Academic Papers

TC3
Trans Collaborations Clinical Check-In (TC3): Initial Validation of a Clinical Measure for Transgender and Gender Diverse Adults Receiving Psychological Services, Behavior Therapy

Authors: Natalie Holt, Zach Huit, Grant Shulman, Jane Meza, Jolene Smyth, Nathan Woodruff, Richard Mocarski, Jae Puckett, Debra Hope


Key Points

  • This article presents initial validation of a behavioral health measure, the Trans Collaborations Clinical Check-in (TC3), for use with TGD clients
  • The TC3 was developed with substantial community and stakeholder input
  • Scores on the TC3 relate to important psychological domains including depression, anxiety, and marginalization stress
  • TC 3 is available here and is free for clinical or research purposes, do not modify without permission. Please let us know if you publish any data using the TC3 at transcollaborations@unl.edu.

Holt, N. R., Huit, T. Z., Shulman, G. P., Meza, J. L., Smyth, J. D., Woodruff, N., Mocarski, R., Puckett, J. A., & Hope, D. A. (2019). Trans Collaborations Clinical Check-in (TC 3 ): Initial Validation of a Clinical Measure for Transgender and Gender Diverse Adults Receiving Psychological Services. Behavior Therapy, 50(6), 1136–1149. doi: 10.1016/j.beth.2019.04.001



Analysis of WPATH Providers Websites
Specialists in name or practice? The inclusion of transgender and gender diverse identities in online materials of gender specialists

Authors: Natalie R. Holt, Robyn E. King, Richard Mocarski, Nathan Woodruff & Debra A. Hope


Key Points

  • Analysis of intake forms and websites of behavioral health and medical providers who are members of the World Professional Association for Transgender Health (WPATH)
  • Most (82.5%) providers stated they have a specialty to work with TGD clients, but only about half used gender-affirming language on their intake forms
  • Even when seeking care from a gender specialist, TGD people may experience stigmatizing materials

Natalie R. Holt, Robyn E. King, Richard Mocarski, Nathan Woodruff & Debra A. Hope (2020) Specialists in name or practice? The inclusion of transgender and gender diverse identities in online materials of gender specialists, Journal of Gay & Lesbian Social Services, DOI: 10.1080/10538720.2020.1763225



Interviews with Mental Health Providers
The Provider Perspective on Behavioral Health Care for Transgender and Gender Non-conforming Individuals in the Central Great Plains: A Qualitative Study of Approaches and Needs

Authors: Natalie Holt, Debra Hope, Richard Mocarski, Heather Meyer, Robyn King, Nathan Woodruff


Key Points

  • Ten interviews with affirming mental health providers in the Central Great Plains
  • Providers emphasized the importance of individualizing care, helping clients navigate stigma, and finding support and resources
  • Providers' approaches to therapy mapped onto cultural competency, but few discussed using an evidence-based model

Holt, N. R., Hope, D. A., Mocarski, R., Meyer, H., King, R., & Woodruff, N. (2020). The Provider Perspective on Behavioral Health Care for Transgender and Gender Nonconforming Individuals in the Central Great Plains: A Qualitative Study of Approaches and Needs. American Journal of Orthopsychiatry, 90(1), 136–146. https://doi.org/10.1037/ort0000406



Interviews with TGD Folx about Health Care Experiences
Unmet Expectations in Health Care Settings: Experiences of Transgender and Gender Diverse Adults in the Central Great Plains

Authors: Heather Meyers, Richard Mocarski, Natalie Holt, Debra Hope, Robyn King, Nathan Woodruff


Key Points

  • This paper discusses unmet expectations in the TGD patient and health care interactions based on in depth interviews with TGD individuals.
  • Four main themes of unmet expectations were inappropriate probing questions, gatekeeping, stigmatizing stance, and misgender/deadnaming.
  • Recommendations for better experiences with health care providers are discussed.

Meyer, H. M., Morcarski, R., Holt, N. R., Hope, D. A., King, R. E., & Woodruff, N., (2020) Unmet Expectations in Health Care Settings: Experiences of Transgender and Gender Diverse Adults in the Central Great Plains. Qualitative Health Research, 30(3), 409-422. doi.org/10.1177/1049732319860265



Chosen Name
Renaming me: Assessing the influence of gender identity on name selection

Authors: Sharon Obasi, Richard Mocarski, Natalie Holt, Debra Hope, Nathan Woodruff


Key Points

  • This paper explores how transgender and gender diverse people choose a name to reflect their gender identity.

Obasi, S. N., Mocarski, R., Holt, N. R., Hope, D. A., & Woodruff, N. (2019 ). Renaming me: Assessing the influence of gender identity on name selection. Names: A Journal of Onomastics, 67(4), 199-211. doi.org/10.1080/00277738.2018.1536188



Analysis of Mental Health Providers Websites
First Impressions Online: The Inclusion of Transgender and Gender Nonconforming Identities and Services in Mental Healthcare Providers' Online Materials in the USA

Authors: Natalie Holt, Debra Hope, Richard Mocarski, Nathan Woodruff


Key Points

  • Only about half of therapists who advertise online as working with TGNC clients use affirming language to ask about gender on their intake forms
  • Therapists in states with few legal protections for TGNC people use stigmatizing language on intake forms more often than therapists in states with legal protections
  • TGNC clients may face stigma in their search for a therapist and before face-to-face interaction with therapists

Holt, N. R., Hope, D. A., Mocarski, R., & Woodruff, N. (2019). First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA. International Journal of Transgenderism, 20(1), 49-62, doi.org/10.1080/15532739.2018.1428842



Review of TGD Related Questionnaires
A Review of Contemporary Assessment Tools for Use With Transgender and Gender Nonconforming Adults. Psychology of Sexual Orientation and Gender Diversity

Authors: Grant Shulman, Natalie Holt, Debra Hope, Richard Mocarski, Joshua Eyer, Nathan Woodruff


Key Points

  • Reviews 8 culturally-responsive questionnaires for use with TGNC populations
  • Recent assessment tools focus less on diagnosis of gender-related disorders and instead measure constructs important for quality of life and psychological well-being
  • More research is needed on the validity of these tools

Shulman, G. P., Holt, N. R., Hope, D. A., Mocarski, R., Eyer, J., & Woodruff, N. (2017). A Review of Contemporary Assessment Tools for Use With Transgender and Gender Nonconforming Adults. Psychology Of Sexual Orientation And Gender Diversity, 4(3), 304-313, doi.org/10.1037/sgd0000233



Discussion of TGD Behavioral Service Needs
Culturally Competent Evidence-Based Behavioral Health Services for the Transgender Community: Progress and Challenges

Authors: Debra Hope, Richard Mocarski, Chandra Bautista, Natalie Holt


Key Points

  • The mental health field has contributed to TGNC stigma
  • Mental health care providers need more than good intentions to provide affirmative services to TGNC communities
  • Proposes a research agenda to develop evidence-based behavioral health care for TGNC communities

*Paper was mentioned in the Huffington Post.

Hope, D. A., Mocarski, R., Bautista, C. L., & Holt, N. R. (2016). Culturally competent evidence-based behavioral health services for the transgender community: Progress and challenges. American Journal Of Orthopsychiatry86(4), 361-365. doi.org/10.1037/ort0000197