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Table 2 Main Themes and subthemes

From: “Lost trust in the system”: system barriers to publicly available mental health and substance use services for transgender women in San Francisco

Main Themes

Subthemes

Lost trust in the system

Suboptimal engagement to MHSU services due to the referral system

Suboptimal engagement to MHSU services due to structural barriers

Suboptimal engagement to MHSU services due to constant changes within the existing system

Anti-trans and Mental Health stigma