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Gender-Affirming Care for Adults

Guidelines/Best Practices/Guidance Documents


Medical Care of Trans and Gender Diverse Adults

Fenway Health, Spring 2021
https://www.lgbtqiahealtheducation.org/wp-content/uploads/2021/07/Medical-Care-of-Trans-and-Gender-Diverse-Adults-Spring-2021.pdf

Affirmative Care for Transgender and Gender-Diverse People: Best Practices for Front-line Health Care Staff
National LGBT Health Education Center, 2020
https://www.lgbtqiahealtheducation.org/publication/affirmative-services-for-transgender-and-gender-diverse-people-best-practices-for-frontline-health-care-staff/

Guidelines for gender-affirming primary care with trans and non-binary patients, 4th edition

Sherbourne Health, 2019
https://www.rainbowhealthontario.ca/resources/4th-edition-sherbournes-guidelines-for-gender-affirming-primary-care-with-trans-and-non-binary-patients/

Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People
World Professional Association for Transgender Health (WPATH), 2012
https://www.wpath.org/publications/soc

Gender-affirming Care for Trans, Two-Spirit, and Gender Diverse Patients in BC: A Primary Care Toolkit
Trans Care BC, Provincial Health Services Authority, August 2021
http://www.phsa.ca/transcarebc/Documents/HealthProf/Primary-Care-Toolkit.pdf

Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People
UCSF Center of Excellence for Transgender Health, 2016
http://transhealth.ucsf.edu/trans?page=guidelines-home

Providing Affirmative Care for Patients with Non-binary Gender Identities
National LGBT Health Education Center, The Fenway Institute, 2016
https://www.lgbtqiahealtheducation.org/wp-content/uploads/2017/02/Providing-Affirmative-Care-for-People-with-Non-Binary-Gender-Identities.pdf

Gender Inclusive Care
Manitoba Adolescent Treatment Centre, 2016
https://matc.ca/files/gender-inclusive-care-resource.pdf

Articles


The gender affirmative lifespan approach (GALA): A framework for competent clinical care with nonbinary clients

Rider, G. N., Vencill, J. A., Berg, D. R., et al. (2019). International Journal of Transgenderism, 20(2-3), 275-288.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831004/

Preventing transition “regret”: An institutional ethnography of gender-affirming medical care assessment practices in Canada. 
MacKinnon, K. R., Ashley, F., Kia, H., Lam, J. S. H., Krakowsky, Y., & Ross, L. E. (2021). Social Science & Medicine, 291, 114477.
https://doi.org/10.1016/j.socscimed.2021.114477

Attitudes of Trans Men and Non-binary People to UK Cervical Screening.

Berner, A. M., Connolly, D., Pinnell, I., et al. (2021). British Journal of General Practice. 71 (709): e614-e625. https://doi.org/10.3399/BJGP.2020.0905

Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review.
Dhillon, N., Oliffe, J. L., Kelly, M. T., & Krist, J. (2020). American journal of men’s health, 14(3), 1557988320925691. https://doi.org/10.1177/1557988320925691

Health of Non-binary and Genderqueer People: A Systematic Review
Scandurra, C., Mezza, F., Maldonato, N. M., et al. (2019). Frontiers in Psychology, 10, 1453.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603217/

Promoting Cervical Cancer Screening Among Female-to-Male Transmasculine Patients
Rebekah Rollston, Fenway Institute, 2019
https://fenwayhealth.org/wp-content/uploads/TFIP-28_TransMenCervicalCancerScreeningBrief_web.pdf


Informed Consent

Informed consent in the medical care of transgender and gender-nonconforming patients. 
Cavanaugh, T., Hopwood, R., & Lambert, C. (2016). IAMA journal of ethics, 18(11), 1147-1155.
https://doi.org/10.1001/journalofethics.2016.18.11.sect1-1611.

Gatekeeping Hormone Replacement Therapy for Transgender Patients Is Dehumanising. 
Ashley F. Journal of Medical Ethics. 2019; 45: 480─482. 
https://jme.bmj.com/content/45/7/480.info

The Informed Consent Model of Transgender Care: An Alternative to the Diagnosis of Gender Dysphoria. 
Schulz SL. Journal of Humanistic Psychology. 2018; 58(1): 72─92. https://doi.org/10.1177/0022167817745217
* abstract only without payment/subscription

The peculiar case of the standards of care: Ethical ramifications of deviating from informed consent in transgender-specific healthcare. 
Lipshie-Williams, M. (2020). Ethics, Medicine and Public Health, 13, 100470.
https://doi.org/10.1007/s11019-021-10023-6
* abstract only without payment/subscription

The continuum of informed consent models in transgender health. 
Ashley, F., St Amand, C. M., & Rider, G. (2021). Family Practice.
https://doi.org/10.1093/fampra/cmab047
* abstract only without payment/subscription


Book Chapters

“Psychotherapy” by Barker, M.J. and Iantaffi, I.
in Genderqueer and Non-Binary Genders by Richards, C., Bouman, W.P., Barker, M.J. (Eds.). Palgrave MacMillan, 2017.
https://iecho.unm.edu/sites/camh/download.hns?i=1356
* Please do not circulate this document.

