Table 2.

A Standardized Approach to Care and Housing of the Transgender Inmate

Proposed proceduresGoals
Initial evaluation and placementVerification of biological sex status with private physical examination
Inquiry into inmate's preferences for housing
Complete risk assessment for inmate's safety in open population
Placement in protective custody (PC) for 72 hours, if requested, and evaluation by Transgender Advisory Committee
Full medical and psychiatric assessment to determine hormonal status, current medications, and mental health status
In determination of housing, ensure physical integrity and safety of inmate while taking both subjective and objective concerns into consideration
Determine health status of new inmate and identify any immediate treatment needs
Ongoing need assessment and treatmentProvision of mental health and medical services of all modalities as indicated
Ongoing evaluation of safety in housing block, placement in PC during periods of heightened risk
Taking into consideration transgender (TG) inmate's gender identity when assigning officers for searches
Monthly meeting of a multidisciplinary transgender advisory committee
Periodic evaluation by community TG representative
Ensure appropriate access to mental health and medical care
Continue to address potential safety concerns while developing safeguards to minimize the risk of unnecessary further restrictions
Facilitate communication between TG inmate and prison officials
Aftercare planningIdentification of case management needs (e.g., outpatient medical and psychiatric services, housing) on release and arrangement of necessary follow-up services
Prerelease assessment by community TG representative
Provide for smooth transition of care from correctional practitioners to outpatient providers, thereby increasing the odds of successful community reintegration and decreasing the risk of recidivism