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Instead of questioning the obvious group-think dynamic the little girls were experiencing . . All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. Visit ourevents page and scroll down to "Calendar" to find a meeting. 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. What to expect: We usually do not prescribe medications during the first visit. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. 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. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Outside In offers a range of services dedicated to transgender and other gender diverse patients. Training for OHSU employees and for health care professionals in the community. We dont charge for support, information or patient-education classes. Menu. Services We Provide We are currently accepting new patients. But we can connect you with OHSU providers. They protected me. Uh oh. Gender expression is a passion of mine. 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. Bone-building exercises and taking calcium and vitamin D can help. For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. My practice focuses on queer, trans and non-binary people, including youth ages 14+. Sometimes gender identity is confused with gender expression. MA in Marriage, Couple and Family Therapy. They were always there for us anticipating our needs. 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 . Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. I am open to learning about and exploring identities outside of this list as well. If you have come to help me, you are wasting your time. 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. 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. 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. 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. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). Were working with the Pediatric Endocrine Society to develop more research and education about gender-affirming health. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. I feel safe at Outside In. Fax: 207-662-5528. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. An MA I is expected to perform in accordance with established policies, procedures, and regulations. This is not to be confused with 4 treatments. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. By signing up, you agree to receive news about CAP, Prism Health, Our House, and our services via our email newsletter. That essentially puts the puberty system to sleep. Campus DrivePortland, OR 97239, Cornell West1500 N.W. We are happy to meet with you and your child before that, though. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. Typically, we see patients every three to four months. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. They also share findings through the Transgender Health Program Research Collaborative started by OHSU. Rising anxiety: 8 ways to reclaim your calm. 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! Medical treatment usually doesnt begin until puberty. 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. 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. Learn more about VA Portland's comprehensive mental and behavioral health program. OHSU is dedicated to inclusive care and to offering welcoming facilities. I work with clients exploring their gender identities and working on questions about their self-image and embodiment. Gender Language ; Monica Llado-Farrulla, M.D. Want to use our data? The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Answer your questions and help you find any resources you need. 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 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. , please. 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. We look forward to partnering with you on your comprehensive health care needs. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. We do not approve of any kind of conversion therapy. Let's work together to unpack the blocks to expressing yourself more fully. We will explore any necessary transition steps, including social and medical transition. We offer treatment to patients of all ages with both pediatric and adult services. 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. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. 2001-2022 Oregon Health & Science University. 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. If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. Then we generally follow WPATH guidelines for recommending treatment. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. 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. Patients we treat: Our clinic accepts new patients through age 18. 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. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Dr. Meltzer will operate on minors with parental consent. Delaying puberty too long may carry risks such as harm to bone density. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. It may be safer for teens to appear physically mature as they get older. She is also a member of . Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. See our insurance page to learn more about payment options. Doernbecher Childrens Hospital700S.W. If you dont see the number you need below, call OHSUs main number: 503-494-8311. We can refer you to fertility experts to discuss options. 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 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. 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 group meets quarterly to advise the program about programs and services. Gender dysphoria emerged or worsened when puberty began. 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. 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. Its really nice to have a doctor who makes house calls when one is recovering from surgery. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. 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. Contact Us. I also support parents looking for resources while they may have a child transitioning. Designed by Monde Creative, AboutPrismHealthOur Medical ProvidersOur Behavioral Health ProvidersOur Leadership TeamCareers, PrimaryCareGender-AffirmingCareBehavioral Health & Substance SupportPharmacySexual HealthPrEP, MPox Information & GuidanceInsuranceNotice of Privacy PracticesPrivacy PolicyRight to Good Faith EstimateSliding Scale DiscountPatient FormsLaboratory. When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. What a racket. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. 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. Learn how to apply. Portland, Oregon 97205. We confer monthly with other transgender health programs. Adding your gender identity & preferred name to your health record helps your VA providers personalize your care. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Some teens may go on to transition with hormone therapy or surgery. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. Testosterone therapy: Long-term risks are unclear. Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. We repect your privacy. I consider it an honor to be trusted by so many in this community. 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. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. 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. We offer treatment to patients of all ages with both pediatric and adult services. View our Specialties We have more than 30 areas of practice, including Urgent Care. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Call 401-444-4712 to make an appointment. We understand that the gender journey of every patient is unique, and we are here to help. Working together so our communities are the healthiest in America. 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. Outside In is an Equal Opportunity Employer. I continue to provide affirmative care for the community and their families. You do not need a referral for a primary care appointment. COVID-19 clinic information and resources. Outside In shaped me. 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. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. (The call is private and personal to your questions and concerns.) Gender Clinic The Northern Light Eastern Maine Medical Center is committed to caring for children, adolescents, and young adults with gender dysphoria, gender fluidity or those who are questioning. Team-based care: OHSU providers work together to make sure you get the care you need. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. How they love us, care for us. When treatment starts: Medical treatment usually doesnt begin until puberty. 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.