Resource Library - Indian Country ECHO

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Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents

Type: Download

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #autism #clinical guidelines #gender-diverse youth

This study, published in the Journal of Clinical Child & Adolescent Psychology in January 2018, develops initial clinical consensus guidelines for the assessment and care of adolescents with co-occurring ASD and GD, from the best clinical practices of current experts ...

Date added: 03/31/22

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Medical Care of Gender Diverse Children and Adolescents – Fenway Health

Type: Download

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #clinical guidelines #clinical practice guidlines #gender-affirming care #gender-diverse youth #hormones #pediatrics

These guidelines, published in spring 2019, offer clinical protocols for the care of gender-diverse youth including puberty blockers, gender-affirming hormones, behavioral healthcare, and social and legal transition. It includes labs to check, dosing recommendations, and other specific guidelines for care.

Date added: 03/31/22

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Trans BMI

Type: Website

Audience: Clinical Community

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #BMI #gender-affirming surgery #transgender care

This website contains a patient-reported list of surgeons who do not have a body mass index (BMI) limit and whose BMI limits are higher than the is generally required for gender-affirming surgery.

Date added: 03/31/22

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BAAITS Two Spirit Annual Powwow

Type: Website

Audience: Community

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #BAAITS #powwow #two-spirit

This website is an invitation to Bay Area American Indian Two Spirit's (BAAITS) Annual Two Spirit Powwow. Recordings of some of the events are available to access, as well as merchandise from the powwow. This Powwow happens every February.

Date added: 03/31/22

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The Resource Basket

Type: Website

Audience: Clinical Community

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #2slgbtq #lgbtq #resource collections #two-spirit

This website provides a resource library for LGBTQ and Two Spirit resources and definitions. These resources are for every level of understanding of LGBTQ and Two Spirit and provide information for both community members and clinical members.

Date added: 03/31/22

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Binders (Resource Collection)

Type: Website

Audience: Community

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #binders #binding #resource collections #transgender care

Collection of resources for binders/binding.

Date added: 03/31/22

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Packers/Stand to Pee/Pack-and-Play (Resource Collection)

Type: Website

Audience: Community

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #pack-and-play #packing #resource collections #stand-to-pee #stp

Collection of helpful resources for packers/STP/pack-and-play

Date added: 03/31/22

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TransLine Hormone Therapy Prescriber Guidelines

Type: Download

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #clinical guidelines #clinical practice guidlines #hormone therapy #hormones

These guidelines, published in 2019, offer clinical protocols for the administration of gender-affirming hormone therapy including both exogenous and supplemental dosing guides for estrogen and testosterone. It includes pros, cons, dosing recommendations, and lab recommendations for monitoring purposes.

Date added: 03/31/22

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CSF Transgender Care Guidelines

Type: Download

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #clinical guidelines #transgender care

Date added: 03/31/22

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Past Presentation

Hormone Therapy 2.0: Providing Hormone Therapy When Other Health Concerns are Present | 12.13.21

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #gender-affirming care #harm reduction #transgender care

This short presentation shows how to provide and adjust hormone therapy when social and behavioral health concerns are present, and what steps should be taken to ensure the patient receives holistic gender-affirming care.

Date added: 12/14/21

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	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix