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This text addresses the specific lack of clinical educational support for transgender and gender nonconforming (TGNC) individuals as they age. Chapters are written by multidisciplinary healthcare experts who present topical discussions in five critical areas: essential foundational information needed to understand the life experience of older TGNC people; mental and behavioral health issues; social service considerations; specific concerns for nurses; and unique long-term medical concerns for providers. In addition, special attention is placed on providing care for TGNC veteran populations, including strategies to access social services and Social Security, and developing support networks. Transgender Health and Aging is an excellent resource for clinical and research professionals from a variety of medical disciplines, including geriatricians, primary care physicians, psychiatrists, public health officials, social workers, nurses as well as nonprofessional audiences interested in transgender healthcare in older adults.
This cross-sectional study examined relationships among discrimination, mental health (i.e., depression and anxiety), preparation for aging (i.e., familiarity and planning), social support, death attitudes, and aging anxiety among TGNC adults (N = 154). Neither discrimination nor mental health predicted preparation for aging familiarity or planning. Discrimination did, however, predict both anxiety and depression, although only the non-affirmation subscale was a unique predictor of both. As discrimination and mental health were not a significant predictor of preparedness for aging in the previous regressions, the hypothesized mediation model and subsequent moderated mediation models were not conducted. Additional exploratory multiple regressions were run to identify patterns of connections among social support, death attitudes, aging anxiety (the proposed moderators) in relation to age preparation and planning. Social support predicted preparation for aging planning, but not familiarity. Death attitudes and aging anxiety predicted preparation for aging familiarity and planning. The current findings may inform mental health interventions for TGNC individuals around non-affirmation may positively influence mental health. Additionally, addressing aging concerns and increasing social support may promote age preparatory planning among TGNC individuals.
Nuanced view into the complexities of aging as a transgender person
Transgender and gender nonconforming (TNGC) clients have complex mental health concerns, and are more likely than ever to seek out treatment. This comprehensive resource outlines the latest research and recommendations to provide you with the requisite knowledge, skills, and awareness to treat TNGC clients with competent and affirming care. As you know, TNGC clients have different needs based on who they are in relation to the world. Written by three psychologists who specialize in working with the TGNC population, this important book draws on the perspective that there is no one-size-fits-all approach for working with TNGC clients. It offers interventions tailored to developmental stages and situational factors—for example, cultural intersections such as race, class, and religion. This book provides up-to-date information on language, etiquette, and appropriate communication and conduct in treating TGNC clients, and discusses the history, cultural context, and ethical and legal issues that can arise in working with gender-diverse individuals in a clinical setting. You’ll also find information about informed consent approaches that call for a shift in the role of the mental health provider in the position of assessment and referral for the purposes of gender-affirming medical care (such as hormones, surgery, and other procedures). As changes in recent transgender health care and insurance coverage have provided increased access for a broader range of consumers, it is essential to understand transgender and gender nonconforming clients’ different needs. This book provides practical exercises and skills you can use to help TNGC clients thrive.
Gender diversity and non-conformity are becoming increasingly visible within society. As more trans and non-binary service users ‘come out’ and trans populations age, practitioners and service providers working in health care, social care, welfare services and housing, will begin to see a growing number of older gender-diverse service users. With contributions from trans and non-binary scholars and practitioners and those with lived experience, this book outlines what good care and support looks like for older trans and non-binary people. This book provides a range of reflective learning activities that can be used by educators, policy makers and practitioners in healthcare, social care, public and community services to develop their knowledge and skills to ensure their practice is affirmative and inclusive.
This book focuses on resiliency among gender expansive young people in different cultures, exploring how they engage with and leverage school, media, and religious contexts. The contributions in this volume advance the scholarship regarding the health and well-being of gender expansive young people, at a time where a plethora of recent legislation has limited and removed sundry rights of transgender individuals. While previous scholarship identified disparities among transgender youth, this book approaches resiliency from multiple lenses – from school-based clubs as tools for engagement in advocacy, to proactivity and self-care as strategies to mitigate struggles. These empirical chapters focus on diverse contexts across different countries including Canada, the USA and Australia. The book also includes important commentaries from leading scholars in the field debating the controversial issue of transgender youth "desisting" (to no longer be transgender). This book will be of interest to those studying recent legislation on transgender rights, as well as to those with a broader interest in studying gender in different contexts. This book was originally published as a special issue of the International Journal of Transgenderism.
This clinical guide reviews theory-based strategies for affirmative, competent practice with transgender and gender nonconforming clients of different ages, ethnicities, sexual orientations, and religious backgrounds. Readers will learn how to develop collaborative, client-driven partnerships to ensure optimal therapeutic outcomes. Less than 30% of psychologists report familiarity with transgender and gender nonconforming (TGNC) clients' needs. The clients, in turn, report a lack of support in their gender journeys. There is clearly a large gap in knowledge, skill, and competence in this area of practice. This clinical guide aims to fill that gap by providing mental health practitioners with an affirmative approach that emphasizes a collaborative partnership guided by client-driven goals. An expert panel of contributors teaches readers strategies for working with a diverse array of TGNC clients, including adolescents, older adults, parents, and people of color. Client factors, including sexual orientation, religious and spiritual beliefs, and traumatic experiences, are also given special attention. Readers will learn how to address the impact of the injustices TGNC people face in everyday life, work with clients' strengths to enhance their resilience and coping skills, and advocate for their rights to obtain mental and physical health services. Readers will also learn how to negotiate complex issues, such as interdisciplinary care, ethical and legal obligations, and gender-affirming surgeries and medications. Contributors draw from evidence-based theories and APA's Guidelines for Psychological Practice With Transgender and Gender Nonconforming People to help readers meet the latest standards of care.
This unique resource offers an in-depth, comprehensive look at different types of mental health needs of transgender and gender diverse youth, how these intersect with gender identity, gender expression, and sexual orientation, and provides practical information on how to ethically, responsibly, and sensitively care for these patients. Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide begins with three introductory chapters which contain practical information regarding assessment, psychological interventions, and the potential medical and surgical interventions that are indicated for youth with gender identity concerns. The remaining chapters are illustrated by multiple cases build around overarching chapter themes. Each case chapter opens with broad questions applicable to clinical practices, while the cases themselves focus on a particular co-occuring mental health condition. The case chapters are structured with intersectionality in mind, including elements of ethnic, racial, and cultural diversity, and the patients range over the full developmental spectrum, from pre-pubertal children to older adolescents. Chapter cases range in complexity as well, to provide readers with the tools they need to evaluate patients, and to assist in the decision of which presenting factors to prioritize in treatment at which time. Ending each chapter are clinical take-home messages, closing with additional practical knowledge that can be applied to other cases providers may see in their own practices. Written by expert clinicians in the field, Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide is an ideal resource not only for child and adolescent psychiatrists, but for clinicians across all mental health disciplines working with gender non-conforming youth, and who are interested in providing informed, affirmative, and intersectional care.
Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.
"Designed to educate clinicians on how to address the basic needs of the TGNC community, and thus increase access to mental health care for TGNC individuals, which has been sorely lacking to this point.Four sections address topics such as the history of the TGNC experience, mental health factors particular to the TGNC community, physical health including hormones of TGNC individuals, and gender-affirming surgical procedures, as well as nonsurgical interventions" --publisher.