Serving transgender people: clinical care considerations and service delivery models in transgender health

Summary The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care a...

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Bibliographic Details
Published in:The Lancet (British edition) 2016-07, Vol.388 (10042), p.401-411
Main Authors: Wylie, Kevan, Prof Dr, Knudson, Gail, MD, Khan, Sharful Islam, PhD, Bonierbale, Mireille, MD, Watanyusakul, Suporn, MD, Baral, Stefan, MD
Format: Article
Language:English
Subjects:
Delivery of Health Care - organization & administration
Delivery of Health Care - standards
Equal rights
Gender
Gender Identity
Health care
Health care delivery
Health services
Human rights
Humans
Internal Medicine
Mental Health Services - organization & administration
Models, Organizational
Quality of Health Care
Transgender persons
Transgender Persons - psychology
Transsexualism - therapy
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Summary:Summary The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will depend on health system infrastructure and sociocultural contexts. Some clinical services for transgender people, including gender-affirming surgery, are best delivered in the context of more specialised facilities; however, the majority of health-care needs can be delivered by a primary care practitioner. Across high-income and low-income settings alike, there often remains a dearth of educational programming for health-care professionals in transgender health, although the best evidence supports introducing modules on transgender health early during clinical education of clinicians and allied health professionals. While these challenges remain, we review the increasing evidence and examples of the defined roles of the mental health professional in transgender health-care decisions, effective models of health service provision, and available surgical interventions for transgender people.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(16)00682-6