagine the essence of this pattern.

t implement the Solution?

Identify one important thing you really want to share with colleagues and newcomers. First think a lot, then choose just one.

Solution

2-1

Is there an important tip or technique in the theme or domain?

Be concrete, for example

Subject

What kind of theme or domain do you want to write a pattern about?

Be abstract.

It can be said as

What is the Consequence of the Solution? +: Positive Consequence, generating living quality - : Negative Consequence, side effects

For exampe

1

Actions

2-2

Consequence

5

POSITIVE

Pattern Writing Sheet Takashi Iba, 2014

with Instructions Ver.0.91

As a Result NEGATIVE

This work “Pattern Writing Sheet” by Takashi Iba is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. See the details about the license at the site http://creativecommons.org/ licenses/ Contact us by E-mail in advance, if you want to use this sheet for commercial or business. E-Mail: contact [at] creativeshift.jp

Iba, T., “A Journey on the Way to Pattern Writing Designing the Pattern Writing Sheet,”! in the 21st Conference on Pattern Languages of Programs, 2014

IBA

2. New Process of creating pattern languages

Holistic Pattern Mining

https://www.youtube.com/watch?v=plpwld6dIms

The Collaboration Patterns here are in a pattern language that helps a team achieve a Creative Collaboration. Along with discovering ways to practice effective teamwork, we hope you can also imagine the possibilities pattern languages offer. Read through the pages and use any or all of the Collaboration Patterns to make your collaborative projects successful.

Takashi Iba is an associate professor at the Faculty of Policy Management and the Graduate School of Media and Governance at Keio University, Japan. He received a Ph.D. in Media and Governance from Keio University in 2003, and continued as a visiting scholar at the MIT Center for Collective Intelligence during the 2009 academic year. With collaborating with his students, Dr. Iba created many pattern languages concerning human actions. He authored Learning Patterns (2014), Presentation Patterns (2014), and many academic books in Japanese such as the bestselling Introduction to Complex Systems (1998).

CreativeShift

The case of the Collaboration Patterns (2012)

The Collaboration Patterns are written as a pattern language that summarizes the design knowledge that develops from a person’s experience into the form of a pattern. It pairs a problem that occurs in a certain context of a design with its solution and gives it a name. The users of a pattern language must select a pattern on the basis of the context in which it is being used, and fit the abstract solution to their specific situation.

Collaboration Patterns ― A Pattern Language for Creative Collaborations

A Creative Collaboration creates new values that can change the world. In a Creative Collaboration, an emergent vigor is produced where team members motivate each other and grow together. This new vigor cannot be attributed to any one team member but to the team as a whole. How can such a Creative Collaboration be achieved? The secrets are scribed in this book.

Collaboration Patterns presents 34 distinct patterns that show tips, methods, and views for a successful collaboration.

Collaboration Patterns A Pattern Language for Creative Collaboration

Takashi Iba with Iba Laboratory

2. New Process of creating pattern languages

Mining Interview & Workshop

Mining Interview

Mining Workshop

3. New Process of creating pattern languages

Dialogue Workshop with Pattern Languages

900 freshmen participate in this workshop every year.

Keio University, Japan

4. New Tools for using pattern languages

A Web system to diagnose with pattern languages

• an online system in which users diagnoses themselves through a series of questions

based on a pattern language, and visualizes what parts of the pattern language they are able to do now, and what kinds of patterns could be taken in for improvement.

• The system guides users through user-set projects in terms of patterns, and helps them gain growth.

• Users of the system will enter short episodes of experiences with the pattern, which the system will systematically synthesize into a visual map which shows successful and unsuccessful parts of the project.

