3 CE – NONMEMBER: Clinical and Ethical Considerations in Providing Transgender-Affirming Care


Location: Penn State Lehigh Valley
Room 224

May 3, 2024

3 CE credit program
Registration 12:30-1; Program 1-4 pm
Presenter:Dr. Christine Hartigan


Membership dues must be paid for the current year to receive member pricing for CE events

Location: Penn State Lehigh Valley
Room 224

May 3, 2024

3 CE credit program
Registration 12:30-1; Program 1-4 pm
Presenter:Dr. Christine Hartigan

Program Description

The program will cover aspects of clinical competency in working with transgender clients, application of cultural competency and cultural humility to transgender-affirming care, use of appropriate language, APA and WPATH treatment guidelines, providing assessment and referral for medical affirmation, and ethical dilemmas in transgender-affirming care.


Learning Objectives:

  1. Evaluate their own competency in delivering transgender affirming care
  2. Employ cultural competency and cultural humility in providing transgender affirming care
  3. Implement the American Psychological Association’s Guidelines for Psychological Practice with Transgender and Gender Nonconforming People in clinical practice
  4. Utilize the World Professional Association for Transgender Health Standards of Care 8 when providing assessment and writing referral letters for gender affirming medical care
  5. Summarize common ethical dilemmas in providing transgender affirming care


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American Counseling Association. (2014). ACA Code of Ethics. Retrieved from https://www.counseling.org/resources/aca-code-of-ethics.pdf

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Washington, DC: American Psychological Association. https://apastyle.apa.org/style-grammar-guidelines/bias-free-language/gender

American Psychological Association. (2021, March). APA says no to ‘conversion therapy’ for transgender and gender diverse people. Retrieved from https://www.apa.org/news/press/releases/2021/03/change-gender-identity

American Psychological Association. (2023). Inclusive language guide (2nd ed.). https://www.apa.org/about/apa/equity-diversity-inclusion/language-guidelines.pdf

American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864. https://doi.org/10.1037/a0039906

American Psychological Association. (2023). Bias-Free Language Guidelines. Retrieved from https://apastyle.apa.org/style-grammar-guidelines/bias-free-language

Bradbury-Sullivan LGBT Community Center. (2022). Pennsylvania LGBTQ Health Needs Assessment. Retrieved from https://www.bradburysullivancenter.org/health_needs_assessment

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Cross, T. L. (1989). Toward a culturally competent system of care: A monograph on effective services for minority children who are severely emotionally disturbed. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center.

Hook, J. N., Davis, D. E., Owen, J., Worthington Jr, E. L., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353–366.

Fusion Comedy. (2018). Microaggressions (Clean) [Video]. YouTube. https://youtu.be/nQ9l7y4UuxY?si=ZWzy-ihzrziYGok-

National Association of Social Workers. (2017). Code of Ethics of the National Association of Social Workers. Retrieved from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

Project Implicit. (n.d.). Implicit Association Test. Harvard University. Retrieved from https://implicit.harvard.edu/implicit/takeatest.html

Turban, J. L., Loo, S., Alcorn, K., Mansergh, G., Baral, S. D., & Bachmann, G. A. (2021). Postoperative regret among transgender and gender-diverse recipients of gender-affirming surgery. JAMA Surgery. Advance online publication. https://doi.org/10.1001/jamasurg.2021.5202

Tervalon, M., & Murray-García, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117–125

United States Joint Statement Against Conversion Efforts. (2023). Final Version. Retrieved from https://usjs.org/usjs-final-version/

U.S. Transgender Survey. (2024). Retrieved from https://ustranssurvey.org/


Presenter Information:

I have been providing transgender affirming care for almost ten years as a licensed psychologist. I am a member of the World Professional Association for Transgender Health.

Contact Information for the Presenter

Email:               Dr.C.Hartigan@gmail.com
Website:           Hlpsych.com
Address:           H&L Psychological Services

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