IMPROVING THE ASSESSMENT OF CHILDREN AND YOUTH WHO PRESENT WITH GENDER DYSPHORIA
Bibliographic record
Abstract
Practitioners working with gender non-conforming children and youth ascribe to general guidelines based on the World Professional Association for Transgender Health Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People (2012).Guidelines inform clinical practice and assessment and emphasize the need for gender affirming care but do not include strict treatment criteria.Consequently, there are multiple perspectives and approaches in the field regarding effective assessment and treatment of gender diverse and transgender clients.The current study investigates the perspectives and satisfaction of transgender youth and their parents surrounding gender health assessments (e.g., hormone readiness assessments).Twenty-five parents and 22 youth who were accessing gender health services through a community outpatient clinic completed a questionnaire about the assessment process.Data was analyzed using mixed methods.Similar response patterns were found between groups.When asked about the need for comprehensive assessment (92.0%; n = 23) of parents and (91.0%; n = 20) of youth agreed or strongly agreed that a comprehensive assessment is necessary.Emergent themes included the use of comprehensive assessment as a measure to rule out other contributing factors, to increase understanding and support for gender variant expression, and to aid in identity formation.Regarding the number of sessions needed to complete a comprehensive assessment, parents and youth shared similar perspectives with the mean number of 3.96 (SD = 0.96) desired sessions for parents and 3.14 sessions (SD = 1.14) for youth.Qualitatively, the most common theme shared by parents and youth was the importance of taking an individualized approach to assessment length depending on the needs of the child and family.The greatest variation between response groups was in reference to whether parents should be involved in the assessment process.Among parents, almost all (92.0%; n = 23) agreed or strongly agreed that parents should be involved in the process, whereas just over half of youth (63.6%; n = 14) felt this way.Additionally, 36.4% (n = 8) of youth disagreed or strongly disagreed with parental involvement.Rationale for involvement included increasing parents' understanding and support of the child and being able to provide important details about development.Many youth shared comments about the complexity of parental support and how involvement must depend on the level of support from the parents and their relationship with their child.This study aims to increase clinical understanding of the experiences of those seeking gender health assessment services to inform and improve practices to better serve this community.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".