April 3, 2012

Who am I? Wanna Know More? A Quick Peek!!!

Posted in Excerpts Of My Book: Cheatres Sinners and Saints, My Skills tagged , , , , , , , , , , at 12:07 am by greeneyezwinkin3@aol.com

As I take an eagle’s eye view of my life I can see many individuals and events that have contributed to the person I am today. One person who was and always will be very dear to me, my mother, who passed away when I was 42 years old. She taught me the value of love, strength, goals and a good education. I found growing up that she did not push me for the “good grades” as I took it upon myself to strive for A’s.

When I was seven year old my mother took me to the doctor due to stomach pain. He told her I worried too much about school (I believe I was in second grade but, don’t quote me), and getting the gold stars from the teacher. I was one step away from an ulcer. I ate baby food for two weeks and will never forget that experience. I enjoyed the banana flavor but, the vegetable ones, not so much. The sense of striving to get A’s (but, would accept a B) from my educational studies appeared innate. My mother tried to reinforce that no matter what grade I received, as long as I tried, that was all that mattered.

I watched her, a single mother, holding down a job while going to school in the evenings in pursuit of a bachelor’s degree in social work from Empire State College. Her struggles and courage inspired me to follow my dreams. One of the happiest days I spent with her was on her graduation day. When they called her name, I had a great sense of pride. Her perseverance had paid off, she did not give up.

My mother introduced me to a life of open mindedness. Sexual orientation, skin color and all the other categories of racism were considered taboo. “We are all the same”, she would say. Being a social worker, she worked with prisoners from Ryker’s Island to the street gangs in Harlem. They all loved her and she them. She brought a child/man of 18 years old into our home, a two bedroom apartment in rural upstateNew York. He lived with us because he was let out of the child care system as adult with no money or place to live. We became like a brother and sister…a brother I never had since I was an only child. He was big, black and scary looking, but his heart was filled with gold. After living with us for a few months he decided he needed to go home, to Harlem. His alcoholic mother lived there and he felt he needed to find “his roots”. He opened my eyes to his culture as I would go with him to visit his mother from time to time. He taught me that there are people out there better off than me and worse off, so I’m not doing so badly.

Another individual that influenced me was my ex-husband. I know he deserves credit, and in this instance I am giving him his due. When I met him he was a she, a man trapped in a woman’s body. I was with him when he went through top and bottom surgeries to deem himself a man on the outside. We were married and divorced, legally. During my time with him, I was introduced to the Transgender community. When all was said and done, I realized these individual’s were a minority group that needed support regarding who and what they were. I saw the significance in society needing a wake up call. Knowledge is power and I wrote a book based on these issues and how they affected my life.

One event that took place changed my life from that point forward. I was in love with a female to male transgender and we were going to be adopting two young boys. The only way to describe what happened that day was by taking an excerpt from my  Creative Non-Fiction Authobiographical Anthology regarding the hate crime. Cheaters, Sinners and Saints.

I believe that my values have guided me through life personally, academically and professionally. They include: compassion, ethics, integration, respect, honor, honesty, change, accountability, justice, integrity, curiosity, innovation and creativity, just to name a few. But, there are some that I would like to address now.

As a queer woman, I always held the motto, Live and let live. As fate would have it, I found a new group of individuals that held the same feelings as I did and willing to fight for what we all believed in, equality for the LGBT community, equality for all. I let my voice be heard on a documentary on MSNBC in 2009 (A television program that aired about transgenders getting married), and I had a meeting with the Senator of Florida regarding the LGBTQQ community.

While I found my values were innate and inherent within me, the cross cultural and individual expressions that I have learned, developed and practiced throughout my lifetime strengthened my values and beliefs. I realized that my sense of identity stemmed from a world of spiritual reality. I am a queer woman and proud of it. I follow my heart not gender. Though my own personal trauma I took many inward journeys and came to the realization that by working with others we could break down barriers of prejudice.

I carry this quote close to my heart:

Your beliefs become your thoughts / Your thoughts become your words / Your words become your actions / Your actions become your habits / Your habits become your character / Your character becomes your destiny ~ Gandhi

I have a talent for writing. Prior professors, friends and fellow students have given positive feed back on my abilities. I feel that my art of writing produces a combination of creativity, intelligence, approach and word power. I will be able to utilize my aptitude for the future as an author and screen play writer. The list is endless of the possibilities that await me.

On a personal note, I am an artist and my medium is acrylic. I have sold my art work mostly in New York and New Jersey but, my art also has traveled to Californiaand Delaware. I started painting for fun after my college homework was completed. I am a natural people have said. No real training just me, the brush and my canvas. I painted scenic scenes, oceanic scenes, clipper ships, and my highest seller was my lighthouses. I found this innate talent to be a great gift.

It was through these highs and lows, pains and moments of happiness that were intertwined with the feelings of anguish of watching lives being destroyed before my eyes by a hate crime (read my story) that brought me here…now, writing this quick autobiography. My life has been filled and weaved with a pattern of many people who influenced my life and in turn, opened a door for me to write my book, a screenplay, leading me at this time, to be a student, an eternal student.



March 19, 2012

Our Runaway Youths: What Schools, Communities, and Parents Can Do To Protect LGBTQQ Children ~ The Sanctuary House

Posted in Proposals I have written tagged , , , , , , , , , , , , , at 11:43 pm by greeneyezwinkin3@aol.com

I wrote this proposal for a class. My mother opened up the first runaway shelter in Pennsylvania. It was called, “The Sanctuary House ” I dedicate my proposal to her.


To: Executive Director, The Threshold Foundation

From: Danelle Wolfe, Proposal Writer

Date: 3/19/2010

Re: Memo on: Our Runaway Youths: What Schools, Communities, and

Parents can do to protect LGBTQQ children ~

The Sanctuary House Project

Good afternoon,

Homeless and runaway children were seldom reported but, have existed as part of our history since the early settlement of the United States. In 2009, there was an estimated one to three million runaway and homeless youths in Americaat any point in time. Some of the reasons are: emotional or physical abuse, problems in school or home and even feeling of not fitting in. Within this group are the LGBTQQ (Lesbian, Gay, Bisexual, Queer and Questioning) individuals. Our society is based on the two gender concept and countless youths fall out side of the “norm.” As a result these children have experienced ridicule and discrimination possibly from friends and family resulting in running away or worse, taking their own life as they try to escape the hate and end up on the streets or dead. It is the lesbian, gay, bisexual, transgender, and queer, adolescents who are at a higher risk for abuse while living on the streets.

The Sanctuary House will represent a safe haven for those in need. The immediate goals for this preventive program are to save a child from living on the streets, give encouragement to be who they are, teach communication skills, and educate the community. It will be a twenty four, seven days a week shelter for teens in need of assistance with an open door policy. Once established in a secure setting these children ranging from ten to eighteen will be fed, housed, and counseled. The concept is to have communication reopened between a youth and their family. One long term goal is to reunite the family unit. The next stage would be to focus on establishing training for fifteen to eighteen year olds in connection with instituting employment opportunities within the community. The local Transportation Department working with the project, within a thirty mile radius is willing to create passes for the youths after establishing employment.

