Transgender Training - ITCA Curriculum 2018

Transgender Care Certification Program 40 Hours

Time Class Learning Objectives
  Day 1  


TGC 701 Foundations of Transgender Care

Introduction and Orientation

  1. Describe program process with needs assessment
  2. Lack of knowledge service providers
  3. Need for letters of recommendation from experts
  4. Support & eduation for family, friends, and employers
  1. Define the role of specialists and how they coordinate transgender care with professionals and therapists
  2. Describe the role of the mental health professional in working with the transgender population



Lectures-Bio roles/ Orientation

  1. Categories of Identity
  2. Transgender Umbrella
  1. Define the major categories and subcategories of identity related to sex and gender
  2. Distinguish a fetishist from a transsexual or cross-dresser

Transition Decisions


Reaching out

Coming Out

Hormones, Surgeries, Legal

  1. Describe the stages of transition
  2. Describe the secisions trans people need to make

Panel Presentation

Trans individual will discuss the transition process

  1. Integrate the previous didactic learning wiht the real life experiences of trans people.
  2. Discuss the challenges trans people face in various life areas.
12:30pm-1:30pm Lunch break w/ panel members  

The Transition Process

Overview of Motivational Enhancement Stages of Change

  1. Mental Health Evaluation and Therapy
  2. Hair Removal
  3. Hormone Therapy
  4. Genital Reconstruction Surgery
  5. Facial Feminiztion Surgery
  6. Voice Therapy
  7. Decisions
  1. Describe the stages of transiton from a Motivational THerapy perspective. Discuss various paths each person may take.
  2. Assist an individual in each stage of the coming out process
  3. Describe the various changes available for transition
  Day 2  

TGC 702 Transition Challenges


Facail hair and binding

Coming out, initial and ongoing

Body changes

Finding providers


  1. Describe in depth the challenges faced by trans people.
  2. Implement role-play wiht transitioning clients to help them deal with various situations.
  3. Discuss the therapist's role related to the specific challenges.
12:00pm-1:00pm Lunch  

Transition Callenges (con't)

  1. Legal 
  2. relationships - intimacy
  3. Medical Issues & Addiction 101
  4. Cultural
  5. Religion & Spirituality
  6. Incarceration
  1. Describe the legal aspects of transition
  2. Describe the relational aspects of transition
  3. Describe the obstacles to madeical care and treatment
  4. Recognize those particular challenges faced by transgender individual from various cultures and countries.
  Day 3  



TGC 703 Evaluation, Assesment, & Differential Diagnoses

The WPATH Standards of Care

  1. Describe the intention of the Standands of Car (SOC)
  2. Implement th SOC guidelines for transition
10:00am- 12:00pm

How to do and Evaluation:

Assessmnets and recommendations for clients

Areas of remediation

  1. Implemnent assessment and therapuetic strategies to assist trans peoplewith transition planning
  2. Assess for those areas that need to be address prior to  recommendations
  3. Determine the relevant area to be targeted in therapy
  4. Utilize a varitey of assessment tools
  5. Demonstrate abitlity to conduct an evaluation interview


12:00pm - 1:00pm Lunch  
1:00pm- 5:00pm

Differential Diagnoses

  1. Body dysmorphia
  2. Gender queer, non or  other gender
  3. Neuter and eunuch
  4. Fetich
  5. Self Mutilation
  6. TG as a coping mechanism
  7. Physical Disabilties Issues

Class discussion and process

  Day 4  

9:00am - 12:pm

TGC 704A Medical Interventions 1-Hormones

Hormone Therapy

Guest Speaker Layne Yassen

  1. Describe the hormone therapy protocols
  2. Describe primary and side effects or hormone therapy


12:00-1:00pm Lunch  

Transition through the Lifespan 1: Child and Adolescent Care

Children & Families of Trans People Panel Members

  1. Medical Intervention
  2. Family & School
  1. Describe the basic challenges facing Family
  2. Develop intervention strategies appropriate for various family members
  3. Describe and define the varous terms used by the younger generation of gender non-conforming people.
  4. Distinguish issues specific to children and adolescents from adults regarding gender identification and transition.
  5. Use and understanding of trans people's and family's experiences to develop individualized tranition plans.
 4:00pm-5:00pm Consolidation and Processing   
  Day 5   
9:00am - 12:00pm

Medical Interventions 2 - Surgeries

Guest Speaker Dr. Harold Reed

  1. List and describe the various medical interventions for transsexuals.
  2. Describe the risk factors as per SOC for hormone therapy.
  3. Describe the risk factors as per SOC for sex reassignment surgery.
  4. Identify contra-indications for hormone or surgery recommendation.
  5. List medical and other healthcare resources for the trans person.
12:00pm - 1:00pm Lunch   
1:00pm - 3:00pm Senior Care
Transgender Senior Panel
  1. Prolonged effects of hormone therapy.
  2. Loss of families and/or social supports.
  3. Dealing with healthcare providers.
  1. Describe those issues specific to older adults in transition.
  2. Describe issues likely to arise for transgender people in their senior years.
 3:00pm - 4:00pm Consolidation and Processing  
  Day 6  
9:00am - 12:00pm

