Transgender Healthcare Concerns - Healthcare Guild

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American Psychiatric Association 2012 Position Statements Regarding Access to Care for Transgender and Gender Variant Individuals:


1. Recognizes that appropriately evaluated transgender and gender variant individuals can benefit greatly from medical and surgical gender transition treatments.


2. Advocates for removal of barriers to care and supports both public and private health insurance coverage for gender transition treatment.


3. Opposes categorical exclusions of coverage for such medically necessary treatment when prescribed by a physician.


Regarding Discrimination against Transgender and Gender Variant Individuals:


1. Supports laws that protect the civil rights of transgender and gender variant individuals.


2. Urges the repeal of laws and policies that discriminate against transgender and gender variant people.


3. Opposes all public and private discrimination against transgender and gender variant individuals in such areas as health care, employment, housing, public accommodation, education, and licensing.


  1. 4.Declares that no burden of proof of such judgment, capacity, or reliability shall be placed upon these individuals greater than that imposed on any other persons.


American Medical Association, American Psychological Association, American Academy of Familiy Physicians, National Association of Social Workers, World Professional Association for Transgender Health, National Commission on Correctional Health Care, National Public Health Association - Statements Supporting Transgender People in Healthcare: Download - Professional Statements Concerning Transgender Healthcare.pdf



Additional Transgender Resources


According to the American Psychological Association, “Transgender is an umbrella term used to describe people whose gender identity (sense of themselves as male or female) or gender expression differs from that usually associated with their birth sex. Many transgender people live part-time or full-time as members of the other gender. Broadly speaking, anyone whose identity, appearance, or behavior falls outside of conventional gender norms can be described as transgender. However, not everyone whose appearance or behavior is gender-atypical will identify as a transgender person”.... Click here to Read the APA Article.


View - Medical Authorities Professional Statements Concerning Transgender Healthcare



Why Transgender Populations are the Most Vulnerable in the LGBT Spectrum


“Gender nonconforming and transgender youth, along with gay, bisexual, and queer youth, are one, if not the only group of minority children who cannot count on the love and support of their own families in their minority identities. For example, in our country many Black parents teach their children to have pride in their race, prepare them for the racism that is other people’s problems, not theirs, and watch their backs if their children should meet up with prejudice or violence. The same is true for children of other racial, ethnic, or religious minorities. The parents and the children are emotionally bonded together in their shared minority status. Transgender, gender nonconforming, and gay youth cannot automatically count on such support or bonding within their families. In contrast with the shared status within ethnic, racial, or religious minority families, it is rare (but not unheard of) for gender nonconforming, transgender, or gay children and youth to share their gender or sexual identity minority status with their parents and/or siblings. In their position of otherness, it is not rare for these same children to meet up with prejudice or aspersion from their own family members. Thus it is no accident that the ranks of homeless and foster care youth are disproportionately filled with transgender and gay and lesbian youth—they did not become gay, lesbian, or transgender because they lost their families; they were thrown out of their families or fled violence, abuse, or unrelenting harassment at the hands of family members precisely because of their gender or sexual identity.


...the potential for the true self to unfold is predicated on appropriate mirroring and emotional holding by the primary caretakers, in which the adults do not impose their own selves on the child’s psyche but rather allow the child’s authentic self to emerge....Individual creativity is the psychological function that launches the true self and allows it to stay afloat. It facilitates spontaneity, authenticity, and “feeling real.” In the beginning, individual creativity is reliant on a co-construction between the child and the people who comprise the holding environment, adults who in optimal circumstances will be responsive to the child’s true self and able to follow the child’s lead rather than imposing their own sensibilities about how that child should be....When allowed to function unfettered, individual creativity leads to the discovery of one’s quintessential self. Individual creativity is the opposite of compliance. In compliance one recognizes an external world in which one must fit. In creativity, an individual calls on his or her own lens through which to view that external world while taking liberties to define the personal meaning of that vision...Danger prevails when the false self takes over and suffocates the true self. In the most extreme case, an individual might want to stop living completely rather than let the false self continue to beat the true self into submission.  


...in the feedback loop between parent and child, the transgender or gender nonconforming child may be shaping the parent far more than the parent is shaping the child....The power of the child to bring the parents around to acceptance will most certainly depend on the strength of the bonds of love that child has with the parents, bonds that must prevail in overcoming the virulence of the countervailing transphobic assumptions and beliefs that serve to condemn the child.


...It is not for the parents to be blamed but for the parents to consider what it would mean to accept the child they have rather than the one they either thought they had or wished they could have. Some families can go through this process on their own, others will need the help of a professional. Either way, albeit this process takes both considerable time and emotional energy and allows for no short cuts, transphobia can be transcended and trauma or tragedy averted. The goal is to facilitate the parents’ affirmation of their child’s authentic gender self and help them overcome deeply embedded negative attitudes that stand to tatter the bonds with their child if not actually tatter their child.


...we who treat transgender or gender nonconforming youth and their families need to go through our own process of self-reflection and scrutiny of our own biases and feelings about children and youth who go against the gender grain. We also need to unlearn theories of gender that bound us to a binary notion of normative masculinity and femininity. Only then can we provide the therapeutic space and emotional safety for family members to explore their feelings and reactions to a child who comes to them as gender nonconforming or transgender....


From Ehrensaft, D. (2011, June 13). BOYS WILL BE GIRLS, GIRLS WILL BE BOYS: Children Affect. Parents as Parents Affect Children in Gender Nonconformity. Psychoanalytic Psychology. Advance online publication. doi: 10.1037/a0023828



Provider Resources for Trans-Individuals:


American Psychological Association (APA) Division 44 - Answers to Your Questions About Transgender Individuals and Gender Identity

Transgender is an umbrella term used to describe people whose gender identity (sense of themselves as male or female) or gender expression differs from that usually associated with their birth sex. Many transgender people live part-time or full-time as members of the other gender. Broadly speaking, anyone whose identity, appearance, or behavior falls outside of conventional gender norms can be described as transgender. However, not everyone whose appearance or behavior is gender-atypical will identify as a transgender person.


American Psychological Association (APA) Division 44 - Answers to Your Questions About Individuals with Intersex Conditions

A variety of conditions that lead to atypical development of physical sex characteristics are collectively referred to as intersex conditions. These conditions can involve abnormalities of the external genitals, internal reproductive organs, sex chromosomes, or sex-related hormones. Intersex was originally a medical term that was later embraced by some intersex persons. Many experts and persons with intersex conditions have recently recommended adopting the term disorders of sex development (DSD). They feel that this term is more accurate and less stigmatizing than the term intersex.


American Psychiatric Association (APA) - Transgender Training Module

At the completion of this module, the participant will understand the diagnosis and elements of treatment of transgenderism and Gender Identity Disorder (GID).


Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) Competencies for Counseling with Transgender Clients

This document contains suggested competencies for use in counseling with transgender clients. These competencies are geared toward professionally trained counselors who work with transgender individuals, families, groups, or communities.


Transgender Aging Network

The Transgender Aging Network (TAN) exists to improve the lives of current and future trans/SOFFA (significant others, friends, family and allies) elders by: Identifying, promoting communication among, and enhancing the work of researchers, service providers, educators, advocates, elders and others who are interested in trans/SOFFA aging issues; Promoting awareness of concerns, issues, and realities of trans/SOFFA aging among service providers, researchers, advocates, health care professionals, the lesbian/gay/bisexual and trans communities, and other relevant audiences; Advocating for policy changes in public and private institutions, services, organizations, programs, etc. to provide better access for and respectful and appropriate treatment of trans/SOFFA elders; and Providing communication channels through which trans/SOFFA elders can give and receive support and information.




Resources for Families of Trans-People:


Gender Spectrum - TransResource for Children to Adults and Their Families

In a simple, straightforward manner, Gender Spectrum provides consultation, training and events designed to help families, educators, professionals, and organizations understand and address the concepts of gender identity and expression. Our accessible, practical approach is based on research and experience, enabling our clients to gain a deeper understanding of gender all along the spectrum. We present an overview of how society currently defines gender and how these restrictive definitions can be detrimental to those who do not fit neatly into these categories. We then help you identify and remove the obstacles so all are free to be our authentic selves.


Center for Gender Sanity - Workplace Transitions for TransPeople

The Center for Gender Sanity assists with all aspects of transition in the workplace. We consult with employers and HR professionals to guide them through an employee’s change to a different gender presentation. We offer diversity training specifically on transgender issues for all levels of management and workers.


PFLAG Transgender Network (TNET)

While PFLAG provides support, education, and advocacy for the whole LGBT community, PFLAG’s Transgender Network – or TNET – specifically focuses on support for transgender people and their parents, families, and friends. It provides education on some issues unique to the transgender community, and focuses on issue advocacy to ensure equal rights for the transgender community at local and national levels.


