Providing Affirmative Care to Transgender and Gender Diverse Youth: Disparities, Interventions, and Outcomes

Call, David; Challa, Mamatha; Telingator, Cynthia

doi:10.1007/s11920-021-01245-9

Cited by 34 publications

(17 citation statements)

References 95 publications

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“…Through our participants’ narratives, it became clear that previous hardships facilitated LGBTQ resilience during the COVID-19 pandemic. Clinicians can draw from these experiences to focus on the positive aspects of being LGBTQ (see Riggle et al, 2008, 2011; Rostosky et al, 2010) and provide LGBTQ affirming care (Call et al, 2021; Hinrichs & Donaldson, 2017; Wagner et al, 2019). Furthermore, positive thinking also facilitated resilience for our participants.…”

Section: Discussionmentioning

confidence: 99%

“Previous resilience has taught me that I can survive anything:” LGBTQ resilience during the COVID-19 pandemic.

Gonzalez¹,

Abreu²,

Arora³

et al. 2021

Psychology of Sexual Orientation and Gender Diversity

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Coronavirus disease 2019 (COVID-19) has disproportionately negatively affected the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, a group who faces identity-based marginalization in society. LGBTQ resilience narratives are important in buffering against the negative impact of minority stress, but little is known about how LGBTQ people have been resilient during the COVID-19 pandemic. The current research addresses this gap in the literature. Participants included 129 LGBTQ individuals who shared how they have been resilient during the COVID-19 pandemic. Qualitative thematic analysis revealed three COVID-19-specific resilience themes, including: (1) Previous preparation fostered resilience, (2) Radical acceptance as resilience, and (3) Resilience through providing support and building community. Discussion explores how psychologists can work with LGBTQ people to identify and cultivate resilience narratives focused on self-love, self-acceptance, radical acceptance, and community resilience. Public Significance StatementResilience narratives are important for all people but are particularly important for LGBTQ (lesbian, gay, bisexual, transgender, and queer) people who face identity-based harassment, rejection, and societal stigmatization. LGBTQ participants shared their resilience narratives and identified how previous preparation fostered resilience during the coronavirus disease 2019 (COVID-19) pandemic, radical acceptance was a source of resilience, and resilience was seen through providing support and building community with other LGBTQ individuals during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

“Previous resilience has taught me that I can survive anything:” LGBTQ resilience during the COVID-19 pandemic.

Gonzalez¹,

Abreu²,

Arora³

et al. 2021

Psychology of Sexual Orientation and Gender Diversity

View full text Add to dashboard Cite

show abstract

“…In addition to the benefits of gender-affirming care on physical and mental health outcomes for transgender youth ( Call et al, 2021 , Lopez et al, 2017 ), the exogenous administration of gonadal hormones can also provide insight into the effect of hormonal changes on brain function during adolescence. The current study examined the relative neural response to socio-emotional cues conveyed by caregivers vs. an unfamiliar peer, in transgender boys receiving or not receiving exogenous testosterone.…”

Section: Discussionmentioning

confidence: 99%

Exogenous testosterone administration is associated with differential neural response to unfamiliar peer’s and own caregiver’s voice in transgender adolescents

Morningstar¹,

Thomas²,

Anderson³

et al. 2023

Developmental Cognitive Neuroscience

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“…Other reasons a medical option might not be indicated include lacking appropriate support or a desire to preserve fertility first (Chen & Simons, 2018). More information about medical interventions and the associated medical risks can be found in Call et al (2021). Puberty Blockers.…”

Section: Discuss the Concept Of "Transition"mentioning

confidence: 99%

“…The gender minority stress model (Hendricks & Testa, 2012; Meyer, 2003) posits negative outcomes result from experiences of distal (i.e., discrimination, rejection, victimization, and nonaffirmation) and proximal (i.e., negative expectations for the future, internalized transphobia, and identity concealment) stressors (e.g., Call et al, 2021; Delozier et al, 2020). Resiliency factors (i.e., pride in identity, family support, and community connectedness) can buffer these stressors (Delozier et al, 2020).…”

Section: Best Practicesmentioning

confidence: 99%

Best practices in working with parents and caregivers of transgender and gender diverse youth.

Buckloh¹,

Poquiz²,

Alioto³

et al. 2022

Clinical Practice in Pediatric Psychology

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Objective: Transgender and gender diverse youth (TGD) are seeking psychological and medical care at an increased rate. Psychologists and other mental health providers, both on multidisciplinary teams and in the community, are being called upon to support these youth and their families. Evidence-based comprehensive care is imperative, which includes involving parents and caregivers. Moreover, parental and caregiver acceptance and support are one of the most important protective factors against anxiety, depression, and suicidality. By supporting parents and caregivers along their own journey, mental health providers can improve outcomes for the whole family. Method: This article summarizes key practices for mental health providers in working with parents and caregivers of gender diverse youth. Results: Best practices for working with parents and caregivers include (a) using a comprehensive, individualized, dynamic process for assessment, psychoeducation, and intervention; (b) assisting families in taking an informed and shared decision-making approach to care; (c) addressing parent and caregiver concerns from a risk/benefit perspective; and (d) understanding the parent and caregiver journey, including complex emotions and experiences of loss and grief. Conclusions: Working with parents and caregivers of TGD youth is an integral part of competent gender affirming care. While there is no one path that will be best for all families, using these best practices will assist mental health providers in supporting parents and caregivers as they adapt and support their TGD children and teens. Implications for Impact StatementPediatric psychologists and other mental health providers are well-positioned to work with parents and caregivers of transgender and gender diverse youth (TGD). This article summarizes some of the best practices for mental health providers when working with caregivers of TGD youth, which is an integral part of competent gender affirming care.

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Providing Affirmative Care to Transgender and Gender Diverse Youth: Disparities, Interventions, and Outcomes

Cited by 34 publications

References 95 publications

“Previous resilience has taught me that I can survive anything:” LGBTQ resilience during the COVID-19 pandemic.

“Previous resilience has taught me that I can survive anything:” LGBTQ resilience during the COVID-19 pandemic.

Exogenous testosterone administration is associated with differential neural response to unfamiliar peer’s and own caregiver’s voice in transgender adolescents

Best practices in working with parents and caregivers of transgender and gender diverse youth.

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