Simulated Conversation Training for Mental Healthcare Providers to Improve Care for Transgender and Gender Nonconforming Individuals.

摘要 SIMmersion LLC与Galupo、施密特、松野、Bettergarcia、Hernández、Mastroleo和 Kukucka建议开发和评估培训跨肯定沟通技能（TTACS）， 一套对话模拟，为精神卫生保健提供者提供与 跨性别和性别歧视（TGNC）个体。申报产品利用SIMmersion的 PeopleSim®对话软件已被证明可提高多个领域的临床技能。 多元化的开发团队，包括TGNC个人和有色人种，参与各个层次的投入 （包括关键人员、专家小组、演员、焦点小组和社区合作伙伴）将设计和创建 TTACS中的四个模块，允许精神卫生保健临床医生和临床医生在培训中发展性别- 为有不同需求的客户肯定沟通技巧。TTACS模块将侧重于摄入量，传统 需要，高风险的需要，社会和身体的转变，以及培训中的虚构人物将是 由来自跨性别者社区的不同群体的演员代表。拟议的TTACS提供了一个创新的 响应美国心理学会（阿帕）的培训倡议， 指导方针的trans-affirmative，文化能力，和发展适当的照顾到心理 为TGC人做准备 在快速通道研究的第一阶段，该小组将评估使用PeopleSim培训的可行性， 提高临床医生满足TGNC个体需求的技能。该团队将创建一个设计计划， 整个TTACS系统（目标1），开发摄入模块（目标2），进行组内的岗前知识 与培训中的临床医生进行评估（目标3a），并与关键决策者进行焦点小组讨论， （目标3b）。第一阶段的成功将直接导致剩余TTACS的第二阶段开发 模块（目标1）和开发标准化患者情景和检查表，用于评估技能 与TGNC客户合作的受训临床医生（目标2），将用于随机对照试验 (Aim 3）100名学生就读于临床和咨询心理学研究生课程。该团队计划 开始将TTACS（目标4）商业化到大学项目、独立培训组织、医疗保健 中心和专业组织，从提供信件的个人和组织开始， 支持.如果成功的话，拟议中的研究可以帮助减少虐待，歧视， TGNC个人在寻求心理健康护理时经历的身心健康差异。

ABSTRACT SIMmersion LLC, in collaboration with Drs. Galupo, Schmidt, Matsuno, Bettergarcia, Hernández, Mastroleo, and Kukucka, is proposing to develop and evaluate Training Trans-Affirmative Communication Skills (TTACS), a suite of conversation simulations that provide mental health care providers with experience working with Transgender and gender nonconforming (TGNC) individuals. The proposed product utilizes SIMmersion’s PeopleSim® conversation software that has already been proven to improve clinical skills in a variety of areas. The diverse development team, which includes TGNC individuals and people of color at every level of input (including Key Personnel, Expert Panel, Actors, Focus Group, and Community Partners) will design and create four modules within TTACS that allow mental health care clinicians and clinicians-in-training to develop gender- affirming communication skills for clients with diverse needs. TTACS modules will focus on Intake, Traditional Needs, High-Risk Needs, and Social and Physical Transitions, and the fictional characters in the training will be represented by a diverse group of actors from the trans community. The proposed TTACS provides an innovative response to the call for training initiatives for implementing the American Psychological Association (APA) guidelines for trans-affirmative, culturally competent, and developmentally appropriate care into psychological practice for TGNC people. During Phase I of the fast-track research, the team will evaluate the feasibility of using a PeopleSim training to improve clinicians’ skills at meeting the needs of TGNC individuals. The team will create a design plan for the entire TTACS system (Aim 1), develop the Intake module (Aim 2), conduct a within-group pre-post knowledge assessment with clinicians-in-training (Aim 3a), and a focus group discussion with key decision makers and supervisors (Aim 3b). Success in Phase I will lead directly into Phase II development of the remaining TTACS modules (Aim 1) and the development of Standardized Patient Scenarios and checklists for evaluating the skills of clinicians-in-training working with TGNC clients (Aim 2), which will be used in a Randomized Controlled Trial (Aim 3) with 100 students enrolled in clinical and counseling psychology graduate programs. The team plans to begin commercializing TTACS (Aim 4) to university programs, independent training organizations, health care centers, and professional organizations, starting with the individuals and organizations that provided letters of support. If successful, the proposed research could help reduce the patterns of mistreatment, discrimination, and physical and mental health disparities TGNC individuals experience when they seek mental health care.