Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. Gender Clinic; OUT Maine; LGBTQ+ Resources At Northern Light Health, we provide high-quality care that is focused on the needs of each person regardless of sexual orientation or gender identity. Outside In made me want to be around excellence. Simply stated, our society has not caught up with what it means to identify as a gender other than the one you were assigned at birth. Background image: THP - Transgender Health Program volunteer Jess G. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaard, Help arranging health care services. 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. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. I am a non-binary gender therapist with lived experience and interest in unique identities. 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. Schedule is Monday through Friday, 8:00a . Our clinic accepts new patients through age 18. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. I have extensive experience providing gender affirming care for transgender and gender diverse individuals. We will: Get your childs medical history and family history. I have attended several specialized trainings for working with gender identity issues before and during that time. This is commonly age 10 or 11. Hormone therapy mimics the bodys production of estrogen or testosterone. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). OHSU is an equal opportunity affirmative action institution. . I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. Injections are only available with a minimum of one hour of electrolysis. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. Suppressants taken later in puberty dont reverse changes but can stop new ones. We have more than 30 areas of practice, including Urgent Care. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. Currently, there is limited information about the long-term effects in gender-diversepatients. See our insurance page to learn more about payment options. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. This allows a longer duration of an electrolysis session with greater clearance of hair. Psychological, medical or social problems that could disrupt treatment have been addressed. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. TPC email access. A mental health professional can help with these and other challenging aspects of gender dysphoria. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. They protected me. more than one gender. There is no additional fee. I've worked with hundreds of transgender and gender variant people since 2015. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. (480) 657-7006. Clinic RN - Pediatric Surgery. Because of him I am now a complete, functioning attractive woman. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. A mere 13 months later, Ashe . We're all struggling. Our medical system currently creates many barriers to gender-affirming care. If a patient is already working with a therapist, we will talk with that therapist about treatment. I also worked on a project with 29 brave individuals honoring their journey in gender expression. We offer treatment to patients of all ages with both pediatric and adult services. Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. I found Outside In. Your partner in inclusive, affirming health care, Request for Transgender Health Services referral form, talk about transitioning as a new employee, Dedicated clinics for gender-diverse care, Half of transgender patients leave home state for surgery, study finds, Surgeon-scientist centers patients in research to improve transgender care, Transgender and gender-expressive communities can count on OHSUs support, Honoring International Transgender Day of Visibility, Why gender-affirming care for youth is important, OHSU earns top score in Human Rights Campaign Foundations 2022 Healthcare Equality Index, OHSU expands, improves transgender health services, Affirming health care is lifesaving for transgender youth. Onsite self-injection lessons for hormone injections. I've spent years supporting my clients to come more deeply into their true expression. The Portland Clinic Blog Health Matters Categories: #COMMUNITY #FITNESS #FOOD&NUTRITION #MEETYOURDOC #NEWS #YOUR HEALTH #YOUR HEALTH If it tingles, it's carpal tunnel, right? We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. Its important that patients have enough time after surgery for healing and family support. Prism Health offers affirming pharmacy services for our community through our on-site pharmacy, or you can receive your prescriptions directly to your home through mail-order! Some changes, such as to fertility (the ability to have biological children) or chest development, may be permanent. I also support parents looking for resources while they may have a child transitioning. One of the possible reasons an email can be . I'm here to help. The Meltzer Clinic Providers - The Meltzer Clinic PC. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Our treatment is different for every person and we use evidence-based treatments. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. Email us today to reach our intake specialist. Full-Time. Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave, Vaginoplasty Penile Inversion with Clitoroplasty, Labiaplasty, Top Surgery Double Incision with Nipple Grafts, Peri-Areolar, Phalloplasty: Groin Flap, RFF, Combined Groin + RFF, with Urethroplasty, Glansplasty, Penile Implant. Menu. AboutPrismHealthMedical ProvidersBehavioral Health ProvidersOur Leadership TeamCareersContact Us, PrimaryCareGender-AffirmingCareBehavioral Health & Substance Support PharmacySexual HealthPrEP, MPox InformationInsuranceNotice of Privacy PracticesPrivacy PolicyGood Faith EstimateSliding Scale DiscountPatient FormsLaboratory, 2022 Cascade AIDS Project, Inc. All rights reserved. I continue to provide affirmative care for the community and their families. It can also cause adolescents to be taller or shorter than the norm for their gender identity. 