[!"#$%&' )**. 2014, 43(6):238-244.

]
lLA1u8L
kesource L|st: C||n|ca| Care rograms for Gender-Nonconform|ng Ch||dren and Ado|escents
Sam Psleh, 8A, !ennlfer Lelnlnger, 8A, 8S
AbsLracL
LocaLlng speclallzed servlces for gender-nonconformlng chlldren and adolescenLs can be challenglng. 1he
followlng resource llsL-organlzed by u.S. and Canada geographlcal reglon-serves Lo help cllnlclans access Lhe
mosL up-Lo-daLe lnformaLlon on Lhls speclal populaLlon and pass lL along Lo Lhelr paLlenLs and famllles.
Northeast
Ca||en-Lorde Commun|ty nea|th Center & nea|th Cutreach to 1eens (nC11), New ork, N
1he Callen-Lorde CommunlLy PealLh CenLer serves lesblan, gay, blsexual, Lransgender, queer, and
quesLlonlng youLh and youLh who are Plv+ ages 13 and up. Callen-Lorde's Leam offers care ln psychlaLry,
soclal work, adolescenL medlclne, and gynecology. 1he Leam can provlde hormones and referrals for
puberLy blockers and surgery. MenLal healLh servlces lnclude lndlvldual and group Lherapy and
assessmenLs.
Contact: Mane| S||va, MD, Mn, C||n|ca| D|rector
212-271-7200, msllva[callen-lorde.org
hLLp://www.callen-lorde.org
sychoendocr|ne C||n|c at Co|umb|a Un|vers|ty Med|ca| Center, New ork, N
Columbla unlverslLy Medlcal CenLer's sychoendocrlne Cllnlc sees paLlenLs wlLh gender concerns llnked Lo
somaLlc dlsorders of sexual developmenL/lnLersexuallLy (from prenaLal llfe Lhrough chlldhood and
adolescence, and ln some cases Lhrough adulLhood Lo mldllfe) and Lransgender paLlenLs. CuCM
endocrlnologlsLs can provlde hormone blockers, and ln some cases, hormone Lherapy for selecL
adolescenLs on Lhe Lransgender specLrum Lhrough age 16 years. 1he Leam offers supporL ln psychology,
lncludlng assessmenLs and lndlvldual Lherapy, and can make referrals for oLher supporL servlces.
Contact: ne|no I.L. Meyer-8ah|burg, Dr. rer. nat.
646-774-6931, meyerb[nyspl.columbla.edu
New ork Un|vers|ty Gender and Sexua||ty Serv|ce, New ork, N
1he new ?ork unlverslLy Cender and SexuallLy Servlce provldes care for Lrans
*
and gender-nonconformlng
people from blrLh Lhrough adulLhood across mulLlple cllnlcal slLes. 1he Leam offers care ln psychology and
psychlaLry, and refers ouL of Lhelr prlvaLe cllnlc for endocrlnology and adolescenL medlclne. 1he Leam also
offers famlly Lherapy and servlces ln soclal work. 1he Leam can provlde menLal healLh evaluaLlons for
puberLy suppresslon, cross-sex hormones, and surgery, and makes referrals ouLslde Lhelr cllnlc for all
Lhree. MenLal healLh servlces lnclude lndlvldual Lherapy, assessmenLs, famlly Lherapy, and lnpaLlenL
LreaLmenL.
Contact: Aron Ianssen, MD C||n|ca| D|rector, Gender and Sexua||ty Serv|ce, Ass|stant rofessor of Ch||d
and Ado|escent sych|atry
646-734-4883, aron.[anssen[nyumc.org
hLLp://www.abouLourklds.org/famllles/care_aL_Lhe_csc/gender_sexuallLy_servlce
Susquehanna Iam||y ract|ce, Cneonta, N
racLlLloners aL Susquehanna lamlly racLlce provlde prlmary care for gender-nonconformlng
chlldren/Leens and adulL paLlenLs. 1he Leam can prescrlbe puberLy blockers and cross-sex hormones and
offers menLal healLh servlces lncludlng Lherapy ln offlce. 1he Leam can also make referrals Lo lox PosplLal,
Lhe same hosplLal aL whlch Lhe Susquehanna lamlly racLlce ls housed.
Contact: Caro|yn Wo|f-Gou|d, MD
607-431-3737, cawolf-gould[aofmh.org
hLLp://www.basseLL.org/ao-fox-hosplLal/servlces/famlly-pracLlces/susquehanna-famlly-pracLlce
Ch||dren's nosp|ta| of h||ade|ph|a Gender & Sexua||ty Deve|opment C||n|c, h||ade|ph|a, A
1he Chlldren's PosplLal of hlladelphla (CPC) Cender & SexuallLy uevelopmenL Cllnlc serves gender-
varlanL, gender-nonconformlng, and/or Lransgender chlldren and youLh Lhrough age 21 years. CPC's
Leam provldes care ln psychology, endocrlnology, and adolescenL medlclne, and has connecLlons wlLh and
access Lo psychlaLrlsLs ln Lhe CPC and unlverslLy of ennsylvanla PealLh SysLems. CPC offers access Lo
hormones and puberLy blockers, and provldes assessmenLs and shorL-Lerm ln-house lndlvldual Lherapy
and referrals Lo longer-Lerm Lherapy. AddlLlonally, CPC provldes parenL supporL and psychoeducaLlon.
