A health professional (nurse, family doctor or psychologist) will accompany transgender people through the Canary Islands Health Service (SCS) thanks to the new specific care guide agreed between the regional government and LGTBI groups. After a joint elaboration by almost a hundred public professionals and associative representatives, the Healthcare protocol for trans people * of the Archipelago is among the "most innovative and progressive documents of our country", valued yesterday the activist of Goma and family doctor Joana Cabrera, representing fourteen island groups.
"After an arduous work of ten years, at times even a little uncomfortable, we have reached a wonderful end, finally," said Cabrera before thanking "all" the participants and, above all, "the political attitude because without the courage and involvement of the Ministry [de Sanidad], even knowing that we could meet with great barriers and retrograde thoughts in difficult times, we would continue with an absolutely pathologizing and stigmatizing protocol for transgender people, "referring to the document in force since 2009. At his side, the Regional Minister of Health, José Manuel Baltar, described the day as "a day of pride and happiness", while the General Director of Assistance Programs of the SCS, Elizabeth Hernandez, responded by recognizing the "generosity of the groups to understand the sensitivity needed to address a protocol framed under the priority of the development of the felt identity and respect for the personal process, both in times and in treatments, with truthful information about possible outcomes and side effects ".
Precisely, the accompanying professional or case manager "will be responsible for making an individual assessment always starting from the self-determination of the person and considering above all their needs and expectations," explained Hernandez before adding that also guide the patient through a specific circuit in primary and hospital care, in addition to "facilitating emotional discharge, reassuring, not blaming or judging". In his opinion, "the most important thing is to work hard on the awareness and training of professionals to give the appropriate response."
During the last three years, the SCS has already trained more than 700 professionals in trans healthcare through six face-to-face workshops and several virtual courses. Not in vain, Canarias was placed in 2015 as the second community, after Catalonia, to allow the modification of the health card with the name sense, processed by 395 people (108 children under 15, 51 from 15 to 17 years and 236 older of 17) and the first autonomy in having the change in the mention relative to the sex of the document.
Although the responsible nurse or psychologist will be the main entrance to the accompaniment units for trans people (UAT), already existing in two hospitals in the capital (Doctor Negrín and HUC), it can also be accessed from the pediatrician, family doctor or telephone assistance . According to Cabrera, "the law did not allow for other possibilities in 2009, but the linear therapeutic triad (mental health-endocrinology-plastic surgery) is extended, although the idea is to move towards multiprofessional teams in primary."