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Figure z. Recommendations for improving HIV prevention and care services for the TGNC <br />community in Orange County. <br />_ <br />Recommendations <br />Additional staff to answer phone calls and respond to patient needs in all clinics serving TGNC <br />individuals. <br />Administration <br />Identify and adopt best practices from service providers from neighboring counties such as Los <br />Angeles. <br />• When marketing for services, use pictures of diverse populations, specifically the transgender <br />Advertising <br />community. <br />All staff should be trained on best practices for working with the TGNC community, with ongoing <br />Staff Members <br />training provided by someone from the TGNC community. <br />• All staff should be competent in understanding healthcare needs of the population. <br />• Provide safe -sex supplies in the quantity requested by patients to meettheir needs. <br />Ensure the provision of or referral to other needed medical services, such as hormone replacement <br />Comprehensive <br />therapy and gender affirmation surgeries, to help eliminate barriers in accessing health care. <br />, <br />Healthcare <br />• Mental and emotional health services. <br />• Basic sexual health education. <br />• Encourage and promote HIV testing. <br />- <br />• Provide information and resources on howto access affordable healthcare services, specifically low- <br />, <br />Cost of <br />cost healthcare, and prescription coverage (PrEP). <br />Healthcare <br />Provide navigation services to ensure patients have access to affordable health care services and to <br />navigate the intricate system of care. <br />• Provide referrals for legal support services. <br />Legal Support <br />• Provide information and/or referralsto healthcare providers who provide careto undocumented <br />citizens. <br />, <br />Non-traditional <br />Offerservices in communities and places where TGNC community members live, work, and <br />; <br />medical settings <br />socialize. <br />Provider <br />• All medical providers should be trained on how to make appropriate referrals for gender affirmation <br />` S <br />Practices <br />surgeries and follow-up services. <br />Referrals or in-house case management services with follow-up if not currently available. <br />a b <br />Social <br />• Information or referrals to personal and professional development services, such as English as a <br />, <br />Determinants of <br />second language and technology classes. <br />Health <br />Ongoing discussion between health care providers and the community andlorfocus groups for <br />additional insight on the needs of the TGNC community. <br />zq <br />�y <br />