PRISM Campaign: Improving Systems for Trans and Non-Binary People Who Use Alcohol and others Drugs Survey

Welcome, and thank you for taking the time to take this survey. Your insights will directly inform how PRISM advocates for better systems and services, and how we continue to shape inclusive, evidence-informed recovery programs. 

Please note, all questions are optional.
Demographics
1.
What is your age?
Under 20 years old
21-40 years old
Over 40 years old
2.
Where are you located?
Metropolitan
Regional
Rural/remote
3.

Do you have lived experience of accessing an AOD service?

Yes
No

SECTION 1: System Gaps & Policy Change

4.

What do you think is currently missing from alcohol and other drug (AOD) policy when it comes to trans and non-binary people?

5.

What is one policy or funding change that would improve safety, access, or outcomes for trans and non-binary people who use AOD?

6.

Are there any laws, regulations, or requirements that create barriers for trans and non-binary people in accessing support or care? (For example: ID requirements, Medicare issues, discrimination protections, name/gender data collection).


If so, which laws and what barriers do they create?

7.
How well do current AOD services meet the needs of trans and non-binary people who use AOD?
Very well
Somewhat well
Not very well
Not at all
Unsure
8.
Please explain your rating
9.
How well do current justice services meet the needs of trans and non-binary people who use AOD?
Very well
Somewhat well
Not very well
Not at all
Unsure
10.
Please explain your rating
11.
How well do current housing services meet the needs of trans and non-binary people who use AOD?
Very well
Somewhat well
Not very well
Not at all
Unsure
12.
Please explain your rating
13.
How well do current mental health services meet the needs of trans and non-binary people who use AOD?
Very well
Somewhat well
Not very well
Not at all
Unsure
14.
Please explain your rating
15.
How well do current health services meet the needs of trans and non-binary people who use AOD?
Very well
Somewhat well
Not very well
Not at all
Unsure
16.
Please explain your rating
17.
In your experience, are trans and non-binary voices included in shaping services or policies about AOD?
Yes
No
Sometimes
18.
Please explain your rating
19.
In your opinion, what can they be doing better to include trans and non-binary people in shaping services or policies about AOD?
20.
What are the top 3 policy areas you believe PRISM should be prioritised to improve outcomes for trans and non-binary people who use drugs?

(Tick up to 3)
[Checkboxes]
Gender-affirming pathways in detox, rehab and residential services
Integrated models of care linking housing, mental health, AOD and gender affirmation
Youth-specific and culturally responsive trans-affirming AOD responses
Legal and policy settings
Legal protections against discrimination in AOD, justice and health services
Mandatory workforce training in LGBTIQA+ inclusive and trauma-informed practice
Inclusion of gender identity and sexual orientation in all national AOD datasets
Safe and inclusive crisis accommodation and housing
Other (please specify)

SECTION 2: Service Design & Delivery

21.
What are the top 3 service changes you would like to see in AOD or related services?

(Tick up to 3)
[Checkboxes]
Trans-led or trans-informed staff
Training for all staff on LGBTIQ+SB inclusion
Services that are trauma-informed
Service environment and experience
Gender-affirming spaces and language
Safe housing or detox options for trans people
Confidential access to services
Service models and programs
Dedicated programs for LGBTIQ+SB populations
Other
22.
Do you believe that funding for services targeted at trans and non-binary people who use drugs is:
Adequate
Inadequate
Non-existent
Not sure
23.
Where do you think funding is most needed?
24.
What would make AOD services feel safer, more affirming, and more effective for trans and non-binary community members?
25.
Do government agencies or funders adequately include trans and non-binary organisations or leaders in policy development processes?
Yes
Sometimes
Rarely
Never
26.
Please share an example or suggestion

SECTION 3: System Navigation and Integration

27.
Where do trans and non-binary people experience the most friction or harm in the system? (e.g., Centrelink, prisons, hospitals, detox, housing, mental health system)
28.
What kinds of service models or programs do you wish existed?

(prompt: peer-led, mobile outreach, culturally specific, gender-affirming, digital, co-located models etc.)
29.
Are there priority populations within the trans and non-binary community that you believe are most overlooked in current AOD responses?

(Tick any that apply)
[Checkboxes]
First Nations people
People living in regional or remote areas
Young people
Older people
People with disabilities
People recently released from prison or youth detention
Sex workers
People without Medicare access (e.g. migrants, refugees)
People experiencing homelessness or unstable housing
Other
30.
If you could tell policymakers one thing to improve outcomes for trans and non-binary people who use AOD, what would it be?
31.
What’s working well that should be funded or scaled up?
32.
In your view, what would a truly inclusive, trauma-informed AOD system for trans and non-binary people look like in 5 years?
33.
Are you interested in joining the PRISM Working Group to progress the Priorities outlined in this survey?
Yes
No
Maybe
Thank you so much for your time and effort into this survey.

Your voice matters. Your insights will directly inform how PRISM advocates for better systems and services, and how we continue to shape inclusive, evidence-informed recovery programs.

If you have any questions or feedback about the survey, please reach out to Jack at [email protected] or April at [email protected]

Please note, there is a separate link in the email to express an interest in joining the PRISM Working Group to progress the priorities outlined in this survey.

Thank you again


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