The Trans-Led Care Study

This study tests a healthcare model where transgender people are cared for by providers from within the transgender community ("trans-led care") for people who struggle with both gender dysphoria and substance use. The study focuses on whether care delivered by community members who share lived experiences improves outcomes for transgender adults with alcohol or drug use problems. **You may be eligible if:** - You are 18 or older - You live in the United States - You primarily speak English - You identify as transgender or have a gender identity different from your sex assigned at birth - You have experienced 2 or more problems related to alcohol or other drug use in the past 12 months **You may NOT be eligible if:** - You are under 18 years old - You do not identify as transgender - You live outside the United States - You have not experienced substance use-related problems in the past year Talk to your doctor to see if this trial is right for you.