Providing supportive transgender mental health care: A systemized narrative review of patient experiences, preferences, and outcomes

Abstract Introduction Transgender populations have high rates of many mental health diagnoses, but often delay or avoid mental health care due to prior poor experiences or fear of discrimination. This indicates a need for supportive and effective transgender mental health care. We aim to identify the features of such care through a systemized narrative review of the literature. Methods Comprehensive searches of six databases were run using index terms and keywords. Searches were limited to English language studies published from 2000 to August 2019 and followed SANRA criteria. Identified records underwent title/abstract screen for relevance and then were assessed for inclusion using predetermined criteria. Included articles were tabulated and their results synthesized with attention to areas of thematic overlap. Results The search returned 1928 unique articles with 35 meeting inclusion criteria and a further one article identified on bibliography screen. Articles reported a range of experiences and preferences across mental health care settings, with common themes emerging. Several reported on retention in care, satisfaction with care, helpfulness of care, or change in symptom burden after receiving care. Discussion We discuss preliminary features of supportive transgender mental health care, recommendations for clinical practice, gaps in the literature, and areas for future research.