ECHO Ontario Mental Health Library Portal
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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

Affirmative Care for Transgender and Gender-Diverse People: Best Practices for Front-line Health Care Staff
National LGBT Health Education Center, 2020

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

Sherbourne Health, 2019

Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People
World Professional Association for Transgender Health (WPATH), 2012

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

Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People
UCSF Center of Excellence for Transgender Health, 2016

Providing Affirmative Care for Patients with Non-binary Gender Identities
National LGBT Health Education Center, The Fenway Institute, 2016

Gender Inclusive Care
Manitoba Adolescent Treatment Centre, 2016


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.

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.

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.

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.

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.

Promoting Cervical Cancer Screening Among Female-to-Male Transmasculine Patients
Rebekah Rollston, Fenway Institute, 2019

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.

Gatekeeping Hormone Replacement Therapy for Transgender Patients Is Dehumanising. 
Ashley F. Journal of Medical Ethics. 2019; 45: 480─482.

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.
* 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.
* 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.
* 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.
* 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

Gender Inclusive Language: Clinical settings with new clients
Trans Care BC

Rainbow Health Ontario Training

Behavioral Health Care Outside the Binary (free webinar, login required)
Fenway Health, October 2020

Tips for Providing Paps to Trans Men
M. Potter, LGBT Family Health Team, Sherbourne Health Centre, 2015 (updated 2017)

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

Training for Change: An Integrated Anti-Oppression Framework
Rainbow Health Network, 2009

Vanessa Goes to the Doctor (video)
US National LGBT Cancer Network, 2015

Anti-Oppression LibGuide

Simmons University Library

Anti-Oppression Framework Refresher
LGBTQ2S Toolkit

Materials for Clients & Families

Trans Health Knowledge Base
Rainbow Health Ontario

You and Your Gender Identity: A Guide to Discovery
Dara Hoffman-Fox, Simon and Schuster, 2017

The Queer and Transgender Resilience Workbook: Skills for Navigating Sexual Orientation and Gender Expression
Anneliese A. Singh. New Harbinger, 2018.

The Trans Self-Care Workbook: A Coloring Book and Journal for Trans and Non-Binary People
Theo Lorenz, Jessica Kingsley Publishers, 2020 

The Transgender Self-Care Journal: Prompts and Practices to Care for Your Beautiful Self
Andrew Maxwell Triska, Callisto Media, 2021

Trans Bodies, Trans Selves
Laura Erickson-Schroth (Ed.), Oxford University Press, 2014
* 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.


A Clinician’s Guide to Gender Actualization: An Approach to Gender Affirming Therapy
Caitlin Yilmazer, Routledge, 2021

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

Adult Transgender Care: An Interdisciplinary Approach for Training Mental Health Professionals
Michael R. Kauth, Jillian C. Shipherd. Routledge, 2017

Cultural Awareness in Therapy with Trans and Gender Non-Conforming Adults and Older People: A Practical Guide
Tavi Hawn, Jessica Kingsley Publishers, 2020

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

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.

Caring for Transgender People with Severe Mental Illness
National LGBT Health Education Center, Fenway Institute, May 2018

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