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Mental Health Services Intake: Creating a Supportive Environment for Transgender and Gender-Expansive People[Formula:
Renae Hale1, Mary Cecilia Wendler2
1Renae Hale, DNP, RN, PMH-BC, Clinical Adjunct, Millikin University, Decatur, IL, USA; Clinical Assistant Professor, University of Illinois Chicago, College of Nursing, Springfield Campus, Springfield, IL, USA.
Journal of the American Psychiatric Nurses Association
|July 30, 2025
Summary
Mental health intake can be challenging for transgender and gender-expansive (T/G-E) individuals. This study outlines a humanistic, trauma-informed approach using Human Caring Theory to create a safe and welcoming environment for T/G-E people during initial mental health services.
Area of Science:
- Nursing Theory
- Mental Health Services
- Transgender Healthcare
Background:
- Transgender and gender-expansive (T/G-E) individuals often face negative experiences within healthcare settings.
- Initial mental health intake is a critical juncture, potentially exacerbating feelings of vulnerability for T/G-E people.
Purpose of the Study:
- To describe processes for creating a supportive and safe mental health intake environment for T/G-E individuals.
- To develop a humanistic, theory-driven approach for initiating therapeutic relationships at intake.
Main Methods:
- Literature review of negative T/G-E healthcare experiences.
- Development of a nursing theory-driven approach integrating Human Caring Theory, trauma-informed care, and therapeutic use of self.
- Systematic examination of intake processes to identify and eliminate bias.
Main Results:
- A holistic, humanistic approach can facilitate the establishment of a trauma-informed therapeutic relationship.
- This process aims to create an environment that is welcoming and safe for all individuals, particularly T/G-E people.
Conclusions:
- Human Caring Theory offers a framework for humanizing mental health intake procedures.
- This approach aligns with holistic outcomes and is especially beneficial for providing mental health services to the T/G-E community.
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