They treat hundreds of patients a year. I work with clients exploring their gender identities and working on questions about their self-image and embodiment. I wanted independence and stability. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Finally, we werent hungry anymore and we were safe. Not necessarily. Need assistance after hours? of care. We do not approve of any kind of conversion therapy. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. The Medical Assistant (MA) I works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients. Outside In made me want to be around excellence. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. 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. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Guide you through the consent process, which can be complex. Portland, Oregon 97205. They may be prepared for transition mentally, physically and emotionally. A safe, welcoming and gender-affirming environment. This could be longer or shorter based on the client's hair growth density. Bethany Blvd.Beaverton, OR 97006. 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. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. Offices & Services . 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. They also share findings through the Transgender Health Program Research Collaborative started by OHSU. We take most health insurance, including OHP. It may be safer for teens to appear physically mature as they get older. We will discuss risks and fertility-saving options with you. Currently, there is limited information about the long-term effects in gender-diversepatients. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. We appreciate your patience and will respond to you as soon as possible. Simply stated, our society has not caught up with what it means to identify as a gender other than the one you were assigned at birth. It's OK to ask for help. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. I am also qualified to write letters of recommendation for gender-affirming surgeries. Gender expansive work, honoring all identities including trans folks, non-binary, gender non-conforming. 2001-2022 Oregon Health & Science University. View our Specialties We have more than 30 areas of practice, including Urgent Care. See our. Transgender Law Center 1629 Telegraph Ave., Ste. I am a parent, a husband, and an artist. We work with community partners to provide advocacy, to shape policies and to train health care professionals. I have attended several specialized trainings for working with gender identity issues before and during that time. 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. I write letters of support for those seeking gender affirming care. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. natal sex or sex assigned at birth.. 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. We will: We will monitor your child throughout treatment. 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. 5702 North 19th Avenue, Phoenix Arizona, 85015. They protected me. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. OHSU is an equal opportunity affirmative action institution. As a queer person, it is important to me to create space in my practice to serve my community. Injections into a muscle every three months. My aim is to mitigate these barriers and pave the way for access to care. Injections are only available with a minimum of one hour of electrolysis. You do not need a referral for a primary care appointment. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. We are currently accepting new patients. Rose Haven is a day shelter and community center serving women, children and gender-nonconforming people in Portland. 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! Transition desires: Most teens with gender dysphoria will carry it into adulthood. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Review treatment options, and their benefits and risks. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. StoryCorps and OHSU are partners in bringing the stories of OHSU patients, providers and others to life. Most teens have the maturity to make these decisions by age 16. Hormone therapy doses how much and how often are typically different for teens than for adults. OHSU pioneered a unique physical therapy treatment for vaginoplasty patients. The staff is helpful and amazing. Visit ourevents page and scroll down to "Calendar" to find a meeting. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. They also understand how to pair treatments with the pace and sequence of changes. 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? For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. A typical "full" clearing would consist of the entire mapped area being treated and the electrologist making the area hair free by the end of service. A mere 13 months later, Ashe . We also recommend that patients and their families get mental health support throughout transition. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. UnitedHealth Group will adhere to all federal . We also provide treatment into young adulthood for some patients, and we help them move into adult care. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. On average, the typical first clearance will be an average of 6+ hours. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. We accept referrals from all over the UK for people with issues related to gender. We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). The wonderful and fresh food, the health care, the accommodations, the hospitalities. I continue to provide affirmative care for the community and their families. When treatment starts: Medical treatment usually doesnt begin until puberty. Pride Clinic. If you have a visit for gender-affirming hormones at our clinic, you may be given an informed consent form to sign that explains the risks, benefits, and other important details about the medications. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. 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. And I'm here to write letters to help with accessing medical care too. . 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. The Gender Clinic 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. 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 Dr. Meltzer will operate on minors with parental consent. 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. Research into improving treatments and outcomes. 