1 Service Integration – Mental Health and BeyondGail Knudson MD, MEd, FRCPC Clinical Professor, University of British Columbia, Vancouver, Canada President, World Professional Association for Transgender Health (WPATH)

2 Conflict of Interest No conflicts of interest to declare.

3 Overview Introduction to WPATHGender dysphoria related diagnoses in DSM 5 and ICD 11 WPATH’s Standards of Care (SOC) WPATH’s Global Education Initiative (GEI)

4 WPATH The World Professional Association for Transgender Health (WPATH) is the only global association devoted solely to the healthcare of transgender and gender nonconforming people. Develop and publish Standards of Care for transgender health.

5 WPATH Currently 1800 members Tiered membershipStudent membership $35 USD

6 Moved out of Mental Disorders chapter into 6 Gender Incongruence Gender Dysphoria No diagnostic code Moved out of Mental Disorders chapter into Conditions Related to Sexual Health

7 Standards of Care Version 7 (2012)

8 Standards of Care Version 8 (release date November 2018)Eli Coleman, PhD Jon Arcelus, MD, MSc, FRCPsych, PhD Asa Radix MD, MPH, FACP, AAHIVS

9 WPATH’s Global Education Initiative (GEI)The Global Education Initiative (GEI) started as a goal of the BOD’s most recent strategic plan ( ). The main purpose of GEI is to improve access to care for transgender and gender non-conforming people worldwide. Course material is based on the Standards of Care.

10 WPATH’s Global Education Initiative (GEI)Co-chairs – Drs Gail Knudson and Lin Fraser. We have hosted 14 courses since November 2015. On-line courses are being developed. 2 phase development. Competency development Train-the-trainer

11 Gender Affirmation Process by which individuals and communities are affirmed in their gender identity or expression Social Psychological Medical Legal *graphic is available for download Health and human rights Autonomy and self-determination Recognition before the law Equitable access to quality healthcare

12 Competency Domains Caregiver-care receiver relationshipContent Knowledge Interdisciplinary Practice Professional Responsibility

13 GEI Training Courses USA The Netherlands Japan UpcomingThe Dominican Republic Brazil Argentina

14 Global Education InitiativeWe are interested in partnering with you in education and training! If you are interested, please contact Donna Kelly, Executive Director of GEI at or me at

15 25th Biennial WPATH Symposium Hilton, Buenos Aires, Nov 2-6, 2018

16 Thank you