Recommended Revisions to the World Professional Association for Transgender Health's<i>Standards of Care</i>Section on Medical Care for Incarcerated Persons with Gender Identity Disorder

Brown, George R.

doi:10.1080/15532730903008073

Cited by 17 publications

(22 citation statements)

References 22 publications

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“…The SOC in their entirety apply to all transsexual, transgender, and gender nonconforming people, irrespective of their housing situation. People should not be discriminated against in their access to appropriate health care based on where they live, including institutional environments such as prisons or long-/intermediate-term health care facilities (Brown, 2009). Health care for transsexual, transgender, and gender nonconforming people living in an institutional environment should mirror that which would be available to them if they were living in a non-institutional setting within the same community.…”

Section: Applicability Of the Standards Of Care To People Living In Imentioning

confidence: 99%

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People

Coleman

2017

Principles of Gender-Specific Medicine

306

636

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The World Professional Association for Transgender Health (WPATH) I is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, advocacy, public policy, and respect for transgender health. The vision of WPATH is to bring together diverse professionals dedicated to developing best practices and supportive policies worldwide that promote health, research, education, respect, dignity, and equality for transsexual, transgender, and gender nonconforming people in all cultural settings. One of the main functions of WPATH is to promote the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. The SOC are based on the best available science and expert professional consensus. II Most of the research and experience in this field comes from a North American and Western European perspective; thus, adaptations of the SOC to other parts of the world are necessary. Suggestions for ways of thinking about cultural relativity and cultural competence are included in this version of the SOC. The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. This assistance may include primary care, gynecologic and urologic care, reproductive options, voice and communication therapy, mental health services (e.g., assessment, counseling, psychotherapy), and hormonal and surgical treatments. While this is primarily a document for health professionals, the SOC may also be used by individuals, their families, and social institutions to understand how they can assist with promoting optimal health for members of this diverse population. WPATH recognizes that health is dependent upon not only good clinical care but also social and political climates that provide and ensure social tolerance, equality, and the full rights of citizenship. Health is promoted through public policies and legal reforms that promote tolerance and equity I Formerly the Harry Benjamin International Gender Dysphoria Association II The Standards of Care (SOC), Version 7 represents a significant departure from previous versions. Changes in this version are based upon significant cultural shifts, advances in clinical knowledge, and appreciation of the many health care issues that can arise for transsexual, transgender, and gender nonconforming people beyond hormone therapy and surgery (Coleman, 2009a, b, c, d). The Standards of Care 7TH VERSION World Professional Association for Transgender Health for gender and sexual diversity and that eliminate prejudice, discrimination, and stigma. WPATH is committed to advocacy for these changes in public policies and legal reforms. The Standards of Care 7TH VERSION ...

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Section: Applicability Of the Standards Of Care To People Living In Imentioning

confidence: 99%

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People

Coleman

2017

Principles of Gender-Specific Medicine

306

636

View full text Add to dashboard Cite

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“…11,18,19 In the correctional setting, preoperative transgender individuals face improper housing and the burden of living as a member of the opposite gender in housing designated for the sex they were assigned at birth. 3,[20][21][22][23] Furthermore, incarcerated transgender individuals are at a higher risk of experiencing sexual abuse. 24,25 The New York City Department of Health and Mental Hygiene (DOHMH) oversees the delivery of medical, mental health, and dental care, as well as discharge planning services in the New York City (NYC) jail system, which has an average daily census of 11,000 inmates, over 70,000 annual admissions, and an average detainee stay of 30 days.…”

Section: Introductionmentioning

confidence: 99%

Improving Transgender Healthcare in the New York City Correctional System

et al. 2016

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Our efforts to assess the quality of care provided to transgender patients revealed significant areas for improvement. Although we have made important gains in providing quality care through the implementation of policies and procedures rooted in community standards and the express wishes of our patients, we continue to engage this patient population to identify other issues that impact their health and well-being in the jail environment.

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“…In essence, the letters received could constitute an enriched sample of those transgender inmates who are having problems in their particular prison setting and may be unrepresentative of those transgender inmates who do not write letters. It should be noted, however, that many of the issues reported by the 129 inmates in this study do reflect the publicly available record of litigation by transgender inmates against DOCs, in particular on the issues of lack of access to transgender health care, autocastration, physical and sexual abuse, and suicidality (Brown, 2009(Brown, , 2010.…”

Section: Limitations Of the Studymentioning

confidence: 95%

Qualitative Analysis of Transgender Inmates’ Correspondence

Brown

2014

Journal of Correctional Health Care

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Claims of inadequate health care and safety afforded to transgender inmates have become the subject of litigation. This article reviews 129 unsolicited letters from transgender inmates writing from 24 states and the Federal Bureau of Prisons to identify their concerns. Among the letters reviewed were reports from 10 inmates who had filed lawsuits naming departments of correction (DOCs) as defendants, claiming inadequate access to transgender health care. Five of these lawsuits have gone to trial. In all of those cases, the defendant settled the matter or was found liable as of the time of this report. Claims of inadequate care for transgendered patients that have sufficient merit to be fully litigated in U.S. courts appear likely to produce verdicts in favor of plaintiff inmates. The information gleaned from reviewing letters from transgendered inmates may alert staffs of DOCs to concerns worth addressing proactively to avoid the costs associated with transgender-related lawsuits.

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Recommended Revisions to the World Professional Association for Transgender Health'sStandards of CareSection on Medical Care for Incarcerated Persons with Gender Identity Disorder

Cited by 17 publications

References 22 publications

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People

Improving Transgender Healthcare in the New York City Correctional System

Qualitative Analysis of Transgender Inmates’ Correspondence

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