{"id":"W4413373559","doi":"10.1111/jmft.70064","title":"Barriers to Systemic Therapy Services Among Transgender and Nonbinary Adults in Canada","year":2025,"lang":"en","type":"article","venue":"Journal of Marital and Family Therapy","topic":"LGBTQ Health, Identity, and Policy","field":"Psychology","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Yorkville University; University of Winnipeg","funders":"","keywords":"Transgender; Cultural competence; Competence (human resources); Family therapy; Mental health; Systemic therapy; Psychology; Population; Medicine; Medical education; Psychotherapist; Nursing; Social psychology; Pedagogy","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001686316,0.0001672336,0.0004139204,0.0005648001,0.01318514,0.002976814,0.00123361,0.0005517766,0.004516262],"category_scores_gemma":[0.00525637,0.0002626051,0.0001957193,0.001570776,0.002512927,0.0008361548,0.002941203,0.00134747,0.000141891],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0451615,"about_ca_system_score_gemma":0.1201489,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.9823972,"about_ca_topic_score_gemma":0.9941903,"domain_scores_codex":[0.9973538,0.0004040033,0.0001327084,0.000201886,0.0007342037,0.001173522],"domain_scores_gemma":[0.9957809,0.0005863126,0.0005054451,0.00006859538,0.001022994,0.00203565],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.0002671024,0.0004003985,0.3904175,0.0006915654,0.00004312139,0.002061591,0.4556825,0.0003028781,0.001713833,0.006445791,0.009236432,0.1327372],"study_design_scores_gemma":[0.00002649442,0.000125887,0.2592528,0.0006330958,0.00002844397,0.0006011726,0.720846,0.0004080545,0.0002781952,0.0005692246,0.01718776,0.00004287766],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9873948,0.0009264632,0.0001278353,0.003792125,0.00002803536,0.00009849108,0.0001341892,0.000009313922,0.007488717],"genre_scores_gemma":[0.9955552,0.001188187,0.0003057298,0.0009701666,0.000005429041,0.00004437654,0.00006248374,0.000005940205,0.001862443],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.0451615,"threshold_uncertainty_score":0.3276712,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01042446458434569,"score_gpt":0.2741804877986304,"score_spread":0.2637560232142847,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}