1he mulLldlsclpllnary Leam also offers consulLaLlon and Lralnlng abouL gender-varlanL chlldren and
adolescenLs Lo local pedlaLrlc healLh care provlders and oLher youLh-servlng professlonals.
Contact: L|nda A. nawk|ns, hD, LC, Co-D|rector and Nad|a Dowshen, MD, Med|ca| D|rector
213-280-7128, hawklns[emall.chop.edu
hLLp://www.chop.edu/servlce/adolescenL-medlclne/home.hLml
Un|vers|ty of |ttsburgh We||ness CenterGender 1eam, |ttsburgh, A
1he unlverslLy of lLLsburgh Wellness CenLer - Cender 1eam serves all sLudenLs aL Lhe unlverslLy of
lLLsburgh who ldenLlfy as gender-varlanL, gender-queer, Lransgender, and/or Lranssexual (generally ages
18 Lo 30 years, buL any sLudenL, undergraduaLe or graduaLe, who ls reglsLered aL Lhe unlverslLy and who
has pald Lhe wellness fee can be seen). 1he Leam dellvers care ln adolescenL medlclne, nurslng,
psychology, and psychlaLry and can make referrals for care ln endocrlnology. 1he Leam also lncludes a
pharmaclsL and nurse. 1he Leam can provlde hormones and can make referrals for puberLy blockers or
surgery. MenLal healLh servlces lnclude lndlvldual Lherapy, assessmenLs, group Lherapy for LC81 people,
and a Cender SupporL Croup for Lransgender and gender-varlanL sLudenLs.
Contact: Me|an|e A. Go|d, DC, Staff hys|c|an at the We||ness Center, C||n|ca| rofessor of ed|atr|cs and
Ado|escent Med|c|ne at the Un|vers|ty of |ttsburgh Schoo| of Med|c|ne and the Un|vers|ty of |ttsburgh
Graduate Schoo| of ub||c nea|th
412-383-1800, magold[plLL.edu
hLLp://www.sLudenLaffalrs.plLL.edu/shsglbL
Gender and Sexua| Deve|opment rogram of Ch||dren's nosp|ta| of |ttsburgh of UMC, |ttsburgh, A
1he Cender and Sexual uevelopmenL rogram of Chlldren's PosplLal of lLLsburgh of uMC serves gay,
lesblan, blsexual, Lransgender, quesLlonlng, lnLersexed, and ally (CL81ClA) and gender-fluld chlldren and
youLh up Lo age 26 years, as well as anyone wlLh quesLlons abouL or who needs supporL regardlng gender
and sexual developmenL. 1he lnLerdlsclpllnary Leam lncludes speclallsLs ln endocrlnology, behavloral
healLh, and adolescenL medlclne who provlde lndlvlduallzed care lncludlng dlagnosLlcs, puberLy
blockers/hormone LreaLmenL, psychlaLrlc evaluaLlon, and LranslLlon Lo adulL care. 1he Leam offers
educaLlon relaLed Lo gender, sexual developmenL, and soclal aspecLs of LranslLlon. Soclal work supporL,
counsellng, and care coordlnaLlon Lhrough a neLwork of communlLy parLners are also avallable.
Contact: Ioanne Gooda||, CkN (Iam||y ract|ce), Center for Ado|escent and oung Adu|t nea|th
412-692-6677 (Ask speclflcally for gender care" vlslL Lo ensure adequaLe Llme and resources can be
coordlnaLed)
AdolescenL Medlclne: hLLp://www.chp.edu/CP/am
Lndocrlnology: hLLp://www.chp.edu/CP/endocrlnology
1he Ado|escent Center at 8oston Med|ca| Center, 8oston, MA
1he AdolescenL CenLer aL 8osLon Medlcal CenLer serves Lransgender and gender-nonconformlng youLh up
Lo age 22 years, prlmarlly from lnner-clLy 8osLon and many from lmmlgranL communlLles ln Lhe 8osLon
area. 1he Leam provldes care ln adolescenL medlclne and can provlde puberLy blockers and hormones.
1he Leam offers consulLaLlon ln endocrlnology when needed. MenLal healLh servlces lnclude lndlvldual
Lherapy conducLed by an on-slLe soclal worker and referrals ln psychlaLry and psychology.
