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. OHSU providers who work with the THP specialize in gender-affirming health care. Basic patient care needs will be met though both administrative and clinical duties. You are invited to our quarterly Grand Rounds. I've spent years supporting my clients to come more deeply into their true expression. Southside Fertility Center. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. for details. Fax: 207-662-5528. Do you need a letter, or support on your gender journey? 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. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. Flu vaccines are available. Outside In is an Equal Opportunity Employer. We usually do not prescribe medications during the first visit. Gender Dysphoria is characterized by an inconsistency between the gender a person identifies as and his/her/their physical gender. Our providers publish papers in academic journals. They were always there for us anticipating our needs. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Alexa Adams (she/her/hers) Licensed Marriage Family Therapist. Call us now. This group is for parents and guardians of active patients at The Gender Clinic. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! Outside In made me want to be around excellence. I found Outside In. You don't have JavaScript turned on. It's OK to ask for help. 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. Medical treatment usually doesnt begin until puberty. Working together so our communities are the healthiest in America. There is no additional fee. Every person deserves to live a life in their most congruent gender. 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? You will also find gender-neutral restrooms across our campuses. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. 602-246-1966. If you dont see the number you need below, call OHSUs main number: 503-494-8311. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. Non-binary describes people who do not identify (or do not exclusively identify) as male or female or man or woman. They may identify as no gender, as a gender other than male or female, or as We recommend starting with a mental health evaluation for your child, which we can help arrange. I identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. I have experience providing assessments and letters of support for gender-affirming medical care. Gender affirming care, gender consult and support letters. OutCare reviews each OutList profile prior to publicly publishing. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. Our team is focused on the entire well-being of each patient. The Gender Identity Development Service (GIDS) is for children and young people, and their families, who experience difficulties in the development of their gender identity. . 25 received pubertal suppression . Community health workers and student nurses are available to address medical needs. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. The staff took my concerns seriously, and took a holistic approach. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. Taking several meds or supplements? OHSU providers work together to make sure you get the care you need. 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. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. StoryCorps and OHSU are partners in bringing the stories of OHSU patients, providers and others to life. See our insurance page to learn more about payment options. We dont charge for support, information or patient-education classes. I couldnt have asked for a better experience with Dr. Meltzer and his staff. 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. 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. Puberty specialists who treat hundreds of patients a year. 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. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. 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. TriMet Stop ID: 408SE Belmont & 23rd Eastbound. Its important that patients have enough time after surgery for healing and family support. Your one-time or recurring gift will help us ensure everyone in our community has access to safe, compassionate, and affirming primary care, behavioral health, and pharmacy services, regardless of ability to pay. I have attended several specialized trainings for working with gender identity issues before and during that time. Meltzer is so much more than an accomplished surgeon he is an artist. The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. We're all struggling. Beware of drug interactions. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. We are currently accepting new patients. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Learn more on our For Health Care Professionalspage. We dont require patients to transition socially before starting hormone therapy. The clinic is held on the first Tuesday of every month, 6:30pm-8:30pm, helping individuals complete court documents to change their name and/or gender-marker. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. Master of Arts in Marriage, Couple, and Family Therapy. Doernbecher Childrens Hospital700S.W. Because of him I am now a complete, functioning attractive woman. OHSU is dedicated to inclusive care and to offering welcoming facilities. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. We welcome concerns, success stories and anything else youd like to share. Suppressants taken later in puberty dont reverse changes but can stop new ones. She is also a member of . I specialize in LGBTQ populations, including trans, non gender-conforming, and poly populations. When appropriate, we also offer virtual visits where you can . The team of compassionate doctors and medical practitioners specialize in . Medical Clinic Downtown Portland Clinic 1132 SW 13th Ave Portland, OR 97205 East Portland Clinic 16144 E. Burnside St. Portland, OR 97233 Schedule Appointment or Get Help: 503.535.3860 Fax: 503.535.3868 Se habla espaol Young Adult Support 1132 SW 13th Ave Portland, OR 97205 General Inquiries: 503.535.3800 Fax: 503.223.6837 Se habla espaol Whatever decisions you make about your health, we listen and provide support without judgment. Please see our team page to find providers. Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. 2001-2022 Oregon Health & Science University. We work with community partners to provide advocacy, to shape policies and to train health care professionals. We have researched how testosterone therapy affects voices, leading to recommendations for voice therapy. A mere 13 months later, Ashe . Possibly do a physical exam and blood test to assess the extent of puberty. 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. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. http://bethannshort.com/gendersummit.html. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. We repect your privacy. OHSU clinics you may visit set their own charges, though. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. For more information about gender: The Gender Clinic Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. On this page Gender Affirming Care with Kaiser Permanente Gender Affirming Care with Moda Health Culturally Specific Resources for Moda Members 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. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. Pride Clinic. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. OHSU is an equal opportunity affirmative action institution. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. 400 Oakland, CA 94612 Delaying puberty too long may carry risks such as harm to bone density. I am open to learning about and exploring identities outside of this list as well. 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. 