(Q31779)
Statements
Transgender, non-binary, and/or gender expansive (TNG) individuals experience disproportionately high rates of mental illness and unique barriers to accessing psychiatric care. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Integrating TNG-specific psychiatric care with other physical health services may improve engagement, but little published literature describes patient and clinician perspectives on such models of care. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Here we present a formative evaluation aiming to inform future projects integrating psychiatric care with physical health care for TNG individuals. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
In this qualitative pre-implementation study, semi-structured interview guides were developed informed by the Consolidated Framework for Implementation Research to ensure uniform inclusion and sequencing of topics and allow for valid comparison across interviews. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
We elicited TNG patient (n = 11) and gender-affirming care clinician (n = 10) needs and preferences regarding integrating psychiatric care with other gender-affirming clinical services. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
We conducted a rapid analysis procedure, yielding a descriptive analysis for each participant group, identifying challenges of and opportunities in offering integrated gender-affirming psychiatric care. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
Participants unanimously preferred integrating psychiatry within primary care instead of siloed service models. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
All participants preferred that patients have access to direct psychiatry appointments (rather than psychiatrist consultation with care team only) and all gender-affirming care clinicians wanted increased access to psychiatric consultations. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
The need for flexible, tailored care was emphasized. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Facilitators identified included taking insurance, telehealth, clinician TNG-competence, and protecting time for clinicians to collaborate and obtain consultation. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
This health equity pre-implementation project engaged TNG patients and gender-affirming care clinicians to inform future research exploring integration of mental health care with primary care for the TNG community and suggests utility of such a model of care. (English)
CONCLUSIONS (English)
© 2024. The Author(s). (English)
2024
Teddy G (English)
Goetz (English)
TG
Courtney Benjamin (English)
Wolk (English)
CB
CBW served as a Guest Editor for the Collection. (English)