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. 2016 Feb 1;1(1):54-62.
doi: 10.1089/trgh.2015.0004. eCollection 2016.

Interdisciplinary Transgender Veteran Care: Development of a Core Curriculum for VHA Providers

Jillian C Shipherd  1   2   3   4 , Michael R Kauth  1   5   6 , Anthony F Firek  7 , Ranya Garcia  7 , Susan Mejia  7 , Sandra Laski  8 , Brent Walden  8 , Sonia Perez-Padilla  9 , Jan A Lindsay  5   6 , George Brown  10 , Lisa Roybal  7 , Colton L Keo-Meier  6   11   12 , Herschel Knapp  13 , Laura Johnson  14 , Rebecca L Reese  2 , William Byne  15   16
Affiliations

Interdisciplinary Transgender Veteran Care: Development of a Core Curriculum for VHA Providers

Jillian C Shipherd et al. Transgend Health. .

Abstract

Purpose: The Veteran's Health Administration (VHA) has created a training program for interdisciplinary teams of providers on the unique treatment needs of transgender veterans. An overview of this program's structure and content is described along with an evaluation of each session and the program overall. Methods: A specialty care team delivered 14 didactic courses supplemented with case consultation twice per month over the course of 7 months through video teleconferencing to 16 teams of learners. Each team, consisting of at least one mental health provider (e.g., social worker, psychologist, or psychiatrist) and one medical provider (e.g., physician, nurse, physician assistant, advanced practice nurse, or pharmacist), received training and consultation on transgender veteran care. Results: In the first three waves of learners, 111 providers across a variety of disciplines attended the sessions and received training. Didactic topics included hormone therapy initiation and adjustments, primary care issues, advocacy within the system, and psychotherapy issues. Responses were provided to 39 veteran-specific consult questions to augment learning. Learners reported an increase in knowledge plus an increase in team cohesion and functioning. As a result, learners anticipated treating more transgender veterans in the future. Conclusion: VHA providers are learning about the unique healthcare needs of transgender veterans and benefitting from the training opportunity offered through the Transgender Specialty Care Access Network-Extension of Community Healthcare Outcomes program. The success of this program in training interdisciplinary teams of providers suggests that it might serve as a model for other large healthcare systems. In addition, it provides a path forward for individual learners (both within VHA and in the community) who wish to increase their knowledge.

Keywords: access to care; consultation; gender dysphoria; gender identity; gender transition; interdisciplinary; intersex; training; transgender; veteran.

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Conflict of interest statement

No competing financial interests exist.

References

    1. Veterans Health Administration Directive 2013-003: providing health care for transgender and intersex veterans. Veterans Health Administration, 2013. Available at http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2863 (accessed May13, 2015)
    1. Kauth M, Shipherd JC, Lindsay J, et al. . Access to care for transgender veterans in the Veterans Health Administration: 2006–2013. Am J Public Health. 2014;104:S532–S534 - PMC - PubMed
    1. Blosnich JR, Brown GR, Wojcio S, et al. . Mortality among veterans with transgender-related diagnoses in the veterans health administration, FY2000–2009. LGBT Health. 2014;1:269–276 - PubMed
    1. Brown GR, Jones KT. Racial health disparities in a cohort of 5,135 transgender veterans. J Racial Ethn Health Disparities. 2014;1:257–266
    1. Sherman M, Kauth M, Ridener L, et al. . An empirical investigation of challenges and recommendations for welcoming sexual and gender minority veterans into VA care. Prof Psychol Res Pr. 2014;45:433–442

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