ABSTRACT Transgender clients encounter substantial barriers in accessing mental health and medical care services due to discrimination, lack of provider knowledge, and limited collaboration between physicians and therapists. Transgender-affirmative services are crucial for the mental and physical well-being of a population whose needs are frequently overlooked. Systemic therapists who work with medical providers may be uniquely situated to enhance the treatment of transgender persons. To reduce the impact of the barriers that transgender persons face when navigating healthcare systems, a medical family therapy framework is presented with recommendations to improve treatment at various levels of collaborative, clinical practice.

中文翻译：

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减少障碍：跨性别客户的综合协作

摘要 由于歧视、缺乏提供者知识以及医生和治疗师之间的合作有限，跨性别客户在获得心理健康和医疗保健服务方面遇到了重大障碍。跨性别平权服务对于经常被忽视需求的人群的身心健康至关重要。与医疗提供者合作的系统治疗师可能处于独特的位置，以加强对跨性别者的治疗。为了减少跨性别者在使用医疗保健系统时面临的障碍的影响，提出了一个医疗家庭治疗框架，并提出了改善协作临床实践各个层面的治疗的建议。