Treatment Planning & Therapeutic Issues

  1. Letters of Recommendation
  2. Letters of Support
  1. Implement a transition treatment plan.
  2. Write effective recommendation letters for hormones and surgeries as per SOC guidelines.
12:00pm - 1:00pm Lunch  
1:00pm - 3:00pm
  1. Post-op care
  2. Regrets and Remorse
  1. Make effective and relevant referrals.
  2. Identify potential issues and develop a treatment plan for post-hormone and post-surgery life.
  3. Describe post-op medical and emotional issues and utilize appropriate interventions
  4. Implement treatment interventions with post-op transsexuals who are experiencing remorse or regret about transition.
3:00pm - 4:00pm Wrap up and final comments   


Transgender Care Resources

Bockting, W. O. & Coleman, E., eds. (1992). Gender Dysphoria: Interdisciplinary approaches in clinical management. Binghamton, NY: Haworth Press. $34.56 on
Standards of Care (2013). The World Professional Association for Transgender Health free on

Answers to Your Questions About Transgender People, Gender Identity, and Gender Expression. American Psychological Association.

Beyond the Binary: A Tool Kit for Gender Identity Activism in Schools

Kirk, S & Rothblatt, M. (1995). Medical, legal and workplace issues for the transsexual: A guide for transformation. Watertown, MA: Together Lifeworks.
Schroth, L. E. ed. (2014). Trans Bodies, Trans Selves: A Resource for the Transgender Community. New York: Oxford University Press.
Stevenson, M. R. & Cogan, J. C. Eds. (2003). Everyday Activism. New York: Routledge Press.
Stuart, K. E. (1991). The uninvited dilemma: A question of gender. Portland, OR: Metamorphous Press.
Teich, N. M. (2012).Transgender 101: A Simple Guide to a Complex Issue. New York: Columbia University Press.
Zucker, K. J. & Bradley, S. J. (1995). Gender Identity Disorder and Psychosexual Problems in Children and Adolescents. New York, NY: Guildford Press.


The Middle Sexes, Parts 1-11, 

Trans, Chris Arnold, director, IICS website
Intersex, IICS website
Oprah on Transgender, IICS website

Resources (to date)

Advocates for Youth- Ten Tips for Parents of a Gay, Lesbian, Bisexual or Transgender Child & I Think I Might be Transgender, Now What Do I Do?

ANSWERS TO YOUR QUESTIONS About Transgender People, Gender Identity, and Gender Expression American Psychological Association.

BEYOND THE BINARY: A Tool Kit for Gender Identity Activism in Schools

CDC Centers for Disease Control & Prevention. Lesbian, Gay, Bisexual, and Transgender Health—Youth

COLAGE Kids of Trans Program (for children with transgender parents)

Deaf Queer Resource Center

EVERYDAY ACTIVISM. Michael R. Stevenson and Jeanine C. Cogan, Ed. New York:Routledge, 2003.

FACT SHEET: Transgender & Gender Nonconforming Youth in School. Sylvia Rivera Law Project

Gay/Straight/Trans Alliances: A Student Guide

Gender Education & Workplace Advocacy

Gender non-conforming: child, family, medical, mental health issues/resources

GLBTQ: The Survival Guide for Queer and Questioning Teens by Kelley Huegel—grades 9 and up

GLSEN (Gay, Lesbian and Straight Education Network) HARSH REALITIES: The Experiences of Transgender Youth in Our Nation’s Schools. & Miami-Dade County

Public Schools Gender Resource Guide (available from the YES INSTITUTE, Miami Florida)

International Foundation for Gender Education

Intersex Society of North America

If YOU ARE CONCERNED ABOUT YOUR CHILD’S GENDER BEHAVIORS: A Guide for Parents. Children’s National Medical Center

Lambda Legal Defense and Education Fund

LINKS for Transgender Youth

LOVE MAKES A FAMILY. By Gigi Kaeser & Peggy Gillespie—all grades

LUNA by Julie Ann Peters A story of a transgender brother/Grades 9 and up

MY GENDER WORKBOOK :How to Become a Real Man, a Real Woman, the Real You, or Something Else Entirely. By Kate Bornstein. New York: Routledge, 1998.

National Center for Transgender Equality

National Coalition for Gay, lesbian, Bisexual and Transgender Youth

National Gay and Lesbian Task force

National Youth Advocacy Coalition


PFLAG (Parents, Families, and Friends of Lesbians, Gays, and Transgender)


Safe Schools Coalition . Model School District Policy Regarding Transgender and Gender NonConforming Students—

THE FAMILY BOOK by Todd Parr. K-grade 3

THE TRANSGENDER CHILD by Stephanie Brill and Rachel Pepper. 2008.

The World Professional Association for Transgender Health

TransFaith Online. Spiritual and Religious Issues


Transgender Living on YouthResource

TRANSITIONS OF THE HEART—Stories of Love, Struggle and Acceptance by Mothers of Transgender and Gender Variant Children by Rachel Pepper. Cleis Publishers, 2012.

TRANSGENDER VISIBILITY: A Guide to Being You. Human Rights Campaign

Trans Youth Family Allies

Trevor Helpline Crisis Intervention for LGBT Youth 24 hours a day/7 days a week 1.800.850.8078

WORKING WITH TRANSGENDER YOUTH: Getting Down to Basics. A CWLA/LAMBDA Legal Joint Initiative &

Gender Role Interviews:

Bruce Jenner:

Gender Queer-ies: