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Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters

Year Developed: 2021

Resource Type: Archived Webinar.

Primary Audience: Clinicians
Secondary Audience: Administrative Staff Enabling Staff PCAs

Language(s): English

Developed by: National LGBTQIA+ Health Education Center at The Fenway Institute (See other resources developed by this organization).

Resource Summary: In this talk from the 2021 Advancing Excellence in Transgender Health conference, Sarah reviews areas to cover when conducting an assessment of mental health and readiness for gender-affirming surgery referral letter requests. The session is presented through a lens of social justice, and from the perspective of providing trauma-informed and gender-affirming care. Aspects of the client-provider power differential and gatekeeping role are discussed. Participants will learn what questions to include in the assessment and how to ask clients such questions in order to support clients\' goal(s) for gender- affirming surgeries, and identify insurance-based eligibility criteria for emotional and practical readiness for gender-affirming surgeries.

Resource Topic: Clinical Issues, Emerging Issues, Special and Vulnerable Populations

Resource Subtopic: Behavioral Health.

Keywords: Access to Care, Gender Identity, Insurance and Claims, LGBTQIA+, Medicaid, Medicare, Mental Health, Retention in Care.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit