Cover
Title Page
Copyright
Preface
Contents
Figures and Tables
Summary
Acknowledgments
Abbreviations
Study Approach
Organization of This Report
Definitions of Key Terms and Concepts
Health Care Needs of the Transgender Population
Military Health System Capacity and Gender Transition–Related Treatment
Potential Consequences of Not Providing Necessary Gender Transition–Related Care
General Population Estimates of Transgender Prevalence
Prevalence-Based Approach to Estimating the Number of Transgender Service Members in the U.S. Military
CHAPTER FOUR: How Many Transgender Service Members Are Likely to Seek Gender Transition–Related Medical Treatment?
Prevalence-Based Approach to Estimating the Number of Gender Transition–Related Treatments in the U.S. Military
Utilization-Based Approach to Estimating the Number of Gender Transition–Related Treatments in the U.S. Military
Summarizing the Estimates
Private Health Insurance Cost Estimates
Sensitivity Analyses
Summarizing the Estimates
Impact on Ability to Deploy
Impact on Unit Cohesion
Costs of Separation Requirements Related to Transgender Service Members
CHAPTER SEVEN: What Lessons Can Be Learned from Foreign Militaries That Permit Transgender Personnel to Serve Openly?
Policies on Transgender Personnel in Foreign Militaries
Effects on Cohesion and Readiness
Best Practices from Foreign Militaries
Lessons Learned and Issues to Consider for U.S. Military Policy
CHAPTER EIGHT: Which DoD Policies Would Need to Be Changed if Transgender Service Members Are Allowed to Serve Openly?
Retention Policy
Deployment Policy
CHAPTER NINE: Conclusion
A. Terminology
B. History of DSM Terminology and Diagnoses
C. Treatments for Gender Dysphoria
D. Review of Accession, Retention, and Separation Regulations
References