Isaku, T., Yamazaki, K., Iba, T., ”Pattern Diagnostic System - A Diagnostic Approach to Pattern Applications," in 20th International Conference on Pattern Language of Programs (PLoP2013), 2013

5. New Theory behind pattern languages

Fundamental Behavioral Properties

5. New Theory behind pattern languages

24 Fundamental Behavioral Properties 1. BOOTSTRAP

2. SOURCE

3. SPREADING

13. SELECTION

14. SIMPLIFICATION

15. CONSISTENCY

4. ATTRACTION

5. INVOLVING

6. TOGETHERNESS

16. LOOSENESS

17. FLEXIBILITY

18. ABUNDANCE

7. BUILDING UP

8. GROWTH

9. REFLECTING

19. AIMING

20. CONNECTING

21. POSITIONING

10. ACCOMPANY

11. ENHANCING

12. EMPATHY

22. DIFFERENTIATING 23. OVERLAPPING

24. CONTINUATION

Iba, T, Kimura, N., Akado, Y., Honda, T. “The Fundamental Behavioral Properties,” in the World Conference PURPLSOC (Pursuit of Pattern Languages for Societal Change), 2015!

Iba, T. Kamada, A., Akado, Y., Honda, T., Sasabe, A., Kogure, S., “Fundamental Behavioral Properties, Part I: Extending the Theory of Centers for Pattern LanguageE 3.0”, in the 20th European Conference on Pattern Languages of Programs (EuroPLoP15), 2015

5. New Theory behind pattern languages

15 Fundamental Geometrical Properties

Christopher Alexander, The Nature of Order, BOOK ONE: The Phenomenon of Life, The Center for Environmental Structure, 2002

• Takashi Iba, Shingo Sakai, “Understanding Christopher Alexander’s Fifteen Properties via Visualization and Analysis,” in the PURPLSOC (Pursuit of Pattern Languages for Societal Change) Workshop 2014, 2014

INDEX

8

Design Improvements Projects of Innovation

DISCOVER

DEFINE

DEVELOP

DEMONSTRATE

Peer based hormone readiness Project Name:

Peer Based Hormone Readiness

Project Partners:

OTCHI Partners || Healthy Relationships Counselling || Island Sexual Health

Geographic region served:

South Island pilot program to be replicated in other areas

Project Timeline:

Start, 2018

Finish, 2019

Project is underway

Project Summary Improved access to hormone readiness programs was identified in the 2015 TransCare BC business plan. Following these recommendations, the co-op has been developing peer-based hormone readiness programming in conjunction with our partners, Jo Morrison, a therapist with extensive experience in providing hormone readiness to clients, and the Island Sexual Health clinic, who will host the pilot program. In 2018, this programming became integrated into the five-year research project we are engaged in with our partner the University of Victoria. It is intended to address aspects of current clinical practices of concern to the community and provide an alternative to individuals who, or one reason or another, have struggled with accessing hormone readiness. With our Indigenous partner, the Victoria Native Friendship Centre, we are co-developing a version of PBHR specific to Two Spirit individuals who want to include hormone therapy in their healthcare.

The lack of hormone readiness clinical practices that addresses the more complex situations that affect some individuals is a barrier to equitable access to healthcare.

Centralizing hormone readiness on a narrow band of clinical practice is like selling one size of gloves and rationalizing that they fit most people with no consideration of those they don’t fit.

PBHR is the pilot of a peer-based hormone readiness program set in a therapist led, group therapy setting that helps individuals prepare for the changes that occur when hormone therapy starts.

It directly addresses a key concern of the gender diverse community who perceive that hormone therapy is controlled by gatekeepers. This hormone readiness process addresses the power imbalance inherent in a one on one therapeutic setting and at the same time increases the support for the therapist by not making them the sole decision maker.

The increased demand for transition related services and therapies, combined with the current reality of shortages in primary care resources of all kinds, leaves the primary care provider with limited options in ensuring that informed consent has occurred in initiating hormone therapies. This alternative readiness process complements medical services and allows primary care providers to focus on the physical aspects of hormone therapy while ensuring that their patients are preparing for this life change in a supportive social environment. It provides a solution to primary care providers when the complexity of the situation exceeds their capacity to deal with it in the normal primary care setting.

