Abstract

This report describes the evolution of a Boston community health center’s multidisciplinary model of transgender healthcare, research, education, and dissemination of best practices. This process began with the development of a community-based approach to care that has been refined over almost 20 years where transgender patients have received tailored services through the Transgender Health Program. The program began as a response to unmet clinical needs and has grown through recognition that our local culturally responsive approach that links clinical care with biobehavioral and health services research, education, training, and advocacy promotes social justice and health equity for transgender people. Fenway Health’s holistic public health efforts recognize the key role of gender affirmation in the care and well-being of transgender people worldwide.

Highlights

  • Transgender people have an assigned sex at birth that differs from their current gender identity or expression.[1]

  • The rapid and sustained growth of Fenway Health’s transgender health care, research, education, training, and advocacy might be succinctly summarized by the mantra from the movie Field of Dreams: BIf you build it, they will come.^ Clearly there are many who have not had access to care because it did not exist

  • The integration of community assessment, research, education, training, and advocacy alongside clinical care provides a holistic public health model that highlights the key role of gender affirmation in caring for transgender people

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Summary

Introduction

Transgender people have an assigned sex at birth that differs from their current gender identity or expression.[1]. Transgender people have an assigned sex at birth that differs from their current gender identity or expression.[1] This report describes the evolution of Fenway Health’s multidisciplinary model of transgender health care, research, education, training, and dissemination of its practice.

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