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Little is known about successful approaches to improve health outcomes for TGD individuals impacted by incarceration. We review the barriers to providing gender-affirming clinical care in correctional systems in the United States, identify key knowledge gaps regarding the provision of gender-affirming care to incarcerated TGD populations, and highlight necessary steps to improve the health and safety of this highly vulnerable population. We also describe the components of a gender-affirming care model implemented in a state correctional facility, including support from correctional administrators, identifying a gender-affirming care provider, standardizing clinical care protocols, and adapting clinical services to TGD population needs. Similar models should be employed elsewhere to improve health outcomes for TGD populations during incarceration and on release.<\/jats:p>","DOI":"10.1089\/jchc.21.09.0094","type":"journal-article","created":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T14:27:51Z","timestamp":1668522471000},"page":"3-11","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Implementing Gender-Affirming Care in Correctional Settings: A Review of Key Barriers and Action Steps for Change"],"prefix":"10.1177","volume":"29","author":[{"given":"Matthew","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA."},{"name":"Rhode Island Department of Corrections, Cranston, Rhode Island, USA."},{"name":"Rhode Island Public Health Institute, Providence, Rhode Island, 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