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For Healthcare Practitioners

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TYFA works with physicians, mental health professionals and other healthcare providers to ensure that transgender and gender non-conforming children get the specific services they need. No child is the same, so we have collected a wide range of materials to assist healthcare providers seeking information for working with youth in this population.

TYFA board member Joanna Olson of Childrens Hospital Los Angeles is a leading figure in treating trans youth, and she has published key research in this emerging field. While younger children may wish to express gender variance or make a social transition that does not require medical intervention, some of your patients or clients will benefit from tailored healthcare services.

Management of the Transgender AdolescentArchives of Pediatric and Adolescent Medicine, 2011(PDF)

Abstract: Transgender individuals are people whose self-identification as male, female, both, or neither (gender identity) does not match their assigned gender (identification by others as male or female based on natal sex). The phenomenon of transgender is uncommon, but as more media attention is directed toward the subject, more adolescents and young adults are “coming out” at an earlier age. Transgender adolescents are an underserved and poorly researched population that has very specific medical and mental health needs. Primary care physicians are in a unique and powerful position to promote health and positive outcomes for transgender youth. While not all transgender adolescents desire phenotypic transition to match their gender and physical body, most do. The process of transitioning is complex and requires the involvement of both a mental health therapist specializing in gender and a physician. Finding comprehensive medical and mental health services is extremely difficult for these youth, who are at risk for multiple psychosocial problems including family and peer rejection, harassment, trauma, abuse, inadequate housing, legal problems, lack of financial support, and educational problems. This review supports and describes timely medical intervention to achieve gender/body congruence paired with affirmative mental health therapy as an appropriate approach to minimize negative health outcomes and maximize positive futures for transgender adolescents.

APA Policy Statement

An official APA policy concerning Transgender, Gender Identity, & Gender Expression Non-Discrimination, adopted by the American Psychological Association Council of Representatives in August, 2008.

Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline (PDF)

Published in June, 2009, this lengthy set of protocols for the treatment of transgender persons is the current standard for use by endocrinologists in the U.S. Archived in the Practitioners and the Parents Resources sections of this website.

Gender Identity Issues: From a Transgender Perspective

In a conference sponsored by the School Law Section of the State Bar of Texas, and hosted by the University of Texas Law School’s Continuing Legal Education program, Phyllis Randolph Frye delivered a message that she hopes “will positively influence the respectful treatment by schools of both transgender kids and teachers during the next decade.”

GIRES Report (U.K.) Shows Astounding Rise In the Number of Diagosed and Treated Transgender Cases

The report reveals the rapid growth in the number of people, of all ages, who are seeking medical care. It also estimates the number of people who experience some degree of gender variance

Puberty Blockers 101

A guide to puberty blockers — what they do, what they cost, and how to find an appropriate prescriber.


Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline
June 9, 2009 – The National Endocrine Society:
has updated and published its guidelines for endocrine treatment of transgender people.


Clinical management of gender identity disorder in adolescents
A protocol on psychological and paediatric endocrinology aspects — Treatment outcome in transsexuals is expected to be more favourable when puberty is suppressed than when treatment is started after Tanner stage 4 or 5.


Harsh Realities: The Experiences of Transgender Youth in Our Nation’s Schools
March 18, 2009 – This important report, issued by Gay, Lesbian and Straight Education Network (GLSEN), contains a comprehensive, in-depth account of the experiences of transgender students.


TransYouth Family Allies resource documents: All of the files on this page can be viewed, copied, and downloaded using Adobe Acrobat Reader. If you do not have this software on your computer you can download Adobe Acrobat Reader, free of charge. Please feel free to print and distribute these documents (without additions or modifications). Please see our copyright notice.

Guidelines for Confirming GID Diagnosis
An essential part of a family’s “Safe Folder” is a letter from the child’s physician confirming the diagnosis of Gender Identity Disorder (GID). This file is a guideline for the medical professional in composing such a letter.

Comments on the Proposed Revision to 302.6 Gender Identity Disorder in Children
Submitted to the American Psychiatric Association, April 20, 2010

Frequently Asked Questions
This documents is a compliation of questions and answers frequently asked by parents, educators and practioners.

Learning the Lingo
This document is an introduction to language used when discussing the topic of gender variant and transgender children.

Other resource documents:
These resource articles have been published by various authors and are provided here for your convenience. Please print as posted here and give credit to the original source/author.

The American Medical Association opposes discrimination on the basis of gender identity
This resolution by the AMA House of Delegates advocates for removing financial barriers to care for transgender patients.

WPATH (World Professional Association for Transgender Health)
The WPATH Board Committee on Public Policy, Advocacy & Liason has issued a very important statement which lays a strong foundation for removing exclusions for medically necessary health care treatment and insurance coverage for transgender children and adults.

The Gay, Lesbian and Straight Education Network
GLSEN’s fifth biennial National School Climate Survey (NSCS, 2007), the only national survey concerning the school experiences of students who identify as LGBT, show that issues of sexual orientation and gender identity remain a very big deal in our schools, This comprehensive 174-page document demonstrates the urgent need for the education of school administrators nationwide. (10-10-2008)

The Treatment of Adolescent Transsexuals: Changing Insights
Researchers in The Netherlands have concluded that in the field of treatment of young adolescents, it may be that the adage “in dubio abstine” (when in doubt, abstain from intervention) needs to be reconsidered. Particularly when there are research opportunities to lessen this “dubium” to the benefit of those who suffer from gender
dysphoria.

The American Journal of Psychiatry, USA
Biomedical Ethics: A Multidisciplinary Approach to Moral Issues in Medicine and Biology
In this book, exerpted here, psychiatrists will find all of the contributions engaging and challenging; several essays address ethical issues of particular concern to psychiatry. They include two essays on the treatment of transgenderism, one contributed by Norman Spack, M.D., and one contributed by James J. Hughes, Ph.D.

American Academy of Pediatrics
This document is excerpted from “Caring for Your School-Age Child: Ages 5-12″, Bantam 1999. It was publised by the American Academy of Pediatrics and briefly illustrates that by age 4, children’s gender identity is stable, and they know they will always be a boy or a girl.

How Young Is Too Young
Written by TYFA Advisory Board Member, Reid Vanderburgh, MA this piece addresses the difference between gender identity and sexual orientation as well as the joys and challenges of childhood gender transition.

To the Beat of a Different Drummer
Source: Contemporary Pediatrics, By: Ellen C. Perrin, MD, Edgardo J. Menvielle, MD, Catherine Tuerk, MA, RN
“A child who is truly ‘gender-variant’ is one who exhibits an ongoing pattern of behavior, not merely a passing interest in the clothes or the preoccupations of the opposite sex.

Difference isn’t wrong…it just is
Excellent introduction to gender variant and transgender children and their families. Feature article by TYFA Executive Director, Kim Pearson, published in The Bottom Line (San Diego, CA), November 2, 2007.

Doctor Spack Article, 2005
Source: Journal, Lahey Clinic Medical Ethics. This article highlights the ethical concerns of providing treatment for transgender children.

Gires Website
Gender Identity Research and Education Society, a comprehensive document describing treatment options available for adolescents in other countries.

 

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