Mental Health Concerns and Insurance Denials among Transgender Adolescents

LGBT Health

Volumn 4, Issue 3, 2017, Pages 188-193

  Nahata, Leena ^a   Quinn, Gwendolyn P ^b,c   Caltabellotta, Nicole M ^a   Tishelman, Amy C ^d,e  

^a NATIONWIDE CHILDREN S HOSPITAL   (United States)

^b H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE   (United States)

^c UNIVERSITY OF SOUTH FLORIDA   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

adolescents; disparities; insurance coverage; mental health; transgender

Indexed keywords

HORMONE;

ADOLESCENT; ADOLESCENT HEALTH; CHILD; CRIME VICTIM; ECONOMICS; FEMALE; HEALTH INSURANCE; HUMAN; INSURANCE; MALE; MENTAL DISEASE; MENTAL HEALTH; PSYCHOLOGY; RETROSPECTIVE STUDY; TRANSGENDER;

ADOLESCENT; ADOLESCENT HEALTH; CHILD; CRIME VICTIMS; FEMALE; HORMONES; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MENTAL DISORDERS; MENTAL HEALTH; RETROSPECTIVE STUDIES; TRANSGENDER PERSONS;

EID: 85019723673     PISSN: 23258292     EISSN: 23258306     Source Type: Journal    
DOI: 10.1089/lgbt.2016.0151     Document Type: Article

References (38)

