This workshop will provide an overview of the literature on the experiences of transgender and gender diverse (TGD) individuals interactions with the criminal justice system in the U.S. and other countries. A review and facilitated discussion of procedures for the care of TGD individuals will also be presented. There is an extremely sparse professional literature on TGD offenders in general, with no published studies on TGD individuals who have committed sexual offenses. As such, case presentations and audience participation will be utilized as a framework to discuss the special needs of TGD individuals in both inpatient and outpatient treatment programs for sexual offending. The presenter will discuss changes to the newly released Version 8 of the World Professional Association for Transgendered Health (WPATH) Standards of Care with special emphasis on how these guidelines apply to members of this population who sexually harm other people.

The presenter will also discuss the potential impact of individuals experiencing gender identity concerns on dynamic risk factors for sexual offending relevant to this highly specialized population. The presentation will also address the complexities of gender affirming treatments, including Gender Affirming Hormone Therapy and Gender Affirmation Surgery concurrent with treating paraphilia. Strategies for assessing TGD inmates for housing placements in preferred-gender Correctional facilities will be presented. Psychometric indices such as the Gender Dysphoria Questionnaire for Adolescents and Adults and interview protocols for the diagnosis of Gender Dysphoria will be addressed with a discussion on differential diagnoses. An outline for training non-clinical (custodial, parole and probation, etc.) staff to work effectively TGNC individuals will be presented as will policy and procedure suggestions for managing TGD care in inpatient and outpatient treatment settings. The presentation will conclude with a discussion on recommendations for areas of research to better inform the treatment of TGNC people who sexually harm.

Learning Goals:
•Summarize the institutional transgender experience.
•Utilize the appropriate standards and progression of treatment for Gender Dysphoria.
•Discuss changes in version 8 of the WPATH standards of care and their implications for the sexual offending treatment of TGD individuals
•Analyze the DSM V diagnostic criteria for Gender Identity Disorder.
•Discuss treatment of dynamic risk of sexual harm for individuals experiencing gender dysphoria.
•Design a protocol for assessing appropriate institutional housing placements for TGD individuals in custodial settings.