WHO: Revision of ICD-11 (gender incongruence/transgender) – Q&A

World Health Organization, Published on 18 Jun 2018
Dr Lale Say, Coordinator, Adolescents and at-Risk Populations Team at the World Health Organization discusses changes in the classification of gender incongruence (transgender) in the new ICD-11.

Temporary open access to special journal issue on Trans Youth in Education

Sex Education, volume 18, 2018: Special Issue on Trans Youth in Education

Sex Education journal has published a special issue on Trans Youth in Education.  This is now out and is available on Open Access for a few weeks only. 

New standards of care for trans and gender diverse children and adolescents

The Royal Children’s Hospital Melbourne, 2017

The first Australian Standards of Care and Treatment Guidelines for trans and gender diverse children and adolescents, led Led by the Royal Children’s Hospital in Melbourne, have been released.

Dr Michelle Telfer, Head of Adolescent Medicine and Gender Services at the RCH, says health professionals, such as GPs, school counsellors and psychologists, from around the country often seek information from the RCH but until now only international guidelines had been available.

“With 1.2% of adolescents identifying as transgender, and referrals and requests for specialist support on the rise, there is definitely a need for Australia to have its own guidelines. Trans-medicine is a relatively new area of medical practise, and most doctors didn’t get taught how to manage the care of trans children and adolescents in medical school or in their later specialist training. These guidelines, developed by leaders in this field, will help to fill this knowledge gap,” she says.

The guidelines were developed using current evidence and the input of more than 50 specialists, and they have the endorsement of the Australian and New Zealand Professional Association for Transgender Health.

The guidelines include terminology, information about the unique clinical needs, treatment information, and the role of the various medical disciplines involved in the care.

Trans and gender diverse children and teenagers, and their parents, have also been consulted along the way.

“We frequently hear that many doctors, and other clinicians, don’t feel confident in what to do or say when they come across trans or gender diverse children or adolescents for the first time. With a guide to help them through all the stages of their care, our patients’ feel that they are likely to get better care and that others will also have a more positive experience when approaching doctors or psychologists,” she adds.

 

First medical study on chest binding recently published

The first medical study on chest binding transgender and non-binary people was published last year. 

The researchers hope that the study will provide an initial roadmap for change, educating physicians on the benefits and impacts of binding and allowing those who bind to take charge of their health. They scoured peer-reviewed literature and information from health clinics, LGBTQ organizations, and online community resources, coming up with 28 potential health outcomes from binding. 1,800 respondents answered an online survey with questions ranging from how often they bound, what they used to bind their chests with, and their gender identity.

  • Read more about the study and chest-binding here 
  • Read study abstract here (for full text, see your librarian)

Trans services expanded at SHINE SA

SHINE SA, March 2017

SHINE SA has expanded its services for trans and gender diverse people, with the Trans Wellbeing service. This service provides non-urgent counselling, peer support and case management for people who are trans, gender diverse and gender questioning, their family members, partners and supports.

Trans Wellbeing is based at 57 Hyde Street in the city, and offers professional and peer support and information that is outside the mainstream health system.

Trans Wellbeing recruits from the South Australian transgender community wherever possible and includes volunteers and paid staff with a lived experience (trans women, trans men, people who identify as non-binary, partners and parents).

The service sees people from the age of 12 years and up, with a peer support service for trans/gender diverse people aged 18 years and up. Those aged 12 – 17 years receive a service tailored to their age.

Services provided through Trans Wellbeing are:

  • peer telephone support and information
  • peer support and case management
  • peer support program (18 years and up)
  • clinical psychology

Find more information on each of these here or by phoning (08) 7099 5300

 

Working with a transgender man who is pregnant

The Nurse Path blog, February 10., 2017

Some men have vaginas. 

It probably wouldn’t happen very often but if you are a health professional who cares for people during pregnancy and birth (ie a Midwife or Doctor), you may come across a transgender man who is pregnant.

This can be really challenging for people who may not have come across transgender people or issues. This is a guide to maybe help you in that situation. You’re welcome.

Read more here