We look forward to partnering with you on your comprehensive health care needs. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . Patients need a referral, usually from their pediatrician, to be seen at one of our. 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. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center (480) 657-7006. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! They also share findings through the Transgender Health Program Research Collaborative started by OHSU. I am a non-binary gender therapist with lived experience and interest in unique identities. Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. Dr. Jens Berli talks about gender dysphoria and his passion for his work at OHSU. Every person deserves to live a life in their most congruent gender. Jean Bryant, grateful that her worst fears about transitioning did not come true, now helps others. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. 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. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. OHSU is an equal opportunity affirmative action institution. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. 2021 Outside In - All Rights Reserved. Were studying how testosterone is given to teen patients to find the best methods. Many people treat gender dysphoria by physically modifying their bodies through surgery so that they better match their gender identities. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. Hormone therapy doses how much and how often are typically different for teens than for adults. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. Transition desires: Most teens with gender dysphoria will carry it into adulthood. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Typically, we see patients every three to four months. The child is stable enough to start treatment. Get the details here >>, Get the latest news from The Portland Clinic. Do you need a letter, or support on your gender journey? The Transgender Health Program THP for short provides support, information and advocacy. 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. 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. I've worked with hundreds of transgender and gender variant people since 2015. I've spent years supporting my clients to come more deeply into their true expression. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. Research into improving treatments and outcomes. Plastic and Reconstructive Surgery . Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. For more information about gender: The Gender Clinic I'm here to help. We have researched how testosterone therapy affects voices, leading to recommendations for voice therapy. We work with each person to decide on the different services they may need. Learn more Resources for patients Help your child prepare for the many aspects of their transition. 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. Instead of questioning the obvious group-think dynamic the little girls were experiencing . I have extensive experience working with adolescents and adults experiencing gender dysphoria. I have worked with issues surrounding gender identity for the past three years. Master of Arts in Marriage, Couple, and Family Therapy. Outside In shaped me. Learn more about VA Portland's comprehensive mental and behavioral health program. Our team is focused on the entire well-being of each patient. Whatever decisions you make about your health, we listen and provide support without judgment. The staff took my concerns seriously, and took a holistic approach. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. They may be prepared for transition mentally, physically and emotionally. Well discuss all aspects of this treatment to help you make an informed decision. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. They also understand how to pair treatments with the pace and sequence of changes. StoryCorps and OHSU are partners in bringing the stories of OHSU patients, providers and others to life. Molly Palmer and her wife, Melissa,reflect on Mollys transition. See our For Health Care Professionals page for details. Community health workers and student nurses are available to address medical needs. Gender affirming care, gender consult and support letters. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Possibly do a physical exam and blood test to assess the extent of puberty. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . OHSU pioneered a unique physical therapy treatment for vaginoplasty patients. Housing at Outside In is so much more than a roof over your head. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. It prevents the development of sex traits that may be hard or impossible to reverse later. Your provider would answer any questions that you have, and make sure that you fully understand everything on the form before you sign it. OHSU providers work together to make sure you get the care you need. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. Referrals to specialty providers & community . We consider timing, especially for teens seeking surgery before leaving for college. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission. The Gender Clinic This is commonly age 10 or 11. Ophthalmology . 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. We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. See our insurance page to learn more about payment options. 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? Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team We confer monthly with other transgender health programs. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. External When a family member transitions, it can put a strain on family dynamics. We will: We will monitor your child throughout treatment. We also provide treatment into young adulthood for some patients, and we help them move into adult care. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Southside Fertility Center. Dr. Services We Provide We are currently accepting new patients. Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. Office : 480-657-7006. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. Schedule is Monday through Friday, 8:00a . I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. OHSU is dedicated to inclusive care and to offering welcoming facilities. 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. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. See our. A safe, welcoming and gender-affirming environment. Injections are only available with a minimum of one hour of electrolysis. It may be safer for teens to appear physically mature as they get older. If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. 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. They treat hundreds of patients a year. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Then we generally follow WPATH guidelines for recommending treatment. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. See our. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. 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. Location & Hours 800 SW 13th Ave Portland, OR 97205 Downtown, Southwest Portland Get directions Edit business info Amenities and More Accepts Credit Cards Ask the Community Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. Located on Powell Blvd in Portland, OR. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. We take most health insurance, including OHP. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. 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. . 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. 