Barriers to Mental Health Care for Transgender and Gender-Nonconforming Adults: A Systematic Literature Review

Annie Snow, Julie Cerel, Diane N. Loeffler, Chris Flaherty

Research output: Contribution to journalReview articlepeer-review

51 Scopus citations

Abstract

Contemporary research suggests that transgender and gender-nonconforming (TGNC) adults encounter formidable barriers to health care, including access to quality therapeutic interventions. This systematic review is one of the first to specifically explore obstacles to TGNC mental health care. A rigorous literature review identified eight relevant studies: six qualitative designs and two quantitative designs. Thematic synthesis revealed three major barriers to care and five corresponding subthemes: (1) personal concerns, involving fear of being pathologized or stereotyped and an objection to common therapeutic practices; (2) incompetent mental health professionals, including those who are unknowledgeable, unnuanced, and unsupportive; and (3) affordability factors. Results indicate an acute need for practitioner training to ensure the psychological well-being of TGNC clients.

Original languageEnglish
Pages (from-to)149-155
Number of pages7
JournalHealth and Social Work
Volume44
Issue number3
DOIs
StatePublished - Jul 9 2019

Bibliographical note

Publisher Copyright:
© 2019 National Association of Social Workers.

Keywords

  • barriers to mental health
  • mental health professionals
  • systematic review
  • transgender and gender-nonconforming adults

ASJC Scopus subject areas

  • Health(social science)

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