This alternative has the potential to provide a more comprehensive process that does not frustrate the community members and is more cost effective than other counselling solutions.

The steps needed to complete the of Peer Based Hormone Readiness demonstration project: • • • • •

Complete a consultation process with providers of current hormone readiness programs Complete a consultation process with community to detail a community-based program Develop program materials for pilot phase sessions Complete and evaluate the pilot phase Assist in making materials and training available across BC and establish standards of certification

1|Peer Based Hormone Readiness

Peer based hormone readiness PBHR is the initial Innovation Project of the Our Trans Community Health Initiative Our Trans Community Health Initiative (OTCHI) is a five-year BC-wide, community-based research project to initiate innovative service models and assess their impact on the delivery and experience of transition related services and healthcare. It creates a process to test a program model before investing in wider implementation. OTCHI is a mixed methodology research project that establishes ongoing community resources to accomplish its objectives, while maintaining a commitment to Indigenize the work. It begins with a set of Framework Projects to build the capacity to discover, define, develop, and demonstrate community-based Innovation Projects, which directly correlate to the examples called for in the TCBC standards.

The Framework Projects separately and collectively: • • • • •

Develop community capacity to lead in all aspects of the research project Establish a base line of delivery and experience metrics usable by multiple agencies Ensure the safety of those directly associated with the project and those they interact with Identify service provider, healthcare system, government and community member stakeholders Measure the impact of any project or service on transition-related healthcare delivery and experience

The Innovation Projects separately and collectively: • • • • •

Develop community capacity to lead in all aspects of the research project Identify patient cohorts with specific needs within the T2ENBY community Design a pilot program to address the needs identified by a specific patient cohort Demonstrate and analyze the pilot program, including comparison to baseline metrics Submit for evaluation to the Gender Diverse Community Council

All projects follow the same general frame work: consultation with stakeholders, development of a pilot program, stakeholder consensus on the program plan, completion of the pilot, evaluation of the program, and a knowledge translation and exchange process throughout that provides useful, timely information.

All projects are evaluated by a BC wide Gender Diverse Community Council, whose purpose is to define, maintain, and exercise a set of community-based standards for transition related services, healthcare, and research. These standards are referred to as a Community License. Each project concludes with recommendations from the Gender Diverse Community Council to the appropriate decision makers.

This project directly addresses three key priorities identified by the BC Ministry of Health

✓

Supporting the development of new peer and community support services for the gender diverse community especially in rural and remote communities and in regions where there are gaps in services This provides a demonstration of a community-based, readiness process applicable to rural and remote communities

✓

Creating and strengthening connections between peer and community support and health and wellbeing services including TransCare BC Care Coordination Team TransCare BC has been requested to act as a full partner in the design and implementation of this project

✓

Strengthening the resources and skills within existing peer and community support services across BC This project is designed to provide complementary services to existing regional trans information services 2|Peer Based Hormone Readiness

Peer based hormone readiness What will this project do?

The Peer Based Hormone Readiness project will: 1. Provide a pilot phase cycle of an alternative delivery of hormone readiness services including, a. initial community consultation on design b. Six – co-hosted small group therapy sessions – 3 community mentors, 6 HT entrants c. Initial screening by clinical psychologist of program entrants seeking hormone therapy d. Support for entrant medical readiness evaluation 2. Manage the transition point for youth on hormone reduction therapies to adult hormone therapy.

3. Provide the initiation of a one on one peer mentoring program by developing required skill sets 4. Provide access to mentoring by distributing program information to regional service providers.

5. Expand services to underserved regions and intergenerational connections within communities.

6. Provide HK4T Level 1 – Transition Relevancy and HK4T Level 2 – Trauma Management staff training.

7. Include a review by the GDIC Advisory Council of the project and assessment of outcomes.

8. Include a Knowledge Exchange component completed to Community Based Research (CBR) standards.

9. Leverage investment in this program strategy by making it available to additional communities.

10. Will build connections between regions by promoting the pilot program at cross regional events.

11. Will build community self-capacity by engaging community members as program mentors.

12. Will improve skills in safety and ethics that will persist and applicable to other areas of community life.

13. Will create specific evaluation to providers of similar services to the gender diverse community.

Why is this project important to the gender diverse community?

1. The hormone readiness process is a key marker in the gender diverse community that identifies the sub set of the population where healthcare services should initiate adult care and services.

2. Managing information about this marker is the key data point in trans healthcare metrics.

3. Fulfills the four recommendations on community support developed by the TransCare BC steering committee.

4. This key indicator has been historically distorted by the power dynamics developed through the influence of Canadian colonization – that is where a sole authority has the power to determine wellness outcomes for a community member with no process of recourse or balance of other community members.

5. Community based research has become the standard for engagement with marginalized populations. This project uses resources developed by Rainbow Health conforming to that standard.

6. Trans healthcare services are distorted by the influence of the urban areas, while the gender diverse population is distributed across all regions. This project provides applicability to other communities to address that imbalance.

7. The healthcare system discounts community input and regards as less valued than input provided by professional service providers. This project addresses that through the development of improved skillsets in community member participating in the hormone readiness program.

8. The cross regional connections and self-capacity developed in the project will be reviewed at the following Changing Together Summit and provide awareness of alternative solutions to service providers.

3|Peer Based Hormone Readiness

Golden Thread, Magic Strands Initiative Summary The center of the first HIV/Aids epidemic in the MSM community created a social framework that still has a prevailing effect today. The fear of the virus, the lack of certainty of its origin, and the social stigma attached to the community, lead to specialized units of care shaped by one of the most serious community advocacy initiatives in the late 20th century. As the epidemic became more global in its impact, response became diversified, but in North America, the agencies who found their footing in the community through years of work, in time became the legacy agencies, some slow to adapt to the changing environment of gender diversity and similar evolving social constructs. And in some respects, rightly so, as the MSM community still accounts for over 50% of new infections and this approach contextualizes support for a leading high-risk community.

Every new infection is one that can be avoided, and this requires a multi-community approach that shapes prevention and management resources, so they are accessible by other populations. These groups need a similar approach to their community that time and circumstance shaped for the MSM community. At same time, it is important to leverage existing resources by providing connections to them rather than recreating them.

To make this a manageable initiative, we are targeting women in five different populations, resolving which resources can be shared and which need to be more fully articulated for the specific community.

Women in the gender diverse community already represent one of the highest rates of infections globally. Those who pursue social and physical transition related to gender shift into even higher risk subsets. Transition related surgeries provides new body parts that need new forms of care, let alone the social complexities of using them,on top of significant biochemistry changes from exogenous hormones that affect everything from libido to their social capacity in dealing with stress.

For women in the newcomer community Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum."

For women in the Indigenous community Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum."

For women in the sex worker community Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum."

For women in the PWD community Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum."

|Golden Thread, Magic Strands – A Project of Innovation

Golden Thread, Magic Strands This project directly addresses priorities identified by the BC Ministry of Health

✓

Improve the quality, effectiveness and reach of HIV prevention services This project provides a community-based approach to design and implement HIV prevention services that addresses the needs of specific communities while making best use of common support materials and resources.

✓

Diagnose those living with HIV as early as possible in the course of their infection This project is intentional designed to create new low barrier, engagement strategies that are applicable to marginalized communities that previously had no access to being involved in the design and implementation of services

✓

Improve support services for those living with and vulnerable to HIV infection.

This project provides a community-based approach to design and implement HIV prevention services that can be scaled into ongoing support programs that identify and address the needs of new comer women, Indigenous peoples, and gender diverse, self-identified women.

Why is this project important to the gender diverse community?

1. Transition related to gender includes hormone therapy and transition related surgeries. There is little to no information on maintaining sexual health for these community members.

2. Managing information about this marker is the key data point in trans healthcare metrics.

3. Fulfills the four recommendations on community support developed by the TransCare BC steering committee.

4. This key indicator has been historically distorted by the power dynamics developed through the influence of Canadian colonization – that is where a sole authority has the power to determine wellness outcomes for a community member with no process of recourse or balance of other community members.

5. Community based research has become the expected standard for engagement with marginalized populations. This project uses resources developed by Rainbow Health conforming to that standard.

6. Trans healthcare services are distorted by the influence of the urban areas, while the gender diverse population is distributed across all regions. This project provides assessment of its applicability to other communities to address that imbalance.

7. The healthcare system discounts community input and regards as less valued than input provided by professional service providers. This project addresses that through the development of improved skillsets in community member participating in the program.

8. The project will be reviewed at the following gender diversity summit (Autumn 2019) and provide awareness of contextualized resource materials and community engagement strategies to service providers across BC. 9. The cross regional connections and self-capacity developed through the program will persist as a community resource.

|Golden Thread, Magic Strands – A Project of Innovation

Golden Thread, Magic Strands As separate as these communities are, they are also tightly bound by forces of intersectionality. Newcomer women moving toward a better life can include sex work as one of the stepping stones. In a similar way, gender diverse women might include sex work to move toward the life and body they want. Sex work requires adherence to consistent safety protocols that are often impacted by the circumstances of time and place. These factors of intersectionality are magnified by the common experience of being women in 21st century, post-colonial, western Canada. Women who are struggling through its legacy of multi-generational structural apartheid and coping with the reality of its current social apartheid framework. All together these fuel disabling levels of depression, social anxiety and other non-visible disabilities. While we cannot address every need in a single initiative, we can take the time, expend the energy, and give the consideration necessary, to ensure that we meet a demonstrable level of inclusion as a model of community development.

All healthcare stakeholders share the common goal that the design and delivery of services are evidence based.

Community-Based Research (CBR) is an essential tool to verify that services are based in community-based evidence.

Delivering services without the basis of community-based research is like shooting an arrow with a blindfold on.

Our Trans Community Health Initiative (OTCHI) is a five-year BC-wide, CBR project to initiate innovative service models and assess their impact on the delivery and experience of transition related services and healthcare. It creates a process to test a program model before investing in wider implementation. OTCHI is a mixed methodology research project that establishes ongoing community resources to accomplish its objectives, while maintaining a commitment to Indigenize the work. It begins with a set of Framework Projects to build the capacity to discover, define, develop, and demonstrate community-based Innovation Projects, which directly correlate to the examples called for in the Trans Care BC standards.

The Framework Projects separately and collectively: • Develop community capacity to lead in all aspects of the research project • Establish a base line of delivery and experience metrics usable by multiple agencies • Ensure the safety of those directly associated with the project and those they interact with • Identify service provider, healthcare system, government and community member stakeholders • Measure the impact of any project or service on transition-related healthcare delivery and experience • Allocate initiative resources to ensure that demonstrable levels of inclusion are visible as a community model The Innovation Projects separately and collectively: • Develop community capacity to lead in all aspects of the research project • Identify patient cohorts with specific needs within the T2ENBY community • Design a pilot program to address the needs identified by a specific patient cohort • Demonstrate and analyze the pilot program, including comparison to baseline metrics • Submit for evaluation to the Gender Diverse Community Council Evidence-based service design is a key component of the improvement process. Community-Based Research is the established standard to provide evidence that proposed services matter to their community, reflect their ability to access them, and that they make an actual improvement in their healthcare. Improvement requires time, intent, and process.

Please consider our request for your help in making this project an effective force to improve community wellness.

Investigator Dr. Nathan Lachowsky University of Victoria

Knowledge User ChrŸs Tei Rainbow Health Co-operative

Knowledge Keeper Tanya Clarmont Victoria Native Friendship Centre

|Golden Thread, Magic Strands – A Project of Innovation

ALL PLACES ALL BODIES

SWIMS

FAQ SHEET FOR RAINBOW RESOURCES Project Name:

All Places, All Bodies Swims

Project Partners:

Rainbow Health Co-operative || Regional Recreational Departments

Geographic region served:

South Island – but creates pilot program to be replicated in other areas

Project Timeline: Start, 2018 Finish, 2019 Project is funding dependent Terms Used: TRS – Transition Related Services / Surgery GDIC – Gender Diverse Individuals / Communities GDCC – Gender Diverse Community Council of BC

Project Summary All Places, All Bodies - extends the foundation for existing community events to develop them into events that challenges participants.

The history of All Bodies Swims on Southern Vancouver Island goes back nearly ten years. Much of that time, the events have been no more than irregular social media postings by community members to meet up at a specific pool at a specific time. Generally, things worked out, but there were noted instances when issues arose regarding change rooms and access.

This program continues these efforts by coordinating a common program between six lower Island municipalities that provides ongoing training resources and a regularly scheduled event each month. This increases the opportunity for community members further away from the city centre and those on the Gulf Islands to attend a public space that is inclusive and provides trans informed services.

To develop the ability to offer and promote sport programming that challenges the participants, the gender diverse community first needs access to the facilities in a safe and respectful way.

This program is reviewed at the annual Changing Together Summit. Changing Together is a summit of community designated representatives from the BC’s 18 Health Districts (HSDAs). These representatives make up the Gender Diverse Community Council of BC (GDCC). This review, of all our services, is an important part of ensuring that our efforts align with community priorities, meet community needs, and develop community self-capacity.

This project directly addresses three key priorities identified by the provincial government (TransCare BC)

✓

Supporting the development of new peer and community support services for the gender diverse community especially in rural and remote communities and in regions where there are gaps in services This provides a process to integrate information about trans informed services into all BC information programs

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Creating and strengthening connections between peer and community support and health and wellbeing services including TransCare BC Care Coordination Team TransCare BC has been requested to act as a full partner in the design and implementation of this project

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Strengthening the resources and skills within existing peer and community support services across BC This project is designed to provide complementary services to existing regional trans information services

1|ALL PLACES, ALL BODIES SWIMS

ALL PLACES ALL BODIES

SWIMS

What will this project do?

The All Places, All Bodies project will:

1. Provide a complete 1-year rollout phase of regional recreational centre events, 2. Will develop sports events that challenge the participants.

3. Include rental of facilities, completion of 12 swim and drop in events 4. Improve the gender diversity inclusion policies of recreational centres.

5. Expand services to underserved regions and intergenerational connections within communities.

6. Provide HK4T Level 1 – Transition Relevancy and HK4T Level 2 – Trauma Management staff training.

7. Include a review by the GDIC Advisory Council of the project and assessment of outcomes.

8. Include a Knowledge Exchange component completed to Community Based Research (CBR) standards.

9. Leverage investment in this program strategy by making it available to additional communities.

10. Will build connections between regions by promoting the pilot program at cross regional events.

11. Will build community self-capacity by engaging community members as program coordinators.

12. Will improve skills in safety and ethics that will persist and applicable to other areas of community life.

13. Will create specific evaluation to providers of similar services to the gender diverse community.

Why is this project important to the gender diverse community?

The relationship gender diverse people have with their physical bodies is complex. The diversity of this complexity is as broad as the community itself, but one commonality is our experience of a difference between our physical body self and our internal experience of gender. Julia Serano coined the term Gender Dissonance to describe this, which distinguishes it from Gender Dysphoria. In these terms, Gender Dissonance is managed to reduce Gender Dysphoria.

1. An important aspect of managing Gender Dissonance is the socialization of our internal gender experience, that is Gender Expression, but our appearance may not conform to expected social norms.

2. Public facilities such as recreation centres and shopping malls represent a significant barrier to those without the confidence to attempt using these facilities and services.

3. It is an incredible milestone to gain one’s confidence to overcome their insecurity about their appearance.

4. A healthy community includes the capacity to make this possible for anyone regardless of the source of the individual's discomfort. Recreation centres have a unique role in this.

5. Community based research has become the expected standard for engagement with marginalized populations. This project uses resources developed by Rainbow Health conforming to that standard.

6. The gender diverse community is distributed across all regions, but informed services are distorted by the influence of the urban areas. This project provides a framework to address that imbalance.

7. This project serves the gender diverse community by giving them the capability to directly influence the services that have typically been designed and delivered by non-community members.

2|ALL PLACES, ALL BODIES SWIMS

ALL PLACES ALL BODIES

SWIMS

And who will be making sure the project meets its goals and community priorities?

Rainbow Health Cooperative grew out of a 2014 community initiative to improve support for transgender people and their families, and today we are BC's largest gender diverse community owned organization. We are a volunteer based, not-for-profit community services co-operative incorporated in British Columbia. Our federal charitable status is pending. Our services run all year, and we provide services across BC and the Salish Sea. Our mandate is to provide healthcare, livelihood, and related services to underserved communities. Our service focus is to help those who are helping others. We, and our partners collaborate to assist existing groups and establish new ones through our service initiatives. We minimize identity labels and focus instead on transition related services/surgeries. (TRS) We ask- “What are you trying to do?” rather than “Who are you?

The same year we started services, the BC Ministry of Health initiated a committee to provide recommendations for a new province wide transgender health program. We participated with over two dozen other stakeholders that included service providers, the healthcare system and community members. The outcomes were recommendations in four areas of trans health; surgery, primary care, training, and community support. We co-authored the overall program standards, the community support recommendations, and reviewed recommendations for the other three areas. These recommendations were reviewed at a daylong event that included participants from all over BC. This six-month consultation remains the broadest community engagement on BC trans healthcare to date and the recommendations developed are the basis of our services.

At the Changing Together Summit (2019) we will host the first annual summit of the GDIC Community Council of BC (GDCC). The GDCC includes representatives from BC’s 17 BC Health Districts (HSDA), as defined by the Ministry of Health, plus participation by the Indigenous community as determined by their leadership. This regional framework balances input from across BC. Our work includes the Transition Related Services Survey - a five-year, Community-Based Research project in which we are co-leads with the University of Victoria. This project is funded by the Canadian Institute for Health Research, the City of Victoria, and the Province of British Columbia.

We acknowledge that as service providers, we rely on a community license rooted in the beliefs, perceptions and opinions held by the community about the services and the provider, as such, this license is granted by the community. The Changing Together Summit provide a framework for the community license and makes these intangible perceptions, tangible. This license remains non-permanent because beliefs, opinions and perceptions change as new information is acquired and must be maintained on an ongoing basis.

We are committed to maintaining our community license as a core requirement of providing services.

We welcome all and invite everyone to join us as We Get Better Together.

4|ALL PLACES, ALL BODIES SWIMS

INDEX

9

Evaluate Results Rings of Reflection

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INDEX

10

Improve Ser vices Our Framework for Change Appendices

Before the wide availability of clocks, people marked time by the change in the seasons.

The Solstices and Equinoxes were called the Quarter days and half-way between them is another set of dates, the Cross Quarter Days.

They have a variety of names but the ones we use are Candlemas (Feb 2), Beltane (May 2), Lammas (Aug 2), and Samhain (Oct 31– Nov 1).

We refer to the seven weeks between Samhain and Dec 21 as “The Season of Remembrance”.

There are a number of memorial events during this time and we offer these simple reminders as a guide to the events. As events may expose trauma, we provide support when we can.

Cultural Support by TSow Tun Le Lum Emotional Support by Spectra Consulting

The proportion of women living with HIV is 51% of the global total. Women comprise 59% of the adults living with HIV in sub-Saharan Africa.

On June 3, 2019, the Final Report of the National Inquiry in the Missing and Murdered Indigenous Women and Girls (MMIWG) was released.