Contact: Mandy Co|es, MD, Mn
617-414-4086
mandy.coles[bmc.org
hLLp://www.bmc.org/pedlaLrlcs-adolescenLcenLer.hLm
1ransgender C||n|c (Northampton Cff|ce) and Gender Spec|a|ty C||n|c (Spr|ngf|e|d Cff|ce), Northampton
and Spr|ngf|e|d, MA
1he 1ransgender Cllnlc (norLhampLon Cfflce) and Cender SpeclalLy Cllnlc (Sprlngfleld Cfflce) serve Lrans
*

and gender-nonconformlng people ages 18 years and older, Lhe program lncludes a provlder who sees
paLlenLs 18 years and younger Lhrough Lhe provlder's pedlaLrlc endocrlnology offlce. 1he Leam offers care
ln pedlaLrlc endocrlnology and can make referrals for care ln psychology and psychlaLry. 1he Leam can
provlde hormones, puberLy blockers, Lop surgery, breasL augmenLaLlon surgery, orchlecLomy on a case-
by-case referral basls, and managemenL of psychoLroplc medlcaLlons on a case-by-case basls. rovlders aL
Lhese cllnlcs can make baslc menLal healLh assessmenLs for hormones, and can refer ouL for lndlvldual
Lherapy, group Lherapy, crlsls managemenL, and addlLlonal assessmenLs.
Contact: I. A|eah Nesteby, Nurse ract|t|oner, Adu|t Interna| Med|c|ne
413-794-1316 (for quesLlons)
413-794-2311 (Lo seL up a new paLlenL vlslL)
!.Aleah.nesLeby[baysLaLehealLh.org
hLLp://www.baysLaLehealLh.org/8aysLaLe/Maln+nav/AbouL+us/LocaLlons/8aysLaLe+Medlcal+racLlces/r
lmary+Care/Plgh+SLreeL+PealLh+CenLer+-+AdulL+Medlclne/1ransgender
nea|th Care for Gender and Sexua||y D|verse Ind|v|dua|s, rov|dence, kI
Warren AlperL School of Medlclne aL 8rown unlverslLy and Pasbro Chlldren's and 8hode lsland PosplLals
offer speclalLy and prlmary care healLh servlces Lo any and all gender dlverse and gender-nonconformlng
lndlvlduals from early chlldhood Lhrough maLurlLy. 1he program operaLes ouL of boLh adolescenL
medlclne and medlclne-pedlaLrlcs cllnlcs ln Lhe rovldence, 8l area and serves paLlenLs ln Lhe new
Lngland and easL coasL communlLy. 1he Leam, uslng a consenL-based model of care, provldes gender-
afflrmlng hormones, puberLy blockers, referrals for surgery and general medlcal follow up. 1he Leam can
also work wlLh Lhe paLlenL's local prlmary care docLor Lo coordlnaLe care. 1he Leam offers oLher sex
poslLlve healLh servlces lncludlng sexually LransmlLLed lnfecLlon (S1l) LesLlng, famlly plannlng, and oLher
sexuallLy concerns.
M|che||e Iorc|er, MD, Mn, Assoc|ate rofessor ed|atr|cs
AdolescenL young adulL medlclne aL 401-444-3980 (!eseca)
Medlclne-pedlaLrlcs aL 401-444-6118 (Marllyn)
mforcler[llfespan.org
hLLp://www.hasbrochlldrenshosplLal.org
Gender C||n|c at 8arbara 8ush Ch||dren's nosp|ta| at Ma|ne Med|ca| Center, ort|and, ML
1he Cender Cllnlc aL 8arbara 8ush Chlldren's PosplLal aL Malne Medlcal CenLer serves Lrans
*
and gender-
nonconformlng chlldren, Leens, and young adulLs ln norLhern new Lngland. 1he Leam provldes care ln Lhe
areas of psychlaLry, endocrlnology, and pedlaLrlc gynecology. 1he endocrlne Leam can provlde puberLy
blockers, hormones, and surglcal counsellng. MenLal healLh servlces lnclude lndlvldual and/or famlly
Lherapy, assessmenLs, psychlaLrlc medlcaLlon managemenL, and connecLlon wlLh supporL groups.
Contact: neather Shanho|tz, kN (Coord|nator for the Gender C||n|c)
207-662-3793, shanhh[mmc.org
Gender Ident|ty rogram at Connect|cut Ch||dren's Med|ca| Center, nartford, C1
1he Cender ldenLlLy rogram aL ConnecLlcuL Chlldren's Medlcal CenLer serves paLlenLs wlLh gender
dysphorla from Lhe sLarL of puberLy unLll age 21 years. 1he Leam provldes care ln psychology, psychlaLry,
endocrlnology, and urology, and lncludes a plasLlc surgeon. 1he Leam can provlde puberLy blockers,
hormones, and breasL surgery. MenLal healLh servlces lnclude lndlvldual Lherapy, assessmenLs, famlly
Lherapy speclflc Lo medlcal LranslLlon, general group Lherapy for LC81C youLh faclllLaLed by Lhe Leam's
psychologlsL, and referrals Lo supporL groups for chlldren and adolescenLs wlLh gender dysphorla, Lhelr
parenLs, and Lhelr slbllngs.