1. Costa R, Colizzi M: The effect of cross-sex hormonal treatment on gender dysphoria individuals mental health: A systematic review. Neuropsychiatr Dis Treat 2016;12:1953-1966.
2. Spack NP, Edwards-Leeper L, Feldman HA, et al.: Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics 2012;129:418-425.
3. Reisner SL, Vetters R, Leclerc M, et al.: Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study. J Adolesc Health 2015;56:274-279.
4. Olson J, Schrager SM, Belzer M, et al.: Baseline physiologic and psychosocial characteristics of transgender youth seeking care for gender dysphoria. J Adolesc Health 2015;57: 374-380.
5. Grossman AH, DAugelli AR: Transgender youth and lifethreatening behaviors. Suicide Life Threat Behav 2007;37: 527-537.
6. Russell ST, Ryan C, Toomey RB, et al.: Lesbian, gay, bisexual, and transgender adolescent school victimization: Implications for young adult health and adjustment. J Sch Health 2011;81:223-230.
7. Stapinski LA, Bowes L, Wolke D, et al.: Peer victimization during adolescence and risk for anxiety disorders in adulthood: A prospective cohort study. Depress Anxiety 2014; 31:574-582.
8. Grant JM, Mottet LA, Tanis J, et al.: National Transgender Discrimination Survey Report on Health and Health Care. Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force, 2010.
9. Kosciw JG, Greytak EA, Bartkiewicz MJ, et al.: The 2011 National School Climate Survey: The experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nations Schools. New York: GLSEN, 2012.
10. Kattari SK, Hasche L: Differences across age groups in transgender and gender non-conforming peoples experiences of health care discrimination, harassment, and victimization. J Aging Health 2016;28:285-306.
11. Hembree WC, Cohen-Kettenis P, Delemarre-van de Waal HA, et al.: Endocrine treatment of transsexual persons: An Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2009;94:3132-3154.
12. Deutsch MB, Feldman JL: Updated recommendations from the World Professional Association for Transgender Health standards of care. Am Fam Physician 2013;87:89-93.
13. Coleman E, Bockting W, Botzer M, et al.: Standards of care for the health of transsexual, transgender, and gendernonconforming people, version 7. Int J Transgend 2012;13: 165-232.
14. Vrouenraets LJ, Fredriks AM, Hannema SE, et al.: Perceptions of sex, gender, and puberty suppression: A qualitative analysis of transgender youth. Arch Sex Behav 2016;45: 1697-1703.
15. Cohen-Kettenis PT, Klink D: Adolescents with gender dysphoria. Best Pract Res Clin Endocrinol Metab 2015;29: 485-495.
16. de Vries AL, McGuire JK, Steensma TD, et al.: Young adult psychological outcomes after puberty suppression and gender reassignment. Pediatrics 2014;134:696-704.
17. de Vries AL, Steensma TD, Doreleijers TA, Cohen-Kettenis PT: Puberty suppression in adolescents with gender identity disorder: A prospective follow-up study. J Sex Med 2011;8: 2276-2283.
18. Olson KR, Durwood L, DeMeules M, McLaughlin KA: Mental health of transgender children who are supported in their identities. Pediatrics 2016;137:e20153223.
19. de Vries AL, Cohen-Kettenis PT: Clinical management of gender dysphoria in children and adolescents: The Dutch approach. J Homosex 2012;59:301-320.
20. Delemarre-van de Waal HA, Cohen-Kettenis PT: Clinical management of gender identity disorder in adolescents: A protocol on psychological and pediatric endocrinology aspects. Eur J Endocrinol 2006;155:S131-S137.
21. Wallien MS, Cohen-Kettenis PT: Psychosexual outcome of gender-dysphoric children. J Am Acad Child Adolesc Psychiatry 2008;47:1413-1423.
22. Tishelman AC, Kaufman R, Edwards-Leeper L, et al.: Serving transgender youth: Challenges, dilemmas and clinical examples. Prof Psychol Res Pr 2015;46:37-45.
23. Hsieh S, Leininger J: Resource list: Clinical care programs for gender-nonconforming children and adolescents. Pediatr Ann 2014;43:238-244.
24. Vance SR Jr, Halpern-Felsher BL, Rosenthal SM: Health care providers comfort with and barriers to care of transgender youth. J Adolesc Health 2015;56:251-253.
25. Liu S, Liu Q, Cheng X, et al.: Effects and safety of combination therapy with gonadotropin-releasing hormone analogue and growth hormone in girls with idiopathic central precocious puberty: A meta-Analysis. J Endocrinol Invest 2016;39:1167-1178.
26. Fuqua JS: Treatment and outcomes of precocious puberty: An update. J Clin Endocrinol Metab 2013;98:2198-2207.
27. Stevens J, Gomez-Lobo V, Pine-Twaddell E: Insurance coverage of puberty blocker therapies for transgender youth. Pediatrics 2015;136:1029-1031.
28. Edwards-Leeper L, Spack NP: Psychological evaluation and medical treatment of transgender youth in an interdisciplinary Gender Management Service (GeMS) in a major pediatric center. J Homosex 2012;59:321-336.
29. Deutsch MB: Gender-Affirming surgeries in the era of insurance coverage: Developing a framework for psychosocial support and care navigation in the perioperative period. J Health Care Poor Underserved 2016;27:386-391.
30. Olson-Kennedy J, Cohen-Kettenis PT, Kreukels BP, et al.: Research priorities for gender nonconforming/transgender youth: Gender identity development and biopsychosocial outcomes. Curr Opin Endocrinol Diabetes Obes 2016;23:172-179.
31. Byne W, Bradley SJ, Coleman E, et al.: Report of the American Psychiatric Association task force on treatment of gender identity disorder. Arch Sex Behav 2012;41:759-796.
32. American Psychological Association: Guidelines for psychological practice with transgender and gender nonconforming people. Am Psychol 2015;70:832-864.
33. Mensah FK, Bayer JK, Wake M, et al.: Early puberty and childhood social and behavioral adjustment. J Adolesc Health 2013;53:118-124.
34. Schoelwer MJ, Donahue KL, Bryk K, et al.: Psychological assessment of mothers and their daughters at the time of diagnosis of precocious puberty. Int J Pediatr Endocrinol 2015;2015:5.
35. Kaltiala-Heino R, Marttunen M, Rantanen P, Rimpelä M: Early puberty is associated with mental health problems in middle adolescence. Soc Sci Med 2003;57:1055-1064.
36. Torres CG, Renfrew M, Kenst K, et al.: Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers. BMC Pediatr 2015;15:187.
37. Gridley SJ, Crouch JM, Evans Y, et al.: Youth and caregiver perspectives on barriers to gender-Affirming health care for transgender youth. J Adolesc Health 2016;59:254-261.
38. Ryan C, Russell ST, Huebner D, et al.: Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs 2010;23:205-213.