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Intersecting Identities: Understanding Disability, Gender & Sexuality with Natalya Mason

At the 2025 Prairie Sexuality & Disability Conference, keynote speaker Natalya Mason – consultant, social worker, and sexual health educator – opened day one with a deeply informative session exploring how disability, gender, and sexuality intersect in people’s lives. Her presentation invited attendees to rethink long-held assumptions and to approach identity with curiosity, humility, and respect.

Natalya began with a clear message: every person has a gender identity, a sexual orientation, and a way they express themselves – including people with disabilities. Yet social narratives often deny or minimize this truth. Cultural myths, ableism, and queerphobia shape the way people are seen, and these layered biases can deeply affect self-expression, autonomy, and well-being.

A Framework Rooted in Liberation, Justice & Sex-Positivity

Natalya grounded her keynote in three guiding frameworks: theory as a liberatory practice, reproductive justice, and sex-positivity.

She described theory as a liberatory practice as an invitation for everyone – not just academics – to examine the world around them and imagine something better. When marginalized people are given space to reflect on their experiences, she said,

“the closer we get to collective liberation and freedom for everybody – and to a world where they have the freedom to thrive, and the freedom to love who they want to love and love how they want to love.”

Reproductive justice, drawn from Black women’s organizing, reminds us that people have the right to have children, not have children, and raise children in safe and healthy communities. For Natalya, this framework naturally includes 2SLGBTQ+ people and people with disabilities, and links sexual health to broader struggles against racism, poverty, and state violence.

Sex-positivity, she added, means recognizing sexuality as an “enhancing part of life” and working not only to prevent negative experiences but to “produce ideal experiences for people, instead of solely working towards preventing negative experiences.”

Language, Power & Identity

A central theme of the keynote was language as a tool of power. Natalya noted that power “often maintains itself by keeping other identities or other experiences silent, and it will literally do that by not providing people the language to talk about something.”

Many of the terms used to describe gender, sexuality, and disability may feel new to some audiences – not because these experiences are new, but because people have been discouraged from naming them. Natalya encouraged participants to keep learning, ask questions, and follow the language people choose for themselves.

She walked through her “Identity Pal” tool, which helps break down identity into:

  • Gender identity (who you know yourself to be)
  • Gender expression (how you present to the world)
  • Sexual orientation (who you love or are attracted to)
  • Biological sex (chromosomes, hormones, anatomy)

These elements are related but distinct – and understanding that difference is key to offering respectful support.

Gender & Disability as Social Constructs

Natalya spent time unpacking the idea of social constructs – systems humans create, maintain, and can change. Gender is one of them. Using examples like the history of pink and blue clothing for babies, she showed how norms around “masculine” and “feminine” shift over time.

She also challenged the idea that biological sex is simple, noting that there are many intersex variations. “People tend to think that those conditions are really, really rare,” she said, “but there are about the same number of people in the world who are intersex as there are people who are born redheads.”

Disability, too, can be understood socially: rather than seeing a “broken body” that needs to be fixed, the social model of disability asks how environments, attitudes, and systems create barriers – or remove them. Curb cuts, Braille, and accessible design are all examples of how society can shift responsibility away from the individual and toward collective inclusion.

Intersections, Myths & Compounded Barriers

Drawing on the concept of intersectionality, Natalya talked about how identities combine and compound. Her experience is not just about being a woman, or Black, or queer, but about being a queer Black woman – and how those layers shape her life. Similarly, people who are both experiencing disability and part of the 2SLGBTQ+ community can face higher rates of discrimination, mental health challenges, and barriers to accessibility.

She named common myths about disability and sexuality – like the idea that people with disabilities are asexual, necessarily heterosexual, or unable to understand their own gender or orientation – and connected them to old, harmful narratives about queer people more broadly.

This isn’t theoretical: it affects who gets information, whose relationships are taken seriously, and whose rights are respected.

Allyship as Action

Natalya closed with practical guidance on allyship, emphasizing that good intentions are not enough. “All of us are accountable to both our intentions and the impacts of our actions,” she said. “Ultimately, the impact matters more than the intent.”

She encouraged participants to:

  • Use people’s chosen names and pronouns
  • Practice gender-neutral language
  • Avoid making assumptions about gender, sexuality, or disability
  • Correct themselves proactively when they make mistakes

“The term ally – think about that as a verb, not a noun,” she added. “You don’t just get issued an ally card and then you never have to renew it. Allyship is something that you should be actively engaged in and always working on.”

Natalya closed with a quote from bell hooks, reflecting on queerness as “being about the self that is at odds with everything around it, and has to invent and create and find a place to speak and to thrive and to live.” For many people with disabilities and queer people, that description resonates deeply.

Her hope – and the hope of the conference – is that we build communities where people no longer have to fight for a place to exist, but are supported to explore, express, and celebrate who they are with dignity and pride.

Intellectual/Developmental Disabilities (IDD), Aging and Health by Dr. Alicia Thatcher, MD and Mandy Boersch, RPN, CDDN

Redesigning Healthcare with Heart: IDD, Aging and Health

CBC Feature: The HELP Model – Redesigning Healthcare with Heart  – August 28, 2025

Mandy Boersch, Creative Options Regina’s Director of Health, joined CBC Morning Edition alongside Dr. Alicia Thatcher to share their passion for improving healthcare for people with intellectual and developmental disabilities.

Together, they discussed the real-life gaps they’ve witnessed, how the HELP model is guiding their work, and why compassionate, person-centered care can make all the difference.

Listen to the full CBC interview.

On a chilly afternoon during the Gentle Teaching International Conference, something deeply human unfolded—not just a presentation, but a story of life, love, loss, and the urgent need to redesign how we care.

Dr. Alicia Thatcher, a physician passionate about inclusive health, and Mandy Boersch, RPN, CDDN, a psychiatric nurse whose life journey has been shaped by her sister Jill, brought us into a world where medicine meets meaning—and where care must be reimagined through the lens of relationship and Gentle Teaching.

Their session, “Intellectual/Developmental Disabilities (IDD), Aging and Health,” wasn’t just about diagnoses and data. It was about people. It was about what it means to grow older with a disability in a system that often overlooks you—and what we can do to change that.

From Family to Fieldwork: A Personal Journey

Mandy began by grounding the room in her own story. She grew up alongside her sister Jill, who was born with a rare chromosomal difference and lived with significant health concerns. Jill’s life was filled with hospital visits, blood transfusions, and barriers—but it was also filled with fierce love.

Mandy swore she’d never go into healthcare, but Jill’s journey quietly rewrote her future. She went from business school to psychiatric nursing, from burnout to purpose—and from a sister to a champion for health equity. Her story of following Jill into a group home job (and eventually across the province) added warmth and authenticity to the conversation.

Meeting in Mission: The Power of Connection

It was through the maze of healthcare advocacy that Mandy met Dr. Alicia Thatcher—an introduction sparked by a psychiatrist, emails, persistence, and shared values. What began as curiosity became collaboration. And what began as professional partnership became friendship.

Mandy described Alicia as the doctor her family had always been searching for—someone with deep knowledge, unshakable respect, and a drive to make inclusive health more than an idea.

Together, they’ve become a team that asks not “What’s the matter?” but “What matters?”

Aging with IDD: Gaps, Risks and the Call for Change

Dr. Thatcher laid out the stark realities. People with intellectual and developmental disabilities (IDD) face:

  • 30-day readmission rates and emergency visits are significantly higher than the general population
  • A 6.5x higher chance of being hospitalized unnecessarily
  • A 17.5x higher chance of living in long-term care
  • And nearly 4x higher risk of dying before age 75—often from preventable causes

As life expectancy increases, more people with IDD are aging into a system that is simply not prepared to support them.

The statistics are sobering. But Alicia brought clarity and tools to make meaningful change possible.

The HELP Model: A Framework for Understanding Change

Together, Alicia and Mandy introduced the HELP model—a simple, accessible tool to help teams assess when someone’s behaviour, health, or emotional state changes. Rather than jumping straight to medication or crisis response, HELP encourages us to ask questions about:

  • Health – Are there hidden medical issues (pain, infections, GI concerns, untreated conditions)?
  • Environment and Supports – Have routines shifted? Has a trusted person left? Is there sensory overwhelm?
  • Lived Experience – Could past trauma or life transitions be affecting today’s behaviour?
  • Psychiatric Concerns – Are mental health challenges emerging or shifting?

