WASHINGTON—The American Psychological Association (APA) has adopted a landmark policy affirming evidence-based care for transgender, gender diverse and nonbinary children, adolescents and adults, noting that recent legislative attempts to obstruct access to psychological and medical interventions for such individuals puts them at risk of depression, anxiety and other negative mental health outcomes.

"The adoption of this resolution reaffirms APA's dedication to promoting inclusivity, dignity and access to quality health care for all individuals, regardless of their gender identity or expression," said APA President Cynthia de las Fuentes. "It sends a clear message that state bans on gender-affirming care disregard the comprehensive body of medical and psychological research supporting the positive impact of such treatments in alleviating psychological distress and improving overall well-being for transgender, gender diverse and nonbinary individuals throughout their lives."

The policy, titled "Policy Statement on Affirming Evidence-Based Inclusive Care for Transgender, Gender Diverse, and Nonbinary Individuals, Addressing Misinformation, and the Role of Psychological Practice and Science," was approved by APA's governing Council of Representatives at its meeting on Feb. 24. The vote was 153-9 with one abstention.

The also resolution calls for insurance plans to extend coverage for health care services tailored to the developmental needs of children, adolescents, and adults identifying as transgender, gender diverse or nonbinary, encompassing both psychological and medical gender-affirming care.

"We believe that access to evidence-based health care is a fundamental right for everyone, and this policy reflects our commitment to promoting social justice and equity in health care," said de las Fuentes. "APA also affirms the essential role and legal rights of parents and caregivers to ensure the well-being of children and adolescents while honoring their expressed gender identity, including being involved in health care decision-making, and supporting developmentally appropriate youth self-advocacy."

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