Open AccessFollowing ICD-11, Rebuilding Mental Health Care for Transgender Persons: Leads from Field Experimentations in Lille, France
Author(s) -
Anna Baleige,
Marie de la Chenelière,
Cyane Dassonneville,
Marie-Jeanne Martin
Publication year - 2022
Publication title -
transgender health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.242
H-Index - 20
eISSN - 2688-4887
pISSN - 2380-193X
DOI - 10.1089/trgh.2020.0143
Subject(s) - transgender , mental health , mental health care , mental illness , human rights , health care , gender identity , primary care , psychology , nursing , medicine , psychiatry , political science , family medicine , social psychology , law , psychoanalysis
Psychiatrists have long been charged with access and coordination of care for transgender persons. This is now challenged by the World Health Organization's removal of diagnoses of mental illness related to gender identity in the 11th revision of the International Classification of Diseases. Using French field experimentations based on informal and primary care and free and informed consent, we discuss key challenges for a new organization of mental health care respectful of human rights. Developing informal and primary care as well as peer support has emerged as promising. Mental health expertise should be transferred from tertiary to secondary care.