Finally, we werent hungry anymore and we were safe. What to expect: We usually do not prescribe medications during the first visit. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission. 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. 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. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. Services We Provide We are currently accepting new patients. 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. Some changes, such as to fertility (the ability to have biological children) or chest development, may be permanent. Kaiser Permanente is a nationally recognized leader in LGBTQ+ health care equality, providing a wide range of services including mental health, hormone treatment, and surgical procedures to help transgender and nonbinary individuals achieve their gender-affirming goals. Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. I'm well versed in the WPATH & the emerging 'Informed Consent' standards of care, as well as associated psycho-social challenges (e.g., social anxiety) experienced by transgender and gender-queer people. Instead of questioning the obvious group-think dynamic the little girls were experiencing . The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. The THP serves as an umbrella for gender-affirming services at OHSU. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaardabout deciding to transition. See our insurance page to learn more about payment options. I received training conducting evaluations within a multidisciplinary transgender health clinic. Well discuss all aspects of this treatment to help you make an informed decision. 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. We do not approve of any kind of conversion therapy. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. 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. 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. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. Doernbecher Children's Hospital in Portland has been . 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. Dr. Jens Berli talks about gender dysphoria and his passion for his work at OHSU. New York ACLU - Changing Your Name and Gender; Please contact the TYP clinic to speak with our social worker if you have any questions or concerns about this process. Need assistance after hours? Your story matters. We appreciate your patience and will respond to you as soon as possible. If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. I have extensive experience providing gender affirming care for transgender and gender diverse individuals. Learn more about your options. 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. OHSU is an equal opportunity affirmative action institution. 233(g)-(n). We recommend starting with a mental health evaluation for your child, which we can help arrange. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. You will also find gender-neutral restrooms across our campuses. (480) 657-7006. The result is less pain plus fewer overall number of sessions, which reduces cost. Fax: 207-662-5528. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. Transgender Law Center 1629 Telegraph Ave., Ste. Located inside the new Equality Community Center at 15 Casco St in Portland, ME, Safe Combinations is a project of MaineTransNet. And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Changing lives. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. Opportunities to help advance our mission by becoming a volunteer or supporter. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Psychological, medical or social problems that could disrupt treatment have been addressed. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. We're all struggling. Doernbecher Childrens Hospital700S.W. 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. 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. Specialties: About Broadway Foot and Ankle Clinic At Broadway Foot and Ankle Clinic, the dedicated team of expert podiatrists provides comprehensive foot and ankle care for children, adults, and seniors. Appointments highly encouraged. I also support folx to access medical transition like surgeries with low-barrier, single session, & sliding scale gender affirming consults. Testosterone therapy: Long-term risks are unclear. Office : 480-657-7006. 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. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. more than one gender. Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. It taught me how to be kind to people less fortunate. Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. But your clinic always operated in a timely manner, and made us feel welcome. 25 received pubertal suppression . Let's work together to unpack the blocks to expressing yourself more fully. (The call is private and personal to your questions and concerns.) Your feedback: We value input from patients, providers and community members. of care. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. Call (503) 445-7699 to be connected to our answering service. We welcome concerns, success stories and anything else youd like to share. How they love us, care for us. My experience includes academic training as well as my personal experience. Stepping into who you are and living (safely) from that place, is sometimes a delicate balance - and, in my eyes, essential to being home in ourselves. How can you contact us? Housing at Outside In is so much more than a roof over your head. If you have come because your liberation is bound up with mine, then let us work together.~Lilla Watson. Therapy can aid in navigating to understanding your gender identity to feel more at ease and comfortable while you become the self you want to be. I enjoy working with genderqueer, non-binary, gender-fluid, and gender-nonconforming folks and provide letters to support gender-affirming related care access. 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. Because of him I am now a complete, functioning attractive woman. LGBTQ HEALTHCARE SERVICES. Below are some resources available within our Moda and Kaiser plans. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. Estrogen: Estrogen can be given in a pill, skin patch or injection. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Tobin Cox joins clinical program managerAmy Penkin totalk about transitioning as a new employee. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. Posted: February 02, 2023. . 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. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. I have been working with clients with Gender Dysphoria for a decade. Our Transgender Clinic's Vision Is a world where gender variant people can embrace their gender identity, free from discrimination and prejudice. 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. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. 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. 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 This is not to be confused with 4 treatments. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. Doernbecher Children's Hospital offers which provides advice for the "safe tucking" of a boy's genitals and links to a sex shop in Portland. Information and support from welcoming professionals and peers. 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. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. You've come to the right place. The CLEAR Clinic can help you file a petition to legally change your name or gender marker in court in Oregon. Deciding on suppressants involves weighing physical risks against the mental health risks of gender dysphoria, which can include: Long-term effects: Suppressants have been used for decades to treat children who start puberty too early. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. Our providers are highly-qualified and experienced in working with LGBTQIA+ folx and challenges of sexual, gender, and romantic minority (SGRM) communities. We have researched how testosterone therapy affects voices, leading to recommendations for voice therapy. