Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study
Plain English summary Eating disorders are more common among transgender and non-binary compared to cisgender people. Despite this, gender diverse people who seek eating disorder treatment often report struggling to find affirming and inclusive care. We interviewed nineteen US-based licensed mental...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-023-00760-9 |
| _version_ | 1797865920784236544 |
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| author | Katarina A. Ferrucci Emily McPhillips Kate L. Lapane Bill M. Jesdale Catherine E. Dubé |
| author_facet | Katarina A. Ferrucci Emily McPhillips Kate L. Lapane Bill M. Jesdale Catherine E. Dubé |
| author_sort | Katarina A. Ferrucci |
| collection | DOAJ |
| description | Plain English summary Eating disorders are more common among transgender and non-binary compared to cisgender people. Despite this, gender diverse people who seek eating disorder treatment often report struggling to find affirming and inclusive care. We interviewed nineteen US-based licensed mental health clinicians who specialized in eating disorder treatment to learn perceptions and knowledge of facilitators and barriers to care for transgender and gender diverse patients diagnosed with eating disorders. Factors affecting access to care included stigmatization, family support, financial factors, gendered clinics, scarcity of gender-competent care, and religious communities. Factors affecting care while in treatment included discrimination and microaggressions, provider lived experience and education, other patients and parents, institutions of higher education, family-centered care, gendered-centered care, and traditional therapeutic techniques. This research identified barriers and facilitators with the potential for improvement, especially those caused by clinician’s lack of knowledge or attitudes towards gender minority patients in treatment. |
| first_indexed | 2024-04-09T23:15:53Z |
| format | Article |
| id | doaj.art-f3b89d8506054511bae8c3c08bd7e83a |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-09T23:15:53Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-f3b89d8506054511bae8c3c08bd7e83a2023-03-22T10:01:52ZengBMCJournal of Eating Disorders2050-29742023-03-0111111210.1186/s40337-023-00760-9Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative studyKatarina A. Ferrucci0Emily McPhillips1Kate L. Lapane2Bill M. Jesdale3Catherine E. Dubé4Clinical and Population Health Research Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical SchoolDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical SchoolDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical SchoolDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical SchoolDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical SchoolPlain English summary Eating disorders are more common among transgender and non-binary compared to cisgender people. Despite this, gender diverse people who seek eating disorder treatment often report struggling to find affirming and inclusive care. We interviewed nineteen US-based licensed mental health clinicians who specialized in eating disorder treatment to learn perceptions and knowledge of facilitators and barriers to care for transgender and gender diverse patients diagnosed with eating disorders. Factors affecting access to care included stigmatization, family support, financial factors, gendered clinics, scarcity of gender-competent care, and religious communities. Factors affecting care while in treatment included discrimination and microaggressions, provider lived experience and education, other patients and parents, institutions of higher education, family-centered care, gendered-centered care, and traditional therapeutic techniques. This research identified barriers and facilitators with the potential for improvement, especially those caused by clinician’s lack of knowledge or attitudes towards gender minority patients in treatment.https://doi.org/10.1186/s40337-023-00760-9TransgenderGender diverseEating disordersTreatmentProvider |
| spellingShingle | Katarina A. Ferrucci Emily McPhillips Kate L. Lapane Bill M. Jesdale Catherine E. Dubé Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study Journal of Eating Disorders Transgender Gender diverse Eating disorders Treatment Provider |
| title | Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study |
| title_full | Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study |
| title_fullStr | Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study |
| title_full_unstemmed | Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study |
| title_short | Provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients: a qualitative study |
| title_sort | provider perceptions of barriers and facilitators to care in eating disorder treatment for transgender and gender diverse patients a qualitative study |
| topic | Transgender Gender diverse Eating disorders Treatment Provider |
| url | https://doi.org/10.1186/s40337-023-00760-9 |
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