We as a team will participate in the construction, design and implementation of the project. I would like extra participation dealing with the context issues of the project. Many local businesses are willing to begin the process of contracting the necessary materials to begin work immediately. The planning proposal will be read by the internal staff members, decision makers within our organization and after approval it will be sent to Threshold Foundation: The Queer Youth Fund for a requested grant of $10,000.00 to begin the project. The research for the program will involve statistics on the suicide rate of the homeless youths as well as reviewing present programs similar to The Sanctuary House, and examining the high statistics of the LGBTQQ runaway youth problem of today. “One in every seven youth will run away from home by the age of 18 (The National Runaway Switchboard, 2001).” The statistics as of 2009 were clarified and reported as children between the ages of ten to eighteen run away.

Children whom reside in The Sanctuary House will attend school, live in a learning environment which will include weekly discussions on responsible and healthy behavioral activities that are necessary for personal relationships and daily family meetings with a child’s parents and/or other family members. Monthly speakers who are anticipating working with the project will discuss the trials and tribulations of the community through education of the current AIDS issues/other gender related problems, and incorporate community events for example, by participating in Pridefest. A local organization, Also Youth, has a drop-in center that will work with the project in referring adolescents in need of help. There will be four certified counselors (two female, two male) that will live on the premises alternating weekends with four part time counselors (two female, two male), also certified.

Something to keep in mind:

For every dollar invested in a child, there is a seven-dollar return for society…

(Annan, K., United Nations Secretary-General Address to the United Nations General Assembly Special Session on Children, May 2001).

Thank you for taking the time to read this proposal.


T. Danelle Wolfe


Proposal Department


We Are Here 1432 Hope Street

Sarasota Florida 54321

(PH) 555-987-6543

(FX) 555 -987-4321

Our Runaway Youths: What Schools, Communities, and Parents Can Do To Protect LGBTQQ Children ~ The Sanctuary House


Prepared for: The Threshold Foundation

Written by Danelle Wolfe

Planning Proposal

Date of application: 3/19/2010

Name of organization: Threshold Foundation

Purpose of grant: WAH will utilize The Queer Youth Fund’s resources towards the project of a housing organization geared towards the LGBTQQ’s (Lesbian, Gay, Bisexual, Transgender, Queer and Questioning) runaway youths in our community.

Address of organization:PO Box 29903San Francisco,CA94129
Telephone number: (415) 561-6400

Contact person and title: Threshold Foundation, Director of Fundraising

Is your organization an IRS 501(c)(3) not-for-profit?(Yes or No):Yes

Grant request: $10,000.00

Check one: General support: N/A Project support: X

Dates covered by project budget (mo/day/year): April 2010 – March 2011

Project name: Our Runaway Youths: What Schools, Communities, and Parents can do to protect LGBTQQ children ~

The Sanctuary House Project

Table Of Contents

Executive Summary……………………………………………………1

Project Description I……………………………………………………2

Project Goals and Objectives……………………………………..…….3

Plan for Measuring Results……………………………………………..12

Budget Analysis…………………………………………………………13

Conclusion: The Success of The Sanctuary House…………………….14

Executive Summary

Snapshot of WAH

We Are Here Inc. (WAH), a non profit 501 (c)(3) organization has been part of theSarasotaFloridacommunity since 2007. Our creed is to shelter the homeless youths (10-18 years old) in the LGBTQQ community, feed, counsel, reunite families and/or and train them for employment purposes, and provide medical care. We respect their individual sexual identity/gender and support these adolescents providing a tangible connection to available community relief systems.

Organizational Statements

Our Vision Statement

WAH aspires to be a valuable source of social services committed to enhancing the life and personal dignity of LGBTQQ youth’s.

Mission Statement

Our mission is to offer community services intended to create a structured, compassionate, and safe atmosphere through which LGBTQQ youth and their families may obtain awareness, individual growth, encouragement, skills and personal success.

Organizational Name

We Are Here Incorporated

Legal Form of Business

The Sanctuary House will be a 501(c)3 not–for–profit organization.


Statement of need

Our society is based on the two gender concept and countless youths fall out side of the “norm” and as a result these children, the LGBTQQ youths have experienced ridicule and discrimination possibly from friends/family resulting in running away or worse, taking their own life as they try to escape the hate and end up on the streets or dead.

Homeless and runaway children were seldom reported but, have existed as part of our history since the early settlement of theUnited States. Presently, at this very minute, inFloridathere are 5,949 runaway youths that have been reported. In 2008, “The U.S Dept. of Health and Human Services estimates there was an estimated 1.6 to 2.8 million runaway and homeless youths in America at any point in time…Our analysis of the available research suggests that between 20 percent and 40 percent of all homeless youth identify as lesbian, gay, bisexual or transgender (LGBT). Given that between 3 percent and 5 percent of theU.S.population identifies as lesbian, gay, or bisexual, it is clear that LGBT youth experience homelessness at a disproportionate rate.”

Some reasons given are:

Emotional or physical abuse

Problems in school or home

To be with others people who are supportive and

encouraging of sexual identity/gender

To be within places that are distractions from

their problems

Feeling of not fitting in

These young people have been classified as, “Policy Focal Runaways…defined as minors who, along with fitting the broad scope definition of runaways, are also endangered due to not having a familiar, safe place to stay.”

It is the lesbian, gay, bisexual, transgender, queer, and questioning adolescents who are at a higher risk for abuse while living on the streets. It is these reasons that Reed explained, “The psychological effects of victimization, rejection and social stigma, resulting in feelings of isolation, experience by many gay and lesbian youth constitute what Meyer (1995) terms as ‘minority stress’. It is because of this stress and isolation, that lesbian and gay youth are at increased risk for other factors such as anxiety and depression, academic problems, substance abuse problems, sexual abuse, running away, homelessness and prostitution, HIV infection, and suicide. Identity development and family and peer rejection are the main contributing factors in isolating gay and lesbian youth.” In order to ensure suicide prevention, our organization will serve the LGBTQQ youths and will partner with theFlorida’s statewide suicide prevention agencies.

The Sanctuary House acknowledges the fact that our society is not perfect. It is crucial to study the negative aspects concerning this issue in order to better serve this community. “Travers and Paoletti (1999) conclude that an understanding of the effects of this social world is vital in understand the concerns, behaviors, and emotional needs of lesbian and gay youth. This understanding is paramount, in trying to help them avoid becoming street involved.”

We Are Here, Inc. (WAH) is requesting a grant for a preventive program to get youths off the streets, reinforce encouragement to be who they are, teach communication skills, offer training for employment, educate the community, and reunite families. Our mission statement guarantees the helping of hands up and not the helping of hand outs.

