Deviations from the standards of care shall only be made based upon sound professional judgment and practice, as appropriate, and must be defensible to this committee and the board. May 14, 2012 the world professional association for transgender health wpath currently publishes the standards of care soc, to provide clinical guidelines for health care of transsexual, transgender and gender nonconforming persons in order to maximize health and wellbeing by revealing gender dysphoria. The new wpath standards of care will be released at the end of that day. The wpath standards of care for the health of transsexual, transgender, and gendernonconforming people soc were first issued in 1979, and articulate the professional consensus about the psychiatric, psychological, medical and surgical management of gd. Wpath is an international, interdisciplinary nonprofit organization devoted to promoting evidence based care, education, research, advocacy, public policy and respect in transgender health.
The world professional association for transgender health wpath, is a 501c3 nonprofit, interdisciplinary professional and educational organization devoted to transgender health. The world professional association for transgender health inc. Wpath standard of care 7 recognizes that there is a spectrum of gender identities, and that choices of identity limited to male or female may be inadequate to reflect all gender identities. The standards of care for the health of transsexual, transgender, and gender nonconforming people are international clinical protocols outlining the recommended assessment and treatment for gender nonconforming individuals across the lifespan or transgender or transsexual people who wish to undergo social, hormonal or surgical transition to. Handbuch psychischer storungen diagnostic and statistical manual of mental disorders. The wpath standards of care provide clinical guidance for health professionals, and the health professionals listserv provides valuable information and collaboration. So it isnt surprising if apa, as a professional organization, would distance itself from an organization that is more and more political based rather than science based such as wpath. If you are interested in accessing mental or physical health care to achieve a gender transition, or have a lovedone who is doing so, an important first step is reading and understanding the wpath standards of care. The world professional association for transgender health promotes the highest standards of health care for individuals through the articulation of standards of care soc for the health of transsexual, transgender, and gender nonconforming people. That said, such things are being worked on for the next update the soc version 8, you posted a link to soc version 7, but at this point some physicians are treating and providing surgery to men under the diagnosis 302. The world professional association for transgender health. Apa dumps wpath wpath standards of care transpulse. A sex difference in the human brain and its relation to transsexuality. Some myself included consider standards of care a ritual document with little clinical usefulness.
Socv7 is a significant revision of the standards of care soc in structure, philosophy, and language that was four. The major purpose of the standards of care soc is to articulate this international organizations professional consensus about the psychiatric, psychological, medical, and surgical management of gender identity disorders. Standards of care wpath world professional association for transgender health. Standards of care for the health of transsexual, transgender. Wpath has published seven versions 1979, 1980, 1981, 1990, 1998, 2001, and 2012 of standards of care soc, guidelines to provide safe and effective pathways for the health of transsexual. It was published in 2011, and in many ways, was truly revolutionary. The standards cover a number of issues including hormones and assessments for people of all ages. The meeting will conclude with a hearty welcome reception, scienti. Wpath standards of care for ftmn sex reassignment surgery wpath the world professional association for transgender health wpath periodically publishes standards of care soc based on the consensus of the best available science and expert professional studies being carried out on the health and care of transsexual, transgender, and gender nonconforming people. Physicianhealth care provider protocols for diagnosis and assessment. The world professional association for transgender health wpath is an international, multidisciplinary, professional association whose mission is to promote evidencebased care, education, research, advocacy, public policy, and respect for transgender health. Standards of care wpath world professional association. The world professional association for transgender health wpath calls for the repeal of laws criminalizing gender nonconformity and expression of transgender identity.
Your providers will need to follow these specific standards in order to say that a treatment is medically necessary for you and get coverage for that treatment. The wpath developed the standards of care soc to help provide the highest standards of care for transgender individuals. Wpath s standards of care for the health of transsexual, transgender. The overall goal of the soc is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to. I believe its primary purposes are to protect health care service providers from litigation and to legitimize access to transgender health care by medicalizing gender variance.
