The Role of Family Relationships in Mental Health Distress for Transgender and Gender Nonconforming College Students at University Counseling Centers

Author(s):  
Lisa F. Platt ◽  
Christopher P. Scheitle ◽  
Claire M. McCown
2020 ◽  
Vol 48 (3) ◽  
pp. 407-431
Author(s):  
Lisa F. Platt

There is a paucity of research on transgender and gender nonconforming (TGNC) students who present to university counseling centers (UCCs). Using national-level data from the Center for Collegiate Mental Health (2012 to 2015), the current findings indicate that TGNC students seeking services at UCCs are presenting with high acuity and more severe concerns than their cisgender peers. This severity is in nearly every clinical domain including suicidality, history of hospitalization, trauma history, mood disorders, and family distress. Comparing the transgender and gender nonconforming (GNC) collegiate clients, GNC clients have the highest levels of distress and clinical symptoms on nearly every indicator. Overall, these findings for both transgender and GNC clients provide important information for UCCs about treatment and outreach to these high-risk populations. Our findings also mirror the mental health disparities seen in noncollegiate community TGNC samples. We discuss treatment implications, limitations, and suggestions for future research.


2021 ◽  
Vol 12 ◽  
Author(s):  
Rachal Pattison ◽  
Joseph H. Puyat ◽  
Allison Giesbrecht ◽  
Marco Zenone ◽  
Steve Mathias ◽  
...  

Foundry is an integrated service network delivering services to young people across British Columbia, Canada. To better understand the needs of transgender and gender nonconforming young people accessing Foundry—this study compares rates of mental health distress between transgender and gender nonconforming young people and cisgender young people accessing services and examines the extent to which race may have amplified the association between transgender and gender nonconforming identity and mental health distress. We analyzed the difference using a two-sample t-test. We used stratified simple linear regression to test the association of race with transgender and gender nonconforming identity and mental health distress. Participants were recruited from a network of community health centers in British Columbia, Canada. The quantitative sample (n = 727) had a mean age of 21 years (SD = 2), 48% were non-white, 51% were white, and 77% were from Metro Vancouver. Compared to cisgender young people, transgender and gender nonconforming young people reported significantly higher levels of mental health distress. Transgender and gender nonconforming youth were more distressed than cisgender youth across both race strata but non-white transgender and gender nonconforming young people were not more distressed than white transgender and gender nonconforming young people. The findings from this study emphasize the need for increased education and understanding of transgender and gender nonconforming concepts and health concerns as well as on promoting intersectoral collaboration of social services organizations beyond simply health care.


2020 ◽  
Author(s):  
Yi Guo ◽  
Xing He ◽  
Tianchen Lyu ◽  
Hansi Zhang ◽  
Yonghui Wu ◽  
...  

Transgender and gender nonconforming (TGNC) individuals face significant marginalization, stigma, and discrimination. Under-reporting of TGNC individuals is common since they are often unwilling to self-identify. Meanwhile, the rapid adoption of electronic health record (EHR) systems has made large-scale, longitudinal real-world clinical data available to research and provided a unique opportunity to identify TGNC individuals using their EHRs, contributing to a promising routine health surveillance approach. Built upon existing work, we developed and validated a computable phenotype (CP) algorithm for identifying TGNC individuals and their natal sex (i.e., male-to-female or female-to-male) using both structured EHR data and unstructured clinical notes. Our CP algorithm achieved a 0.955 F1-score on the training data and a perfect F1-score on the independent testing data. Consistent with the literature, we observed an increasing percentage of TGNC individuals and a disproportionate burden of adverse health outcomes, especially sexually transmitted infections and mental health distress, in this population.


Author(s):  
Cataraina Alves ◽  
Nadia Morales Gordillo

In recent years research about the mental health consequences of human trafficking has increased as the revelation of cases became more common in the media and were more present in social and mental health services. Also called twenty-first-century slavery, human trafficking for sexual exploitation can be understood as a generic term for a series of complex phenomena that cover a broad spectrum of issues, such as globalization, migration, and gender inequality, combined with a series of personal experiences, which include several forms of violence and abuse (mainly interpersonal, psychological, physical, and sexual violence). In this chapter we explore the main symptoms of mental health distress in victims of human trafficking for sexual exploitation, as well as some of the cultural determinants for the expression of this distress. Further, we elaborate some of the professional competences a mental health professional should apply, as we discuss the specific idiosyncrasies of the treatment of a victim of trafficking. Finally, we suggest a multidisciplinary intervention with a strong presence of the mental health professional and some of the strategies that both research and our own practice reveal to have been effective in the treatment and recovery of victims of human trafficking for sexual exploitation.


2019 ◽  
Vol 44 (2) ◽  
pp. 214-229 ◽  
Author(s):  
Leeat Granek ◽  
Ora Nakash ◽  
Samuel Ariad ◽  
Shahar Shapira ◽  
Merav A. Ben-David

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