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 a parent, a husband, and an artist. How they love us, care for us. We also provide treatment into young adulthood for some patients, and we help them move into adult care. This is not to be confused with 4 treatments. Current wait list for a surgery date: 12 months. Medical treatment usually doesnt begin until puberty. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. Hormone therapy mimics the bodys production of estrogen or testosterone. One of the possible reasons an email can be . Onsite self-injection lessons for hormone injections. Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. 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. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. 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. Gender identity is a persons internal sense of gender, or what a person feels their gender is. The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. It causes some of the changes a child goes through in puberty. For information about your benefits coverage, please contact Member Services at 800-464-4000. 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. A mere 13 months later, Ashe . 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. Appointments highly encouraged. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. MS, QMHP, Professional Counselor Associate. We do not make appointments or directly provide health care. 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. 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. COVID-19 clinic information and resources. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. 2022 Cascade AIDS Project, Inc. All rights reserved. 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. For example, several key staff members from The Meltzer Clinic are still based in Portland. The result is less pain plus fewer overall number of sessions, which reduces cost. Uh oh. Doernbecher Children's Hospital in Portland has been . 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. Campus DrivePortland, OR 97239, Cornell West1500 N.W. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. We prefer that patients get a mental health evaluation before starting hormones. Team-based care: OHSU providers work together to make sure you get the care you need. Some changes, such as to fertility (the ability to have biological children) or chest development, may be permanent. 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. The wonderful and fresh food, the health care, the accommodations, the hospitalities. You will then be scheduled for a 1-hour telehealth orientation appointment. 2001-2022 Oregon Health & Science University. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. Insurance Coverage for Gender Care. We can refer you to fertility experts to discuss options. Patients 18 and older can self-refer to the Gender Pathways Clinic they only need to call and set up an appointment. It can also put teens at higher risk of mental health problems and substance abuse. She is also a member of . The team of compassionate doctors and medical practitioners specialize in . 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. It can also cause adolescents to be taller or shorter than the norm for their gender identity. Richmond (Southeast Portland) Scappoose South Waterfront Specialty clinics Dermatology: 503-418-3376 (laser hair removal) Doernbecher Gender Clinic: 503-346-0640 (care for children and teens) Endocrinology (adult): 503-494-3273 (specialty hormone therapy) Ear, Nose and Throat: 503-494-5947 (Adam's apple reduction, vocal surgery) Changing lives. I love Outside In people. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. All Rights Reserved. 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 Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. Full-Time. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. We also recommend that patients and their families get mental health support throughout transition. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. . Learn more on our For Health Care Professionalspage. 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. Bellevue . The THP and OHSUs. 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. We assess each child individually. Your feedback: We value input from patients, providers and community members. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. 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. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. Our medical system currently creates many barriers to gender-affirming care. 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 . 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. 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. Connect with us at one of our Portland-area locations. I found Outside In. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. That essentially puts the puberty system to sleep. Next, you will receive an intake call from the Transgender Health Program to gather some information and answer your questions. Alexa Adams (she/her/hers) Licensed Marriage Family Therapist. But great health care is simple: be trustworthy, kind and considerate. I received training conducting evaluations within a multidisciplinary transgender health clinic. Want to use our data? Our providers are highly-qualified and experienced in working with LGBTQIA+ folx and challenges of sexual, gender, and romantic minority (SGRM) communities. Clinic RN - Pediatric Surgery. The THP serves as an umbrella for gender-affirming services at OHSU. Email us today to reach our intake specialist. Treat everyone like family. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). This group is for parents and guardians of active patients at The Gender Clinic. My experience includes academic training as well as my personal experience. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. If you have any questions about our transgender and gender diverse services, you can email us attransinfo@outsidein.orgor call503.535.3860and select the option 6 to speak to the Transgender Services Coordinator. Contact the OHSU Transgender Health Program at: Parking is free for patients and their visitors. Adding your gender identity & preferred name to your health record helps your VA providers personalize your care. I also worked on a project with 29 brave individuals honoring their journey in gender expression. Gender identity and gender exploration is the main focus of my work. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. Family support from a psychologist, psychiatrist and social worker. Sometimes we refer to sex as An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more We are happy to meet with you and your child before that, though. Twitter content To honor your privacy preferences, this content can only be viewed on the site it originates from. OHSU providers who work with the THP specialize in gender-affirming health care. for details. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. Your child also may receive hormone treatments such as: Puberty produces hormones in pulses that spur development, but suppressants deliver a steady amount. This could be longer or shorter based on the client's hair growth density. Hormone therapy also affects people in different ways and at different rates. LMFT. 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. 5702 North 19th Avenue, Phoenix Arizona, 85015. Many are also international experts who publish studies and who speak across the nation and overseas. We dont charge for support, information or patient-education classes. Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. Need assistance after hours? 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. If you have come because your liberation is bound up with mine, then let us work together.~Lilla Watson. 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.
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