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Health Care and Access for Homeless Transgender Individuals

1. In addition to, and sometimes as a result of, social challenges, transgender individuals face which of the following specific health risks that may lead to or be exacerbated by homelessness?

A. Higher rates of HIV/AIDS

B. Substance Abuse

C. Depression and suicide

D. All of the above


2. Most insurance companies, including most Medicaid providers, exclude medically necessary care and services for transgender people such as mental health services, hormone therapy, and surgeries.

A. True

B. False


3. Because transgender individuals who are homeless are more often in public spaces, they are at an increased risk for victimization.  As a result, it is helpful for health care professionals to employ trauma-informed care when working with transgender patients.

A. True

B. False


4. Which of the following is a personal barrier that transgender individuals experiencing homelessness face when accessing health care services?

A. Lack of appropriate accommodations.

B. Mistrust of providers and the health care system.

C. Limited choices for gender on legal documents and records.

D. No access to partner benefits or considerations.


5. It is appropriate to ask transgender patients about their genital status even if it is unrelated to their care.

A. True

B. False


6. To create a more welcoming environment, which of the following steps should be implemented?

A. Adding gender-neutral bathrooms.

B. Extra space or additional options to the “gender” category on intake forms to allow for further explanation.

C. Educating staff and providers on how to question patients about preferred name, gender identification, and pronouns rather than making assumptions.

D. All of the above.


7. Which of the following are suggestions for practicing trauma-informed care with transgender patients?

A. Inform the patient that symptoms experienced after a hate crime are valid and deserving of treatment.

B. Reframe the violent behavior as unacceptable and criminal.

C. Place responsibility for the violence unequivocally on the perpetrator.

D. All of the above.


8. Part of cultural competency is becoming educated on how to talk to and about transgender patients, such as making eye contact, smiling, and using correct names and pronouns.

A. True

B. False


9. Health care professionals should be aware that refusing to use preferred names and pronouns can result in “outing” a transgender individual and put them in significant danger.

A. True

B. False


10. Because transgender individuals living, and often working, on the streets face greater and more serious health risks, which of the following should be a primary goal among health care professionals?

A. Resolving barriers to health care access.

B. Educating transgender individuals on safe practices.

C. Screening for sexually transmitted diseases and infections.

D. All of the above.


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