It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. Our team is focused on the entire well-being of each patient. . See our For Health Care Professionals page for links to published studies by OHSU providers. View our Specialties We have more than 30 areas of practice, including Urgent Care. Guide you through the consent process, which can be complex. We follow the guidelines set forth by the World Professional Association of Transgender Health (WPATH) to offer care on an informed consent basis for those who are 15 and older, per Oregon law. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Suppressants may not be effective if an adolescent has gone through most stages of puberty. Pediatric Specialty Care The Gender Clinic Developmental Behavioral Pediatrics Endocrinology Diabetes Gastroenterology Genetics Infectious Disease Nephrology Pulmonary Medicine Contact Us Phone:207-662-5522 Toll Free: 866-860-6277 MaineHealth Maine Medical Partners Practices Pediatric Specialty Care Pediatric Specialty Care She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. 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. Rising anxiety: 8 ways to reclaim your calm. 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. Call us now. More than 100 doctors provide comprehensive, specialized care for you and your family. But we can connect you with OHSU providers. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. They also understand how to pair treatments with the pace and sequence of changes. I am open to learning about and exploring identities outside of this list as well. 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. Through these connections I was able to get into school and graduate as a Certified Medical Assistant. Full-Time. Scottsdale, AZ 85253. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. of care. Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. 2022 Cascade AIDS Project, Inc. All rights reserved. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. 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. Find a Location Connect with us at one of our Portland-area locations. Prism Health provides free and fast screening for HIV and other STIs through our dedicated walk-in clinic, Pivot, as well as a stigma free environment to address any of your sexual health concerns. Well discuss all aspects of this treatment to help you make an informed decision. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. 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. They protected me. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more I continue to provide affirmative care for the community and their families. Outside In is an Equal Opportunity Employer. The group meets quarterly to advise the program about programs and services. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. We will explore any necessary transition steps, including social and medical transition. 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. This is commonly age 10 or 11. We are currently accepting new patients. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. Comprehensive care that includes experts in primary care, hormone therapy and mental health. OHSU providers work together to make sure you get the care you need. We give treatment to children and their families from childhood through adolescence." Maryland 19. OHSU is an equal opportunity affirmative action institution. 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. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. Portland, ME 04103 Tel. It taught me how to be kind to people less fortunate. UnitedHealth Group will adhere to all federal . We will discuss risks and fertility-saving options with you. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. As a queer person, it is important to me to create space in my practice to serve my community. Review treatment options, and their benefits and risks. We do not make appointments or directly provide health care. Onsite self-injection lessons for hormone injections. Most teens have the maturity to make these decisions by age 16. Vancouver Clinic is searching for a full time Medical Assistant to join the Internal Medicine team at NW Portland! for details. They may be prepared for transition mentally, physically and emotionally. We can refer you to fertility experts to discuss options. I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. Located inside the new Equality Community Center at 15 Casco St in Portland, ME, Safe Combinations is a project of MaineTransNet. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. Phone: 207-662-5093or 866-860-6277 WPATH standards of care are used in therapy and letter writing. Schedule is Monday through Friday, 8:00a . Finally, we werent hungry anymore and we were safe. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. It may match their sex assigned at birth, or may be different. And I'm here to write letters to help with accessing medical care too. We'll explore your experience and needs collaboratively and compassionately. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. 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. Expertise: OHSU providers who work with the THP specialize in gender-affirming health care. She is also a member of . Dr. Jens Berli talks about gender dysphoria and his passion for his work at OHSU. We also recommend that patients and their families get mental health support throughout transition. Some changes, such as to fertility or a deeper voice, may be permanent. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. If you have any questions about our services before booking your appointment, please don't hesitate to email us at hello@braeswoodendo.sprucecare.com or call or text us at 832-592-0407. Additionally, in children, gender dysphoria can manifest itself as feelings of disgust with their own genitals and a certainty that they will grow up to be the opposite sex. I consider it a privilege to support clients in bridging this conflict to whatever extent they choose, from explorations of identity and experiences through social and medical transitions. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico . Instead of questioning the obvious group-think dynamic the little girls were experiencing . We assess each child individually. 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. I am a queer, genderqueer person. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. Trans man who transitioned when he was ELEVEN says denying young children treatment to change their gender is 'transgender genocide' - even as he admits his own double mastectomy at 15 was 'too . We work with each person to decide on the different services they may need. Our services for our transgender and gender diverse individuals include: Outside In provides high quality and supportive healthcare to all our clients, whether you are questioning your gender or have been transitioning for years. The New England Gender C.A.R.E. People talking to me, listening to me. 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 am a parent, a husband, and an artist. Many teens want to go through puberty with their peers. I continue to provide affirmative care for the community and their families. TriMet Stop ID: 408SE Belmont & 23rd Eastbound. Our medical system currently creates many barriers to gender-affirming care. When appropriate, we also offer virtual visits where you can . 12115 SW 70th Ave, Suite 101 Portland, Oregon 97223. I've completed professional training in gender-affirmative care and I have experience working with binary trans, non-binary, agender, and other gender-diverse folks. Family support from a psychologist, psychiatrist and social worker. Gender identity and gender exploration is the main focus of my work. Connect with us at one of our Portland-area locations. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. LGBTQ HEALTHCARE SERVICES. Ophthalmology . We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. 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. Doernbecher Children's Hospital in Portland has been . VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. We dont require patients to transition socially before starting hormone therapy. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. 