1. 1 TRANS Transgender Resources And Neighborhood Space TRANS Transgender Resources And Neighborhood Space JoAnne Keatley, M.S.W. Project Director UCSF/CAPS - Health Studies for People of Color Tooru Nemoto, Ph.D. (P.I.) Don Operario, Ph.D. (co-P.I.) Funded by Substance Abuse and Mental Health Services Administration Grants H79-TI12592 and U97-SM53769

2. 2 Overview of TRANS I Target population: Male-to-female transgender individuals, intensified outreach to African-American, Latina, and Asian & Pacific Islanders TRANS I Provided: A safe space for MTFs where they are welcomed and made to feel valued A living room lounge area with TV/VCR, shower facilities, a resource closet, referral information Individual health education sessions with one of a trained, multicultural team of health educators 18 Health Education Workshops (in English & in Spanish) Linkage to Transgender Recovery Program (TRP)

3. 3 Results of TRANS I Over 3,000 MTFs received outreach services, 1,554 MTFs utilized the project space, and 359 enrolled in prevention workshops. Comparison of pre- and post-intervention data shows statistically significant decreases in: HIV risk behavior Perception of barriers to substance abuse treatment Depression

4. 4 Results of TRANS I-HIV Risk Behavior HIV risk behavior with all partners BaselinePost- Intervention Follow-up p-value No risk51 (47.2%)59 (54.6%) Low risk31 (28.7%) High risk26 (24.1%)18 (16.7%) Mean score (on a scale of 1-3, 3 being highest risk) 1.81.6.03

5. 5 Barriers to Substance Abuse Treatment Scores were on a scale of 1 (strongly disagree) to 5 (strongly agree), with higher scores indicating higher levels of barriers to seeking substance abuse treatment programs. Experiences with Treatment Agencies BaselinePost- Intervention p-value Not knowledgeable about transgender issues 2.42.0.001 Insensitive to transgender issues 2.42.1.003 Degrading experiences related to being transgender 2.32.0.04

6. 6 Overview of TRANS II Trans II is targeting Gender Variant Individuals (GVIs) of color, including MTFs, FTMs, and other self-defined gender variant individuals. TRANS II Provides: Outreach Expansion Program (OEP)-OEP will expand outreach to include GVIs in jail. TRANS II workshops-TRANS II will continue to provide gender sensitive workshops for GVIs to reduce their drug use and HIV risk behaviors and increase their life skills. Drug Treatment Readiness Enhancement Program (DTREP)-DTREP will provide pre-treatment support groups and case management to GVIs who are interested in enrolling in treatment.

7. 7 TRANS II (Cont’d) Transgender Treatment Enhancement Network (TTEN)-TTEN will promote collaboration among social service agencies offering substance abuse treatment resources to GVIs. Transgender Sensitivity Enhancement Program (TSEP)-TSEP will provide transgender sensivity training to TTEN member agencies. Transgender Resource and Neighborhood Space- TRANS II a safe space where GVIs are welcomed, including a living room/lounge area with television, showers, and a resource closet.

8. 8 Contact Information You are welcome to come to our site for a tour 1145 Bush Street, 2 nd floor Web site: www.caps.ucsf.edu/TRANSwww.caps.ucsf.edu/TRANS Phone: (415) 476-2364 E-mail: jkeatley@psg.ucsf.edu