{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:03:57Z","timestamp":1773270237487,"version":"3.50.1"},"reference-count":11,"publisher":"American Association of Psychiatric Pharmacists (AAPP)","issue":"4","license":[{"start":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T00:00:00Z","timestamp":1569283200000},"content-version":"vor","delay-in-days":815,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Transgender patients often experience health disparities, including higher rates of psychiatric comorbidity, tobacco and substance use disorders, higher suicide risk, and reduced access and initiation of medical and mental health services. In 2011, the Department of Veterans Affairs (VA) health care system released a directive outlining the provision of transgender health care services. Since 2011, the number of transgender veterans seeking services has increased. To address these health care disparities and ensure competent comprehensive medical and mental health care for this population, an interprofessional team collaborated to develop the first formalized Transgender Healthcare Clinic at the VA Loma Linda Medical Center. The team consisted of an endocrinologist, primary care provider, clinical pharmacist, psychologist, and social worker. Each member of the team plays a key role in the management of mental and medical health care for transgender veterans. After implementation of the Transgender Healthcare Clinic and its respective model for appointments, access to gender transition\u2013related health care has improved and expanded. Although the role of the clinical pharmacist is well established in this clinic, the addition of a psychiatric pharmacist to the transgender health care team could improve patient care through the integration of an expert understanding of behavioral and pharmacologic aspects facing transgender individuals. The psychiatric pharmacist is trained with the unique skill set required to address these concerns and facilitate the optimal management of co-occurring mental illnesses commonly seen in this patient population. Further research focusing on the integration of psychiatric pharmacists into transgender health care teams is needed.<\/jats:p>","DOI":"10.9740\/mhc.2017.07.176","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T13:46:48Z","timestamp":1499089608000},"page":"176-180","source":"Crossref","is-referenced-by-count":9,"title":["Approach to the provision of transgender health care in a veteran population"],"prefix":"10.9740","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8169-3499","authenticated-orcid":false,"given":"Allie","family":"Kaigle","sequence":"first","affiliation":[{"name":"(Corresponding author) Clinical Pharmacist Specialist, Mental Health at VA Loma Linda Healthcare System, Loma Linda, California, allie.kaigle2@va.gov"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7003-5004","authenticated-orcid":false,"given":"Ranya","family":"Sawan-Garcia","sequence":"first","affiliation":[{"name":"Clinical Pharmacist Specialist and LGBT Veteran Care Coordinator at VA Loma Linda Healthcare System, Loma Linda, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4433-1349","authenticated-orcid":false,"given":"Anthony","family":"Firek","sequence":"first","affiliation":[{"name":"Chief of Endocrinology, VA Loma Linda Healthcare System, Loma Linda, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4719","reference":[{"key":"2020060307262494700_i2168-9709-7-4-176-b01","article-title":"Standards of care for the health of transsexual, transgender, and gender nonconforming people","year":"2012","journal-title":"World Professional Association for Transgender Health"},{"key":"2020060307262494700_i2168-9709-7-4-176-b02","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington (VA): American Psychiatric Association;2014.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"2020060307262494700_i2168-9709-7-4-176-b03","unstructured":"Providing health care for transgender and intersex veterans (VHA Directive 2013-003) [Internet]. Washington:Department of Veterans Affairs;2013[cited 2016 Sep 12]. Available from: http:\/\/www.va.gov\/vhapublications\/ViewPublication.asp?pub_ID=2863"},{"issue":"10","key":"2020060307262494700_i2168-9709-7-4-176-b04","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.2105\/AJPH.2013.301507","article-title":"Prevalence of gender identity disorder and suicide risk among transgender veterans utilizing veterans health administration care","volume":"103","author":"Blosnich","year":"2013","journal-title":"Am J Public Health"},{"key":"2020060307262494700_i2168-9709-7-4-176-b05","article-title":"Prevalence of co-morbid mental health diagnoses in transgender military veterans at the Salt Lake City Veterans Affairs Medical Center","author":"Grotzke","year":"2016","journal-title":"The Endocrine Society's 98th Annual Meeting and Expo"},{"issue":"Suppl 4","key":"2020060307262494700_i2168-9709-7-4-176-b06","doi-asserted-by":"publisher","first-page":"S532","DOI":"10.2105\/AJPH.2014.302086","article-title":"Access to care for transgender veterans in the Veterans Health Administration: 2006-2013","volume":"104","author":"Kauth","year":"2014","journal-title":"Am J Public Health"},{"issue":"9","key":"2020060307262494700_i2168-9709-7-4-176-b07","doi-asserted-by":"publisher","first-page":"3132","DOI":"10.1210\/jc.2009-0345","article-title":"Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline","volume":"94","author":"Hembree","year":"2009","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"2020060307262494700_i2168-9709-7-4-176-b08","doi-asserted-by":"publisher","first-page":"713","DOI":"10.2105\/AJPH.2007.132035","article-title":"Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City","volume":"99","author":"Sanchez","year":"2009","journal-title":"Am J Public Health"},{"issue":"2","key":"2020060307262494700_i2168-9709-7-4-176-b09","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1097\/MED.0000000000000227","article-title":"Barriers to healthcare for transgender individuals","volume":"23","author":"Safer","year":"2016","journal-title":"Curr Opin Endocrinol Diabetes Obes"},{"issue":"10","key":"2020060307262494700_i2168-9709-7-4-176-b10","doi-asserted-by":"publisher","first-page":"1820","DOI":"10.2105\/AJPH.2012.300796","article-title":"Experiences of transgender-related discrimination and implications for health: results from the Virginia Transgender Health Initiative Study","volume":"103","author":"Bradford","year":"2013","journal-title":"Am J Public Health"},{"key":"2020060307262494700_i2168-9709-7-4-176-b11","unstructured":"Grant \n              JM, \n            \n            \n              Mottet \n              LA, \n            \n            \n              Tanis \n              J, \n            \n            \n              Harrison \n              J, \n            \n            \n              Herman \n              JL, \n            \n            \n              Kiesling \n              M. \n            \n          \n          Injustice at every turn: a report of the National Transgender Discrimination Survey. Washington: National Center for Transgender Equality and National Gay and Lesbian Task Force;2011."}],"container-title":["Mental Health Clinician"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/mhc\/article-pdf\/7\/4\/176\/2095303\/mhc_2017_07_176.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/mhc\/article-pdf\/7\/4\/176\/2095303\/mhc_2017_07_176.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T16:22:19Z","timestamp":1731687739000},"score":1,"resource":{"primary":{"URL":"https:\/\/mhc.kglmeridian.com\/view\/journals\/mhcl\/7\/4\/article-p176.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,1]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,7,1]]}},"URL":"https:\/\/doi.org\/10.9740\/mhc.2017.07.176","relation":{},"ISSN":["2168-9709"],"issn-type":[{"value":"2168-9709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,1]]}}}