Article Figures & Data
Tables
- Table 1.
Therapeutic Modalities and Processes in the Treatment of Gender Dysphoria, as Outlined by World Professional Association for Transgender Health (WPATH)
Therapeutic Modalities Processes Psychotherapy (individual, couple, family, group) Explore gender identity, role, and expression
Address the negative impact of gender dysphoria and stigma on mental health
Alleviate internalized transphobia
Enhance social and peer support
Improve body image
Promote resilienceHormone therapy to feminize or masculinize the body Document persistent gender dysphoria and capacity to make a full informed decision and to consent for treatment
Discuss the risk/benefit ratio of hormone therapy
Minimize the development of side effects and new medical conditions (eg: venous thromboembolic disease, hyperlipidemia, hypertension)Surgery to change primary and/or secondary sexual characteristics (e.g., breasts/chest, external and/or internal genitalia, facial features, body contouring) Document that the patient has engaged in 12 continuous months of living in a gender role that is congruent with his or her gender identity, before undergoing definitive surgery
Document persistent gender dysphoria and capacity to make a fully informed decision and to consent to treatment
Discuss different surgical techniques available and the advantages/
disadvantages of each
Identify inherent risks and possible complications of the procedure, while ensuring adequate postoperative care Proposed procedures Goals Initial evaluation and placement Verification 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 statusIn 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 needsOngoing need assessment and treatment Provision 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 representativeEnsure 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 officialsAftercare planning Identification 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 representativeProvide 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
