A Systematic Review of Recommendations for Behavioral Health Services for Transgender and Gender Diverse Adults: The Three-Legged Stool of Evidence-Based Practice Is Unbalanced

There is a growing literature of clinical recommendations for transgender and gender diverse (TGD) affirming behavioral health care, yet it is unknown to what extent these recommendations are rooted in evidence-based practice (EBP). This systematic review included 65 articles published between 2009...

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Bibliographic Details
Published in:Clinical psychology (New York, N.Y.) N.Y.), 2021-06, Vol.28 (2), p.186-201
Main Authors: Holt, Natalie R., Ralston, Allura L., Hope, Debra A., Mocarski, Richard, Woodruff, Nathan
Format: Article
Language:English
Subjects:
Behavioral Health Services
Client Characteristics
Evidence Based Practice
Female
Gender Identity
Gender Nonconforming
Health Care Psychology
Human
Intervention
Male
Medical Diagnosis
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Summary:There is a growing literature of clinical recommendations for transgender and gender diverse (TGD) affirming behavioral health care, yet it is unknown to what extent these recommendations are rooted in evidence-based practice (EBP). This systematic review included 65 articles published between 2009 and 2018 with recommendations for behavioral health services with TGD adults, emphasizing general clinical care. Coded variables included type of article, participant demographics, aspects of EBP, and whether care was informed by objective assessment. Most articles did not equally draw from all components of EBP. Recommendations for specific clinical problems are increasingly available and address diversity within TGD communities. More research, including clinical trials adapting established interventions, is needed to inform state-of-the-art TGD-affirmative behavioral health care. Public Health Significance StatementThis study highlights the need for improved guidance for affirming behavioral healthcare with transgender and gender diverse adults that integrates all aspects of evidence-based care: clinical judgment, research evidence, and patient characteristics.
ISSN:0969-5893
1468-2850
DOI:10.1037/cps0000006