feminisation and masculinisation with the use of apps and devices A2.2.6 Able to model and contrast head/facial and chest resonance pertinent to trans clients A2.2.7 Able to model and facilitate learning of different laryngeal and articulatory postures A2.2.8 Develop an understanding of and skills in own voice in the context of flexible vocal modelling and coaching, eg by attending a voice practitioner workshop A2.2.9 Able to measure outcomes of pitch change, client perception of voice and communication (eg with TVQMtF), and psychosocial functioning RCSLT Trans and Gender-Diverse Voice & Communication Therapy Competency Framework – Level B An SLT who is signed off at Level B demonstrates considerable competence in the assessment and management of trans and gender-diverse clients. The SLT at Level B is highly experienced in clinical voice disorders with substantial experience of voice modification assessment and therapy. The SLT at Level B may supervise, support and train others in Voice and Communication Therapy for trans and gender-diverse clients. SLTs may work at B for many years without fully moving to Level C. Name ………………………………………………………………………………………….
C1.1 – C1.6; C2.2.2; C2.2.3 Shadowing colleagues within own service and other services (development of skills using protocols, acoustic measures, psychosocial measures, biofeedback, use of apps, Skype and telephone therapy) A2.2.0; A2.2.7; A2.2.8 B1.4; B1.6; B2.2.1; B3.1; C1.4 – C1.6; C2.2.1; C2.2.2; C2.2.3; C3.1; C3.2 Trans support groups: accessing information, attendance Contact with trans and gender-diverse individuals via groups, eg voluntary/self-help – GIRES, Mermaids, Gender Trust, Sparkle, LGBT Foundation, Transformation, Spectrum Soho, ClinicQ, FTM London, Trans London A1.1; A1.3; A1.6; A1.7 B1.1; B1.2; B1.3; B2.1.1 C1.1 – C1.3 Course attendance: voice and communication, and clinical overview of gender pathways Experiential courses Tavistock and Portman NHS Foundation Trust courses Estill or Voicecraft (full course) Experiential voice courses (Shewell) Vocal Process (Kayes and Fisher) Lessac Masden Resonant System Therapy (LMRVT) British Association courses: singing training; public speaking; awareness of ‘presence’ A1.1 – A1.10 A2.1.1- A2.1.4 A2.2.1 – A2.2.8 B1.1 – B1.6 B2.1.1 – B2.1.4 B2.2.1 – B2.2.3 C2.1.1 C2.2.1 C3.3 Course attendance: psychological approaches, counselling CEN study meetings; short or longer courses Generic counselling: PG accredited certificated courses (eg Mary Ward Centre; various further education colleges) Solution-Focused Brief Therapy Cognitive Behavioural Therapy courses (eg Elias, Butcher, Cavalli training) Personal Construct Psychology (eg Centre for Personal Construct Psychology) B2.1.2; B2.1.3 B2.2.1; B2.2.3; B3.1 C2.2.1 C3.1
Mindfulness (Oxford Mindfulness Centre; 8-week experiential MBSR courses, eg at City Lit; Breathworks) Acceptance and Commitment Therapy (eg City Lit) Narrative Therapy (eg Narrative Therapy Institute) NLP Reading: policy, protocol, documentation ICD Codes: DCM V (American Psychiatric Association, May 2013) WPATH Standards of Care Version 7 (WPATH, 2012): Good Practice Guidelines (Royal College of Psychiatry, 2013): Interim protocol (NHS England, 2013): NHS England Blog: A1.1; A1.2; A1.9 A2.1.1; A2.1.3 B1.1; B1.4; B1.5 B3.1 C1.1; C1.4; C1.5 C3.1; C3.2
Media resources ‘Between The Ears.’ Radio 4 documentary. Stoneham G. Helping transgender People. TEDxSWPS August 2015 ‘A year in the life of Britain’s youngest transgender children’. BBC News, 2016. (Follow-up to first programme available at: ) Political/community debates: “The Second Train” Documentary by Tellyjuice, London (2017) on gender journeys, vocal exploration, voice group, and heterocisnormative bias (available from ) A1.1; A1.3; A1.10 B1.2; B1.3 A1.1; A1.3 – A1.5; B1.1 – B1.3 B1.1; B1.2 C1.1 A2.1.2; A2.2.2 B1.1 - B1.3; B2.1.2; C2.1.1; C2.2.1