No label defined (Q31779)

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No description defined
  • A formative evaluation to inform integration of psychiatric care with other gender-affirming care.
Language Label Description Also known as
English
No label defined
No description defined
  • A formative evaluation to inform integration of psychiatric care with other gender-affirming care.

Statements

A formative evaluation to inform integration of psychiatric care with other gender-affirming care. (English)
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Transgender, non-binary, and/or gender expansive (TNG) individuals experience disproportionately high rates of mental illness and unique barriers to accessing psychiatric care. (English)
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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)
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Here we present a formative evaluation aiming to inform future projects integrating psychiatric care with physical health care for TNG individuals. (English)
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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)
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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)
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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)
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Participants unanimously preferred integrating psychiatry within primary care instead of siloed service models. (English)
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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)
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The need for flexible, tailored care was emphasized. (English)
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Facilitators identified included taking insurance, telehealth, clinician TNG-competence, and protecting time for clinicians to collaborate and obtain consultation. (English)
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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)
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4 July 2024
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4 July 2024
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25
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239
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CBW served as a Guest Editor for the Collection. (English)
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The authors declare no competing interests. (English)
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