I have been working with clients with Gender Dysphoria for a decade. Housing at Outside In is so much more than a roof over your head. LMFT. 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. Office : 480-657-7006. Call us at 503-413-5600. Master of Arts in Marriage, Couple, and Family Therapy. We will talk with you about options, what to expect and possible risks. Patient education: See our Education and Events page. Licensed Pharmacy Technician in the state of Oregon (or ability to obtain licensure within 30 days of employment) Full COVID-19 vaccination is an essential job function of this role. We appreciate your patience and will respond to you as soon as possible. The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Our treatment is different for every person and we use evidence-based treatments. Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. 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. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. Suppressants may not be effective if an adolescent has gone through most stages of puberty. Sometimes gender identity is confused with gender expression. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. 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. Flu vaccines are available. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. See our For Health Care Professionals page for details. OHSU clinics you may visit set their own charges, though. 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. 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. We understand that the gender journey of every patient is unique, and we are here to help. Whether youre LGBTQIA+, BIPOC, facing health disparities, at the intersection of these identities, or just want a safe, non-judgmental health-care experience, we are here to help you Shine Brighter! Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. We will discuss risks and fertility-saving options with you. If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. Outside In offers a range of services dedicated to transgender and other gender diverse patients. But great health care is simple: be trustworthy, kind and considerate. One of the possible reasons an email can be . Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. This allows a longer duration of an electrolysis session with greater clearance of hair. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. Located on Powell Blvd in Portland, OR. The CLEAR Clinic can help you file a petition to legally change your name or gender marker in court in Oregon. 2021 Outside In - All Rights Reserved. 2001-2022 Oregon Health & Science University. Check our new patient information page to learn what information is needed for your appointment. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. Access to family-centered services for children and teens. They protected me. Like the definition of gender itself, I help you decide your own path, labels and lack of labels. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. I love Outside In people. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Well discuss all aspects of this treatment to help you make an informed decision. It can also put teens at higher risk of mental health problems and substance abuse. OHSU is an equal opportunity affirmative action institution. Fertility services: Some treatments affect fertility. 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 also worked on a project with 29 brave individuals honoring their journey in gender expression. You are invited to our quarterly Grand Rounds. An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. Responsibilities include rooming patients, collecting patient information, preparing patients for examination, assisting with procedures, and assisting with overall delivery of patient care. natal sex or sex assigned at birth.. Phone: 207-662-5093 or 866-860-6277 For New Patients. Our medical system currently creates many barriers to gender-affirming care. We offer treatment to patients of all ages with both pediatric and adult services. Let's work together to unpack the blocks to expressing yourself more fully. They also share findings through the Transgender Health Program Research Collaborative started by OHSU. Meet our Doctors More than 100 doctors provide comprehensive, specialized care for you and your family. Plastic and Reconstructive Surgery . Taking several meds or supplements? OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. We welcome concerns, success stories and anything else youd like to share. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. 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. I am open to learning about and exploring identities outside of this list as well. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. See our For Health Care Professionals page for links to published studies by OHSU providers. On average, the typical first clearance will be an average of 6+ hours. For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. I've spent years supporting my clients to come more deeply into their true expression. 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. Your story matters. 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 Additionally, in children, gender dysphoria can manifest itself as feelings of disgust with their own genitals and a certainty that they will grow up to be the opposite sex. Our providers publish papers in academic journals. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. Gender affirmation surgery (previously gender confirmation surgery) for individuals looking to transition: transfeminine or transmasculine. 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. Some parts of this site won't work without it. Gender identity and gender exploration is the main focus of my work. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming: Our compassionate providers are leaders in their fields who have developed best practice guidelines in transgender health that are used throughout Kaiser Permanente. It gives adolescents time to explore their gender. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. I help clients to embrace their identities through coming out, social and medical transition, & more. I have experience providing assessments and letters of support for gender-affirming medical care. People talking to me, listening to me. Its really nice to have a doctor who makes house calls when one is recovering from surgery. 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. Dr. Meltzer will operate on minors with parental consent. Bone-building exercises and taking calcium and vitamin D can help. I have attended several specialized trainings for working with gender identity issues before and during that time. If you speak a language other than English, we can arrange an interpreter for you. This group is for parents and guardians of active patients at The Gender Clinic. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. 5702 North 19th Avenue, Phoenix Arizona, 85015. He started performing Vaginoplasty at OHSU in 1993. Many teens want to go through puberty with their peers. I wanted independence and stability. It taught me how to be kind to people less fortunate. Email us today to reach our intake specialist. This could be longer or shorter based on the client's hair growth density. Suppressants taken later in puberty dont reverse changes but can stop new ones. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Please see our team page to find providers. And I'm here to write letters to help with accessing medical care too. 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. Dr. Meltzer is board-certified in both General and Plastic Surgery. The group meets quarterly to advise the program about programs and services. You will also find gender-neutral restrooms across our campuses. Read this first. 2001-2022 Oregon Health & Science University. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team (480) 657-7006. We can refer you to fertility experts to discuss options. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. Scottsdale, AZ 85253. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. We assess each child individually. MS, QMHP, Professional Counselor Associate. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Not necessarily. Appointments highly encouraged. Medical treatment usually doesnt begin until puberty. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. I have received academic training on working with gender non-conforming folks as well as my personal life experience. Because of him I am now a complete, functioning attractive woman. Gender Dysphoria is characterized by an inconsistency between the gender a person identifies as and his/her/their physical gender. You will start by getting a referral, usually from your childs pediatrician. 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 letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. 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. Members apply to serve two-year terms. Alexa Adams (she/her/hers) Licensed Marriage Family Therapist. I am a queer, genderqueer person. Gender Pathways is a unique place for Kaiser Permanente members to receive integrated care in a comfortable, supportive setting. Gender expansive work, honoring all identities including trans folks, non-binary, gender non-conforming. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. Need assistance after hours? We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. I have experience working with transgender and gender non-conforming children, teens, and adults. 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) A stable life: Teens may have lived comfortably in their gender identity for a year or more. When treatment starts: Medical treatment usually doesnt begin until puberty. I am a non-binary gender therapist with lived experience and interest in unique identities. 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. WPATH standards of care are used in therapy and letter writing. 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. 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. 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. 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. Next, you will receive an intake call from the Transgender Health Program to gather some information and answer your questions. My experience includes academic training as well as my personal experience. Description. Vancouver Clinic is searching for a full time Medical Assistant to join the Internal Medicine team at NW Portland! The staff is helpful and amazing. 233(g)-(n). WPATH-informed. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. Most of my clients are transgender and/or non-binary. more than one gender. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. They were always there for us anticipating our needs. We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. Basic patient care needs will be met though both administrative and clinical duties. I work with clients exploring their gender identities and working on questions about their self-image and embodiment. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. I specialize in LGBTQ populations, including trans, non gender-conforming, and poly populations. Call us now. It is a great moment. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Doernbecher offers psychological and psychiatric care. Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. He served as an Assistant Professor of Plastic and Reconstructive Surgery at Oregon Health Sciences University (OHSU) from 1990 to 1996, before going into private practice. 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. They have proved safe and effective in cisgender children. 400 Oakland, CA 94612 More than 100 doctors provide comprehensive, specialized care for you and your family. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. http://bethannshort.com/gendersummit.html. 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. Review treatment options, and their benefits and risks. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. 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 continuously increase my knowledge and skills for helping clients address Gender Dysphoria. The Gender Clinic at Maine Medical/ The Barbara Bush Children's Hospital (207) 662-5093 (207) 662- 5528 fax . I received training conducting evaluations within a multidisciplinary transgender health clinic. The New England Gender C.A.R.E. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. They treat hundreds of patients a year. For example, several key staff members from The Meltzer Clinic are still based in Portland. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Team-based care: OHSU providers work together to make sure you get the care you need. 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. Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. 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. Contact Us Southern California Kaiser Permanente members can call the Transgender care line at 323-857-3818 Monday through Friday 7:30 am to 5:00 pm to speak to a nurse case coordinator. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. Our team is focused on the entire well-being of each patient. OutCare reviews each OutList profile prior to publicly publishing. Working together so our communities are the healthiest in America. 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. We value input from patients, providers and community members. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. To schedule a medical appointment, please call503.535.3860and select option 1. Outside In is a 501(c)(3) tax exempt organization (EIN: 93-0567549). Bridge City Family Medical Clinic's Founder, Teri Bunker (FNP), specializes in the care of the LGBT and other gender or sexual non-conforming individuals of all ages. I am trained in LGBTQIA+ related concerns, and have been educated by past experiences working as a trans counselor with gender diverse clients and supervisors. Our Transgender Clinic's Vision Is a world where gender variant people can embrace their gender identity, free from discrimination and prejudice. We do not believe all patients will benefit from the same services. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more Pride Clinic. 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. 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. A mental health professional can help with these and other challenging aspects of gender dysphoria. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. We confer monthly with other transgender health programs. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. We give treatment to children and their families from childhood through adolescence." Maryland 19. Outside In shaped me. The Meltzer Clinic Providers - The Meltzer Clinic PC. Many are also international experts who publish studies and who speak across the nation and overseas. We usually do not prescribe medications during the first visit. Located inside the new Equality Community Center at 15 Casco St in Portland, ME, Safe Combinations is a project of MaineTransNet. 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.