Contact: r|ya hu|wan|, MD, ed|atr|c Lndocr|no|og|st, Connect|cut Ch||dren's Med|ca| Center
860-343-9370, phulwa[connecLlcuLchlldrens.org
hLLp://www.connecLlcuLchlldrens.org/our-care/gender-ldenLlLy-program
M|dwest
ed|atr|c Ado|escent 1ransgender nea|th C||n|c, Mad|son, WI
1he edlaLrlc AdolescenL 1ransgender PealLh Cllnlc sees adolescenLs across Lhe gender specLrum
(Loddlers Lhrough young adulLs, prlmarlly ages 10 years and older). 1he Leam provldes care ln adolescenL
medlclne, endocrlnology, reproducLlve endocrlnology, and psychology. 1hls cllnlc can provlde hormones
and puberLy blockers and can make referrals for surgery. MenLal healLh servlces lnclude assessmenLs and
referrals for lndlvldual Lherapy and local supporL groups.
Contact: Ienn|fer kehm, MD, and 8etsy 8azur-Le|dy, Nurse Coord|nator
608-263-9039, [rehm[wlsc.edu
88azur-Leldy[uwhealLh.org
hLLp://www.uwhealLhklds.org/paLh
Gender & Sex Deve|opment rogram at Ann & kobert n. Lur|e Ch||dren's nosp|ta| of Ch|cago, Ch|cago, IL
1he Cender & Sex uevelopmenL rogram aL Ann & 8oberL P. Lurle Chlldren's PosplLal of Chlcago serves
gender nonconformlng, gender-quesLlonlng, and Lransgender chlldren and adolescenLs of any age Lhrough
24 years. 1he Cender & Sex uevelopmenL rogram offers care ln psychology, psychlaLry, endocrlnology,
and adolescenL medlclne. 1he Leam can provlde puberLy blockers and cross-sex hormones and make
surglcal referrals. MenLal healLh servlces lnclude lndlvldual Lherapy, gender-relaLed assessmenLs of
gender dysphorla and readlness for gender LranslLlon, group Lherapy (sLarLlng ln WlnLer 2014-2013), and
supporL groups (Leen soclal group, Leen parenL peer-led supporL group, and chlld and parenL play group).
Contact: Ienn|fer Le|n|nger, 8A, 8S, rogram Coord|nator, kobert Garofa|o, MD, Mn, D|rector
773-303-6036 (Ms. Lelnlnger), 773-303-6038 (ur. Carofalo)
!Lelnlnger[lurlechlldrens.org, rgarofalo[lurlechlldrens.org
hLLps://www.lurlechlldrens.org/en-us/care-servlces/speclalLles-servlces/gender-
program/ages/lndex.aspx
Un|vers|ty of Iowa ed|atr|c Lndocr|no|ogy and D|abetes, Iowa C|ty, IA
1he Leam aL Lhe unlverslLy of lowa edlaLrlc Lndocrlnology and ulabeLes provldes care for pedlaLrlc
paLlenLs up Lo age 18 years (wlLh some excepLlons for paLlenLs who are older buL sLlll ln school or who are
conLlnulng care wlLh Lhe program). 1he Leam comprlses endocrlnologlsLs who can provlde puberLy
blockers and hormones once Lhe paLlenL has had a psychologlcal evaluaLlon. 1he Leam can make referrals
for care ln psychology and psychlaLry and can refer paLlenLs for Lop surgery when requesLed.
Contact: kat|e Larson Cde, MD, Ass|stant C||n|ca| rofessor ed|atr|c Lndocr|no|ogy and D|abetes
319-336-4443, kaLle-larsonode[ulowa.edu
Un|vers|ty of Iowa Lesb|an, Gay, 8|sexua|, 1ransgender, ueer, and uest|on|ng C||n|c, Cora|v|||e, IA
1he Leam aL Lhe unlverslLy of lowa Lesblan, Cay, 8lsexual, 1ransgender, Cueer, and CuesLlonlng Cllnlc
serves LC81C people ages 10 years and older aL Lhe LC81C cllnlc, and lncludes a provlder who can see
paLlenLs of all ages ouLslde of Lhe cllnlc. 1he Leam offers care ln psychology, psychlaLry, pedlaLrlc
endocrlnology, general medlclne, and obsLeLrlcs and lncludes a pharmaclsL on-slLe. 1he Leam provldes
prlmary care for LC81C populaLlons lncludlng hormone Lherapy, wellness exams, acuLe care, chronlc
dlsease managemenL, S1l LesLlng and LreaLmenL, and referrals for puberLy blockers and surgery (breasL
augmenLaLlon, male chesL reconsLrucLlon, hysLerecLomy and oophorecLomy, and orchlecLomy). MenLal
healLh servlces lnclude lndlvldual Lherapy, famlly and couple Lherapy, and assessmenLs.