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. Joe has trained and presented widely in the area of gender studies as well as having worked extensively with clients around issues related to gender transitions, including assessment and documentation for medical needs. People talking to me, listening to me. Our transgender health services are offered as part of our primary care clinic, where all our providers are trained to write referrals for gender-affirming surgeries as well as manage gender-affirming hormones (GAH). How can you contact us? We prefer that patients get a mental health evaluation before starting hormones. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. Jean Bryant, grateful that her worst fears about transitioning did not come true, now helps others. Ideas of gender are forced upon us before we are even born. 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. See our For Health Care Professionals page for links to published studies by OHSU providers. 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. Alexa Adams (she/her/hers) Licensed Marriage Family Therapist. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. Current wait list for a surgery date: 12 months. Housing at Outside In is so much more than a roof over your head. Hormone therapy mimics the bodys production of estrogen or testosterone. These are usually replaced every one to two years if pubertal suppression continues. Comprehensive care that includes experts in primary care, hormone therapy and mental health. OHSU providers who work with the THP specialize in gender-affirming health care. Possibly do a physical exam and blood test to assess the extent of puberty. 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. 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. If you dont see the number you need below, call OHSUs main number: 503-494-8311. We will: Get your childs medical history and family history. Full-Time. 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. 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 . Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. Email us today to reach our intake specialist. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. 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) Your story matters. Delaying puberty too long may carry risks such as harm to bone density. OHSU clinics you may visit set their own charges, though. One of the possible reasons an email can be . A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. The OutList is open to all healthcare providers of any identity, distinction, and specialty. I'm here to help. Learn more on our For Health Care Professionalspage. My experience includes academic training as well as my personal experience. This study was from a gender clinic in Dallas, Texas. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. How they love us, care for us. Training for OHSU employees and for health care professionals in the community. We work with each person to decide on the different services they may need. As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. 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. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. 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. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. Below are some resources available within our Moda and Kaiser plans. 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. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. 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. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. Next, you will receive an intake call from the Transgender Health Program to gather some information and answer your questions. Plastic and Reconstructive Surgery . He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. 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 Doernbecher Childrens Hospital700S.W. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Theyre designed to help patients start the puberty that matches their gender identity. Office : 480-657-7006. Every person deserves to live a life in their most congruent gender. Milwaukie High School Health and Wellness Center, Mental Health and Substance Use Recovery Supports, Gender Affirming Hormones (GAH, also called HRT), Breast/chest health and preventative screenings, Pelvic wellness, including cervical cancer screenings, HIV/STI screening, treatment, and prevention (including PrEP), Behavioral health services and counseling resources, Information, advocacy and limited financial aid for obtaining legal name and/or gender changes. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. Our clinic primarily provides gender-affirming medical care (such as puberty blockers and gender-affirming hormones). If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. We will explore any necessary transition steps, including social and medical transition. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center This helps us offer services that match your needs. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. It can also put teens at higher risk of mental health problems and substance abuse. It prevents the development of sex traits that may be hard or impossible to reverse later. offer you the chance to share your experience, help others, shape our program, and advance our mission. Not all non-binary people identify as transgender. Testosterone: Testosterone is usually injected into muscles or just under the skin. A transgender person may identify as male or female, or they may have a non-binary gender identity. Better turn it on! Care for teens and children: The providers at our Doernbecher Gender Clinic locations offer years of experience treating gender-diverse young people. This allows a longer duration of an electrolysis session with greater clearance of hair. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. Were working with the Pediatric Endocrine Society to develop more research and education about gender-affirming health. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. We dont require patients to transition socially before starting hormone therapy. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. Comprehensive care that includes experts in primary care, hormone therapy and mental health. To schedule a medical appointment, please call503.535.3860and select option 1. Patients need a referral, usually from their pediatrician, to be seen at one of our. 400 Oakland, CA 94612 She is also a member of . Want to use our data? I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. 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. I also worked on a project with 29 brave individuals honoring their journey in gender expression. We give treatment to children and their families from childhood through adolescence." Maryland 19. Our specialists meet every month to pool their expertise on complex cases. What a racket. 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. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps.