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Transgender Women with Severe Mental Illness and Homelessness: A Retrospective Case Series

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DOI: 10.4236/jss.2019.78030    122 Downloads   271 Views

ABSTRACT

Transgender women (TW) with Severe Mental Illness (SMI) are one of the most vulnerable and most difficult to engage in order to receive medical attention population, raising major challenges in their treatment of adverse health conditions. A retrospective chart review was carried out to identify TW with SMI attended by the “Programme for the Psychiatric Care of the Homeless Mentally Ill” in Spain from June 2015 to June 2018. During the study period, 235 patients with SMI received psychiatric care, of which only 3 (1.3%) were TW. Sociodemographic and clinical variables of these patients are described. We conclude that TW with SMI suffer significant levels of discrimination, stigma, and physical violence. This stigma plays an important role in limiting the opportunities and access to resources in a number of critical domains (e.g., medical care, disability certificate, accommodation in shelters) while continuously having a detrimental effect on their mental health. Forced migration in TW with SMI, must be specially considered. In addition homelessness and social exclusion are structural risk factors for HIV in TW with SMI. Social, health and psychiatric care may moderate the effect of stressors on mental health, reduce social isolation, and build social networks.

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García-Andrade, R. , Rendón-Luna, B. , Martínez, V. , De Meneses, E. and Prieto, B. (2019) Transgender Women with Severe Mental Illness and Homelessness: A Retrospective Case Series. Open Journal of Social Sciences, 7, 405-411. doi: 10.4236/jss.2019.78030.

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