Project Goals and Objectives

Short Term Goals

Lao Tzu, a wise man, once stated, “The journey of a thousand miles begins with one step.” Our short term objectives are based on the immediate needs of the homeless youth. Whereas, the long term goals are to reunite families (if this is not plausible, because the adolescent is unwilling or the family circumstances is hazardous, foster care is an option), institute an employment program and incorporate community educational events. Through this project, as objectives are met, the confirmation of the success of the program will be certain. These are listed below.

Create a twenty four, seven days a week shelter for teens in need of assistance with an open door policy.

Develop a safe haven for those in need.

Provide food, donated clothing, shelter, medical assistance and toiletries.

Create and foster communication with family members, community members and academic members.

Provide counseling and educational materials.

Establish training for fifteen to eighteen year olds in connection with instituting employment opportunities within the community.

Implement training for all staff members to effectively serve LGBT youth

Create passes in a joint venture with the local Transportation Department working with the project: with in a thirty mile radius for the youths after establishing employment.

Phase One:A safe haven

It is imperative to get these juvenile’s off the streets and supply a safe environment in which to concentrate on dilemmas and solutions within the walls of The Sanctuary House. They need time to focus on their future goals rather than struggling daily on the streets.

March 1, 2009 we constructed a committee for implementing and approving initial decisions regarding the program and begin contacting local establishments requesting participation in the program. With this in mind, we have successfully entered into a joint venture with the City ofSarasotaas of July 2010 to lease the property seen above. The eighteen units are fully operational and are on 1.11 acres on Sarasota’s North Trail. Within the office area is a two bedroom unit where employees will reside. The project manager will reside on the premises within the eighteenth unit.

Supplies for Shelter Participating Business Donations Item of donation


1. Cots or Sleeping MatsBerkeleySurplus Store Military Pads

2. Blankets/Linens Bed, bath & Beyond Blankets/Sheets

3. Bottled or Potable Water Culligan man Fresh Water/Containers

4. Medical Supplies SarasotaMemorialHospital Emergency Medical

5. Eating Utensils

6. Towels & Toiletries for


7. Sanitation and Cleaning Walmart Cleaning Materials


8. Cooking equipment

9. Communication Equip.

10. TDD Telephone


12 Foods items 7-eleven Corporation Various Food Sysco Food Products

13. Cleaning Laundry/linens Clean Step Living USA Services

Additional Donors and Sponsors


Gamma Mu Foundation

Tides Foundation

Calamus Foundation

Cameresi Designs

GreaterSarasotaChamber of Commerce


Sarasota County Department of Health

Comcast Cable

Phase Two:

The shelter is in need of minor renovations and the City has recommended splitting the cost that will begin on September 2010 and will be completed for the opening on February 1, 2011.

Provision of food

Whether it is one or fifty youths residing in the program each one will require three square three meals a day. The project will implement a communal effort philosophy in meal preparation with donated items from local businesses such as 7-eleven and grant funds. Local churches and temples have agreed to donate lunches for the employed youths.

Clothing for all

The conditions living on the street make it literally impossible to have clean clothes without holes. Arrangements have been confirmed with local businesses and charities such as Salvation Army and Good Will to donate clothing to the project on a bi-weekly basis.

Medical clearance

Every child who enters the program must pass medical clearance by an in-house qualified General Practitioner and a Registered nurse. They test for contagious diseases and review the physical well being of the adolescent youth.

Long Term Goals

Once a youth has had their basic needs tended to the next step is to place them into counseling. It is critical to find an explanation of their actions in order to help in the long term plan of reestablishing contact with their family members and/or establishing a new life. If a young person is fifteen or older, counseling is first and foremost then training for employment.

Phase Three:

During this stage, in October 2010 we will begin the hiring process and identify complications and solutions.

The need to talk

Each youth will receive counseling from a licensed psychologist. Counseling sessions will begin the day after a youth enters the program and will continue weekly. Upon participating in the project educational material is distributed and they are notified that certain topics will arise during discussion time.

Youths whom reside in The Sanctuary House will live in a learning environment which will include weekly discussions on responsible and healthy behavioral activities that are necessary for personal relationships and daily family meetings with a child’s parents and/or other family members.

Monthly speakers who are anticipating working with the project will discuss the trials and tribulations of the community through education of the current AIDS issues/other gender related problems, and incorporate community events for example, by participating in Pridefest.

A local organization, Also Youth, has a drop-in center that will work with the project in referring adolescents in need of help starting on July 1, 2011. There will be four certified counselors (two female, two male) that will live on the premises alternating weekends with four part time counselors (two female, two male), also certified.

Phase Four:

In December 2010, the coordinating committee will finalize the updates for the WAH website for the up and coming program of The Sanctuary House and begin preliminary meetings with the local school board. We will also participate with the Gay, Lesbian, and Straight Education Network’s (GLSEN) annual school climate report.

Education and Employment

We will implement a training program for all staff members to successfully serve the LGBTQQ adolescents in January 2011.

Adolescent youths will be required to immediately enroll in school within our designated site. It is crucial that a young person doesn’t lose any educational benefits due to their circumstances. The Schoolhouse Link Program will be a partnership between the The Sanctuary House theSarasota County School Board. The program serves as a liaison and provides services to help families and youth that are homeless and in transition. The program’s goal is to ensure that students in transition are able to enroll, attend and succeed in school. Schoolhouse Link supports each student by helping create educational stability and by removing any barriers limiting their success.[1]

At this stage, help will be given in preparing the older juveniles for employment. Daily general training will help in the transition from homeless to a confident employee resulting

[1] http://www.sarasota-ymca.org/socialServices/homelessYouthEducation.cfm

in an independent individual. The creating of the bus pass program which will be implemented as a joint venture with the local Transportation Department working with the project: within a thirty mile radius for the youths after establishing employment.

Working with local businesses, the planning proposal will help create the unity of community actions. These establishments will contract youths for entry level positions within their companies.

Phase Five:

We are all family

Annual Pridefest inSarasotais an occasion for the entire community to come together in acceptance. Not only will we have a booth promoting the program along with educational brochures but, our clientele will be on a waiting list to participate as volunteers.

Effects of Inaction

Consequences of inaction adversely affect the community in which we reside. Therefore, we can not sit by and watch our children jeopardize their lives. The LGBTQQ homeless adolescents have been reported at a greater risk of sexual exploitation when living on the streets compared to non-LGBTQQ individuals.[1] The psychological issues, the medical issues and even spiritual issues of

our youth will continue to debilitate before our very eyes as they continue to live on the streets. Alone they have no voice. Our agency is about giving them the chance to be heard, to be safe and to continue living without fear. “Each year, there are approximately 2 million homeless and runaway youths in theUnited States.” If we do nothing, these statistics will only increase again.

[1]Shannon Moriarty commented, “One study noted that of the youth engaging in survival sex, 48 percent reported exchanging sex for housing or food, 22 percent traded sex for drugs, and 82 percent traded sex for money. 40-60 percent of homeless youth have experienced physical abuse and 17-35 percent have experienced sexual abuse. These young people are much more vulnerable to survival sex, prostitution, and sexual exploitation.”