Standards of care for gender identity disorders, sixth version pdf. Allows for flexible clinical guidelines and offers professional discretion recommendations not requirements exceptions to standards of care permitted for anatomical, psychological or social. Orchiectomy is a surgery that removes the testicles. Recommendation for the seventh version of the wpath standards of care. Standards of care fullbook 1l wpath world professional. Wpath world professional association for transgender health. These are the guidelines that many psychologists, psychiatrists and medical professionals use in continue reading. The standards of care are flexible clinical guidelines the soc are intended to be. World professional association for transgender health wpath. The standards of care for the health of transsexual, transgender, and gender nonconforming people are international clinical protocols outlining the recommended assessment and treatment for gender nonconforming individuals across the lifespan or transgender or transsexual people who wish to undergo. The process described in this handout helps us to make sure that we follow the wpath standards of care guidelines and provide safe and effective care. The standards of care are flexible clinical guidelines.
The 2011 wpath standards of care and penile reconstruction. It is available in pdf form in 18 different languages at the link below. One of the main functions of wpath is to promote the highest standards of health care for individuals through the articulation of standards of care soc for the health of transsexual, transgender, and gender nonconforming people. Recommendation for the seventh version of the wpath standards of care article pdf available in international journal of transgenderism 1. The world professional association for transgender health promotes the highest standards of health care for individuals through the articulation of standards of care. Pdf the standards of care soc for the health of transsexual, transgender, and gender. World professional association for transgender health for gender and sexual diversity and that eliminate prejudice, discrimination, and stigma. The fund raising event was specific to support of the translations of the standards of care, v7. Wpath is committed to advocacy for these changes in public policies and legal reforms. While this is primarily a document for health professionals, the soc may also be. The 2011 wpath standards of care and penile reconstruction in femaletomale transsexual individuals article pdf available in advances in urology 20125. Regard will be given by the committee and the board to the limitations of any national health care system within which the professional is working. Both the content of the referral letter and the requirements for a medical professional to be able to provide a referral letter are described in the wpath standards of care which are available here pdf or at. Periodically revised to reflect evolution in evidencebased clinical practice and.
Clinicians working with transsexual, transgender, and gendernonconforming people should be well aware of and adhere to the world professional association for transgender healths wpath standards of care soc. The wpath standards of care guide health professionals to help trans people move toward positive mental and physical health. Apr 12, 2015 after reading the standards of care, when you speak to a mental or physical health care provider, ask them about their understanding of the wpath soc. A guide to clinical decisions for medically necessary reconstructive treatments for individual patients. The overall goal of the soc is to provide clinical guidance for health professionals to. Previous revisions were in 1980, 1981, 1990, previous revisions were in 1980, 1981, 1990, 1998, and 2001. The most recently published version of the world professional association for transgender health wpath standards of care document is version 7. Provide care in a manner that affirms patients gender identities and reduces the distress.
The wpath standards of care for gender identity disorders1 was first issued in 1979, and has been periodically revised to reflect the latest medical knowledge. Professionals may use this document to understand the parameters within which they. Wpath standards of care promotes standards of care for transgender and nonbinary individuals that reflect best practices in delivering affirming care. Pdf standards of care for the health of transsexual, transgender. Australian standards of care and treatment guidelines. The standards of care version 7 of the world professional association for transgender health were completed in 2011 after a multiyear effort. To further wpath s mission to provide evidencebased research and care for transgender health, wpath develops and publishes the medical consensus for best practices to promote health, research, education, respect, dignity, and equality for transgender people. Volume 7 of the standards of care is available in 18 different languages. Below is a partial listing of the main benefits that must be covered for transgender enrollees in disbregulated plans, if they are determined to be medically necessary for the individual by a licensed medical provider. Reflections on the soc7 stop trans pathologization. Professional association for transgender health standards of care wpath standards of care.
Wpath publishes the standards of care for the health of transsexual, transgender, and gender nonconforming people, educates professionals and consumers, sponsors scientific conferences, and provides ethical guidelines for professionals. World professional association for transgender health. An updated version 7th version, 2011 of the wpath soc is currently available. A flexible framework, rather than rigid rules, of appropriate care. Wpath has no set standard of care for individuals who are male, wish to remain outwardly male, but undergo full surgical grs. Current medical standards for transgender patients resolution 5a b of t report 26a14 201418 am. When i asked them how this had been achieved in light of the standards of care, they said that their surgeon subscribed to the new wpath standards that did not place any prerequisites beyond informed consent for any kind of treatment. On september 25, 2011, world professional organization for transgender health wpath announced the launching of the new standards of care for the health of transsexual, transgender, and gender nonconforming people, 7th edition, or socv7.
