Alternative Title

Comparative needs and specialized services assessment of transgender youth and gender specialist providers in the Bay Area

Publication Date


Document Type

Masters Thesis

Study Type

Mixed methods


School for Social Work


Transgender youth-Mental health services-California-San Francisco, Social work with transgender youth-California-San Francisco, Transgender, Gender expansive, Youth, Gender specialist, Bay Area


Transfigured Treatment is a mixed-methods study that aims to assess and improve multidisciplinary clinical care for transgender and gender expansive youth in the Bay Area. This trans-led research is a joint needs- and services-assessment of local gender-specialized care, including mental health support, access to medical care, and housing assistance. Transfigured Treatment is a tool with which to share histories of need and transform them into legacies of care. Participants were recruited via non-probability sampling and data were collected via an anonymous online survey. Adult participants must have/had a gender expansive identity while living in the Bay Area at some point between the ages 12-24, or be a clinical provider offering gender-specific care in the Bay Area to people between the ages 12-24. Data were coded and statistically tested in order to assess historical and contemporary equity in access to and delivery of care. Findings indicate multidisciplinary services are both provided for and accessed by local trans youth, predominantly care-coordination with the medical system and individual therapy. There is a need for enhanced cohesion between trans youth and clinical providers regarding care coordination with the education system, group therapy, and family involvement in treatment. Further research on the clinical implications and impact of gender specialist providers is recommended, as is incorporating structural competency into gender-related models of care.




v, 112 pages. M.S.W., Smith College School for Social Work, Northampton, Ma., 2016. Includes bibliographical references (pages 72-78)

Included in

Social Work Commons