Submit Grant Proposal

April, 2010

Expected Grant

June, 2010

Joint Venture contract signed with Sarasota City Notification


July, 2010

Notification Of Construction Bid

August, 2010

Begin Construction

September, 2010

Hire Staff

October – December 2010

Finalize Updates for Web Site/School Board Meetings

December 2010

Training for Employees

January, 2010

Construction completed

February, 2011

Opening day

March, 2011

Prepare Results Report

March, 2011

Key Staff (Resumes are attached)

Who’s on Board: Ficticious name. I made them up.

Melissa Leonard, LCSW
The executive director and one of The Sanctuary House founders,Sharon has worked for the past 15 years with low-income families and youth around the issues of poverty, abuse and neglect, substance abuse, mental illness and homelessness.

Iris Jackson, MA, M.Div.
A former social worker and mental health counselor, Iris is a career coach and life planning consultant with Bell Investment Advisors, Inc. She is the former board president of the Berkeley Ecumenical Chaplaincy to the Homeless.

Marie Perez
Marie is the case manager and supervisor for The Sanctuary House.

Patrick Edwards, MSW
A writer, Patrick previously worked as a social worker with LGBTQQ homeless adults inNew York City.

Sarah Kaiser, MA
Photographer and long time volunteer with homeless youth in Sarasota, she is one of The Sanctuary House founders.

Teresa Pagano
As Youth Services Coordinator, Heather is helping to create New Generation: the Future is Now for Trans. Formerly a supervisor in the The Sanctuary House shelter, she has been volunteering and organizing in solidarity with historically neglected communities for 10 years.

Jennifer Baily
A teacher recently retired toBerkeley after 30 years of teaching around the world, she is a tutor in the local school system.

Kenneth Peoples
Kenneth is the shelter manager for The Sanctuary House. He serves in this position as a member of the Lutheran Volunteer Corps.

Peter Olson
A Youth Counselor for The Sanctuary House , Peter holds a Master’s degree in counseling gender psychology and has been working in the field since 2000. He has worked as a mental health rehabilitation specialist and provided therapy to elementary school children living in theSarasota area.

Terry Mathers
The volunteer coordinator for The Sanctuary House.


We will have continuous reporting of the effects of our program regarding clients, schools and the community.

Survey present programs similar to The Sanctuary House, local organizations

Examine the behavior patterns of the LGBTQQ runaway

Monthly meetings with local business owners, religious organizations, and school districts

Assessment of achievement scores and grade levels

Analyze the visits of family members, amount of incoming/outgoing calls by youths, and surveys completed by parent’s

Quarterly reporting of local organizations and schools involved in the project

Weekly interviews with the youth clientele

Bi-Weekly meeting of employees including surveys

“One in every seven youth will run away from home by the age of 18 (The National Runaway Switchboard, 2001).” The statistics as of 2009 were updated and reported as children between the ages of ten to eighteen run away.


The purpose of this program is to assist the LGBTQQ youth in becoming productive members of society while increasing public awareness of the crisis which is plaguing our children. By creating and developing The Sanctuary House children between the ages of ten to eighteen will have a choice in their life, to begin a new journey. The final product will be saving a life.

Additional Funding

We could not provide the services we do without foundations such as yours, private and public donor contributions to fund our programs. State, City and County provide what they can. Other resources are The Sarasota County commission which granted $30,000 in funding last year used for contract services. Many agencies formed the Project Initiate and established a prevention contract in which we are associated and we were granted $45,000. Within the past three years WAH has received tax payer funding in grants that were from $5,000 to $8,000 per grant.

Budget Analysis:

Expenses AMT
General Operating Support  
Salaries 35,000
Joint Venture Lease 8,000
medical supplies 5,000
Insurance & taxes 6,000
Consultants & professional fees 25,000
In-kind Contributions 4,100
Utilities 3,000
Depreciation 2,000
Food 20,000
Repairs 6,500
Interest 2,100
Advertising/printing 5,000
Misc Supplies 3,500
Construction 45,000

Budget Narrative

For every dollar invested in a child, there is a seven-dollar return for society. (Annan, K., United Nations Secretary-General Address to the United Nations General Assembly Special Session on Children, May 2001).

Conclusion: The Success of The Sanctuary House

Clearly, thirty five million dollars are given every year by the government to address the homeless youth dilemma, but few of these funds reach the LGBTQQ adolescent community. Most support is through private grants, donations and fund raising.

These young people are in dire need of support through means of family, community, academic resources and social service programs such as ours. As we address the emotional, physical and spiritual effects of our children living on the streets and the results come to light. We are fighting for the healthy development of these LGBTQQ youths within safe environments and we need your help.


Flowers, R.B. (2001). Runaway Kids and Teenage Prostitution : America’s Lost, Abandoned, and Sexually Exploited Children. Retrieved April 2, 2010, from http://site.ebrary.com.library.esc.edu/lib/empire/docDetail.action?docID=10004890&p00=teenage%20runaway

Meyer, I.H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, (36), 38-56.

National Runaway Switchboard. (2010). Retrieved April 2, 2010, from http://www.nrscrisisline.org/

Podschun, G.D. (1993). Teen Peer Outreach-Street Work Project: HIV Prevention Education for Runaway and Homeless Youth. Public

Health Reports, (108) 2, 150-155. Retrieved March 30, 2010, from http://www.jstor.org/stable/4597319

Reed, M. (2009). : Issues and Social Stigmas which Cause Gay and Lesbian Youth to be at increased Risk for Becoming Street Involved. Retrieved March 31, 2010, from http://www.sfu.ca/pridehouse/documents/pridehouseappx3.pdf

Statistics – Runaway and Homeless Youth. (2010). Retrieved April 3, 2010, from http://1736familycrisiscenter.org/quotes1a2.htm

Travers, R., and Paoletti, D. (1999). The lesbian, gay & bisexual youth program (LGBYP): A model for common communities seeking to improve the quality of life for lesbian, gay & bisexual youth. The Canadian Journal of Human Sexuality, (8) (i4) 293. Retrieved April 1, 2010, from http://www.questia.com/googleScholar.qst;jsessionid=L2ML3h 3CMWPpLdbpKB0JL2y62FQTSMDpJLj2dVypLzZjpq4xGjL2!-348092591!948790962?docId=5001896464

#1 in Commercial Real Estate Online. (2010). Retrieved April 2, 2010, from http://www.loopnet.com/Listing/14948076/2413-N-Tamiami-Trail-Sarasota-FL/

One Call Doc Project: The United Diversity Clinic ~ Trans Health And Wellness for Today’s Community

Posted in Proposals I have written tagged , , , , , , , at 7:19 pm by greeneyezwinkin3@aol.com

I wrote this proposal for a class.