In the face of this skepticism about wpath s required assessment and highly recommended counseling, it is worth noting that wpath itself says that its standards are flexible. Pdf the world professional association for transgender health wpath currently publishes the. Clinical departures from the soc standards of care may come about because of a patients unique anatomic, social, or psychological situation. Standards of care soc for the health of transsexual, transgender, and gender nonconforming. People is a publication of the world professional association for transgender health wpath. Oregon health plan coverage of gender dysphoria frequently. If you are interested in accessing mental or physical health care to achieve a gender transition, or have a lovedone who is doing so, an important first step is reading and understanding the wpath standards of care these are the guidelines that many psychologists, psychiatrists and medical professionals use in providing health care options to trans and genderdiverse individuals. Since wpath published the first version of the soc in 1979, the guidelines have been updated seven times, illustrating the complex and developing needs in caring for the transgender population. Select pdf you would like to download from the options in the table below. Im not one to dissuade people asking people for help, but too often i see the blind leading the blind.
The standards of care 7th version world professional association for transgender health for gender and sexual diversity and that eliminate prejudice, discrimination, and stigma. Dec 21, 2016 the wpath standards of care for the health of transsexual, transgender, and gendernonconforming people soc were first issued in 1979, and articulate the professional consensus about the psychiatric, psychological, medical and surgical management of gd. Wpath is an international association devoted to the understanding and treatment of individuals with gender dysphoria. Nondiscrimination in health insurance based on gender. World professional association for transgender health the standards of care 7th version appendix a glossary terminology in the area of health care for transsexual, transgender, and gendernonconforming people is rapidly evolving. Exhibit respect for patients with nonconforming gender identities and do not pathologize differences in gender identity or expression. World professional association for transgender health the. The standards of care soc for the health of transsexual, transgender, and gender nonconforming people is a publication of the world professional association for transgender health wpath. The recommended content of the referral letters for ftm top surgery is as follows.
Thats pretty good advice but i think i already do it too much im already fine with just passing at school and thanks to bullies i dont care if i fail at something that doesnt really matter like a game im playing just doing my best is enough for me but i still need to solve this i know the root cause and i know a cure but for now i need to wait to be able to get it hopefully i. King requires that patients have a support letter from a qualified mental health professional recommending ftm top surgery. Gender dysphoria is the mental health diagnosis that you and your health care providers will need. Conference center hotel on sunday, september for a joint symposium day. The first version of the standards of care were published in 1979. Professional association for transgender health wpath standards of care guidelines when referring you for care relating to gender dysphoria. World professional association for transgender health wikipedia. Aug 22, 20 wpath is highly political which has become more and more stacked with trans folks involved in setting standards and pushing their agendas. A full listing of recent public policy statments from the world professional association for transgender health. The soc are based on the best available science and expert professional consensus. While this is primarily a document for health professionals, the soc may also be used by.
Wpath version 7 standards of care for trans people. The standards of care version 7 world professional association for transgender health for gender and sexual diversity and that eliminate prejudice, discrimination, and stigma. Wpath world professional association for transgender health the launch followed a full day of strategic planning by the development committee. Standards of care wpath world professional association for. An important part of our mission at facialteam, members of the world professional association of transgender health wpath, is not only offering the best patient care and results in facial feminization surgery, but also to participate in modernizing the field in all its aspects.
You may wish to print out all or part of the 112 page document to discuss with your provider. The standards of care are flexible clinical guidelines the soc are intended to be flexible in order to meet the diverse health care needs of transsexual, transgender, and gendernonconforming people. Standards of care for the health of transsexual, transgender, and. Education transgender health alliance of central virginia. Standards of care for the health of transsexual, transgender, and gender nonconforming people. Primary care protocol for transgender patient care courtesy of the center of excellence for transgender health at the university of california, san francisco. Pdf standards of care for the health of transsexual. The standards of care for the health of transsexual, transgender, and gender nonconforming. Pdf the hbigda standards of care for gender identity. Wpath recognizes that health is dependent upon not only good clinical care but. The 2011 wpath standards of care and penile reconstruction in. Th version world professional association for transgender health for gender and sexual diversity and that eliminate prejudice, discrimination, and stigma. The wpath standards of care adventures of an aging trans.
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