Contact: kat|e Imborek, MD, Co-D|rector
319-384-7444, kaLherlne-lmborek[ulowa.edu
hLLp://www.ulhealLhcare.org/lgbL
1ransgender C||n|c at C|nc|nnat| Ch||dren's nosp|ta| Med|ca| Center, C|nc|nnat|, Cn
1he 1ransgender Cllnlc aL ClnclnnaLl Chlldren's PosplLal Medlcal CenLer serves Lrans
*
and gender-
nonconformlng adolescenLs and young adulLs aged 3 Lo 22 years. 1he Leam provldes care ln
endocrlnology, adolescenL medlclne, pedlaLrlc gynecology, nuLrlLlon, and referrals for volce
communlcaLlon (speech paLhology), legal servlces, and care ln psychology and psychlaLry, Lhe Leam
addlLlonally offers soclal work servlces, nurslng educaLlon, and prlmary care. 1he Leam can provlde
puberLy blockers and gender-afflrmlng hormones. MenLal healLh servlces lnclude assessmenLs ln cllnlc,
lndlvldual Lherapy, and referrals Lo supporL groups.
Contact: Dr. Lee Ann Conard, Ass|stant rofessor of Ado|escent Med|c|ne, D|rector of the 1ransgender
C||n|c
313-636-2133, leeann.conard[cchmc.org
1nkIVL, Nat|onw|de Ch||dren's nosp|ta|, Co|umbus, Cn
1P8lvL provldes care for lndlvlduals (of any age) wlLh dlsorders of sexual developmenL and complex
urologlcal condlLlons, as well as gender concerns for lndlvlduals up Lo 22 years old. 1he Leam provldes
care ln urology, endocrlnology, geneLlcs, psychlaLry, psychology, and soclal work, wlLh servlces for
adolescenL medlclne underway. 1P8lvL offers hormone suppressanLs and hormone Lherapy. MenLal
healLh servlces lnclude assessmenLs, psychlaLry and medlcaLlon managemenL servlces, lndlvldual Lherapy,
and sysLems supporL.
Contact: 8ethan|e Combs, MSW, LSW-rogram Coord|nator
614-722-3763, Lhrlve[naLlonwldechlldrens.org
8eLhanle.combs[naLlonwldechlldrens.org
hLLp://www.naLlonwldechlldrens.org/1P8lvL
Wash|ngton Un|vers|ty Schoo| of Med|c|ne Department of ed|atr|cs, D|v|s|ons of Ado|escent Med|c|ne
and Lndocr|no|ogy and D|abetes, St. Lou|s, MC
1he WashlngLon unlverslLy School of Medlclne ueparLmenL of edlaLrlcs, ulvlslons of AdolescenL
Medlclne and Lndocrlnology and ulabeLes, serves chlldren and adolescenLs wlLh gender dysphorla up Lo
age 18 years ln psychology, ages 13 Lo 21 years ln adolescenL medlclne, and from early puberLy Lo age 21
years ln endocrlnology. 1he Leam offers care ln psychology, endocrlnology, and adolescenL medlclne and
lncludes a soclal worker. 1he endocrlnologlsL can provlde puberLy blockers and hormones. MenLal healLh
servlces lnclude lndlvldual Lherapy, assessmenLs, and referrals Lo parenL and peer supporL groups.
Contact: Abby no||ander, MD, ped|atr|c endocr|no|og|st
314-434-6031
hollander[klds.wusLl.edu
Un|vers|ty of Nebraska Med|ca| Center, Cmaha, NL
ur. !ean Amoura aL Lhe unlverslLy of nebraska Medlcal CenLer sees Lrans
*
and gender-nonconformlng
chlldren and adulLs of all ages. ur. Amoura (ln Ceneral CbsLeLrlcs & Cynecology) works wlLh an adolescenL
speclallsL and a LheraplsL ln prlvaLe pracLlce Lo provlde prlmary care Lo paLlenLs and prescrlbe puberLy
blockers and hormones for paLlenLs seeklng Lhese medlcal lnLervenLlons. 1he Leam can make referrals for
care ln psychlaLry and Lherapy.
