ORCID Identifier(s)

0000-0002-6116-6835

Graduation Semester and Year

2022

Language

English

Document Type

Thesis

Degree Name

Master of Science in Social Work

Department

Social Work

First Advisor

Micki Washburn

Abstract

Historically, clinicians have functioned as gatekeepers to access gender-affirming care for individuals identifying as transgender. However, current best practice standards by reputable professional associations have encouraged clinicians to minimize potential barriers for clients seeking gender-affirming care. This care includes hormone replacement therapy (HRT) and gender confirmation surgeries, and other gender-affirming interventions such as name and gender marker change. This study seeks to describe Texas clinicians’ attitudes toward transgender clients and their self-perceived competency to perform gender affirming care. Licensed mental health care clinicians were recruited from various professional associations to complete an anonymous internet-based survey on providing gender-affirming mental health care. Seventy-five clinicians completed all survey measures. Approximately 86.7 % of respondents scored below the clinical cutoff score for effective counseling for transgender clients. Results further indicated that a range of demographic variables of respondents was associated with self-reported levels of competence and bias. Implications for social work education, practice, policy, and research are offered to help support increased competence of social workers in this area.

Keywords

Transgender, Gender diverse, Mental health, Clinician attitudes, Clinical training, Texas

Disciplines

Social and Behavioral Sciences | Social Work

License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Comments

Degree granted by The University of Texas at Arlington

Included in

Social Work Commons

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