Our Trans Children (PFLAG pamphlet)

PFLAG has been officially transgender inclusive since 1998, and more and more trans folks and their families are turning to us for information, understanding and support. Certainly, trans families need PFLAG at least as much as gay, lesbian and bisexual families, since they have fewer resources and much more complex issues. We in PFLAG take pride in being welcoming, loving, growing persons, unafraid to walk where our commitment takes us. It is in this spirit that PFLAG’s Transgender Network presents this new edition.



Additional Resources for Providers:


World Professional Association For Transgender Health (WPATH)

The World Professional Association for Transgender Health (WPATH), formerly known as the (Harry Benjamin International Gender Dysphoria Association, HBIGDA), is a professional organization devoted to the understanding and treatment of gender identity disorders. WPATH Mission Statement. As an international multidisciplinary professional Association the mission of WPATH is to promote evidence based care, education, research, advocacy, public policy and respect in transgender health.


National Association of Social Workers - Gender Resources

Prejudice directed against any group is damaging to the social, emotional, and economic well-being of the affected group and of society as a whole.  Therefore, social workers internationally and in the U.S. advocate that all individuals, regardless of gender, sex, or sexual orientation are entitled to equal opportunities and are afforded the basic human right to live free of discrimination. Furthermore, NASW is committed to advancing policies and practices that will improve the status and equality of all lesbian, gay, bisexual and transgender people.


International Foundation For Gender Education (IFGE)

IFGE promotes acceptance for transgender people. We advocate for freedom of gender expression and promote the understanding and acceptance of All People: Transgender, Cis-gender, Transsexual, Crossdresser, Agender, Gender Queer, Intersex, Two Spirit, Hijra, Kathoey, Drag King, Drag Queen, Queer, Lesbian, Gay, Straight, Butch, Femme, Faerie, Homosexual, Bisexual, Heterosexual, and of course - You!


Download - Varieties of Autogynephilia and GID.pdf


Download - History of Autogynephilia.pdf


Download - Reports from the DSM-V Work Group on Gender Identity Disorders.pdf


Download - Dilemmas in Conceptualizing Gender Identity Variants.pdf


American Educational Gender Information Services (AEGIS)

AEGIS is now a part of Gender Education and Advocacy (GEA). The American Educational Gender Information Service, Inc. is a 501(c)(3) nonprofit clearinghouse for information about transgender and transsexual issues. We publish the journal Chrysalis: The Journal of Transgressive Gender Identities; AEGIS.




Hate Crimes and Violence Against Transgender People:


International Transgender Day of Remembrance Statistics (TDOR)

Transgender Day of Remembrance - November 20th is recognized as the national Transgender Day of Remembrance – an opportunity for communities to come together and mark the passing of transgender or those perceived to be transgender individuals who have been murdered because of hate. Transgender Day of Remembrance provides a forum for transgender communities and allies to raise awareness of the threat of violence faced by gender variant people and the persistence of prejudice felt by the transgender community. Communities organize events and activities including town hall style "teach-ins," photography and poetry exhibits, and candlelit vigils. These activities make anti-transgender violence visible to stakeholders like police, the media and elected officials.


Sylvia Rivera Law Project (SRLP) Gender Identity and Expression

The Sylvia Rivera Law Project (SRLP) works to guarantee that all people are free to self-determine their gender identity and expression, regardless of income or race, and without facing harassment, discrimination, or violence.



Transgender Youth:


Bending the Mold: An Action Kit for Transgender Students (NYAC - Lambda Legal)


Transster


Transkids


Transyouth


Transyouth Family Advocates


Trans Youth Support Network


Trans Youth Family Allies


TransKids Purple Rainbow


National Youth Advocacy Coalition


Transfamily


Our Trans Children (PFLAG pamphlet)


Transgender Youth Family Allies


Mermaids (for children and adolescents)


Sexual Minority Youth Assistance League


TransKids Purple Rainbow


Sexual Minority Youth Assistance League (SMYAL)


National Youth Advocacy Coalition


Project 10 - Unified School District Program



Transgender Legal Assistance:


Transgender Law and Policy Institute


Transgender Law Center


International Conference on Transgender Law and Employment Policy


Sylvia Riveria Law Project


Transgender Legal Defense & Education Fund


Transgender American Veterans Association


National Gay and Lesbian Task Force’s Transgender Civil Rights Project


Proposed Bill of Rights for Transgender individuals


Gender and Health Equity Network


International Bill of Gender Rights


NCLR Transgender Law Project


NCTE – National Center for Transgender Equality





Additional Transgender Resources


HRC - Transgender Visibility Guide: A Guide to Being You


Satori World Medical Global Transgender Program - Reassignment Surgery

Advocates For Informed Choice - Advocates to End Non-Consensual Intersex Surgeries

Accord Alliance - Support and Education for Intersexuals and Disorders of Sex Dev.

