From my understanding of the Affirmative Care Model, the child's overall mental health is taken into consideration. Whether or not the child has schizophrenia, personality disorder, dissociative disorders, all of these are taken into account for their gender dysphoria. From what I understand, there is not an automatic assumption that the child needs to go into some sort of social transition. They take a holistic approach on the child.

If you have any studies at all showing that there are other alternative models besides the Affirmative Care Model I would love to see them.