Clinical Tools & Resources

Trans Primary Care: Meetings the health care needs of trans clients
Rainbow Health Ontario, updated 2020
https://www.rainbowhealthontario.ca/TransHealthGuide/intro-transition.html

Gender Inclusive Language: Clinical settings with new clients
Trans Care BC
http://www.phsa.ca/transcarebc/Documents/HealthProf/Gender_Inclusive_Language_Clinical.pdf

Rainbow Health Ontario Training
https://www.rainbowhealthontario.ca/training/

Behavioral Health Care Outside the Binary (free webinar, login required)
Fenway Health, October 2020
https://www.lgbtqiahealtheducation.org/courses/behavioral-health-care-outside-the-binary-2/

Tips for Providing Paps to Trans Men
M. Potter, LGBT Family Health Team, Sherbourne Health Centre, 2015 (updated 2017)
https://www.rainbowhealthontario.ca/wp-content/uploads/2020/04/Tips_Paps_TransMen.pdf

If You Have It, Check It: Overcoming Barriers to Cervical Cancer Screening with Patients on the Female-to-Male Transgender Spectrum (free webinar, login required)
Fenway Health, January 2016
https://www.lgbtqiahealtheducation.org/courses/if-you-have-it-check-it-overcoming-barriers-to-cervical-cancer-screening-with-patients-on-the-female-to-male-transgender-spectrum/

Training for Change: An Integrated Anti-Oppression Framework
Rainbow Health Network, 2009
http://www.oaith.ca/assets/files/Publications/Intersectionality/FrameworkARAO-Training.pdf

Vanessa Goes to the Doctor (video)
US National LGBT Cancer Network, 2015
https://youtu.be/S3eDKf3PFRo

Anti-Queermisia
Anti-Oppression LibGuide

Simmons University Library
https://simmons.libguides.com/anti-oppression/anti-queermisia

Anti-Oppression Framework Refresher
LGBTQ2S Toolkit
http://lgbtq2stoolkit.learningcommunity.ca/training/anti-oppression-framework-refresher/

Materials for Clients & Families

Trans Health Knowledge Base
Rainbow Health Ontario
https://www.rainbowhealthontario.ca/lgbt2sq-health/trans-health-knowledge-base/

You and Your Gender Identity: A Guide to Discovery
Dara Hoffman-Fox, Simon and Schuster, 2017
https://www.simonandschuster.ca/books/You-and-Your-Gender-Identity/Dara-Hoffman-Fox/9781510723054

The Queer and Transgender Resilience Workbook: Skills for Navigating Sexual Orientation and Gender Expression
Anneliese A. Singh. New Harbinger, 2018.
https://www.newharbinger.com/queer-and-transgender-resilience-workbook

The Trans Self-Care Workbook: A Coloring Book and Journal for Trans and Non-Binary People
Theo Lorenz, Jessica Kingsley Publishers, 2020
https://www.ubcpress.ca/the-trans-self-care-workbook 

The Transgender Self-Care Journal: Prompts and Practices to Care for Your Beautiful Self
Andrew Maxwell Triska, Callisto Media, 2021
https://www.google.ca/books/edition/The_Transgender_Self_Care_Journal/9Q0YzgEACAAJ?hl=en

Trans Bodies, Trans Selves
Laura Erickson-Schroth (Ed.), Oxford University Press, 2014
http://transbodies.com/
* new edition coming soon!


Lived Experiences


Six Tips for Giving Good Health Care to Anyone With a Cervix.

Sallans, R. K. (2020). AMA journal of ethics, 22(2), 168-175. https://doi.org/10.1001/amajethics.2020.168

Books

A Clinician’s Guide to Gender Actualization: An Approach to Gender Affirming Therapy
Caitlin Yilmazer, Routledge, 2021
https://www.routledge.com/A-Clinicians-Guide-to-Gender-Actualization-An-Approach-to-Gender-Affirming/Yilmazer/p/book/9780367432133

A Clinician’s Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients
Sand C. Chang, Anneliese A. Singh, lore m. dickey. New Harbinger, 2018
https://www.newharbinger.com/9781684030521/a-clinicians-guide-to-gender-affirming-care/

Adult Transgender Care: An Interdisciplinary Approach for Training Mental Health Professionals
Michael R. Kauth, Jillian C. Shipherd. Routledge, 2017
https://www.routledge.com/Adult-Transgender-Care-An-Interdisciplinary-Approach-for-Training-Mental/Kauth-Shipherd/p/book/9781138229037

Cultural Awareness in Therapy with Trans and Gender Non-Conforming Adults and Older People: A Practical Guide
Tavi Hawn, Jessica Kingsley Publishers, 2020
https://www.jkp.com/can/cultural-awareness-in-therapy-with-trans-and-gender-non-conforming-adults-and-older-people-1.html

Considerations for Older Adults


Cultural Awareness in Therapy with Trans and Gender Non-Conforming Adults and Older People: A Practical Guide

Tavi Hawn, Jessica Kingsley Publishers, 2020
https://www.jkp.com/can/cultural-awareness-in-therapy-with-trans-and-gender-non-conforming-adults-and-older-people-1.html


Considerations for Clients with Serious Mental Illness

Affirming Gender Identity of Patients With Serious Mental Illness. 
Smith, W. B., Goldhammer, H., & Keuroghlian, A. S. (2019). Psychiatric services (Washington, DC), 70(1), 65-67.
https://doi.org/10.1176/appi.ps.201800232

Caring for Transgender People with Severe Mental Illness
National LGBT Health Education Center, Fenway Institute, May 2018
https://www.lgbtqiahealtheducation.org/wp-content/uploads/2018/06/Understanding-and-Addressing-Severe-Mental-Illness-in-Transgender-People.pdf

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