Butler William, Kim Heather, Keuroghlian Alex S
Harvard Medical School, Boston, Massachusetts, USA.
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
LGBT Health. 2023 Aug-Sep;10(6):412-415. doi: 10.1089/lgbt.2022.0267. Epub 2023 Mar 27.
With increased prevalence and duration of pediatric mental health boarding that disparately impacts transgender and gender diverse (TGD) youth, it is critical to consider disparities that TGD youth experience in accessing mental health care. Although mental health care for TGD youth has long been considered specialty care, frontline, primary medical, and mental health clinicians must be equipped to serve TGD patients' psychiatric needs. Inequities that TGD youth face require examination and intervention at multiple levels, including societal discrimination, lack of culturally responsive primary mental health care, and barriers to gender-affirming care in emergency departments and psychiatric inpatient units.
随着儿科心理健康住院治疗的患病率和持续时间增加，这对跨性别和性别多样化（TGD）青少年产生了不同程度的影响，因此，考虑TGD青少年在获得心理健康护理方面所经历的差异至关重要。尽管长期以来，TGD青少年的心理健康护理一直被视为专科护理，但一线、初级医疗和心理健康临床医生必须具备为TGD患者提供精神病学需求服务的能力。TGD青少年面临的不平等需要在多个层面进行审视和干预，包括社会歧视、缺乏具有文化响应性的初级心理健康护理，以及急诊科和精神病住院单元中获得性别肯定护理的障碍。
