PIHC proposes to hire two consultants to provide assessment, training and education on inclusive medical intake and registration forms, taking a gender-affirming history, conducting a gender-affirming physical assessment, and implementing anatomically appropriate preventive health screenings and gender-affirming cultural competency training. The goals of this initiative are to provide education and training for the PIHC clinical and behavioral health settings, enhance the collaborative network with the PIHC Gender Inclusive department, and develop a model of care infrastructure and clinical application. PIHC's Gender Inclusive department and the various programs and services enhance patient care for the gender non-conforming persons and/or persons of transgender experience and decrease barriers to care, such as stigma and transportation. Although the programs and services for gender-affirming care have expanded, a comprehensive model of care infrastructure and clinical application has yet to be fully achieved. Increased education and training in PIHC’s clinical and behavioral health settings will assist in building capacity. In addition, increased support for a collaborative network of the gender-inclusive, clinical, and behavioral health teams will assist in achieving optimal positive health outcomes for this population. Expected outcomes from providing training and education on inclusive medical intake and registration forms, taking a gender-affirming history, conducting a gender-affirming physical assessment, and implementing anatomically appropriate preventive health screenings, and gender-affirming cultural competency training will benefit gender non-conforming persons and/or persons of transgender experience at PIHC across the agency and build capacity in knowledge, understating, and practice. The expected outcomes of this expansion will benefit patient health and increase access to and retention in care. Areas to further be improv
ed are (1) creating a safe environment that builds trust with health care providers; (2) supporting disclosing relevant aspects of gender identity; (3) implementing interventions that improve mental health outcomes of gender diverse clients through self-esteem building and resilience; and (4) improving the agency's policies, procedures and coordination practices surrounding gender-affirming care.