One Call Doc Project: The United Diversity Clinic ~ Trans Health And Wellness for Today‘s Community


To: Fund Director, Third Wave Foundation

From: Danelle Wolfe, Proposal Writer

Date: 3/19/2010

Re: Memo on: One Call Doc Project: The United Diversity Clinic

Good morning,

This proposal is written to acknowledge a very special and significant group within every community, every country, every large city and small, a group called transgenders and the immediate need to improve health care access for these individuals. The United Diversity Clinic , a medical unit built on the health and wellness of the transgender community will offer services to the Sarasota area and outer ally counties. Transgenders are of all colors, races, ages and walks of life. They are our brothers and sisters who were born in the wrong body.

The population is growing every year as individuals find the courage to be true to themselves. With this increase also comes social inequality connected with poor health status. The Human Rights Campaign mentioned, “There has been dramatic increases in the visibility of transgender people and the understanding of transgender issues in the past several years. Focus groups and national polls show that Americans know who transgender people are, and believe that our nation’s laws should treat transgender people fairly.” (http://www.hrc.org/documents/Transgender_handbook.pdf).

These individuals are at a higher risk of medical threats due to lack of access of primary medical care, lack of compassionate physicians and lack of acceptance associated with the fear of repercussions. Moreover, some have no choice but to purchase illegal hormones to continue in their transition with out a physicians guidance.

While there is little statistics regarding the health inequalities of the transgender community, more information will be compiled through in house surveys and researching similar programs. Further research will be conducted on the lack of insurance available to these individuals, alternative funding for surgeries and the transgenders risk of HIV/AIDS.

This planning proposal will be used as a recommendation to take action. Are you, as a member of society, willing to take the necessary steps to take our medical unit to the next level? Can you visualize the incorporation of a humanitarian medical clinic for those in need. The United Diversity Clinic has the potential to offer medical services to the transgender community while politically and economically producing a positive outcome. We are requesting $30,000 from your foundation to save lives, one person at a time.

Thank you for the opportunity to write a pre-proposal for The One Call Doc Project. We look forward to working with you in the future.


Danelle Wolfe, Proposal Writer

Table Of Contents

Operational Proclamation…………………………………….…………………4

Executive Summary……………………………………………………6

History and the Problems of Today……………………………………8

Our Plan For a Successful Program…………………………………… 9


Time Line………………………………………………………………16



Appendix A:

Appendix A: Access to Health………………………………………………………..23

Who are we?

The UDC is a community health medical unit that will offer primary care, mental health and counseling for the transgender community. We will provide hormone treatments to transgender patients as a part of their overall primary care. Our harm reduction policy is focused around the patient and we will be developing and implementing treatment programs to suit their physical needs.

Founded in 2009 by a group of medical physicians and transgender health advocates, our clinic will provide the essential options for the transgender community while offering services that are desperately needed.


Operational Proclamation

The United Diversity Clinic is committed to improving health care access while incorporating the quality of life long health care received by transgenders. We will provide personalized healthcare and support services to a community who lack access to quality care because of their sexual or gender identity. We are dedicated to serving the transgender individuals of the Sarasota area and surrounding counties and its allies by medical, educational, diverse programs, support, and cultural consciousness in a open, compassionate, welcoming, and safe environment.


The definitions below may be helpful when reading about transgenderism and transgender health issues and shall mean the following when used in this proposal:

Gender identity means the internal experience of one’s gender.

Gender presentation means how a person demonstrates her or his experience of gender, often through attire, including hair or make-up, and mannerisms.

Transgender individual means a person whose gender identity is different than her or his birth sex.

Transgender woman means a male to female or MTF individual.

Transgender man means a female too male or FTM individual.

Transsexual means a transgender individual who describes herself or himself as transsexual, particularly if she or he has altered her or his body with hormones and/or surgery.

Birth sex or biological sex means one’s physical body at birth, often categorized as male, female, or intersexed.

Intersexed means a combination of male and female genitalia and/or reproductive anatomy. [1]

Lower surgery means surgical alteration of one’s genitals.

Upper surgery means surgical alteration of one’s chest/breast.

Gender identity disorder Gender identity disorder is a rare, complex condition in which individuals of unambiguous genotype and phenotype identify with the opposite gender. One in 54,000 individuals are estimated to have GID. 75% are biologic males desiring reassignment to female gender (MTF) 25% are females desiring to be male (FTM).[2] It means a conflict between a person’s actual physical gender and the one they actually identify him or herself as. For example, a person identified as a boy may actually feel and act like a girl.[3]

[1] Here’s what we do know: If you ask experts at medical centers how often a child is born so noticeably atypical in terms of genitalia that a specialist in sex differentiation is called in, the number comes out to about 1 in 1500 to 1 in 2000 births. But a lot more people than that are born with subtler forms of sex anatomy variations, some of which won’t show up until later in life. http://www.isna.org/faq/frequency – Intersexed Society of North America.

[2] Laden M, Walinder J, Lundstrom B. (1996). Prevalence, incidence and sex ratio of transsexualism. Acta Psychiatr Scand, 93(4), 221–3. Retrieved April 15, 2010, from http://www.jfponline.com/Pages.asp?AID=4784

[3] Gender identity disorder is characterized by a strong, persistent cross-gender identification; people believe they are victims of a biologic accident and are cruelly imprisoned in a body incompatible with their subjective gender identity. Those with the most extreme form of gender identity disorder are called transsexuals. These disorders are considered mental disorders because the body does not match the person’s psychologic (felt) gender. http://www.merck.com/mmpe/sec15/ch203/ch203b.html

The United Diversity Clinic understands that many transgenders question whether to get healthcare when they perceive they’re not welcome by a physician. A clinical update in the Journal of the Gay and Lesbian Medical Association stated, “…that transsexual patients often have difficulty finding care because many physicians are not comfortable prescribing appropriate hormone regimens.” (http://php.ucsf.edu/PatientEd/MedicalCareofTransexualpts.pdf). Patients will drive for seven hours each way in order to find a compassionate doctor. Some individuals don’t even try. This places their lives in jeopardy. Others will dangerously take matters into their own hands and self medicate by purchasing illegal and untested hormones. Today’s world is constantly changing, and it’s up to us in the medical field to progress with the times.

Every year more and more individuals are coming out of their closet and declaring their individuality. With the increase of medical knowledge pertaining to gender and sexuality the necessity to assist these individuals is the main reason for this proposal. There are several ways in which a transition can occur in an FTM (female to male) or MTF (male to female). They range from individuals taking testosterone or estrogen to those who have had surgeries and those who have not.

Our medical unit has made arrangements with Sarasota Memorial Hospital to co-manage our facility. A medical building that was vacated last year owned by the hospital had been suggested as an option for our intended clinic. It is in need of minimal renovations. Our employees are projected to be salaried staff and professionals in private practice (psychiatrists, psychologists, plastic surgeons, gynecologists, endocrinologists, and speech pathologists) who will operate out of the clinic. These services are geared for transsexuals who need to have their mind match their bodies.

In this grant proposal, we will address the current issues of the need for funding to make this medical unit a reality. It will incorporate all the medical needs of the transgender community “under one roof.”

The requirements to begin the transitional process starts with The Harry Benjamin International Gender Dysphoria Association Standards Of Care For Gender Identity Disorders (Table A). These laws, SOC are intended to provide flexible directions for the treatment of persons with gender identity disorders.

