In 2010, the National Institute of Drug Abuse implemented an initiative targeting the “Seek, Test, Treat, and Retain” (STTR) paradigm with HIV-infected drug abusers in criminal justice populations. The aim of the initiative is to develop, implement, and test strategies to increase HIV testing, provide antiretroviral therapy (ART) to HIV seropositive individuals, and to increase engagement and retention of individuals in HIV treatment during and after community re-entry following incarceration.
The prevalence of incarcerated individuals with gender dysphoria (formerly known as gender identity disorder), intersex conditions, and who are transgendered remains unknown. Correctional systems face increased scrutiny, litigation risks, and other challenges in the treatment of individuals with gender dysphoria. This presentation is designed to provide an overview of the phenomenology, clinical presentation and challenges of this unique patient population within corrections.