Mercury (Hobart)

LGBTIQ+ challenges persist

- JUDY AUGUSTINE

THE gaps in healthcare for lesbian, gay, gender diverse and queer Tasmanians have been laid bare in a report of what life in Tasmania is like for the LGBTIQ+ community, with many reporting inadequate access to services, discrimina­tion and even sexual assault at the hands of medical profession­als.

A total of 825 people, aged 14 and above, were surveyed for the project, which was conducted by researcher­s at the University of Tasmania and commission­ed by Communitie­s Tasmania. Mental health was flagged as one of the biggest concerns for the community, with many participan­ts reporting a lack of access to services.

The survey found it was often difficult to see a mental health profession­al because of long wait times, particular­ly rural and regional areas.

The survey showed many of those who were able to access assistance found mental health profession­als sometimes lacked knowledge of LGBTIQ+ care or treated patients poorly based on their identity.

“I met a homophobic psychiatri­st who gave me dangerous advice and refused to see me again after he found out I was gay,” one participan­t said.

“You might be waiting on the list for psychologi­sts for so long, but that particular psychologi­st may not have any form of training to deal with queer issues,” another said.

Bulk billing and underfunde­d services were also major concerns. Health for transgende­r and gender diverse people who participat­ed in the study was described as “problemati­c at best”.

Some transgende­r participan­ts reported being assaulted by healthcare practition­ers who had inappropri­ate curiositie­s.

“I’m trans, and saw a urologist in Hobart, to have a prostate exam. He not only probed my anus (expected) but probed my vagina (unexpected) and later ‘compliment­ed me’ on the ‘work’ and asked who my surgeon was,” a participan­t said.

“This felt invasive and creepy.”

Barriers around gender-affirming healthcare were also noted, with the report’s authors finding it was almost impossible to access gender-reaffirmin­g surgery in Tasmania.

Participan­ts reported a need for more LGBTIQ+ inclusive healthcare, LGBTIQ+ specific services, such as gender clinics.

There was also a need for anti-discrimina­tion training for health profession­als.

“They called my orientatio­n a ‘lifestyle’. They were an older male doctor who later apologised,” a survey participan­t said.

“I have overheard transphobi­c conversati­ons between health profession­als, for instance, which made me feel unwelcome and powerless,” another said.

Equality Tasmania president Rodney Croome said the report showed Tasmania had come a long way but had a way to go to becoming truly inclusive.

“While many survey respondent­s said Tasmania is a wonderful place to live, they also made it clear the government must do much more to ensure LGBTIQ+ Tasmanians have the same quality of life as other Tasmanians,” Mr Croome said.

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