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What services are available for the treatment of transsexuals in Great Britain?

  • S. Murjan (a1), M. Shepherd (a2) and B. G. Ferguson (a3)
Abstract
AIMS AND METHOD

We conducted a questionnaire survey of all 120 health authorities and boards responsible for the commissioning of services for the assessment and treatment of transsexual people in England, Scotland and Wales, in order to identify the nature of the input offered and assess conformity to current international standards of care.

RESULTS

Eighty-two per cent of the commissioning authorities responded and confirmed that most health authorities/boards provide a full service for the treatment of transsexuals, although this would be delivered at a local level in only 20% of cases. However, 11 commissioning authorities gave confused and inaccurate responses and three other health authorities appear to hold views on the commissioning of these specialist services that are not in keeping with the current legal situation and a recent High Court ruling, which establishes the right of transsexual people to NHS assessment and treatment.

CLINICAL IMPLICATIONS

There are discrepancies in prioritisation and provision of clinical services for this group that are not standard across Great Britain.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Carroll, R. A. (1999) Outcomes of treatment for gender dysphoria. Journal of Sex Education & Therapy, 24, 128136.
Court of Justice of the European Communities (1996) Pv. S & Cornwall County Council. Times Law Reports, May 7. (see http://www.pfc.org.uk/legal/pvs-judg.htm).
Harry Benjamin International Gender Dysphoria Association (1998) The Standards of Care for Gender Identity Disorders (5th edn). Minneapolis, MN: HBIGDA.
Hoenig, J. & Kenna, J. C. (1974). The prevalence of transsexualism in England and Wales. British Journal of Psychiatry, 124, 181190.
Royal College of Psychiatrists (1998) Gender Identity Disorders in Children and Adolescents. Guidance for Management. Council Report CR63. London: Royal College of Psychiatrists.
Royal Court of Justice (1998) Regina v. North West Lancashire Health Authority. See http://www.pfc.org.uk/legal/nwl-hc.htm.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
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What services are available for the treatment of transsexuals in Great Britain?

  • S. Murjan (a1), M. Shepherd (a2) and B. G. Ferguson (a3)
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