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. Plastic and Reconstructive Surgery . Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. http://bethannshort.com/gendersummit.html. 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. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Well discuss all aspects of this treatment to help you make an informed decision. Doernbecher Childrens Hospital700S.W. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. This means that all of our providers are able to provide gender-affirming care, so you can avoid having to see multiple providers to have all your care needs met. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. OutCare reviews each OutList profile prior to publicly publishing. We take most health insurance, including OHP. Some changes, such as to fertility or a deeper voice, may be permanent. Annual exams and screenings Fertility and family planning Pregnancy care Maternal-fetal medicine See our For Health Care Professionals page for details. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. 2001-2022 Oregon Health & Science University. 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. For example, several key staff members from The Meltzer Clinic are still based in Portland. Contact the OHSU Transgender Health Program at: Parking is free for patients and their visitors. Hormone therapy doses how much and how often are typically different for teens than for adults. 12115 SW 70th Ave, Suite 101 Portland, Oregon 97223. Outside In is a Health Center Program grantee under 42 U.S.C. Visit ourevents page and scroll down to "Calendar" to find a meeting. She is also a member of . I feel safe at Outside In. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. Fertility: Suppressants should not affect your childs ability to have children. If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. They may want to begin their transition as soon as possible. The wonderful and fresh food, the health care, the accommodations, the hospitalities. By signing up, you agree to receive news about CAP, Prism Health, Our House, and our services via our email newsletter. It gives adolescents time to explore their gender. The team of compassionate doctors and medical practitioners specialize in . By the time I was 17, I didn't trust anybodyexcept Outside In. Taking several meds or supplements? 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! Your feedback: We value input from patients, providers and community members. When treatment starts: Medical treatment usually doesnt begin until puberty. The child has given informed consent. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. We believe that trying to change a persons gender identity is harmful. Transgender Health Program Community Advisory Board: This group is made up of transgender and gender-nonbinary people who have received program services or who represent served communities. We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. For New Patients. 2236 SE Belmont St Portland, OR 97214 TriMet Stop ID: 408 SE Belmont & 23rd Eastbound Prism Health is a center of excellence for comprehensive, compassionate and culturally affirming healthcare for everyone with the aim of addressing long-standing health disparities in the LGBTQ+ community and promoting equitable access to healthcare. It prevents the development of sex traits that may be hard or impossible to reverse later. I have experience providing assessments and letters of support for gender-affirming medical care. As a queer non-binary therapist I have first hand, lived experience with gender issues. We will talk with you about options, what to expect and possible risks. Testosterone: Testosterone is usually injected into muscles or just under the skin. offer staff training that includes culturally competent LGBTQ care. If you are a new or current Kaiser Permanente member who needs a trans-competent primary care provider, please call us or contact Member Services for help. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Mabel Wadsworth Center offers a safe and affirming environment." Services include: Abortion Care Annual Wellness Exams Birth Control Cancer Screenings Colposcopy Infertility Consultation Intrauterine Insemination LGBTQ Healthcare Gender Affirming Hormone Therapy Men's Health Menopause Consultation Mental Health Counseling The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. We will discuss risks and fertility-saving options with you. For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. We dont charge for support, information or patient-education classes. 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. You will also find gender-neutral restrooms across our campuses. Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Small implants placed under the skin of the inner upper arm. But great health care is simple: be trustworthy, kind and considerate. Outside In offers a range of services dedicated to transgender and other gender diverse patients. 5702 North 19th Avenue, Phoenix Arizona, 85015. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. They often take several months to start working. MA in Marriage, Couple and Family Therapy. I have done many assessments for hormones and surgery and have worked collaboratively with medical professionals to ensure appropriate treatment of those struggling with gender dysphoria. Collaboration: We confer monthly with other transgender health programs. See our. As a queer person, it is important to me to create space in my practice to serve my community. Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. The following video was produced for the gala. When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. OHSU is an equal opportunity affirmative action institution. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. 