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      Gender-Affirming Telepsychology During and After the COVID-19 Pandemic: Recommendations for Adult Transgender and Gender Diverse Populations

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          Abstract

          The implementation of telepsychology soared in response to the 2019 novel coronavirus (COVID-19) pandemic. For most health service psychologists, this surge preceded formal training in telepsychology. Transgender and gender diverse (TGD) individuals reported significant vulnerabilities and health disparities during the COVID-19 pandemic. To ensure the health and well-being of adult transgender and gender diverse individuals during the COVD-19 pandemic and beyond, it is critical to promote the delivery of gender-affirming telepsychology. This article highlights clinical issues observed by health service psychologists at a high-volume gender clinic during the COVID-19 pandemic. The authors provide anticipatory guidance and recommendations to promote gender-affirming telepsychology.

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          Most cited references17

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          Guidelines for psychological practice with transgender and gender nonconforming people.

          (2015)
          In 2015, the American Psychological Association adopted Guidelines for Psychological Practice with Transgender and Gender Nonconforming Clients in order to describe affirmative psychological practice with transgender and gender nonconforming (TGNC) clients. There are 16 guidelines in this document that guide TGNC-affirmative psychological practice across the lifespan, from TGNC children to older adults. The Guidelines are organized into five clusters: (a) foundational knowledge and awareness; (b) stigma, discrimination, and barriers to care; (c) lifespan development; (d) assessment, therapy, and intervention; and (e) research, education, and training. In addition, the guidelines provide attention to TGNC people across a range of gender and racial/ethnic identities. The psychological practice guidelines also attend to issues of research and how psychologists may address the many social inequities TGNC people experience.
          Article 0 comments Cited 235 times – based on 0 reviews     Review now
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            The effectiveness of telemental health: a 2013 review.

            Donald M Hilty, Daphne C. Ferrer, Michelle Burke Parish … (2013)
            The effectiveness of any new technology is typically measured in order to determine whether it successfully achieves equal or superior objectives over what is currently offered. Research in telemental health-in this article mainly referring to telepsychiatry and psychological services-has advanced rapidly since 2003, and a new effectiveness review is needed. The authors reviewed the published literature to synthesize information on what is and what is not effective related to telemental health. Terms for the search included, but were not limited to, telepsychiatry, effectiveness, mental health, e-health, videoconferencing, telemedicine, cost, access, and international. Telemental health is effective for diagnosis and assessment across many populations (adult, child, geriatric, and ethnic) and for disorders in many settings (emergency, home health) and appears to be comparable to in-person care. In addition, this review has identified new models of care (i.e., collaborative care, asynchronous, mobile) with equally positive outcomes. Telemental health is effective and increases access to care. Future directions suggest the need for more research on service models, specific disorders, the issues relevant to culture and language, and cost.
            Article 0 comments Cited 209 times – based on 0 reviews     Review now
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              Mental Health Needs Among Lesbian, Gay, Bisexual, and Transgender College Students During the COVID-19 Pandemic

              Gilbert Gonzales, Emilio Loret de Mola, Kyle A. Gavulic … (2020)
              Article 0 comments Cited 91 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Tyson L. Pankey:
                Bio :
                Tyson L. Pankey, PhD, MPH

                (he/him) is a licensed psychologist and assistant professor in the Department of Psychiatry & Behavioral Sciences at Duke University School of Medicine. He completed his PhD in Counseling Psychology from the University of Wisconsin-Madison. He completed fellowship training at Mayo Clinic with dual specializations in transgender health and family medicine residency education. Dr. Pankey has expertise in culturally responsive behavioral health and education among underserved populations, including sexual and gender diverse individuals.

                Dagoberto Heredia Jr:
                Bio :
                Dagoberto Heredia Jr, PhD

                (he/him) is a licensed psychologist and assistant professor of psychology at Mayo Clinic’s College of Medicine and Science. His clinical appointments are in the Adult Transitions Program, where he serves as clinical director, and the Transgender and Intersex Specialty Care Clinic. He has served as co-chair of the National Latinx Psychological Association’s Orgullo Latinx: Sexual Orientation and Gender Diversity special interest group since 2014.

                Jennifer A. Vencill:
                Bio :
                Jennifer A. Vencill, PhD, ABPP

                (she/her) is an assistant professor, board-certified clinical health psychologist, and AASECT-certified sex therapist at the Mayo Clinic in Rochester, Minnesota, USA. She practices primarily in Mayo Clinic’s Menopause and Women’s Sexual Health Clinic and Transgender and Intersex Specialty Care Clinic. Dr. Vencill’s research focuses on sexual health, mixed-orientation relationships, and health disparities and minority stress in marginalized sexual and gender communities.

                Cesar A. Gonzalez: Gonzalez.Cesar@mayo.edu
                Bio :
                Cesar A. Gonzalez, PhD, LP, ABPP

                (he/they) is an assistant professor of psychology and family medicine; he is board-certified in clinical psychology. He is certified in the Standards of Care by the World Professional Association for Transgender Health. He serves as the clinical director of Mayo Clinic's Transgender and Intersex Specialty Care Clinic and is an associate program director of the Family Medicine Residency Program.

                Journal
                Journal ID (nlm-ta): J Health Serv Psychol
                Journal ID (iso-abbrev): J Health Serv Psychol
                Title: Journal of Health Service Psychology
                Publisher: Springer International Publishing (Cham )
                ISSN (Print): 2662-2645
                ISSN (Electronic): 2662-2653
                Publication date (Electronic): 16 October 2021
                Pages: 1-9
                Affiliations
                [1 ]Durham, NC USA
                [2 ]Rochester, MN USA
                Article
                Publisher ID: 48
                DOI: 10.1007/s42843-021-00048-z
                PMC ID: 8520334
                PubMed ID: 34693297
                SO-VID: f89ed1c5-2be3-4c78-b933-ea036dc44523
                Copyright © © National Register of Health Service Psychologists 2021
                License:

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                Categories
                Subject: Article

                Keywords: telehealth,telepsychology,transgender health,gender-affirming care
                Data availability:
                Keywords: telehealth, telepsychology, transgender health, gender-affirming care

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