Name
C07 - Affirming Gender for Adolescents in Primary Care - Role of the Integrated Primary Care Team
Description

Transgender youth continue to face numerous disparities in health outcomes and healthcare delivery. Patients have limited access to safe, welcoming, and knowledgeable mental health and medical care. We present an integrated care pathway at a Federally Qualified Health Center in Washington State based on the Primary Care Behavioral Health (PCBH) model. Our integrated group of primary care physicians, psychologists, pharmacists, nurses, and medical assistants support pediatric patients and their families with non-medical and medical gender-affirming care while also supporting their primary care needs. Our model undermines several systemic barriers to care and aims to alleviate the health disparities faced by this underserved, and frequently politically maligned population of children.

Date & Time
Thursday, October 24, 2024, 2:15 PM - 3:15 PM
Speakers
Robert Allred, Behavioral Health Education Program Director, HealthPoint
Peter Metzger, Pediatrician, Site Medical Director, HealthPoint
Robert Allred Peter Metzger
Co-Authors
Carolyn Halley, MD; Emer McKenna, ND; Nicole Seward
Content Level
Intermediate
Tags
Medical, Pediatrics, Psychiatry, Workforce development
Session Type
Concurrent
SIG or Committee
JMC, F&H, PCBH, Peds, Medical
Location Name
Travis C
Objective 1
Describe the barriers to high quality care for transgender patients
Objective 2
Demonstrate how an integrated care model alleviates barriers to care and elevates the quality of care for transgender patients and their families
Objective 3
Discuss opportunities for care to be a form of civil disobedience.
Content Reference 1

Olson, K. R., Durwood, L., DeMeules, M., & McLaughlin, K. A. (2016). Mental health of transgender children who are supported in their identities. Pediatrics, 137(3), e20153223. https://doi.org/10.1542/peds.2015-3223

Content Reference 2

Gridley, S. J., Crouch, J. M., Evans, Y., Eng, W., Antoon, E., Lyapustina, M., Schimmel-Bristow, A., Woodward, J., Dundon, K., Schaff, R., McCarty, C., Ahrens, K., & Breland, D. J. (2016). Youth and Caregiver Perspectives on Barriers to Gender-Affirming Health Care for Transgender Youth. Journal of Adolescent Health, 59(3), 254–261. https://doi.org/10.1016/j.jadohealth.2016.03.017

Content Reference 3

Sequeria G.M., Guler J., Ryes V., Asante P.G., Kahn N., Ana Y., Bocek K., Kidd K., Christakis D., Pratt W., Richardson L.P. (2023) Adolescent and Caregiver Perspectives on Receiving Gender-Affirming Care in Primary Care. Pediatrics 152(4) https://doi.org/10.1542/peds.2023-062210

Content Reference 4

Clark, B. A., & Virani, A. (2021). "This wasn’t a split-second decision”: An empirical ethical analysis of transgender youth capacity, rights, and authority to consent to hormone therapy. Journal of Bioethical Inquiry. https://doi.org/10.1007/s11673-020-10086-9

Content Reference 5

Flynn, A. W. P., Domínguez Jr., S., Jordan, R. A. S., Dyer, R. L., & Young, E. I. (2021). When the political is professional: Civil disobedience in psychology. American Psychologist, 76(8), 1217–1231. https://doi.org/10.1037/amp0000867