Contact: Iean Amoura, MD, Assoc|ate rofessor, C8]GN
402-339-4300, [amoura[unmc.edu
hLLp://www.unmc.edu/obgyn/amoura_n[ean.hLm
Southeast
Gender and Sexua||ty sychosoc|a| rograms, Ch||dren's Nat|ona| Med|ca| Center, Wash|ngton, DC
1he Cender and SexuallLy sychosoclal rograms Leam provldes care for Lransgender and gender-
nonconformlng chlldren and adolescenLs up Lo age 21 years. 1he Leam offers care ln psychology,
psychlaLry, pedlaLrlc gynecology, endocrlnology, pedlaLrlc urology, and geneLlcs, and lncludes a dlsorders
of sexual developmenL mulLldlsclpllnary Leam. 1he Leam can provlde puberLy blockers, hormone Lherapy,
and hysLerecLomles and can make referrals for surgery. MenLal healLh servlces lnclude group Lherapy,
assessmenLs, and parenL supporL groups.
202-476-3138, gender[chlldrensnaLlonal.org
lor advocacy program: pgroup[chlldrensnaLlonal.org
hLLp://www.chlldrensnaLlonal.org/ueparLmenLsAndrograms/uefaulL.aspx?1ype=rogram&ld=6178&na
me=Cender
Center for Ado|escent & oung Adu|t nea|th, Iohn nopk|ns, 8a|t|more, MD
1he CenLer for AdolescenL & ?oung AdulL PealLh offers a provlslon of servlces for adolescenLs aged 12 Lo
24 years under adolescenL medlclne, lncludlng hormones and hormone blockers. 1he cenLer also offers
supporL servlces, on-slLe psychology servlces, and access Lo endocrlnology consulLanLs.
Contact: kenata Arr|ngton-Sanders, MD, Mn, ScM, Ass|stant rofessor
410-302-8166, or 443-287-8887
rarrlng3[[hml.edu
ed|atr|c Lndocr|no|ogy at Un|vers|ty of Mary|and Med|ca| Center, 8a|t|more, MD
edlaLrlc Lndocrlnology aL unlverslLy of Maryland Medlcal CenLer serves chlldren, adolescenLs, and adulLs
wlLh gender varlance Lhrough age 21 years. 1he Leam offers care ln pedlaLrlc and adulL endocrlnology,
wlLh adolescenL medlclne care avallable aL Lhelr AdolescenL and ?oung AdulL Cllnlc. A mulLl-dlsclpllnary
program ls belng developed. 1he Leam can provlde puberLy blockers, hormones, and referrals for surgery.
1he Leam can make referrals for servlces ln Lherapy and psychlaLry.
Contact: L|yse |ne, MD, Ass|stant rofessor of ed|atr|cs, D|v|s|on of ed|atr|c Lndocr|no|ogy
410-328-3410, eplne[peds.umaryland.edu
hLLps://umm.edu/programs/chlldrens/servlces/endocrlnology
D|v|s|on of ed|atr|c Lndocr|no|ogy and D|abetes, Char|eston, SC
1he ulvlslon of edlaLrlc Lndocrlnology and ulabeLes provldes servlces Lo pedlaLrlc paLlenLs (ages 0 Lo 17
years) wlLh gender dysphorla. 1he Leam lncludes ln-house care ln endocrlnology and has a dedlcaLed
soclal worker, Lhe Leam can make referrals Lo communlLy parLners ln psychology and psychlaLry. 1he Leam
can provlde puberLy blockers and hormones, and can make referrals Lo surgeons. MenLal healLh servlces
lnclude referrals Lo communlLy parLners for assessmenLs and lndlvldual Lherapy.
Contact: Deborah 8ow|by, MD, D|v|s|on Ch|ef
843-792-6807, bowlbyd[musc.edu
hLLp://www.muscklds.org/pedlaLrlcs/dlvlslons/endocrlnology
Arno|d a|mer nosp|ta| for Ch||dren D|v|s|on of Ado|escent Med|c|ne, Cr|ando, IL
1he Arnold almer PosplLal for Chlldren ulvlslon of AdolescenL Medlclne provldes care for youLh and
adolescenLs aged 11 Lo 21 years ln adolescenL medlclne. 1he Leam can provlde hormonal Lherapy,
behavloral healLh referrals, and care coordlnaLlon.
Contact: Dr. V|nny L. Chu|an|, D|rector, D|v|s|on of Ado|escent Med|c|ne
321-841-3366, veenod.chulanl[orlandohealLh.com
Southwest
Gender Lducat|on and Care Interd|sc|p||nary Support (GLNLCIS) rogram (Un|vers|ty of 1exas
Southwestern Med|ca| Center and Ch||dren's Med|ca| Center), Da||as, 1k
Cender LducaLlon and Care lnLerdlsclpllnary SupporL rogram provldes care for chlldren and adolescenLs
(ages 4 Lo 18 years) wlLh sympLoms of gender dysphorla. 1he CLnLClS rogram Leam offers care ln
endocrlnology, adolescenL medlclne, psychology, and psychlaLry and lncludes a llcensed cllnlcal soclal
worker, llcensed professlonal counselor, and gynecologlsL. 1he Leam can provlde puberLy blockers and
cross-sex hormones. MenLal healLh servlces lnclude psychlaLrlc Lherapy and lndlvldual psychologlcal
Lherapy/counsellng, as well as play Lherapy for young chlldren.