Each domain is approached not with judgment but with curiosity. Not “What’s wrong with them?” but “What’s going on for them?”

And always—safety first.

When Behaviour is a Clue, Not a Problem

One powerful example shared: a person experiencing outbursts and psychosis-like symptoms was later found to have a severe urinary tract infection, not a psychiatric crisis. Once treated, the behaviours resolved.

Another shared example involved dental pain, which presented as paranoia and confusion. These aren’t rare occurrences—they’re reminders that atypical presentations of common issues are, in fact, typical for many people with IDD.

Behaviour is communication. And when we listen well, healing becomes possible.

Proactive Tools: From Screenings to Stretching

Dr. Thatcher shared accessible resources like:

  • Nuts and Bolts RD toolkit for aging and syndrome-specific health guidance
  • NTG-EDSD Dementia Screener to identify early signs of dementia in people with IDD
  • Health Watch Tables and preventive care checklists for tracking concerns
  • Hypertension logs and even stretching as a powerful blood pressure intervention

Simple, consistent tracking—like bowel movements, pain, mood, or sleep—can give teams and clinicians the data needed to act early and appropriately.

The tools are available. The missing piece? Widespread training and awareness.

From Reaction to Relationship

One of the session’s most powerful takeaways was this: Crisis shouldn’t be the only catalyst for care.

So much of the current system waits for things to break down, then responds with medication or hospitalization. But relational approaches, early recognition, and team-based curiosity can reduce trauma and strengthen well-being before a crisis ever happens.

As Mandy put it, “If we’re not asking questions early, we’ll miss the chance to actually help.”

The Real Risk: Doing Nothing

For Dr. Thatcher, the work is about bridging the gap between what’s available and what’s needed—and about pushing back on ableist, ageist, or dismissive practices.

The Clinical Frailty Scale, for instance, is still widely used, but it often misrepresents people with IDD. A 50-year-old with disabilities might be denied access to geriatric services, despite having the same needs as someone twice their age.

It’s time to move from age-based cutoffs to needs-based care.

And when we talk about aging, we must do so with context, compassion, and clarity.

Carrying Jill’s Legacy Forward

The presentation closed with a quiet moment of vulnerability. Mandy shared that her sister Jill passed away due to several of the Fatal Five conditions often seen in people with IDD: aspiration, constipation, dehydration, seizures, and sepsis.

Her story is both a heartbreak and a call to action.

Because Jill deserved better, and so do the many others aging into systems still not built for them.

In Summary: Where Do We Go From Here?

  • Learn the HELP model – Use it not just to assess but to collaborate.
  • Champion routine health checks – Especially annual comprehensive reviews for adults with IDD.
  • Use simple tools – NTG screeners, symptom checklists, and monitoring charts make a big difference.
  • Track the small stuff – Sleep, stools, mood, appetite—they matter more than we think.
  • Trust the people who know the person best – Families, supports, and the person themselves.
  • And always lead with love and listening.

Dr. Thatcher and Mandy reminded us that the future of inclusive healthcare isn’t just about medical systems—it’s about relationships. It’s about seeing, hearing, and honouring every person at every stage of life.

And it’s about knowing that no one should have to fight alone to be understood, supported, or safe.

Building Digital Skills and Confidence: The Let’s Connect Initiative

In a world driven by technology, everyone deserves the opportunity to explore the digital landscape and connect with others. Let’s Connect is an educational initiative that empowers people experiencing disability by boosting their knowledge and confidence in using technology and communication devices.

Let’s Connect goes beyond just teaching technical skills; it’s about fostering independence and enhancing the digital experience for all. This program covers a range of important topics, including: connecting to Wi-Fi, staying safe online, utilizing accessibility features and helpful apps, practicing online etiquette, making informed choices on social media, and expressing oneself through pictures and videos.

Connecting to Wi-Fi: Navigating the Digital World

The program recognizes that accessing the internet is a gateway to a world of knowledge and connection. By practicing the process of connecting to Wi-Fi, participants can easily explore the online world.