National Center For Transgender Equality - Advocacy


Transgender American Veterans Association


Carla's - Online Store and Social Site

FemmeFever - Support and Trans Merchandise

Gender Education Center

Gender Education and Advocacy

Janet's Closet - Cross Dressing Store

Society For The Second Self - Support for Crossdressers and Their Friends/Families

URNOTALONE - Articles for the Trans Community


Hudson's FTM Guide


FtM International


FtM International Discussion


FtM Allies, Friends, Loved Ones, and Tribe listserve


For Ourselves: Reworking Gender Expression - FTM


The Transitional Male


Transsexual Women’s Resources


Choices Counseling & Consulting


Transsexual Road Map


My Right Self


Transgender Online Support Groups


Androgyne Online - Definitions of Androgyne and Gender


Two Spirit Definitions and History - Androgyne.0catch.com


TGChatroom.com


GenderTalk Radio


Autogynephiliac Blog


MtF Transition Journey


Coming Out as Transgender


Transgender Care


EngenderHealth


TransHealth


Information about hormones


TriEss Cross Dressing Support


Intersex Society of North America


Accord Alliance


Surgical Treatment of Infants with Ambiguous Genitalia


Organization for the Study of Sex Differences


Pacific Center for Sex and Society


Transgender Aging Network


Trans Faith


International Journal of Transgenderism


Professionals Concerned with Gender Diagnoses in the DSM


Trans-Friendly Jobs - TJBank


Center for Gender Sanity - In the Workforce


GenderLife


GenderPAC - Gender Public Advocacy Coalition


GenderQueer Revolution


The Renaissance Transgender Association


Gender Odyssey Conference


Family Acceptance Project


Childrens National Medical Center


National Center for Transgender Equality


National Transgender Advocacy Coalition


TransGender San Francisco


Gender Identity Center of Colorado


Trans-Academics


Transgender Forum


The GLBT Health Access Project


Transgender Health Program


International Foundation for Gender Education


Gender Education and Advocacy

TS Road Map


The Transitional Male


Boston Hospital Gender Management Services


Dimensions Clinic


Broadway Youth Center


The Mazzoni Center


Walker-Whitman Clinic


Callen-Lorde Community Health Center


GenderPAC Advocacy


GIRES - Gender Identity Research and Education Society (GIRES)


VCH - Vancouver Coastal Health Clinical Protocol Guidelines for Transgender Care 


FENWAY - Fenway Community Health’s Transgender Health Program


FTM International


TWR - Transsexual Women’s Resources (good surgical resources)


PFLAG TNET (TransYouth & Families)


ES - Endocrine Society: Endocrine Treatment of Transsexual Persons, Clinical Practice Guidelines


Page 2 of 3 - Transgender

Page 1  >>  Identity Development

Page 2  >>  Transgender Resources

Page 3  >>  Intersex Resources


World Professional Association for Transgender Health (WPATH)


The World Professional Association for Transgender Health (WPATH), formerly known as the (Harry Benjamin International Gender
Dysphoria Association, HBIGDA), is a professional organization devoted to the understanding and treatment of gender identity disorders. WPATH Mission Statement: As an international multidisciplinary professional Association the mission of WPATH is to promote evidence based care, education, research, advocacy, public policy and respect in transgender health....The International Journal of Transgenderism is an open-access journal, which includes the WPATH Standards of Care for Transgender Clients....

Center of Excellence for Transgender Health - UCSF


Lesbian, gay, bisexual, and transgender individuals have unique health experiences and needs, but as a nation, we do not know exactly what these experiences and needs are. To advance understanding of the health needs of all LGBT individuals, researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased...

Gender Spectrum Healthcare Resources


Gender Spectrum provides consultation, training and events designed to help families, educators, professionals, and organizations understand and address the concepts of gender identity and expression. Our accessible, practical approach is based on research and experience, enabling our clients to gain a deeper understanding of gender all along the spectrum. We present an overview of how society currently defines gender and how these restrictive definitions can be detrimental to those who do not fit neatly into these categories. We then help you identify and remove the obstacles so all are free to be our authentic selves....

Fenway Health Transgender Health Program


Fenway Health provides primary medical and mental health care, and supportive services, that is are sensitive to the needs of people who identify on the transgender spectrum. The Transgender Health Program at Fenway helps to ensure quality and informed care for trans women, trans men, gender-queer, affirmed men and women, and others who have health care needs unique to gender expressions and identities that may vary from societally imposed expectations or norms....

