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At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.
"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.
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.
From a renowned specialist at the Cleveland Clinic and medical and surgical experts in this growing field comes an up-to-date, multidisciplinary resource on transgender health care and surgery. Comprehensive Care of the Transgender Patient, by Dr. Cecile Ferrando, covers all aspects of transgender health care, beginning with epidemiology and history and progressing to an in-depth review of the complex transition for patients, including mental health services, endocrine and hormone therapy treatment, and surgical options. - Incorporates all of the latest guidelines for providers and patients, written by experts from a wide variety of disciplines involved in transgender patient care. - Contains outstanding surgical chapters contributed by prominent surgeons who regularly perform these procedures, providing clear guidance on male-to-female and female-to-male surgical options. - Features high-quality, full-color illustrations throughout. - Covers key topics in every area of transgender health care, including Mental Health Care for the Adult and for the Child and Adolescent Transgender Patient; Hormone Treatment for the Adult and Adolescent Transgender Patient; Facial Surgery for Transgender Patients; Breast and Genital Surgeries for Transgender Patients; and Primary, Preventive, and Gynecologic Care. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.
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.
"The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health is the first truly comprehensive clinical reference to enhancing the health care and wellness of LGBT patients. Written by leading experts in the field and created in conjunction with Fenway Community Health of Boston, one of America's most respected community-based research and treatment centers, this one-of-a kind resource examines the unique issues faced by sexual minority patients and provides readers with clear and authoritative guidance." -- Book Jacket.
The first case-based comprehensive textbook to address the unique health care needs of transgender and gender diverse adults A Doody's Core Title for 2023! Demand for state-of-the-art health care services for transgender and gender diverse communities is rapidly increasing. Transgender and Gender Diverse Health Care: The Fenway Guide offers a roadmap for clinicians to provide culturally responsive care that meets the primary, preventive, and specialty health needs of transgender and gender diverse adult patients. With the most up-to-date scientific and clinical information, this practical guide reviews new data on terminology, demographics, and epidemiology; highlights key aspects of gender identity emergence across the lifespan; and provides guidance on both hormonal and surgical gender affirmation. Applying a health-equity model of care, this invaluable resource offers a foundation for clinicians when addressing health needs of transgender and gender diverse communities. Transgender and Gender Diverse Health Care: The Fenway Guide features essential information that includes the following topics and more: The history and epidemiology of transgender and gender diverse health care Primary, preventive, and specialty care considerations for transgender and gender diverse patients Hormonal, surgical and non-medical gender affirmation Trauma-informed and gender-affirming care Behavior health, eating disorders and body positivity Reproductive health, obstetrical care, and family building Treatment of HIV and sexually transmitted infections Community building, advocacy and partnership
By empowering clients to be well-informed medical consumers and by delivering care providers from the straitjacket of inadequate diagnostic standards and stereotypes, this book sets out to transform the nature of transgender care. In an accessible style, the authors discuss the key mental health issues, with much attention to the vexed relationship between professionals and clients. They propose a new professional role; that of "Gender Specialist." Chapters 3, 4, and 5 provide definitive information (in the context of consulting health professionals) on hormone administration, aesthetic surgery, and genital reassignment surgery. Chapter 6 takes up the little-examined issue of HIV and AIDS among transgender people. There is also a chapter devoted to issues of transgender people of color, as well as a chapter on transgender adolescents. The book contains a wealth of practical information and accounts of people's experiences about coming out to one's employer or to one's friends or spouse. Several essays spell out the legal rights of transgender people with regard to insurance, work, marriage, and the use of rest rooms. The second part of the book consists of thirteen essays on a range of controversial topics. They include three personal stories of transgender life, one essay on the new academic field of Transgender Studies, two essays on legal rights, three essays on medical issues, and two essays on the origins and possible resolution of the conflicts between therapist and client. The authors have also provided useful listings of organizations, centers, and Web sites. The book has been reviewed by a national committee of professionals and consumers, some of whose members have contributed the essays in the second part of the book. Author note: Gianna E. Israel has been in private practice as a Gender Specialist since 1988. She has worked with over one thousand transgendered men and women, and is also a member of the transgender community. She is a founding member of the board of the American Education Gender Information Service (AEGIS). Donald E. Tarver II, M.D., is a San Francisco psychiatrist working in public mental health and a private practice. He is Medical Director of New Leaf--a multiservice agency serving the mental health, substance abuse recovery, HIV/AIDS, and social service needs of the lesbian, gay, bisexual, and transgender communitites.
A radical and necessary rethinking of trans care What does it mean for trans people to show up for one another, to care deeply for one another? How have failures of care shaped trans lives? What care practices have trans subjects and communities cultivated in the wake of widespread transphobia and systemic forms of trans exclusion? Trans Care is a critical intervention in how care labor and care ethics have been thought, arguing that dominant modes of conceiving and critiquing the politics and distribution of care entrench normative and cis-centric familial structures and gendered arrangements. A serious consideration of trans survival and flourishing requires a radical rethinking of how care operates. Forerunners is a thought-in-process series of breakthrough digital works. Written between fresh ideas and finished books, Forerunners draws on scholarly work initiated in notable blogs, social media, conference plenaries, journal articles, and the synergy of academic exchange. This is gray literature publishing: where intense thinking, change, and speculation take place in scholarship.
What does it mean for someone to be ‘trans’? What are the implications of this for healthcare provision? Drawing on the findings of an extensive research project, this book addresses urgent challenges and debates in trans health. It interweaves patient voices with social theory and autobiography, offering an innovative look at how shifting language, patient mistrust, waiting lists and professional power shape clinical encounters, and exploring what a better future might look like for trans patients.