Evidence map›Paper›PMID 39482962›Full record

ArticlePsychiatric services (Washington, D.C.)2024

Gender-Affirming Psychotherapy (GAP): Core Principles and Skills to Reduce the Mental Health Care "GAP" for Transgender Youths.

Maggi A Price, Marina Rakhilin, Kara Johansen, Lisa Collins, John E Pachankis, Aaron R Lyon, Marissa Allen

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maggi A PriceSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).
Marina RakhilinSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).
Kara JohansenSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).
Lisa CollinsSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).
John E PachankisSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).
Aaron R LyonSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).
Marissa AllenSchool of Social Work, Boston College, Chestnut Hill, Massachusetts (Price, Rakhilin, Johansen, Collins); Department of Psychology, Harvard University, Boston (Price); School of Public Health, Yale University, New Haven (Pachankis); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Lyon); Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts, and School of Professional Psychology, Spalding University, Louisville (Allen).

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Development of a Training Intervention to Improve Mental Health Treatment for Gender Minority Youth: Administrative SupplementK23MH124670 · NIMH · BOSTON COLLEGE · PI PRICE, MAGGI · 2021 to 2024
$841k
NCATS NIH HHS UL1 TR001863NIMH NIH HHS K23 MH124670NIMH NIH HHS L30 MH131066
6 · The paper itself

Abstract

objectiveTransgender youths are more likely than cisgender youths to need mental health care because of their high exposure to discrimination and victimization, including within health care systems. Accordingly, transgender youths have low care satisfaction and high rates of treatment dropout, further exacerbating existing mental health inequities. To reduce these inequities, mental health providers need knowledge and skills to enhance transgender youths' treatment engagement and benefits. However, a comprehensive set of practices addressing the needs of transgender youth patients and their providers does not exist. The authors developed gender-affirming psychotherapy (GAP), an evidence-informed set of skills and principles to augment mental health treatments for transgender youths.

methodsGAP was developed by using a human-centered design, a methodological approach for creating interventions that prioritize the needs of key stakeholders, which in this study included mental health providers and transgender youths and their parents (N=36). A scoping review of the literature and stakeholder focus groups were conducted to create GAP, which encompasses core principles and skills to enhance mental health services for transgender youths.

resultsGAP encompasses 27 principles and 38 skills, organized within 10 domains. All principles and skills were designed to be relevant for various provider types (e.g., psychiatrists and social workers) and to be flexibly adapted to meet diverse patient needs.

conclusionsGAP offers a scalable and flexible approach to addressing the growing mental health care needs of transgender youths. The findings of this study suggest that a human-centered design is a feasible and efficient method for developing interventions to address health inequities.

Indexed as

Mental Health ServicesPsychotherapyTransgender PersonsAdolescentAdultFemaleFocus GroupsHealthcare DisparitiesHumansMaleYoung AdultChild psychiatryDiscriminationLGTBQPsychotherapyStigmaTransgender youth

Identifiers

PMID39482962
PMCPMC11530703

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.