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. Medical treatment usually doesnt begin until puberty. You don't have JavaScript turned on. Injections are only available with a minimum of one hour of electrolysis. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. Portland, OR 97239 : F : English : Ross Passo, M.D. More than 100 doctors provide comprehensive, specialized care for you and your family. The following video was produced for the gala. 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. 2001-2022 Oregon Health & Science University. Email us today to reach our intake specialist. I have received academic training on working with gender non-conforming folks as well as my personal life experience. 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. OHSU is dedicated to inclusive care and to offering welcoming facilities. Delaying puberty too long may carry risks such as harm to bone density. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. 2023 Maine Medical Partners. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. 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 Our providers publish papers in academic journals. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. This group is for parents and guardians of active patients at The Gender Clinic. 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. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. You will also find gender-neutral restrooms across our campuses. Health care professionals in the community can request training on providing affirming, welcoming care. Visit our. We also recommend that patients and their families get mental health support throughout transition. Community health workers and student nurses are available to address medical needs. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. 3550 N Interstate Ave Portland, Oregon 97227 800-813-2000 genderpathways.org Christina E. Milano Top Doctor: Transgender Medicine OHSU Primary Care Clinic - Richmond - Family Medicine 3930 SE Division St Portland, Oregon 97202 503-418-3900 ohsu.edu 921 SW Washington Street, Suite 750 Portland, OR 97205 Phone: 503-222-5144 Fax: 503-227-8777 I am trained in LGBTQIA+ related concerns, and have been educated by past experiences working as a trans counselor with gender diverse clients and supervisors. 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 . Hand numbness, tingling or pain can have many causes and treatments. When treatment starts: Medical treatment usually doesnt begin until puberty. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Every person deserves to live a life in their most congruent gender. My aim is to mitigate these barriers and pave the way for access to care. I have attended several specialized trainings for working with gender identity issues before and during that time. 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. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. WPATH-informed. Pride Clinic. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. This is commonly age 10 or 11. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. 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! Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. It is a great moment. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. Were working with the Pediatric Endocrine Society to develop more research and education about gender-affirming health. The staff is helpful and amazing. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. They have proved safe and effective in cisgender children. My practice focuses on queer, trans and non-binary people, including youth ages 14+. We are happy to meet with you and your child before that, though. Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. What a racket. 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. We'll explore your experience and needs collaboratively and compassionately. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. You are invited to our quarterly Grand Rounds. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. To schedule a medical appointment, please call503.535.3860and select option 1. Flu vaccines are available. Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. I am a non-binary gender therapist with lived experience and interest in unique identities. That essentially puts the puberty system to sleep. Dr. Meltzer will operate on minors with parental consent. Basic patient care needs will be met though both administrative and clinical duties. , please. I help clients to embrace their identities through coming out, social and medical transition, & more. I specialize in LGBTQ populations, including trans, non gender-conforming, and poly populations. The group meets quarterly to advise the program about programs and services. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. Possibly do a physical exam and blood test to assess the extent of puberty. Visit ourevents page and scroll down to "Calendar" to find a meeting. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. 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. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. 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. Schedule is Monday through Friday, 8:00a . Some parts of this site won't work without it. 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. 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. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. Do you need a letter, or support on your gender journey? I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. Our team is focused on the entire well-being of each patient. Fax: 207-662-5528. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. Onsite self-injection lessons for hormone injections. I also worked on a project with 29 brave individuals honoring their journey in gender expression. 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. While recovering from surgery in Scottsdale, I ended up having to call Dr. Meltzer in the early morning hours and he knew exactly what it was and made it a point to drop by the hotel later that day. Oregon Health & Science University (OHSU) medical network offers a Gender Clinic for chest binding, puberty blockers, and transgender health program. Prism Health | Belmont2236 SE Belmont StPortland, OR 97214, Contacte: info@prismhealth.orgp: 503.445.7699f: 503.802.0199, Primary Care Hours Monday Friday | 8:30 am 5:00 pm**For Holiday Closures, please visit capnw.org/calendar. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. 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 wanted independence and stability. Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. Please see our team page to find providers. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. Outside In shaped me. Hormone therapy doses how much and how often are typically different for teens than for adults. Southside Fertility Center. The staff took my concerns seriously, and took a holistic approach. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. See our For Health Care Professionals page for links to published studies by OHSU providers. A safe, welcoming and gender-affirming environment. Testosterone: Testosterone is usually injected into muscles or just under the skin. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. Answer your questions and help you find any resources you need. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. On this page Gender Affirming Care with Kaiser Permanente Gender Affirming Care with Moda Health Culturally Specific Resources for Moda Members I am open to learning about and exploring identities outside of this list as well. Guide you through the consent process, which can be complex. Rising anxiety: 8 ways to reclaim your calm. Many teens want to go through puberty with their peers. Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. But great health care is simple: be trustworthy, kind and considerate. Injections into a muscle every three months. An MA I is expected to perform in accordance with established policies, procedures, and regulations. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve.
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