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Guided Concept Map #5 - Coggle Diagram
Guided Concept Map #5
Solutions and Suggestions for Improvement
Provider-level solutions
More education on gender-affirming and culturally competent care
Encourage self-learning and appoint provider champions
Patient-level solutions
Encourage youth to engage in cultural traditions and find online support
Foster early mental health support before crisis situations
Systemic solutions
National and tribal policy changes to increase healthcare access
Improve medical systems to be more inclusive like gender-affirming forms or Indigenous representation in clinics
Historical Trauma and Settler Colonialism
AI/AN communities lost culture, land, and language, causing long-term emotional and psychological wounds
Trauma affects even those who didn’t directly experience it
Barriers to Healthcare
Patient-side barriers
Lack of Community & Family Acceptance
Many youth feel unsafe expressing their identity
Limited Access to Gender-Affirming Care
Few providers offer appropriate services
Socioeconomic & Geographic Issues
Transportation, poverty, and insurance gaps block access
Provider-side barriers
Lack of Training
Few providers receive education on LGBTQ2S healthcare
Discomfort & Uncertainty
Some providers don’t know how to support transgender youth
Systemic Issues
The medical system still follows colonial norms and stigmatizes gender diversity
Resilience and Strength in AI/AN Communities
AI/AN cultures have historically celebrated gender diversity
Community support and reconnection to traditions help youth feel valued
Health Disparities
AI/AN transgender and Two-Spirit youth face higher rates of:
Mental health struggles such as anxiety, depression, suicidality
Physical health issues due to lack of access to care
Discrimination like harassment and assault in schools