Online Safety and Security: Empowering Users

In an age where cybersecurity is paramount, Let’s Connect places a strong focus on online safety and security. Participants learn about password security, identifying potential online threats, and protecting personal information. This knowledge assists individuals in navigating the digital world confidently.

Accessibility and Helpful Apps: Customizing Technology to Individual Needs

Technology can be a powerful tool for bridging gaps and creating opportunities, and Let’s Connect highlights this potential. The program explores accessibility features and useful apps that cater to the unique needs of participants. From device features to communication apps, these tools enhance daily life experiences.

Online Etiquette: Navigating Digital Spaces with Respect

In a world where virtual interactions have become the norm, this program teaches the importance of online etiquette. Participants learn how to engage respectfully in digital spaces, fostering positive online relationships and connections.

Being Smart on Social Media: Making Informed Choices

Social media can be a valuable platform for connection and expression. Let’s Connect equips participants with the knowledge to use social media wisely, enabling them to engage safely and meaningfully in online communities.

Sharing Your Voice Through Pictures and Videos: Unleashing Creativity

Amidst a digital landscape that celebrates visual content, Let’s Connect encourages participants to express themselves through pictures and videos. This creative outlet not only promotes self-expression but also boosts a sense of accomplishment and pride.

This initiative is not about highlighting challenges but celebrating the strengths and capabilities of people experiencing disability. It’s about recognizing the unique perspectives they bring to the digital realm and ensuring that they have the tools and knowledge to flourish in the digital age.

So, let’s connect – not just to the internet, but also to a world of possibilities, knowledge, and empowerment. Let’s celebrate the incredible strides being made by Let’s Connect in making this vision a reality for all.

When Dreams Meet Opportunity

Meet Austin.

Through years of getting to know Austin, we at COR have become increasingly aware of his passion for recycling. It’s no secret that when you see his engaging smile around our studio, cruising the neighbourhood or cleaning up many communities, that he will have some form of recycling with him. As Austin has grown into the man he is today, his innate care for plastic waste has followed closely beside him. He has made great efforts to transform this passion into filling a very serious gap in this city: the proper way to recycle. As we dug deeper into this issue, Austin helped us to realize just how much he knows about proper disposal of waste and how far we still need to go. This gap in knowledge is just one thing that Austin is actively bringing awareness to. What we admire about Austin, though, is his inspiration to do more than just talk the talk.

We teamed up with him in his quest to rid this city of improper recycling due to the lack of recycling literacy there is. Though this is an overwhelmingly large feat, we believe Austin has the drive and fire in his soul to do it. Every dream must begin with an idea, so we combined our hearts, and our minds and got to work.

This summer, Austin, Chelsi and a few others at COR created an easy-to-follow informative household video based on the city’s guidelines for proper recycling. Together, we then took to the streets of Regina, knocking on doors and setting up appointments to share this message and begin filling this gap. Austin is laying his own foundation for a bright future based on his vision for a cleaner city and a cleaner world.

It’s people like Austin that truly change the world. By not settling for good enough or turning a blind eye to important issues, Austin has turned his passion into a much needed resource for our city.

Austin, you inspire us to believe that we all have the ability to make positive impacts on the environment and in the lives of others around us. Thank you for being you.

 

Never TMI website promotes accessible and comprehensive sexuality education for people with disabilities

February 13th, 2019, Saskatoon — Saskatoon Sexual Health, Creative Options Regina, and Inclusion Saskatchewan are pleased to announce a new companion website for our modern and innovative sexual wellness initiative Tell It Like It Is! just in time for Sexual and Reproductive Health Awareness Week 2019.

Tell It Like It Is!  is a revolutionary program—It is sex-positive, inclusive, and comprehensive; the purpose is to assist diverse learners in making life choices that promote optimal health and wellness in all dimensions of life. Using a compassionate approach, each module offers various learning opportunities through topics such as: communication skills; hygiene; online safety; developing goals and dreams; building healthy relationships; as well as sexual health education on topics such as STBBIs. Evidence indicates that people with intellectual disabilities do not receive adequate health information and education. “It has been our experience that when health education like Tell It Like It Is! is provided participants experience positive outcomes such as identifying healthy relationships, having the capacity to make informed decisions, and have fewer vulnerabilities to abuse.” Michael Lavis, Executive Director of Creative Options Regina.