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. It gives adolescents time to explore their gender. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. Licensed Pharmacy Technician in the state of Oregon (or ability to obtain licensure within 30 days of employment) Full COVID-19 vaccination is an essential job function of this role. We welcome concerns, success stories and anything else youd like to share. 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. Hormone therapy mimics the bodys production of estrogen or testosterone. This is commonly age 10 or 11. Visit ourevents page and scroll down to "Calendar" to find a meeting. http://bethannshort.com/gendersummit.html. Gender affirming care should be a human right. 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. For more information about gender: The Gender Clinic 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. Delaying puberty has two main goals, according to WPATH: Pubertal suppressants (GnRHa or GnRH) are modified natural hormones that stop your childs body from making estrogen or testosterone. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. As more transgender children seek medical care, families confront many unknowns IN TREATMENT: Ryace Boyer, a 14-year-old high-school student, prepares to take the female hormone estrogen as part of. How can you contact us? Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). Phone: 207-662-5093 or 866-860-6277 I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. I want you to feel empowered to show up as your whole self, regardless of the context. It may be safer for teens to appear physically mature as they get older. Treat everyone like family. . Outside In shaped me. One of the possible reasons an email can be . The Gender Clinic at the Barbara Bush Children's Hospital in Maine says it is "dedicated to supporting the health and well-being of transgender, gender diverse and questioning youth across Northern New England. Visit our. gynecology, nutrition, diabetes, foot and ankle, gastroenterology, surgery, urology, neurology, rheumatology, clinical pharmacy, behavioral health, radiology, x-ray. I help clients to embrace their identities through coming out, social and medical transition, & more. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. When treatment starts: Medical treatment usually doesnt begin until puberty. I also worked on a project with 29 brave individuals honoring their journey in gender expression. 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. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. The child has given informed consent. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. more than one gender. I provide affirming space to explore sexuality and gender identity and to process how that may be implicated in relationships with family, friends, intimate partner violence, and sexual trauma. Transgender Law Center 1629 Telegraph Ave., Ste. I consider it an honor to be trusted by so many in this community. They may want to begin their transition as soon as possible. OHSU is building a pediatric patient registry to better track outcomes and improve treatments. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. We can answer questions and discuss: We recommend that your child see a specialist in treating puberty-related conditions, such as: Some treatments affect fertility. If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. offer staff training that includes culturally competent LGBTQ care. We take most health insurance, including OHP. 233(g)-(n). 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. Portland, OR 97239 : F : English : Ross Passo, M.D. See our. I couldnt have asked for a better experience with Dr. Meltzer and his staff. 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. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. To schedule a medical appointment, please call503.535.3860and select option 1. 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've worked with hundreds of transgender and gender variant people since 2015. Hand numbness, tingling or pain can have many causes and treatments. I received training conducting evaluations within a multidisciplinary transgender health clinic. 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. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. We do not approve of any kind of conversion therapy. Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. Call 401-444-4712 to make an appointment. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. Job Description. Working together so our communities are the healthiest in America. I feel safe at Outside In. My experience includes academic training as well as my personal experience. Children can stop taking them at any time. Our Transgender Clinic's Vision Is a world where gender variant people can embrace their gender identity, free from discrimination and prejudice. Opportunities to help advance our mission by becoming a volunteer or supporter. Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. When a family member transitions, it can put a strain on family dynamics. Hormone therapy also affects people in different ways and at different rates. Our drop-in and event space on North Mississippi Avenue is a frequent first stop for new arrivals in Portland, and for longtime residents who are newly out or questioning their sexual or gender identity. We offer treatment to patients of all ages with both pediatric and adult services. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission. Read this first. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. Your story matters. Legacy Diabetes and Endocrine Clinic 501 N. Graham St., Suite 375 Portland, OR 97227 Map/Directions Hours: Monday-Friday, 8:30 a.m. to 4:30 p.m. Dr. Sometimes we refer to sex as Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. Doernbecher Childrens Hospital700S.W. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. Call (503) 445-7699 to be connected to our answering service. Meet our Doctors More than 100 doctors provide comprehensive, specialized care for you and your family. Community health workers and student nurses are available to address medical needs. 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. When the Gender Identity Development Service for Children and Adolescents (GIDS) at the Tavistock and Portman NHS trust in London was established in 1983, it was a different era in terms of the. Jean Bryant, grateful that her worst fears about transitioning did not come true, now helps others. 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. The child is stable enough to start treatment. Your child also may receive hormone treatments such as: Puberty produces hormones in pulses that spur development, but suppressants deliver a steady amount. The staff is helpful and amazing. What a racket. We will: Get your childs medical history and family history. This helps us offer services that match your needs. What to expect: We usually do not prescribe medications during the first visit. See our rate sheet for details on fees. This study was from a gender clinic in Dallas, Texas. Gender Language ; Monica Llado-Farrulla, M.D. Fax: 207-662-5528. Adding your gender identity & preferred name to your health record helps your VA providers personalize your care. Currently, there is limited information about the long-term effects in gender-diversepatients. Many are also international experts who publish studies and who speak across the nation and overseas. Testosterone therapy: Long-term risks are unclear. Mental health: We offer psychological and psychiatric care for patients and families. I wanted to belong. Do you need a letter, or support on your gender journey? 207.878.6170 Fax 207.878.6172. about. We repect your privacy. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. Bellevue . The Gender Clinic Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. PrEP, a once-a-day medication to prevent HIV transmission, might be a good choice for you if you are at risk for HIV transmission or want to add more peace of mind to your life. Typically, we see patients every three to four months. This is not to be confused with 4 treatments. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment.