1. Service Integration – Mental Health and Beyond
Gail 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 WPATH
Gender 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 membership
Student 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 relationship
Content Knowledge
Interdisciplinary Practice
Professional Responsibility

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

14. Global Education Initiative
We 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