This project reaches further than the individuals who participate in the programming, as it aims to support caregivers, educators, healthcare professionals, and the disability services sector by sharing information about existing resources and supports related to sexual health and well-being. The demand for this one-of-a-kind program continues to grow, with interest from all over Canada and North America. To increase access to the project, the Instructor’s Manual is available at no cost online at our new website www.nevertmi.ca. The website was created in collaboration with Strategy Lab (Regina), and will continue to grow as a resource hub for sexual health and wellness education for diverse learners.

The goal with this project is to develop a community of individuals and organizations that will respect, value and celebrate the diversity and uniqueness of people with intellectual disabilities and their collective lived experiences. “We are all entitled to loving, fulfilling, and healthy relationships— Tell It Like It Is! promotes an environment where there’s never too much information, and participants are encouraged to ask questions, challenge assumptions, and gain vital life skills” said Heather Hale, Executive Director, Saskatoon Sexual Health.

To learn more about Tell It Like It Is, we invite the community to join us at an upcoming Community Collaboration and Learning Opportunity in Saskatoon on March 15, 2019: Sexual Health Education and People with Developmental Disabilities.

 

Website: www.nevertmi.ca

Further Information:

United Nations Population Fund: Young Persons with Disabilities: Global Study on Ending Gender-Based Violence, and Realising Sexual and Reproductive Health and Rights

 

Royal Roads University article on innovation features COR

“These solution-seekers want to tackle problems head on. This is not your traditional way of doing business.”

When you’ve got a big question with no clear answer, it’s time to innovate.

That’s what drew Glenda Tarnowski to Royal Roads Graduate Certificate in Corporate Social Innovation program.

As the director of professional practice for the College of Licensed Practical Nurses of Alberta (CLPNA), Tarnowski provides leadership support to licenced practical nurses (LPNs) in the delivery of safe, patient-centered care.

As the healthcare landscape changes and an aging population increases, so does the need for specialized and responsive healthcare.

She, along with the leadership team at CLPNA asked themselves, “How do we best prepare LPNs to meet the care needs of the changing demographic?”

Social innovation was made for questions like these, says Colleen McCormick, who teaches in the graduate certificate program and brings the principles and practices of social innovation alive as director of Connected Communities BC in the Ministry of Citizens’ Services.

“Social innovation is about co-creating solutions with the people who are living the problems,” she says. “Bringing diverse people and sectors together to radically collaborate on addressing a complex issue at the systems level is what makes the field of social innovation so fascinating to study and play in.”

McCormick says social innovators are driven by social impact, so they don’t care much for “Band-Aid” fixes.

“These solution-seekers want to tackle problems head on. This is not your traditional way of doing business.”

The six-month program is offered through Professional and Continuing Studies and is designed for those looking to incorporate social concerns and solutions into the very fabric of their organizations—whether in government, business or the non-profit sector.

Michael Lavis is the executive director for Creative Options Regina (COR), a non-profit organization that provides supports for adults and youth experiencing disability. He registered for the program to help him identify blind spots within the organization.

“The program is helping us better understand what drives innovation and to dissect and build a strong, healthy vibrant organization that has value for stakeholders,” he says.

Lavis says COR realized the benefit of focusing not only on the people who access supports, but also on caregivers. He says COR knows a strong, vibrant care team is key to providing exceptional care.

“We intentionally shifted our focus and looked at who all of our stakeholders are and what we’re doing to nurture those relationships,” he says. “The program is really helping us frame that.”

Assoc. Prof. Robert Mittelman, one of the program designers, says organizations are increasingly looking to build social needs into their business models.

“Corporate social innovation is about looking forward. It’s about using an intervention to address a social issue, whether it’s a new product, service or a change to how your organization operates,” Mittelman says. “It’s about putting that social issue at the centre of your business strategy.”

The blended program includes three applied courses that introduce participants to the foundations of corporate social innovation, design thinking and the principles of measurement and scale.

“Students go back to their organizations the next day, after a new module is released, and build change right from the start of the program,” Mittelman says.

 

August 28, 2018

By: Lisa Weighton

Click here to view the article on the RRU website.

Gentle Teaching Theme for October 2017: Culture

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