While historically facing disproportionately high rates of exposure to violence, transgender and gender non-binary (TGNB) folks also face barriers to accessing mental healthcare. To help fill this gap in service, the the Mount Sinai Center for Transgender Medicine and Surgery (CTMS), with funding from CJII, created the Trauma Healing and Resilience Initiative for Transgender Survivors of Violence (THRIV).

This report presents the findings of a process evaluation of THRIV, which is designed to increase access to trauma-focused, gender-affirming therapy for TGNB survivors of interpersonal violence and trauma. This evaluation finds that, with the exception of a delayed rollout resulting first from an organizational shift and then from the COVID-19 pandemic, the program was implemented as per the intended plan. It exceeded its goals in terms of service and training delivery, received high satisfaction ratings from participants, and had profound impacts on the lives of participants.