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Contemporary Transgender Health Experience and Health Situation in Prisons: A Scoping Review of Extant Published Literature (2000-2019)

Van Hout, MC, Kewley, S and Hillis, A (2020) Contemporary Transgender Health Experience and Health Situation in Prisons: A Scoping Review of Extant Published Literature (2000-2019). International Journal of Transgenderism, 21 (3). pp. 258-306. ISSN 1434-4599

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Abstract

Background: Many jurisdictions globally have no specific prison policy to guide prison management and prison staff in relation to the special needs of lesbian, gay, bisexual and transgender (LGBT) prisoners despite the United Nations Standard Minimum Rules for the Treatment of Prisoners Standard Minimum Rules and the updated 2017 Yogyakarta Principles on the Application of International Human Rights Law in relation to Sexual Orientation and Gender Identity. Within LGBT prison groups, transgender people represent a key special population with distinct needs and rights, with incarceration rates greater than that of the general population, and who experience unique vulnerabilities in prisons. Aims/Method: A scoping review was conducted of extant information on transgender prison situation, their unique health needs and outcomes in contemporary prison settings. 59 publications were charted and thematically analysed. Results: Five key themes emerged: Transgender definition and terminology used in prison publications; Prison housing and classification systems; Conduct of correctional staff towards incarcerated transgender people; Gender affirmation, health experiences and situational health risks of incarcerated transgender people; and Transgender access to gender-related healthcare in prison. Conclusions: The review highlights the need for practical prison based measures in the form of increased advocacy, awareness raising, desensitization of high level prison management, prison staff and prison healthcare providers, and clinical and cultural competence institutional training on transgender patient care. The review underscores the need to uphold the existing international mandates to take measures to protect incarcerated transgender people from violence and stigmatization without restricting rights, and provide adequate gender sensitive and gender affirming healthcare, including hormone therapy and gender reassignment.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in International Journal of Transgenderism on 16 Jun 2020, available online: http://www.tandfonline.com/10.1080/26895269.2020.1772937
Uncontrolled Keywords: 1699 Other Studies in Human Society, 1701 Psychology
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences > HV Social pathology. Social and public welfare. Criminology > HV8301 Penology. Prisons. Corrections
Divisions: Psychology (from Sep 2019)
Public Health Institute
Publisher: Taylor & Francis Group
Date Deposited: 20 May 2020 10:38
Last Modified: 12 Jan 2022 15:45
DOI or ID number: 10.1080/26895269.2020.1772937
URI: https://researchonline.ljmu.ac.uk/id/eprint/12966
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