Table A: Standards of Care for Gender Identity Disorders: Eligibility and Readiness Criteria for Hormonal Therapy in Adults – Eligibility Criteria

1. 18 years of age

2. Knowledge of what hormones medically can and cannot do, social benefits and risks

3. Either documented real-life experience for at least 3 months prior to hormones or

4. Psychotherapy of a duration specified by the mental health professional (usually 3 months)

5. Under no circumstances should a person be provided hormones who has fulfilled neither criteria 3 or 4

Readiness Criteria

1. Further consolidation of gender identity during the real-life experience or psychotherapy

2. Progress in mastering problems leading to improving or continued stable mental health

3. Hormones likely to be taken in responsible manner.

Hormones can be given to those who do not desire surgery or real-life experience.

[1] http://www.transgenderlaw.org/resources/transprotocol.pdf

Here is our design of action:

Phase One: We will identify the health needs of the local community, the resources that are available, and the state of current programs. Also identifying existing organizations that offer transgender related programs can facilitate the development of collaborative partnerships necessary for supporting community participation in the delivery of pertinent health and social services.

Phase Two: We will coordinate agreements with fifteen to twenty primary practices that serve clinic clients.

Phase Three: We will develop new guidelines for the training of new and in place employees to ensure that a nondiscriminatory and welcoming environment is provided. We recommend that ongoing training about emerging issues within the transgender environment be part of regular staff education.

CASE EXAMPLE There are Transgender Law Center workshops for providers and offers tips for working with transgender Individuals to help organizations and business create a transgender positive environment.

People who transition from one sex to another face severe challenges. In most states, they can be fired from employment positions, abandoned/rejected by family members/spouses, and have the potential of losing custody of their children if they separate from a spouse or partner. Another major issue is that transgender people are often denied medical care or mistreated by health care providers who are biased or who don’t understand transgender issues.

The advantages of our plan are to intertwine the caring medical community with the transgender community. To break down the barriers of societies misconceptions and to lend a healing hand without discrimination.

History and the Problems of Today

Throughout history and dating back to the early 1400’s there were indications of transgender behavior within various cultures such as Asian (eunuchs), Indian, Pakistan (Hijras), and Native American (Two Spirit). Our culture created the word “Transgender” in the 70’s and was incorporated into our society’s language. The definition of a transgender is someone who was “born in the wrong body.” Their mind doesn’t match their body at birth (birth sex).

In the past decade, the LGBTQQ (Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning) community consisting of an estimate of 8.8 million people has made great strides in educating society and some headway has taken place regarding their equal rights. But, many people still fall by the waste side within this group. The medical establishment for years had fought against transgenders stating they had a mental illness and in 1930 the first physician considered and actually completed a sexual reassignment surgery. It is the transgender that is in need of medical assistance today. It is difficult for an FTM or MTF to either locate the medical support within the medical community that will encourage the transition of these individuals or avoid being denied medical care. As Marks stated, “Denial of the recognition of human rights for any group of individuals is a denial of their humanity, which has a pro-found impact on health.”

Discrimination against transgender people is rooted in fear of difference, ignorance about who transgender people really are, and sexist stereotypes. This discrimination is intensified by various forms of negative representations of transgender people in the cinematic movies such as Psycho or Silence of the Lambs, which had shown transgenders as sexual deviants and even serial killers.

Most have to travel far distances to seek a doctor who is not only willing but, also accepting of the concept of gender identity disorder. The list of medical professionals usually consists of: Endocrinologists (hormonal therapy), Certified Psychologists, Psychiatrists, General Practitioners, Gynecologists, Plastic Surgeons (sex reassignment surgeries), and Speech Therapists.

Today, the numbers are growing within the transgender community and it has become necessary to provide a medical unit that will not only enhance the lives of the transgender community but, also begin the process of educating the diverse cultural community in which they live. The United Diversity Clinic will provide health services for eighteen to fifty plus year old individuals in a secure environment, offering the necessary physicians (several physician’s have been contacted and are willing to participate in the project) to begin or continue their transitional journey. This will include connections with local social services such as local gay churches and temples for religious insight.

Population Trans

The Human Rights Campaign in 2010 commented, “Although the American Psychiatric Association has noted that “…data from small countries in Europe with access to total population statistics and referrals suggest that roughly one per 30,000 adult males and one per 100,000 adult females seek sex reassignment surgery,” this statistic is not an accurate way of predicting the number of transgender people living in the United States. Studies like this one tend to dramatically undercount the population of transgender people because they only include transsexuals who have completed or are in the process of completing sex reassignment surgery…Only one thing is certain: little is known about how many transgender individuals live in the United States, but it is probably much higher than many have believed.”

Our Plan For a Successful Clinic

Our research has proven that this project addresses the needs of this community. To provide a safe zone for medical treatment where transgenders can be seen and treated with respect.

Primary medical careComprehensive primary care services emphasizing prevention and wellness, delivered by providers with extensive expertise in transgender health concerns. Without medical care for example, the gynecologic cancer risks in FTM’s is profound.

The American Cancer Society reported: Ovarian Cancer[1]

  • FTM transgendered and transsexual individuals are at a higher risk of ovarian cancer because of the amount of testosterone ingested. Excess testosterone can be converted into estrogen, contributing to an elevated risk for ovarian cancer.
  • Due to discomfort with revealing transgenderism, transsexuals may not undergo screening procedures essential for detecting gynecological cancers, including ovarian cancer.

The American Cancer Society reported: Prostate Cancer

  • Reduced levels of testosterone may put an MTF individual at an increased risk for prostate cancer.

Breast Cancer Prevention – Sarasota Memorial Hospital Cancer Prevention Services will offer free screening and diagnostic testing for individuals.

The HIV ClinicComprehensive, state of the art HIV/AIDS medical care and support services in an integrated model of care, including Care Coordination, HIV Medication Education & Support, and Mental Health services.

An In-house Pharmacy – Offering the medical drugs and supplies at a discounted rate to our clientele.

Staff: Clinic – Fifteen doctors visit the clinic on a rotational basis. Four Psychologist/ two Psychiatrists will visit five days, gynecologist/endocrinologist four days a week, and surgeons twice a week. twelve nurses, two pharmacists and three lab technicians, and six medical assistants.

Transgender health servicesComprehensive, transgender sensitive primary care, breast/chest cancer screening, sexual health services, as well as counseling and education, hormone therapy.

Hormonal therapy Hormone therapy is for life whether it be through injections, oral medication or creams. It has been shown to profoundly increase the quality of life for transgender individuals. For many transgender people, hormonal therapy is a way to bring the body into greater congruence with gender identity. Integral components of hormonal therapy include assessing the patient’s health status, needs, and values as well as prescribing appropriate hormones and monitoring any potential side effects. Hormonal therapy, such as estrogen, anti-androgens, and testosterone, is often a significant part of gender transition.