We Happy Trans for Transgender Community


We Happy Trans was created so that trans people could share stories of positive experiences, so the wider world could see that like any other community, we too thrive, struggle, and overcome; to give further evidence that we too have writers magically shaping words to reflect and elevate shared human experience, and eloquent speakers calling to the better angels of our nature....

Gender Spectrum - Youth Struggling with Gender Identity


Gender Spectrum provides consultation, training and events designed to help families, educators, professionals, and organizations understand and address the concepts of gender identity and expression. Our accessible, practical approach is based on research and experience, enabling our clients to gain a deeper understanding of gender all along the spectrum. We present an overview of how society currently defines gender and how these restrictive definitions can be detrimental to those who do not fit neatly into these categories. We then help you identify and remove the obstacles so all are free to be our authentic selves....

TransYouth Family Allies (TYFA) for Gender-Variant Youth


TYFA empowers children and families by partnering with educators, service providers and communities, to develop supportive environments in which gender may be expressed and respected. We work to create a society free of suicide and violence in which ALL children are respected and celebrated. Specifically, TransYouth Family Allies will work...

TransActive Comprehensive Array of Professional Services


Based in Portland, Oregon, TransActive provides a comprehensive array of in-house counseling, case management and medical referral services, educational workshops, training and professional speakers, child and family advocacy and support  to transgender and gender nonconforming children and youth, their families, allies, community organizations and helping professionals....

Trans Youth Equality Foundation - Education, Advocacy and Support for Transgender and Gender Non-Conforming


Our mission is to provide transgender and gender-variant youth with a safe, fun, and unique outdoor camp experience and to foster leadership skills in a place where campers are able to express gender however they are comfortable and connect with others in similar situations. Camp Aranu'tiq is a tax-exempt nonprofit organization. All of our camp counselors are volunteers. Aranu'tiq has two locations: Southern New England and Southern California.....

Sister-House: A Gathering Place for the Cross-Dressing Community


A website focused on crossdressers and the transgendered woman.
 

National Center for Transgender Equality


The National Center for Transgender Equality celebrates the passage of a strong bipartisan Violence Against Women Act, which now heads to President Barack Obama for his signature. As one of NCTE's top priorities for the year, we commend the U.S. House of Representatives for rejecting attempts to exclude lesbian, gay, bisexual and transgender people, Native Americans and immigrants from the Violence Against Women Act (VAWA).....

Transgender Day of Remembrance


Transgender Day of Remembrance (November 20th) honors the lives of those lost to unnecessary hatred and violence towards a community that struggles daily to be accepted for who they are....


Mermaids - Family and Individual Support for Teenagers and Children with Gender Identity Issues


Mermaids is a support group originally formed in 1995 by a group of parents who were brought together as a result of their children's longstanding Gender Identity Issues.  We have supported each other and our children through the difficulties and trauma that gender issues commonly bring to families. We identified a need to form a support group to help other families, children, and teenagers in similar situations....

Camp Aranu’Tiq for Transgender and Gender Variant Youth


Our mission is to provide transgender and gender-variant youth with a safe, fun, and unique outdoor camp experience and to foster leadership skills in a place where campers are able to express gender however they are comfortable and connect with others in similar situations. Camp Aranu'tiq is a tax-exempt nonprofit organization. All of our camp counselors are volunteers. Aranu'tiq has two locations: Southern New England and Southern California....

Lambda Legal - Working with Transgender Youth


Like all young people in care, transgender youth are entitled to bias-free attention to their unique needs and to be safe in their placements and services. They should be supported in their gender identity and never required to conform to traditional conceptions of gender in order to receive appropriate care. Child welfare professionals who work with transgender young people should be educated about transgender issues and prepared to work sensitively with these clients. Knowledge about lesbian, gay and bisexual issues may be helpful in working with transgender young people, but gender identity issues may be very different from issues related to sexual orientation.....

Endocrine Society Clinical Practice Guideline on Transgender Care


The Endocrine Society's Council approved the Society's 11th guideline, Endocrine Treatment of Transsexual Persons - Practice Guidelines....


Services & Advocacy for GLBT Elders (SAGE USA)


Improving the Lives of Transgender Older Adults: Recommendations for Policy and Practice is published by Services & Advocacy for GLBT Elders (SAGE), the country's largest and oldest organization dedicated to improving the lives of lesbian, gay, bisexual and transgender (LGBT) older adults....
 
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