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. MA in Marriage, Couple and Family Therapy. Being transgender or non-binary presents a unique set of personal and social challenges. Were studying how testosterone is given to teen patients to find the best methods. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. 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. 233(g)-(n). This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. I have received academic training on working with gender non-conforming folks as well as my personal life experience. Office : 480-657-7006. Outside In is a Health Center Program grantee under 42 U.S.C. Annual exams and screenings Fertility and family planning Pregnancy care Maternal-fetal medicine 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. 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. 5702 North 19th Avenue, Phoenix Arizona, 85015. Current wait list for a surgery date: 12 months. 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. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team who we . Dr. Patient education: See our Education and Events page. Start your transition now. 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. . My aim is to mitigate these barriers and pave the way for access to care. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaardabout deciding to transition. What a racket. Located on Powell Blvd in Portland, OR. This is not to be confused with 4 treatments. PLEASE NOTE: Due to the weather conditions last week, we are experiencing high call volumes. An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. OHSU is building a pediatric patient registry to better track outcomes and improve treatments. Our specialists meet every month to pool their expertise on complex cases. When treatment starts: Medical treatment usually doesnt begin until puberty. 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. Hand numbness, tingling or pain can have many causes and treatments. of care. Housing at Outside In is so much more than a roof over your head. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! Our clinic accepts new patients through age 18. The following video was produced for the gala. It can also cause adolescents to be taller or shorter than the norm for their gender identity. 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. Comprehensive care that includes experts in primary care, hormone therapy and mental health. When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. APA Fact Sheet: Gender Diversity and Transgender Identity in Children, World Professional Association for Transgender Health (WPATH) Standards of Care, The Endocrine Society Clinical Practice Guideline: Gender Dysphoria/Gender Incongruence, Consultation with spiritual care (Chaplain), Ongoing consultation between mental health and medical providers (related to gender), Menstrual suppression (stopping unwanted periods), Puberty blockers (ways to stop puberty hormones), Gender affirming hormone therapy (estrogen or testosterone), Surgical consultation (mental health letter of referral), Ask your primary care provider (or your childs pediatrician) to make a referral to The Gender Clinic through the. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. 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. One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. I love Outside In people. These are usually replaced every one to two years if pubertal suppression continues. 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. Testosterone therapy: Long-term risks are unclear. Call 401-444-4712 to make an 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. I received training conducting evaluations within a multidisciplinary transgender health clinic. 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. Its really nice to have a doctor who makes house calls when one is recovering from surgery. I have taught masters level classes for other therapists on how to support clients around gender, and helping people explore their own gender identity is one of my favorite parts of being a therapist. We confer monthly with other transgender health programs. My practice focuses on queer, trans and non-binary people, including youth ages 14+. A Catholic Response to Gender Identity Theory addresses "tsunami" of gender ideology "We are heavily influenced by the culture around us," says Archbishop Alexander Sample of the Archdiocese of. Finally, we werent hungry anymore and we were safe. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. . Let's work together to unpack the blocks to expressing yourself more fully. To schedule a medical appointment, please call503.535.3860and select option 1. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. 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. offer you the chance to share your experience, help others, shape our program, and advance our mission. Health care professionals in the community can request training on providing affirming, welcoming care. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Job Description. Full-Time. I help clients to embrace their identities through coming out, social and medical transition, & more. Transgender Law Center 1629 Telegraph Ave., Ste. This is commonly age 10 or 11. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. This is commonly age 10 or 11. Call us at 503-413-5600. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. The group meets quarterly to advise the program about programs and services. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. The Gender Clinic is dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. I also worked on a project with 29 brave individuals honoring their journey in gender expression. We take most health insurance, including OHP. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. Gender dysphoria emerged or worsened when puberty began. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. It causes some of the changes a child goes through in puberty. Care for teens and children: The providers at our Doernbecher Gender Clinic locations offer years of experience treating gender-diverse young people. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). We have a gender affirmative approach to treatment. 1132 SW 13th Ave, Portland, OR 97205 Contact 503.535.3860 transinfo@OutsideIn.org Clinic Hours *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. 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. On average, the typical first clearance will be an average of 6+ hours. Hormone therapy mimics the bodys production of estrogen or testosterone. Clinic RN - Pediatric Surgery. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. The THP and OHSUs. 2021 Outside In - All Rights Reserved. Suppressants may not be effective if an adolescent has gone through most stages of puberty. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. Some changes, such as to fertility or a deeper voice, may be permanent. If you have come because your liberation is bound up with mine, then let us work together.~Lilla Watson. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. We take most health insurance, including OHP. more than one gender. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. 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. 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. And I'm here to write letters to help with accessing medical care too. External Through these connections I was able to get into school and graduate as a Certified Medical Assistant. Milwaukie High School Health and Wellness Center, Mental Health and Substance Use Recovery Supports, Gender Affirming Hormones (GAH, also called HRT), Breast/chest health and preventative screenings, Pelvic wellness, including cervical cancer screenings, HIV/STI screening, treatment, and prevention (including PrEP), Behavioral health services and counseling resources, Information, advocacy and limited financial aid for obtaining legal name and/or gender changes.