In Canada, the estimate of 16,880 females living with HIV represents 22.4% of the national total While all women are at risk for HIV infection, women who belong to marginalized populations face a number of inter-connecting determinants of health (racism, unemployment, homelessness, stigma and poverty), which adversely impacts their risk for HIV infection and accessing diagnosis, care, treatment and support. The diagnostic rate for males is 9.9 per 100,000 population For females it is 3.2 per 100,000 population, a direct reflection the patriarchal bias of healthcare and HIV support funding.

Follow the money.

This reading group is a follow-up to the July 2019 MMIWG2S+ Global Cafe the Victoria Friendship Centre and the Rainbow Health Co-operative hosted together.

Cultural Support by TSow Tun Le Lum Emotional Support by Spectra Consulting

The Grove of Souls LabŸrinth is an all gender, inclusive, women’s event space in Bastion Square. 2019 Events run from Nov 20 to Dec 21.

ᚷᚱᛟ ᚡ ᛖ ᛟ ᚠ ᛋ ᛟ ᚢ ᛚᛋ ᛚᚨᛒᚤ ᚱᛁ ᚾ ᛏ ᚺ

Many of the events are remembrance ceremonies where names of people are remembered as individuals or as groups.

The names written on paper are ’bound’ to a special Memory Wand that has been prepared for the Season of Remembrance. The wand and the names are burned in a ceremony of release on Dec 21.

Site Cleansing Ceremony – 2:00 pm - Nov 20 Art Project Presentation – 4:00 pm - Nov 20 Trans Day of Remembrance – 6:00 pm - Nov 20 Day of Remembrance – 6:00 pm – Nov 30 Women’s World Aids Day) 6:00 pm - Dec 1 Montreal Women’s Memorial – 6:00 pm - Dec 6 Settling of Accounts—2:00 pm—Dec 21 Ceremony of Release— 6:00 pm—Dec 21 Cultural Support by TSow Tun Le Lum Emotional Support by Spectra Consulting

Cultural Support by TSow Tun Le Lum Emotional Support by Spectra Consulting

DIGGING DEEPER INTO DECOLONIZATION We are hosting a series of workshops that will incorporate embodied learning, deeper education, and move into actionoriented activities. Participants are required to sign-up by completing a simple form.

Building upon workshop 1, we will immerse ourselves in conversation around decolonization from both Indigenous and non-Indigenous perspectives.

We will dig deeper into the powerful learning moments reflected upon as part of the Kairos Blanket Exercise.

Spaces are limited, so we encourage you to sign up early. A wait list will be kept should spaces become available.

This report contains important but challenging information and firsthand accounts of violence experienced by Indigenous women and girls. Many of us feel compelled to read this difficult Final Report and so let’s read it together.

Sponsored by the Bruce Parisian Library

Since the first of November we have walked the boundaries between the worlds. We have visited with our Ancestors. We have greeted the departed, those we know, and those we know only of by the conditions of their leaving.

Now it is time on this Winter’s Solstice to share the parting cup and return to our separate paths, knowing that none are far from our thoughts or our hearts.

We have gathered slips of paper with our words, Wands with our bindings and others bits and pieces that have marked this journey through the Season of Remembrance. These, along with the tears we have collected and cherished we now relinquish to the flame, the ashes to be cast into our Mother Sea. We have traveled there and back again, and now with eyes cleared from the tears we shed, we see new paths into the freshening year.

MOVING INTO ACTION We are hosting a series of workshops that will incorporate embodied learning, deeper education, and move into actionoriented activities. Participants are required to sign-up by completing a simple form.

The final workshop of this series is designed to show that knowledge is only as powerful as the action that is connected to it. This workshop will empower participants by providing the tools and experience necessary to take knowledge and transform it into action.

Spaces are limited, so we encourage you to sign up early. A wait list will be kept should spaces become available.

Society of Friends of St. Ann’s Academy Society of Friends of St. Ann’s Academy 835 Humboldt Street, Victoria BC, V8W 9E6

835 Humboldt Street, Victoria BC, V8W 9E6 Tel: 250-953-8820 Fax: 250-953-8823 Email: sfsaa.vic@gmail.com