ABSTRACT
The prevalence of substance use within the transgender and nonbinary (TNB) community has been documented at elevated rates compared to the broader cisgender population (Queensland Health, 2009). The authors’ review of literature on TNB populations and substance use concluded a list of limitations, including non-inclusive research that lacks rigor, a historical conflation of sexual orientation (e.g., lesbian, gay, bisexual) with gender identity, and the exclusion of TNB individuals within the research process. This chapter will review existing literature on TNB substance use and the Gender Minority Stress Model, which explains that social stigma and discrimination associated with being a TNB individual influences psychological conditions that can lead to substance use. The chapter will highlight the growing body of research into the treatment needs of TNB individuals. This chapter will draw upon the lived and practiced experiences of the authors to illustrate gaps in available academic literature to support TNB groups, and the clinical needs of substance use professionals who work with the TNB community. The authors will offer a list of recommendations and provide a classroom activity to move the field of TNB substance use prevention and treatment to greater efficacy.
