A Clinical Program for Transgender and Gender-Diverse Neurodiverse/Autistic Adolescents Developed through Community-Based Participatory Design.

Autor: Strang JF; Gender and Autism Program, Division of Neuropsychology, Children's National Health System.; George Washington University School of Medicine, George Washington University., Knauss M; Gender and Autism Program, Division of Neuropsychology, Children's National Health System.; Alliance of Community Health Plans., van der Miesen A; Department of Child and Adolescent Psychiatry, Center of Expertise on Gender Dysphoria, VU University Medical Center., McGuire JK; Department of Family Social Science, University of Minnesota.; National Center for Gender Spectrum Health, University of Minnesota., Kenworthy L; George Washington University School of Medicine, George Washington University.; Center for Autism Spectrum Disorders, Children's National Health System., Caplan R; Autistic Self Advocacy Network., Freeman A; Department of Psychology, University of Nevada., Sadikova E; Gender and Autism Program, Division of Neuropsychology, Children's National Health System., Zaks Z; Hussman Center for Adults with Autism, Towson University., Pervez N; Autistic Self Advocacy Network., Balleur A; Parnassia Psychiatric Institute., Rowlands DW; University of Maryland., Sibarium E; Yale College, Yale University., Willing L; Gender and Autism Program, Division of Neuropsychology, Children's National Health System.; George Washington University School of Medicine, George Washington University., McCool MA; Queer Indigenous and People of Color (QIPOC), Augsburg University.; V-Day, University of Pennsylvania., Ehrbar RD; Whitman-Walker Health., Wyss SE; Gender and Sexuality Education and Advocacy Program, Children's National Medical Center.; Transgender Leadership Initiative, AIDS United., Wimms H; Youth Gender Care Services, The Village Family Support Center of Baltimore., Tobing J; National Women's Law Center., Thomas J; Transgender and Autism Services, Falls Church Counseling., Austen J; Carolina Converge Gender Affirming Services., Pine E; LGBT Health Resource Center, Chase Brexton Health Care., Griffin AD; Saskatchewan Canada., Janssen A; Gender and Sexuality Service, Child Study Center, New York University Medical School., Gomez-Lobo V; Gender and Autism Program, Division of Neuropsychology, Children's National Health System.; Division of Pediatric Gynecology, Children's National Health System., Brandt A; Gender and Autism Program, Division of Neuropsychology, Children's National Health System.; Division of Hearing and Speech, Children's National Health System., Morgan C; Gender and Autism Program, Division of Neuropsychology, Children's National Health System.; Division of Hearing and Speech, Children's National Health System., Meagher H; Gender and Autism Program, Division of Neuropsychology, Children's National Health System., Gohari D; Gender and Autism Program, Division of Neuropsychology, Children's National Health System., Kirby L; Gender and Autism Program, Division of Neuropsychology, Children's National Health System., Russell L; Gender and Autism Program, Division of Neuropsychology, Children's National Health System., Powers MD; Gender and Autism Program, Division of Neuropsychology, Children's National Health System., Anthony LG; Department of Psychiatry, Pediatric Mental Health Institute, Children's Hospital of Colorado, University of Colorado School of Medicine.
Jazyk: angličtina
Zdroj: Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 [J Clin Child Adolesc Psychol] 2021 Nov-Dec; Vol. 50 (6), pp. 730-745. Date of Electronic Publication: 2020 May 06.
DOI: 10.1080/15374416.2020.1731817
Abstrakt: Objective : A series of studies report elevated rates of autism and autistic characteristics among gender-diverse youth seeking gender services. Although youth with the co-occurrence present with complex care needs, existing studies have focused on co-occurrence rates. Further, clinical commentaries have emphasized provider-centered interpretations of clinical needs rather than key stakeholder-driven clinical approaches. This study aimed to employ community-based participatory research methodologies to develop a key stakeholder-driven clinical group program. Method : Autistic/neurodiverse gender-diverse (A/ND-GD) youth ( N = 31), parents of A/ND-GD youth ( N = 46), A/ND-GD self-advocates ( N = 10), and expert clinical providers ( N = 10) participated in a multi-stage community-based participatory procedure. Needs assessment data were collected repeatedly over time from A/ND-GD youth and their parents as the youth interacted with one another through ongoing clinical groups, the curriculum of which was developed progressively through the iterative needs assessments. Results : Separate adolescent and parent needs assessments revealed key priorities for youth (e.g., the importance of connecting with other A/ND-GD youth and the benefit of experiencing a range of gender-diverse role models to make gender exploration and/or gender affirmation more concrete) and parents (e.g., the need for A/ND-related supports for their children as well as provision of an A/ND-friendly environment that fosters exploration of a range of gender expressions/options). Integration and translation of youth and parent priorities resulted in 11 novel clinical techniques for this population. Conclusions : With generally high acceptability ratings for each component of the group program, this study presents a community-driven clinical model to support broad care needs and preferences of A/ND-GD adolescents.
Databáze: MEDLINE
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