I have experience working with children, teens and adults who are questioning their gender, going through gender transitioning, or just needing a safe space to discuss life as a gender non-conforming person. Plastic and Reconstructive Surgery . I have extensive experience working with adolescents and adults experiencing gender dysphoria. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. Hormone therapy mimics the bodys production of estrogen or testosterone. We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). We appreciate your patience and will respond to you as soon as possible. I've worked with hundreds of transgender and gender variant people since 2015. We confer monthly with other transgender health programs. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. We can answer questions and discuss: Specialists: We recommend that your child see a specialist in treating puberty-related conditions, such as: Our specialists, for example, can identify the start of puberty. Fax: 207-662-5528. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. Taking several meds or supplements? of care. We can refer you to fertility experts to discuss options. If a patient is already working with a therapist, we will talk with that therapist about treatment. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Our Portland women's health team brings together broad clinical expertise and deep understanding of the unique needs of women during every phase of their lives to provide the whole-person care you need and deserve every step of the way. A mere 13 months later, Ashe . What a racket. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. I am a queer, genderqueer person. Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. I bring my own experience of being trans and want to be here for your experience of gender: your story, your life, your identity, and your family, culture, and communities. I also provide readiness evaluations for those seeking medical transitions. I want you to feel empowered to show up as your whole self, regardless of the context. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Grand rounds for health care professionals: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. Learn more about your options. Outside In made me want to be around excellence. That essentially puts the puberty system to sleep. Located inside the new Equality Community Center at 15 Casco St in Portland, ME, Safe Combinations is a project of MaineTransNet. Theyre designed to help patients start the puberty that matches their gender identity. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. It can also cause adolescents to be taller or shorter than the norm for their gender identity. OHSU is dedicated to inclusive care and to offering welcoming facilities. See our For Health Care Professionals page for links to published studies by OHSU providers. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. OHSU is building a pediatric patient registry to better track outcomes and improve treatments. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. Sex is decided based on anatomy, hormones and DNA. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. If you dont see the number you need below, call OHSUs main number: who liststransgender careamong specialties and/or practices at one of the locations below. On average, the typical first clearance will be an average of 6+ hours. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. offer you the chance to share your experience, help others, shape our program, and advance our mission. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. We can also provide you with follow-up materials and walk you through the process of how to change your name or gender-marker on other documents once you receive a judgment from the court changing your name or gender marker. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! 25 received pubertal suppression . As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. As a queer identified, non-binary person, it is important to me to offer gender affirming therapy to those navigating their gender identity and are exploring their gender. We value input from patients, providers and community members. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. . She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. Many people treat gender dysphoria by physically modifying their bodies through surgery so that they better match their gender identities. Most teens have the maturity to make these decisions by age 16. We assess each child individually. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Outside In is a Health Center Program grantee under 42 U.S.C. Psychological, medical or social problems that could disrupt treatment have been addressed. If you have a visit for gender-affirming hormones at our clinic, you may be given an informed consent form to sign that explains the risks, benefits, and other important details about the medications. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. This helps us offer services that match your needs. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. People talking to me, listening to me. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Responsibilities include rooming patients, collecting patient information, preparing patients for examination, assisting with procedures, and assisting with overall delivery of patient care. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. Outside In is a 501(c)(3) tax exempt organization (EIN: 93-0567549). Campus DrivePortland, OR 97239, Cornell West1500 N.W. Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming: Our compassionate providers are leaders in their fields who have developed best practice guidelines in transgender health that are used throughout Kaiser Permanente. The investigation has also revealed that doctors from the clinic advised teachers to "affirm" an entire group of fifth graders - ages 10 and 11 - who showed up to the clinic en masse asking to be transitioned from female to male. Pride Clinic. UnitedHealth Group will adhere to all federal . Testosterone: Testosterone is usually injected into muscles or just under the skin. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Our treatment is different for every person and we use evidence-based treatments. Doernbecher offers psychological and psychiatric care. As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. I work with clients exploring their gender identities and working on questions about their self-image and embodiment. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. Gender affirming care, gender consult and support letters. She is also a member of . who we . Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. This includes supportive therapy for children, adolescents, and adults who are in the early stages of exploring/questioning their gender identity, as well as assessment and letter-writing for clients pursuing hormones and/or surgery. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. Transgender Law Center 1629 Telegraph Ave., Ste. Dr. Jens Berli talks about gender dysphoria and his passion for his work at OHSU. Let's work together to unpack the blocks to expressing yourself more fully. You will then be scheduled for a 1-hour telehealth orientation appointment. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Its really nice to have a doctor who makes house calls when one is recovering from surgery. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. Contact Us Southern California Kaiser Permanente members can call the Transgender care line at 323-857-3818 Monday through Friday 7:30 am to 5:00 pm to speak to a nurse case coordinator. Most of my clients are transgender and/or non-binary. Minors aged 13 to 18 can withhold mental health records from parents for " sensitive " conditions, which include both "gender dysphoria" and "gender-affirming care." Insurers in Washington must cover a wide array of "gender-affirming treatments" from tracheal shaves to double mastectomies. I help clients to embrace their identities through coming out, social and medical transition, & more. . for any health care need,such as primary care, mental health care and gender-affirming services. Better turn it on! We accept referrals from all over the UK for people with issues related to gender. OHSU providers work together to make sure you get the care you need. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). This is commonly age 10 or 11. I hold a healing space where trans and nonbinary folx can enter into your healing work without having to explain yourself or make yourself smaller. You do not need a referral for a primary care appointment. As a queer non-binary therapist I have first hand, lived experience with gender issues. Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. How can you contact us? As a queer person, it is important to me to create space in my practice to serve my community. Bone-building exercises and taking calcium and vitamin D can help. The Doernbecher Gender Clinic works with the, Call Doernbecher Pediatric Endocrinology at, Bridges Program (Pediatric Palliative Care), Childrens Palliative Care FAQ and Resources, Emotional Support and Preparation for Siblings, Facility Dogs and Animal-Assisted Therapy, Adolescent and Young Adult Hematology/Oncology, World Professional Association for Transgender Health (WPATH) guidelines for care. Injections into a muscle every three months. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. Gender expression is a passion of mine. LMFT. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. We will: We will monitor your child throughout treatment. We're all struggling. The THP and OHSUs. Whether youre LGBTQIA+, BIPOC, facing health disparities, at the intersection of these identities, or just want a safe, non-judgmental health-care experience, we are here to help you Shine Brighter! Joe has trained and presented widely in the area of gender studies as well as having worked extensively with clients around issues related to gender transitions, including assessment and documentation for medical needs.
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