2023 Maine Medical Partners. We repect your privacy. Our Gender Pathways Clinic is located in our Interstate Medical Office East on the third floor at 3550 N. Interstate Ave. To learn more or to schedule an appointment, call 503-249-6748 or toll free at 1-800-813-2000. People with gender dysphoria are typically referred to as transsexual or transgender. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. Call us now. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. for details. It may be safer for teens to appear physically mature as they get older. You've come to the right place. Puberty specialists who treat hundreds of patients a year. You do not need a referral for a primary care appointment. 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. The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Opportunities to help advance our mission by becoming a volunteer or supporter. LMFT. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. I work with families and individuals to explore the gender spectrum in support of exploration with who we are as unique human beings and how to navigate systems: society's idea of who we are (binary polarities) and other essential areas. Members apply to serve two-year terms. They also share findings through the Transgender Health Program Research Collaborative started by OHSU. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! It causes some of the changes a child goes through in puberty. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. I continue to provide affirmative care for the community and their families. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. Injections into a muscle every three months. Bridge City Family Medical Clinic's Founder, Teri Bunker (FNP), specializes in the care of the LGBT and other gender or sexual non-conforming individuals of all ages. A typical "full" clearing would consist of the entire mapped area being treated and the electrologist making the area hair free by the end of service. We prefer that patients get a mental health evaluation before starting hormones. A safe, welcoming and gender-affirming environment. To improve accessibility for his patients in the Pacific Northwest, Dr. Meltzer partnered with Legacy Good Samaritan in 2019 to offer Gender Confirmation Surgery once again in Portland. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . E-mail is not an appropriate way to contact us regarding anything urgent or critical. We consider timing, especially for teens seeking surgery before leaving for college. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. UnitedHealth Group will adhere to all federal . Today, as Reed recovers from her own gender confirmation surgery, the map is spreading on social media again, now with 862 mapped locations and almost 1.8 million views. 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. OHSU is dedicated to inclusive care and to offering welcoming facilities. 400 Oakland, CA 94612 Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. Do you need a letter, or support on your gender journey? When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Gender identity is a persons internal sense of gender, or what a person feels their gender is. They have proved safe and effective in cisgender children. You will need to provide two referrals from qualified mental health professionals for genital procedures; one referral for other procedures unless otherwise specified by insurance. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. Basic patient care needs will be met though both administrative and clinical duties. This helps us offer services that match your needs. Portland, OR. Our providers publish papers in academic journals. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. This could be longer or shorter based on the client's hair growth density. If you have come to help me, you are wasting your time. Many people treat gender dysphoria by physically modifying their bodies through surgery so that they better match their gender identities. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. Whatever decisions you make about your health, we listen and provide support without judgment. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. Find a Location Connect with us at one of our Portland-area locations. Being transgender or non-binary presents a unique set of personal and social challenges. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Community health workers and student nurses are available to address medical needs. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. The OutList is open to all healthcare providers of any identity, distinction, and specialty. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. Working together so our communities are the healthiest in America. If you have come because your liberation is bound up with mine, then let us work together.~Lilla Watson. One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. I have experience supporting individuals and families who are navigating the transition process and I'm able to write letters in support of your process as needed. Learn more Resources for patients Help your child prepare for the many aspects of their transition. Dr. The Gender Clinic Review treatment options, and their benefits and risks. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. I have worked with people who identify as male, female, transgender, gender neutral, non-binary, agender, pangender, genderqueer and all, none or a combination of these. Gender identity and gender exploration is the main focus of my work. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. OHSU providers work together to make sure you get the care you need. Children can stop taking them at any time. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. MS, QMHP, Professional Counselor Associate. The Medical Assistant (MA) I works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients.