Trans & Gender Affirming Care Clinical Resources

Below are up-to-date resources for clinicians and clinical administrators on trans & gender affirming care.

Basic Competencies for Providers

Gender Pronouns: Provider 101 (NPAIHB)
Factsheet on the basics for using appropriate gender pronouns.

Sexual Orientation and Gender Identity: Provider 101 (NPAIHB)
Factsheet for providers containing a basic overview of gender diversity and sexual orientation.

NPAIHB 2SLGBT+ Print Materials (NPAIHB)
Factsheets, posters, and pamphlets for clinicians serving 2SLGBT+ communities.

See Me. Stand with Me. (NPAIHB)
Two Spirit and LGBTQ patients who have good relationships with their healthcare providers are more likely to access care when they need it and report good mental and physical health. This short video offers tips for healthcare providers seeking to better support their Two Spirit and LGBTQ patients.

Clinical Care

Celebrating Our Magic (NPAIHB)
Resource for American Indian and Alaska Native transgender and Two Spirit youth, their relatives and families, and their healthcare providers.

Guidelines for the Primary and Gender Affirming Care of Transgender and Gender Nonbinary People (UCSF)
Guidelines to equip providers with tools and knowledge to effectively care for trans and gender nonconforming patients.

Guidelines for the Care of Lesbian, Gay, Bisexual and Transgender Patients (GLMA)
Guidelines for providing high-quality care for 2SLGBT+ patients.

Gender Affirming Care for Trans, Two Spirit, and Gender Diverse Patients in BC (PHSA)
Primary care toolkit for treating 2SLGBT+ patients.

Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People (WPATH)
Standards of Care from the World Professional Association for Transgender Health.

Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons (JCEM)
Clinical practice guidelines for endocrinologists on their role providing gender affirming care.

Primary Care Considerations for Transgender and Gender Diverse Youth (AAP)
Guidance for pediatric primary care physicians who treat transgender and gender diverse youth.

Resources for Clinics

Creating an LGBTQ Affirming Clinic: A Guide for Practice Managers and Providers (NYC Health)
A guide for practice managers and providers in creating a LGBTQ affirming clinic.

Best Practices in Creating and Delivering LGBTQ Cultural Competency Trainings for Health and Social Service Agencies (Cancer Network)
Best practices for program and health care managers creating LGBTQ cultural competency training for health agencies.

Tribal Equity Toolkit: Tribal Resolutions and Codes to Support Two Spirit & LGBT Justice in Indian Country (Lewis & Clark College)
Comprehensive guide on legal challenges that your 2SLGBT+ patients may seek to overcome.

A model to develop local coalitions to guide a community mobilization process that promotes provider networking and community utilization of existing services.

Taking an Inclusive Patient History

Asking About Gender Identity and Gender Affirming Goals: Sample Questions (PHSA)
Sample questions to help clinicians asking their patients about gender identity and gender affirming goals.

Sexual Orientation and Gender Identity Data Collection Video
This short video provides guidance on how to ask about sexual orientation and gender identity within a clinical setting.

Beyond Men, Women, or Both: A Comprehensive, LGBTQ-Inclusive, Implicit-Bias-Aware, Standardized-Patient-Based Sexual History Taking Curriculum (AAMC)
This standardized-patient-based module prepares medical students to take inclusive, comprehensive sexual histories from patients of all sexual orientations and gender identities.

Do Ask, Do Tell: A Toolkit for Collecting Data on Sexual Orientation and Gender Identity in Clinical Settings (DADT)
Toolkit for clinicians to aid data collection on sexual orientation and gender identity.

Technical Assistance and Capacity Building

Indian Country ECHO Technical Assistance and Capacity Building
Free service designed to optimize I/T/U clinical policies, enhance care delivery for patients, and build community capacity to prevent and treat complex medical conditions.

Indian Country ECHO – Trans & Gender Affirming Care Program
Each month, Indian Country ECHO offers a teleECHO session with expert providers focused on providing high-quality healthcare for gender-diverse patients.

Key Research

US Transgender Survey: Report on the Experiences of American Indian and Alaskan Native Respondents (USTS)
Informative findings on the everyday experiences of AI/AN transgender individuals, including healthcare.

LGBT Patient Centered Outcomes (National LGBT Cancer Network)
Study on the patient experiences of LGBT patients in cancer care.

Recommendations for Inclusive Data Collection of Trans People in HIV Prevention, Care and Services (UCSF)
Guidance for data collection from transgender patients in HIV related services.

An Update on Gender-Affirming Care During the COVID-19 Pandemic (HRC)
Study on the importance of continuance of gender affirming care during the COVID-19 pandemic.

Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth (NIH)
Study on the effects on chosen name use in transgender youth.

Treating Patients with HIV/AIDS

Indian Country ECHO HIV Clinical Resources (ECHO)
Up-to-date resources for clinicians and clinical administrators on preventing, treating, and recovering from HIV.

Toolkit for Providing HIV Prevention Services to Transgender Women of Color (CDC)
Best practices that HIV prevention service organizations can follow and adapt when providing HIV prevention services for trans women of color.

Patient-Centered Care for Transgender People: Recommended Practices for Health Care Settings (CDC)

National Trans HIV Testing Day Condensed Toolkit (UCSF)
April 18th is National Trans HIV Testing Day. This toolkit is designed to help providers on this day.

Transgender Women of Color Initiative Intervention Manuals (SPNS)
Models for linking and retaining transgender women of color in HIV care.

Training for Providers

Indian Country ECHO – Trans & Gender Affirming Care Program
Each month, Indian Country ECHO offers a teleECHO session with expert providers focused on providing high-quality healthcare for gender-diverse patients.

e-Learning Modules: HIV Care and Sexual Health Assessment for American Indian and Alaska Native Patients (UIHI)
Free training on providing HIV and sexual health care for AI/AN patients.

Two Spirit Webinars (SAMHSA)
Webinars that address topics related to Two Spirit and transgender identities in tribal communities.

Learning Resources (LGBTQIA+ Health Education Center)
Fenway Institute program that includes free CME credits.

Acknowledging Gender and Sex (UCSF)
Free training to help health care providers improve the overall health and well-being of transgender people by improving cultural competency.

LGBT Training Curricula for Behavioral Health and Primary Care Practitioners (SAMHSA)
Free curricula for behavioral health and primary care practitioners serving LGBT patients.

Transgender Learning Portal (NIH)
Transgender training for providers created by the National Institutes of Health.

Nurses Health Education About LGBTQ Elders (HEALE)
Free cultural competency training for nurses assisting LGBTQ Elders.

Acknowledging Gender and Sex (UCSF)
Free training to help health care providers improve the overall health and well-being of transgender people by improving cultural competency.

Trans 101: Transgender People in Everyday Work and Life
Free training covering core concepts related to transgender people and communities.

(W)righting Our Relations (UCLA)
Webinar exploring cultural considerations when working with Two Spirit individuals.

Working With Your Patients’ Insurance

Assist Your Patient in Appealing a Denial (Healthy Trans)
Information on how you can support your patient in appealing an insurance denial.

Trauma-Informed Care

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach (SAMHSA)
Guidance on providing healthcare with a trauma-informed approach. Considering a trauma-informed approach when working with 2LGTBQ+ American Indian and Alaska Native patients is critical given that this population experiences high rates of traumatization in accessing even basic healthcare services.