IMPROVING THE ASSESSMENT OF CHILDREN AND YOUTH WHO PRESENT WITH GENDER DYSPHORIA: An investigation into patient and parent satisfaction

K. Walsh, Melissa R. Jonnson, Wallace Wong, Veronique Nguy
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Abstract

Practitioners working with gender non-conforming children and youth ascribe to general guidelines based on the World Professional Association for Transgender Health Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People (2012). These guidelines inform clinical practice and assessment and emphasize the need for gender affirming care, but they do not include strict treatment criteria. Consequently, there are multiple perspectives and approaches in the field regarding effective assessment and treatment of gender diverse and transgender clients. Given the ongoing debate around best practices, the current exploratory research study investigates the perspectives and satisfaction of transgender youth and their parents actively seeking out gender health assessments (e.g., hormone readiness assessments). Twenty-five parents and 22 youth who were accessing gender health services through a community outpatient clinic completed a questionnaire about the gender health assessment process. Survey data was analyzed using descriptive statistics, and portions analyzed using thematic analysis. Similar responsepatterns were found between groups and themes emerged surrounding the need for an individualized approach to care. This study aims to increase clinical understanding of the experiences of those seeking gender health assessment services to inform and improve practices to better serve this community.
改善儿童和青少年性别不安的评估:对患者和家长满意度的调查
与性别不一致的儿童和青少年打交道的从业人员将其归因于基于《世界跨性别专业协会变性人、跨性别者和性别不一致者健康护理标准》(2012年)的一般准则。这些指导方针为临床实践和评估提供了信息,并强调了性别肯定护理的必要性,但它们不包括严格的治疗标准。因此,在有效评估和治疗性别多样化和跨性别客户方面,该领域存在多种观点和方法。鉴于围绕最佳实践的持续争论,目前的探索性研究调查了积极寻求性别健康评估(例如激素准备评估)的跨性别青年及其父母的观点和满意度。通过社区门诊诊所获得性别健康服务的25名家长和22名青年填写了一份关于性别健康评估过程的问卷。调查数据采用描述性统计分析,部分数据采用专题分析。在小组之间发现了类似的反应模式,围绕个性化护理方法的需求出现了主题。本研究旨在增进临床对那些寻求性别健康评估服务的人的经验的了解,以告知和改进实践,更好地为这个社区服务。
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