Contact: k|mena Lopez, MD, ed|atr|c Lndocr|no|og|st, Ass|stant rofessor, ed|atr|cs
214-648-3301, xlmena.lopez[uLsouLhwesLern.edu
West
D|mens|ons C||n|c, San Iranc|sco, CA
ulmenslons Cllnlc serves lesblan, gay, blsexual, Lransgender, queer, and lnLersex young people and Lhelr
parLners and allles ages 12 Lo 23 years (wlLh more Lhan 80 of Lhelr served populaLlon ldenLlfylng as
Lransgender and/or gender-nonconformlng). ulmenslons Cllnlc has a Leam LhaL provldes prlmary medlcal
care (Mus, ns, 8ns, and healLh workers) under lnLernal medlclne and famlly medlclne, as well as care ln
psychology and psychlaLry. ulmenslons Cllnlc offers access Lo hormones and puberLy blockers and can
make surgery referrals. MenLal healLh servlces lnclude lndlvldual and group Lherapy servlces and
assessmenLs.
Contact: Lsteban kodr|guez (nea|th Worker & Cutreach Coord|nator)
413-934-7737
esLeban.rodrlguez[sfdph.org
vlLLorlo.u' Angell[sfdph.org
hLLp://www.dlmenslonscllnlc.org
1ransAct|ve Gender CenterC||ent Serv|ces, ort|and, Ck
1he 1ransAcLlve Cender CenLer serves gender-nonconformlng, Lransgender, and genderqueer chlldren
and youLh (ages 4 Lo 23 years) and Lhelr famllles. 1he Leam provldes comprehenslve lnLake and menLal
healLh assessmenLs and refers paLlenLs Lo endocrlnology parLners aL uoernbecher Chlldren's PosplLal &
8andall Chlldren's PosplLal for cross-sex hormones and/or puberLy blockers. 1ransAcLlve also makes
referrals for adulLs aged 18 Lo 23 years Lo Lhelr medlcal parLners aL Cregon PealLh & Sclence unlverslLy
8lchmond lamlly Medlclne and Mercy & Wlsdom Peallng CenLer for cross-sex hormones and oLher
prlmary and speclalLy care. 1ransAcLlve's counsellng sLaff wrlLes leLLers of referral for CCS-relaLed
procedures. 1ransAcLlve provldes lndlvldual and couples Lherapy, and offers supporL groups for all ages.
1he Leam addlLlonally provldes case managemenL servlces.
Contact: Shery| k|nde|, LC, NCC-C||ent Serv|ces rogram Manager
303-232-3000
Sheryl[LransacLlveonllne.org
hLLp://www.LransacLlveonllne.org
Ch||d and Ado|escent Gender Center, UCSI 8en|off Ch||dren's nosp|ta|, San Iranc|sco, CA
1he Chlld and AdolescenL Cender CenLer (CACC) serves Lransgender and gender-nonconformlng chlldren
and adolescenLs (ages 2 Lo 24 years) and Lhelr famllles. 1he Leam provldes care ln psychology,
endocrlnology, adolescenL medlclne, and pedlaLrlcs, and addlLlonally lncludes a soclal worker, aLLorney,
and educaLlonal advocaLe. 1he Leam can provlde puberLy blockers and hormones. MenLal healLh servlces
lnclude screenlngs, famlly supporL, referrals for assessmenLs, lndlvldual and group Lherapy, and
psychlaLrlc care Lhrough Lhelr CACC menLal healLh consorLlum.
Contact: Stephen kosentha|, MD, Med|ca| D|rector and Ioe| 8aum, MS, Sen|or D|rector at Gender
Spectrum
413-476-2266 (ur. 8osenLhal)
413-333-7337 (for appolnLmenLs)
rosenLhals[peds.ucsf.edu
[baum[genderspecLrum.org
hLLp://www.ucsfbenloffchlldrens.org/cllnlcs/chlld_and_adolescenL_gender_cenLer
Gender Management C||n|c at kady Ch||dren's nosp|ta|, San D|ego, CA
1he Cender ManagemenL Cllnlc provldes care for chlldren and adolescenLs under age 21 years wlLh
gender dysphorla and relaLed lssues. 1he Leam comprlses Lwo pedlaLrlc endocrlnologlsLs who provlde
gonadoLropln-releaslng hormones (puberLy blockers) and hormonal Lherapy. MenLal healLh servlces
lnclude ouLpaLlenL lndlvldual assessmenLs, Lherapy (Lhrough ueparLmenL of sychlaLry), and referrals Lo
local LheraplsLs and supporL groups.
Contact: Ma[a Mar|nkov|c, MD (or C|aud|a Iuarez, secretary), Ass|stant rofessor, Department of
ed|atr|c Lndocr|no|ogy
838-966-4032, mmarlnkovlc[rchsd.org
hLLp://www.rchsd.org/programs-servlces/gender-managemenL-cllnlc/
1een nea|th VanMob||e C||n|c rogram for Ado|escents, Luc||e ackard Ch||dren's nosp|ta| Stanford,
a|o A|to, CA
1he 1een PealLh van - Moblle Cllnlc rogram for AdolescenLs provldes care for unlnsured, underlnsured,
and homeless youLh ages 10 Lo 23 years. 1he Leam provldes care ln adolescenL medlclne and psychlaLry as
needed, and lncludes a soclal worker, nurse pracLlLloner, and reglsLered dleLlLlan. 1he Leam can provlde
hormones. MenLal healLh servlces lnclude lndlvldual Lherapy and referrals for assessmenLs and group
Lherapy Lhrough communlLy parLners.
Contact: Seth Ammerman, MD, Med|ca| D|rector, 1een nea|th Van
630-736-9337, seLh.ammerman[sLanford.edu
hLLp://www.sLanfordchlldrens.org/en/servlce/Leen-van
Doernbecher Ch||dren's nosp|ta| D|v|s|on of ed|atr|c Lndocr|no|ogy, ort|and, Ck
1he uoernbecher Chlldren's PosplLal ulvlslon of edlaLrlc Lndocrlnology serves Lrans
*
and gender-
nonconformlng youLh Lhrough age 20 years. 1he Leam comprlses pedlaLrlc endocrlnologlsLs and
psychlaLrlsLs and ls currenLly worklng Lo grow lnLo a mulLldlsclpllnary Leam. 1he Leam can provlde puberLy
blockers, hormones, and referrals for surgery. MenLal healLh servlces lnclude assessmenLs,
psychoLherapy, and referrals Lo ouLslde supporL groups.
Contact: kara Conne||y, MD, Ass|stant rofessor, ed|atr|c Lndocr|no|ogy
303-494-1926, connellk[ohsu.edu
hLLp://www.ohsu.edu/xd/healLh/servlces/doernbecher/programs-servlces/endocrlnology.cfm
Ch||dren's nosp|ta| Co|orado's Gender and Sexua| Deve|opment rogram, Denver, CC
1he Chlldren's PosplLal Colorado's Cender and Sexual uevelopmenL rogram serves Lrans
*
, gender-
nonconformlng, and quesLlonlng chlldren, adolescenLs, and young adulLs. 1he Leam covers care ln
endocrlnology and adolescenL medlclne and can refer Lo a communlLy psychologlsL for menLal healLh
servlces. 1he Leam can provlde puberLy blockers and hormones.
Contact: Dan|e| ke|rden, MD
720-777-6131, uanlel.relrden[chlldrenscolorado.org
Canada
8C Ch||dren's nosp|ta|, Vancouver, 8C
1he 8C Chlldren's PosplLal (8CCP) serves all youLh (from puberLy Lo age 18 years) from 8rlLlsh Columbla
and Lhe ?ukon 1errlLorles. 1he 8CCP Leam - comprlslng an endocrlnologlsL, nurse cllnlclan, and soclal
worker - ln parLnershlp wlLh menLal healLh provlders ln psychlaLry and psychology, can provlde puberLy
blockers and hormones. 8CCP ls a parL of Lhe 8C 1ransgender Cllnlcal Care Croup, whlch coordlnaLes
menLal healLh, hormones, surgery, and prlmary care for all Lransgender people of all ages ln 8C. 8C
1ransgender Cllnlcal Care Croup also asslsLs Lransgender people ln accesslng houslng, legal advlce, onllne
resources, and supporL groups.
Contact: Dan|e| L. Metzger, MD
604.873.2117, dmeLzger[cw.bc.ca
hLLp://endodlab.bcchlldrens.ca/lorlamllles/1ransgender8esources.hLm
1ransgender outh C||n|c, 1oronto, CN
1he 1ransgender ?ouLh Cllnlc provldes care Lo 1anner sLage 2 populaLlons and youLh who would beneflL
from hormone blockers. 1he Leam offers care ln adolescenL medlclne and endocrlnology and can provlde
puberLy blockers and cross-sex hormones. MenLal healLh servlces lnclude lndlvldual Lherapy and
assessmenLs.
Contact: Dr. Ioey 8on|fac|o
416-813-3804
[oey.bonlfaclo[slckklds.ca

ed|atr|c Anna|s
Iune 2014 - Vo|ume 43 Issue 6: 238-244
uCl: 10.3928/00904481-20140322-11