Survey: Canadian Mental Health Professionals on Gender Affirming Care
1.
Do you work with children or adolescents who have a stated gender identity that does not match their sex, who have or have signs of gender dysphoria or are gender questioning? *If “yes” please continue through the survey, if “no” please skip ahead to the end of the survey to leave your comments. Thank you.
Yes
No
2.
In which Canadian province or territory do you currently practice your Mental Health profession?
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
Prince Edward Island
Newfoundland and Labrador
Yukon
Northwest Territories
Nunavut
3.
What is your profession within the Mental Health Care Community?
School Counselor working with children and adolescents
Counselor, Clinician or Therapist working with children and adolescents
Psychiatrist working with children and adolescents
Psychologist working with children and adolescents
Social Worker working with children and adolescents
Clinical Social Worker working with children and adolescents
Psychiatric or Mental Health Nurse working with children and adolescents
Psychiatric Pharmacist working with children and adolescents
Other, working with children and adolescents
4.
In your province, are you required by law or policy to affirm the stated gender identity of the children and adolescents you work with?
Yes
No
Unsure
5.
If you answered yes to question 4, do you agree with the law/policy that requires you to affirm the stated gender identities of the children and adolescents you work with?
Yes
No
Unsure
6.
If you answered no to question 5, have you taken steps to push back or voice your concerns against these laws/policies?
Yes
No
7.
Are you licensed or permitted within your professional designation to prescribe gender affirming medications to the children or adolescents you work with (ie. GnRH Agonists, also known as Puberty Blockers; Testosterone or Estrogen injections)?
Yes
No
8.
Are you licensed or permitted within your professional designation to make written recommendations for gender affirming surgeries (ie. bilateral mastectomy; vaginoplasty; phalloplasty) for the children or adolescents you work with?
Yes
No
9.
Approximately how many of the children and adolescents that you work with have a stated gender identity that does not match their sex, have or have signs of gender dysphoria, or are gender questioning?
Under 5%
Approximately 5%
Approximately 10%
Approximately 25%
Approximately 50%
Approximately 75%
Approximately 90%
100%
10.
Based on your answer from question 9, approximately how many of those children and adolescents have you prescribed gender affirming medications for (ie. GnRH Agonists, also known as Puberty Blockers; Testosterone or Estrogen injections)?
Under 5%
Approximately 10%
Approximately 25%
Approximately 50%
Approximately 75%
Approximately 90%
100%
11.
Again, based on your answer from question 9, approximately how many of those children and adolescents have you written recommendations for gender affirming surgeries for (ie. bilateral mastectomy; vaginoplasty; phalloplasty)?
Under 5%
Approximately 10%
Approximately 25%
Approximately 50%
Approximately 75%
Approximately 90%
100%
12.
Once again, based on your answer to question 9, approximately how many of those children and adolescents have other diagnosed or suspected mental health concerns or conditions?
Less than 5%
Approximately 10%
Approximately 25%
Approximately 50%
Approximately 75%
Approximately 90%
100%
13.
Based on your answer to question 12, please check the other diagnosed or suspected mental health concerns or conditions pertaining to those children and adolescents.
Autism
ADHD
OCD
Eating Disorder
Anxiety Disorders
Depression
Mood Disorders
Bipolar Disorder
Trauma
Self Harm
High Risk for Suicide Attempts
Other
14.
For the children and adolescents you work with how effective has gender affirming mental health care been in improving their mental health?
Very effective
Somewhat effective
Not very effective
Made no difference either way
Produced a negative effect
Was detrimental to mental health
Little or no follow-up, therefore, unknown
15.
For the children and adolescents you work with how effective have gender affirming medications (ie. GnRH Agonists, also known as Puberty Blockers; Testosterone or Estrogen injections) been in improving their mental health?
Very effective
Somewhat effective
Not very effective
Made no difference either way
Produced a negative effect
Was detrimental to mental health
Little or no follow-up, therefore, unknown
16.
For the children and adolescents you work with how effective have gender affirming surgeries (ie. bilateral mastectomy; vaginoplasty; phalloplasty) been in improving their mental health?
Very effective
Somewhat effective
Not very effective
Made no difference either way
Produced a negative effect
Was detrimental to mental health
Little or no follow-up, therefore, unknown
17.
For the children and adolescents you work with, approximately how long after they begin to receive gender affirming medications (ie. GnRH Agonists, also known as Puberty Blockers; Testosterone or Estrogen injections) do you typically have follow up contact?
Approximately 2 weeks
Approximately 1 month
Approximately 3 months
Approximately 6 months
Approximately 1 year
Approximately 2 years
Approximately 3 years
Approximately 5 years
More than 5 years
18.
For the children and adolescents you work with, approximately how long after they have had gender affirming surgery (ie. bilateral mastectomy; vaginoplasty; phalloplasty) do you typically have follow up contact?
Approximately 2 weeks
Approximately 1 month
Approximately 3 months
Approximately 6 months
Approximately 1 year
Approximately 2 years
Approximately 3 years
Approximately 5 years
More than 5 years
19.
Presently, how comfortable are you in your profession in regard to Gender Affirming Care in Canada?
Very Comfortable
Somewhat Comfortable
Indifferent
Somewhat Uncomfortable
Very Uncomfortable
20.
As a mental health care professional, would you welcome a systematic review of the Gender Affirming Care model currently used in Canada?
Yes
No
21.
Please use this space to add your comments.