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Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary Adults

Award Number: K23MH128582
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 12/15/2021
PERIOD OF PERFORMANCE END DATE: 11/30/2025

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Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary Adults - PROJECT SUMMARY/ABSTRACT. Despite strides in social and political protections for transgender and nonbinary (i.e., transgender) people, transgender populations continue to face crisis-level rates of mental health concerns. Recent national surveys show that transgender people face also continue to face a burden of unmet need within healthcare systems, reporting elevated rates of mental healthcare avoidance of and exclusion from often life-saving services. This is often a result of discrimination from healthcare providers. Many hospital systems are unequipped to support transgender people seeking mental healthcare. As such, efforts to engage transgender individuals have not made significant dents in improving access to care and reducing psychological stress. One particular site of risk and opportunity for intervention is the Bronx, NY, a New York City borough containing the nation’s poorest congressional district and an epicenter of the ongoing health concerns for TNB people. The current project aims to data from a large group of patients at Montefiore Medical Center, a hospital system with over 3 million visits per year, to measure and address mental healthcare disparities. This study targets mental healthcare disparities using patients’ medical charts as well as interview data with transgender advocates and stakeholders. For Aim 1 (Year 1), we will analyze the extent to which transgender people receive fewer and/or worse quality mental health services at a large hospital site. We will do so by measuring differences between a large sample of 9,968 transgender adults with an even larger sample of 49,840 non-transgender adults. For Aim 2 (Year 2), we will meet with three groups of 36 stakeholders to contextualize why service disparities exist and strategies to address them. The first group will be composed of transgender people connected to mental health services. The second will be transgender people who are not connected to mental health services. The third will be hospital staff and administrators who specialize in transgender-affirming care. For Aim 3 (Years 3-4), we will integrate both types of data ( together and create a map to shift the ways mental health services are provided to improve transgender-affirming care. This award was developed with the goal of identifying barriers to and enablers of comprehensive TNB care, in order to measure and reduce mental healthcare disparities for diverse, resilient adult transgender populations.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	ALBERT EINSTEIN COLLEGE OF MEDICINE	1300 MORRIS PARK AVE	BRONX	NY	10461	BRONX	USA	Mental Health Research Grants	000	4	12/3/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $158,280 )
2025	2025	ALBERT EINSTEIN COLLEGE OF MEDICINE	1300 MORRIS PARK AVE	BRONX	NY	10461	BRONX	USA	Mental Health Research Grants	000	4	12/9/2024	NON-COMPETING CONTINUATION	$158,280
														Subtotal = $158,280

Issue Date FY: 2024 ( Subtotal = $158,447 )
2024	2024	ALBERT EINSTEIN COLLEGE OF MEDICINE	1300 MORRIS PARK AVE	BRONX	NY	10461	BRONX	USA	Mental Health Research Grants	000	3	12/5/2023	NON-COMPETING CONTINUATION	$158,447
														Subtotal = $158,447

Issue Date FY: 2023 ( Subtotal = $158,905 )
2023	2023	ALBERT EINSTEIN COLLEGE OF MEDICINE	1300 MORRIS PARK AVE	BRONX	NY	10461	BRONX	USA	Mental Health Research Grants	000	2	2/16/2023	NON-COMPETING CONTINUATION	$158,905
														Subtotal = $158,905

Issue Date FY: 2022 ( Subtotal = $158,588 )
2022	2022	ALBERT EINSTEIN COLLEGE OF MEDICINE	1300 MORRIS PARK AVE	BRONX	NY	10461	BRONX	USA	Mental Health Research Grants	000	1	12/13/2021	NEW	$158,588
														Subtotal = $158,588

Grand Total All Awards = $634,220

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Mapping Interventions to Reduce Mental Health Services Disparities among Transgender and Nonbinary Adults

Award Number: K23MH128582

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 12/15/2021

PERIOD OF PERFORMANCE END DATE: 11/30/2025

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