A Monitoring Guide 93 Monitoring checklist How are initial medical and psychological screenings conducted upon arrival? Is confidentiality ensured? Are heathcare professionals sensitized/trained about the specific needs of LGBTI persons? Are detainees informed about the nature and symptoms of sexually transmitted diseases and infections and how to prevent them? Are condoms and/or other prophylactics made available to detainees? If so, are they easily and discreetly accessible? Are confidential treatments accessible to all detainees with HIV/AIDS on a non-discriminatory basis? Do trans detainees have the possibility to initiate hormone therapy and/or gender-affirming treatment while in detention? Can detainees who started hormone therapies outside prison – even without medical prescription – continue treatment while in detention? Are gender-affirming surgeries available for detainees (and are such surgeries available in the community)? What are the conditions for accessing gender-affirming treatments? Is legal gender recognition a pre-condition? Is there any indication that the prison administration is adopting a “freeze-framing” approach to gender-affirming therapies? What mental health care is available in detention? Are the specific needs of LGBTI detainees identified and addressed by mental health professionals? Chapter III What is the policy and practice regarding the prevention of sexually transmitted diseases and infections in the prison system?