Counseling servicesSupport Groups: offers support groups for patients of transgender experience, family interaction and individuals living with HIV/AIDS. (Appendix A). Everyone has a gender identity. Gender is a fundamental aspect of human identity. It is a deeply rooted element of how we see ourselves and how others see us. People should be able to express the gender that feels right to them and not be forced to conform to other people’s expectations, in the same way that we don’t try to force people to be straight. Transgender people are deeply harmed by efforts to change or hide their true gender.

Education – Providing health information, training, and education to communities to help ensure that transgender people receive safe and supportive health care services.

CASE EXAMPLE The United Diversity program will provide pamphlets and literature to their clients, as well as posting flyers describing community services and upcoming events. Also the clinic has made provisions to develop a library that will be staffed by volunteers presenting nonfiction as well as fiction books on gender related topics.

Effects of Inaction

Our society is in a healthcare crisis, but the transgender community is in a healthcare access crisis. It’s quite simple, by doing nothing lives will be lost. They are fighting a battle not only medically, socially, but also discriminated against through insurance companies, as none of the hormonal treatments or surgeries are covered.

As more focus is placed on individual health and its association for the overall general community health we can see the positive affects of cultural beliefs and attitudes of those living in the community. Therefore, with this in mind, the clinic will provide health benefits creating a healthier environment for all to live.

Finally, due to the lack of research information based on transgender people, there is a lack of funding available for transgender health care that often prevents effective public health services. Implementing the recommendations listed will give transgender people equal access to health care, ultimately saving lives.

City Overview

As of 2009, Sarasota’s population was 52,488 people. Since 2000, it has had a population growth of 0.43 percent. Surrounding counties are averaging similar growth patterns. By reviewing the problems in our community, it has become important to increase the necessary medical physicians, implement new diversity programs, and increase the community events leading to educational information given by public speakers and presenters to enhance not only a transgenders well being and life but, to encourage others to become open minded in our ever changing world.

Medical Needs in Sarasota: Put Prevention Into Practice

Doctors who are ignorant of or hostile to transgender people may fail to ask the right questions when seeing a patient about medical issues seemingly unrelated to any treatment of transsexualism. Some physicians are unwilling to see transgender patients at all, expressing a fear that their presence in the waiting room may disturb other patients. Over the last decade, our society has begun the process of understanding the needs whether it be physical or psychological of the transgender community.

As the learning progresses so does the population of this group. Out of desperation, the purchasing of illegal hormones puts these individuals at a higher risk. Too often, transgender people, especially those with low incomes, obtain unprescribed hormones that may not have sufficient medical safeguards. Due to discrimination, both in health insurance and in access to basic care, it is difficult for many transgender people to get appropriate treatment.[2] The discrimination that they face and traumatizing effects emotionally places them in a potential state of confusion and statistically prone to suicide. From Sarasota, the closest surgeons for sexual reassignment surgery is four hours away. There are a handful of therapists willing to work with transgenders. To locate an endocrinologist, the drive could be a minimum of an hour. Therefore, we believe our planning proposal to be a successful solution meeting these objectives:

Increase the awareness of the transgender community

Improve access to health care

Increase the promotion of living a healthy lifestyle

Promote preventive medicine within the transgender group

Increase patient/worker satisfaction

Increase quality and years of healthy life

Eliminate health disparities

Develop support groups

Phase One: Examining The Real Transgender Needs

1. Each patient will begin the program by filling out a form not only for the purpose of patient’s medical information but, also utilized as a survey. (Appendix B & C). The analyzing of this data will provide data of the needs of the transgender community. The results will open exploration of future programs. This stage will be an on going analysis.

2. Quarterly reporting:

Survey of staff reflecting the structure of the programs

Review the number of staff members educational updates

Explore improvements beginning and completed

Interview for patient/staff satisfaction

Report client cases and associated programs (on/off hormone or surgical/nonsurgical)

Teleconferencing with Sarasota Memorial Hospital’s director for future programming

Phase Two: Coordination of Care

This is the foundation of the clinic. During this four month period stage we will organize Physicians and Psychologists, Speech Therapists, Nurses and Administrative staff to join our team of benefiting the transgender community.

Phase Three: Designing Training Programs

The staff will be required to attend transgender sensitivity health educational training programs consisting of 5/8 hour classes and three hours through an internet HIV workshop. The more we know, the better to help our clients. Certification is mandated yearly. Lombardi (2001) commented, “Greater sensitivity and relevant information and services are required in dealing with transgender men and women. These individuals need their identities to be recognized as authentic, they need better access to health care resources, and they need education and prevention material appropriate to their experience.”

[2] http://www.hrc.org/documents/Transgender_handbook.pdf

Who’s on Board:

These name are completely ficticious. I made them up.

Patricia Newman, MSW Director

Richard Stevens, Unit Manager

Rebecca Jason, MBA Fiscal Coordinator

Julie Montgomery, Director of Community Services

Stanley Goldman, Attorney P.A .

David Peterson, Director, HIV Health Services

Pamela Hartford, Administrative Analyst, HIV Health services

Timothy Johnson, Research Associate

Stacy Howards, Research Assistant

Joseph Cantinelli, M.D., Endocrinologist

Catherine Bontega, Ph.D., LMFT, Psychotherapist

Scott Friedman, M.D., F.A.C.E.P., Medical Management and Administration

Denise O’Brian, PharmD, BCPS, Clinical Pharmacist

Christopher Jones, C.P.E., C.C.E., Clinical Electrologist

Joanne Dickenson, D.O., F.A.C.O.G., Certified Gynecologist

Tammy Meyers, Certified Speech Therapist and Sign Language

Thomas Smith, ARNP, Nurse Practitioner

Terry Mathers, R.N, Registered Nurse


At this point in the proposal I’d like to address the alternative solutions to the limited access of medical care for the transgender community in Sarasota. Unfortunately, one does not come to mind. But, I can tell you of a moment in time when I drove four hours to Ft. Lauderdale to a surgeon so my (legal) transgender husband to be could have top surgery completed. The drive there had been full of scenery and joy. The surgery was completed on an out patient basis and he was released two hours after this major surgery. The trip home seemed longer as the miles past and his pain increased. Four hours on a highway seemed too long but, he had no choice. No surgeons who performed sex reassignment surgery were close to Sarasota.

By developing The United Diversity Clinic individuals will have the option of local sympathetic physicians with easier accessibility to healthcare regarding their transitions.

Dissemination and Implementation

Our main objective is to open the doors to other cities and states, to motivate community members in developing a medical services unit such as ours to offer a full service health care stressing primary and preventative care, health maintenance, disease prevention, counseling and education. We are optimistic regarding educational speakers and new pamphlets (and other educational materials) that will help in educating the community and clients.

We plan to disseminate our research results in both areas of academic, journal articles and scholarly trade publications. Serving as a resource to research projects concerning transgenders and medical practices, we will examine the possibility of publication of our own training materials within a medical trade journal. Our web site will be updated weekly and will provide pertinent information regarding the transgender community. We are also working on creating a link to provide our internet informational services in Spanish.

By improving the access of necessary clinical preventive services to our community, we will create stronger tools and resources in support of the transgender community while engaging our health care system.


The plans of the project will be modified as needed through an ongoing assessment of research involving surveys, questionnaires and interviews by the clients and staff. The results will be forwarded to city and state agencies.

What once may have seemed unthinkable now seems plausible…


This medical information is completely confidential and is intended to help us understand the health care needs in the County of Sarasota, Florida.


1. How did you learn about this clinic? Please select only one. □ Friends/family

□ newspaper □ Physician □ Community Health Program □ A colleague

□ Internet □ Phone book □ Other, please specify: ___________________________________________________________________

2. How do you identify your gender? Please select only one.

□ Female □ FTM (female-to-male) □ Male □ Gender Queer □ MTF (male-to-female)

□ Intersex □ Gender variant □ Questioning □ Transgender □ Decline to answer

□ Other, please specify: _______________________________________________________________

3. How do you identify your sexual orientation? Please select all that apply.

□ Queer □ Gay □ Questioning □ Lesbian □ Bisexual □ Decline to answer

□ Intersex □Other, please specify: _______________________________________________________________

4. How do you identify your ethnicity or race? Please select all that apply.

□ Asian or Asian American □ Pacific Islander □ Native American □ Black or African American □Latina(o)/Hispanic □ White/Caucasian □ Middle Eastern □ Decline to answer

□ Multiracial □ Other, please specify: _______________________________________________________________

5. What language do you speak most frequently at home? Please select all that apply.

□ English □ Spanish □ Other (specify): _________________

6. Are you Bilingual? □ Yes □ No

7. What is your age?

□ 20 to 29 years old □ 30 to 39 years old □40 to 49 years old □50 + years old □ Decline to answer

8. Which county do you live in?


□HillsboroughCounty □ Other (specify): _________________


9. What best describes your current job (work) situation? Please select one.

□ Employed full-time (33-40 hours/week)

□ Employed part-time (Less than 33 hours/week)

□ Working part-time and on disability

□ On disability – looking for work

□ Not working – on full disability

□ Not working – applied for disability

□ Not working – looking for work

□ Not working – student/homemaker/volunteer/other

□ Retired

□ Other, please specify: _______________________________________________________________

10. Do you have health insurance? □ Yes □ No (skip to question #11)

11. If YES, what kind of health insurance do you have? Please answer “yes” or “no” to each item below.


Health Insurance Yes No



Insurance through work
  COBRA or OBRA (insurance through my last employer)
  Private insurance/HMO, not through work
  Veteran’s Affairs (VA)
  County-funded program
  Private pay/out-of-pocket/fee-for-service
  Other (specify)


12. When was your last visit with a doctor, nurse, or other health care provider?

□ Less than 6 months ago

□ Six to 12 months ago

□ More than a year ago

□ Never

13. Where did you receive your medical care (doctor’s name or place)? ______________________________

14. Were you satisfied with the services you received?

□ Yes □ No

□ If NO, please explain:________________________________________________________

15. How much do you think each of the following factors could prevent you from seeing a doctor, nurse or other health care provider?

Please check the box beside the statement that most describes your experience.

1. Location of services/ transportation 

2. Days and hours of operation 

3. Having to disclose your gender identity 

4. Concerns about confidentiality 

5. Lack of health insurance/what services might cost 

6. Feeling comfortable talking about health and sexuality 

7. Length of waiting time to get an appointment or see someone 

8. Not able to communicate or interact with the service provider in my

preferred language. 

9. Sensitivity of the person or organization providing services 

10. Feeling discriminated against by the service provider or the

organization providing services 

11. Not getting along with the people providing services 

12. Experience or expertise of the person providing services 

13. Lack of professional support to help navigate the health care

systems 

16. Have you had any personal experiences with these or other barriers that you would like to share?





17. For each item below, please say if you believe there is a high, medium, low or no likelihood of occurring.

1 – Highly,

2 – Moderately

3 – Less Likely

4 – Not Likely

1. Using condoms will effectively reduce the likelihood of infecting someone with

HIV. 

2. A receptive partner in unprotected anal or vaginal sex can infect someone else

with HIV. 

3. An insertive partner in unprotected anal or vaginal sex can infect someone

else with HIV. 

4. One HIV+ person can re-infect another HIV+ person. 

5. A person’s viral load can affect the transmission of HIV. 

6. A person can be infected with HIV by having oral sex of any kind with

someone else who has the virus. 

7. A person can be at risk for HIV when combining recreational drugs with sex

(i.e., party ‘n play, tweak ‘n freak). 

18. Please mark whether or not each of the following statements is true for you.


1. Are you or anyone you know infected or affected by HIV/AIDS? _________

2. Do you know where you can get tested for HIV inSarasotaCounty? _________

3., Do you know where you can get health care services specializing in HIV inSarasotaCounty? _________

4. Do you know where you can get health care inSarasotaCountythat is accepting of your

sexual orientation and/or gender identity? _________

5. Do you know where you can get health care without having medical insurance? _________

6. Would you feel comfortable disclosing your sexual orientation or gender identity to your health

care provider? _________

7. Have you been sexually active in the last six months? _________

19. Do you have any other comments or stories about your access to health care services? You may use the back of this form if you need more room.



Thank you very much for your time, someone will be with you momentarily!!!


Human Rights Campaign. (2010). Retrieved April 10, 2010, from http://www.hrc.org/documents/Transgender_handbook.pdf

Lombardi, E. (2001). Enhancing transgender health care. Am J Public Health, 91(6), 869-72. Retrieved April 20, 2010, from http://ajph.aphapublications.org/cgi/reprint/91/6/869?view=long&pmid=11392924

Martin, K.A. (2007). Transsexualism: Clinical Guide To Gender Identity Disorder. Current Psychiatry, 6 (2), 1-11. Retrieved April 18, 2010, from http://www.changelingaspects.com/PDF/Transsexualism-Clinical%20Guide%20To%20Gender%20Identity%20Disorder.pdf

National Center for Transgender Equality. (2009) Retrieved April 5, 2010, from http://www.transequality.org/Issues/health.html

Oriel, K. A. (2000). Medical Care of Transsexual Patients. Journal of the Gay and Lesbian Medical Association, 4(4), 185-194. Retrieved April 17, 2010, from http://php.ucsf.edu/PatientEd/MedicalCareofTransexualpts.pdf

Transgender Law and Policy Institute (2010). Retrieved April 12, 2010, from http://www.transgenderlaw.org/

Marks, S.M. (2006). Global Recognition of Human Rights for Lesbian, Gay, Bisexual, and Transgender People. Health and Human Rights, 9(1), 33-42. Retrieved April 15, 2010, from http://www.jstor.org/stable/4065388

The American Property Group. (2010). Retrieved April 5, 2010, from http://www.americanpropertygroup.com/

The National Coalition for LGBT Health. (2010). Retrieved April 10, 2010, from http://www.lgbthealth.net/side_hp2010.shtml

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