healthmatters.
PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST / FALL 2019 NEWS ppcentralcoast.org
On June 17, 2019, Planned
Parenthood California Central
Coast launched Gender Afrming
Care (GAC) at all ve of our health
centers. The implementation of
this new service was the result of
several years of research, planning
and training.
In partnership with Fielding
Graduate University, we conducted
an LGBTQ+ Community Needs
and Assets Assessment in Santa
Barbara and Ventura Counties. We
surveyed LGBTQ+ individuals about
their health concerns and their ability
to access the care they needed.
Following the assessment, we met
with our LGBTQ+ coalition partners,
including clinics already offering
GAC, to inform them about what
services we would be providing and
to establish a referral network for
other services our patients might
need. Our medical team, led by
PPCCC medical director,
Dr. Virginia Siegfried, spent several
months training medical staff for
the implementation of GAC, and all
staff at PPCCC received information
about the important and sensitive
issues around GAC.
Survey participants in the
Community Needs and Assets
Assessment expressed a desire
to receive gender afrming
health care from knowledgeable
and compassionate clinicians.
Transgender individuals shared that
during a health care visit, they often
encountered implied or blatant
bias on the part of the health care
professional as well as a lack of
expertise in delivering transgender
care. The cost for care was also
mentioned as a barrier to getting the
care they needed.
With these
concerns in
mind, PPCCC
recruited, hired
and trained a
GAC navigator.
Matt Raiti
personally
reaches out
to each of our
GAC patients by phone prior to their
health center visit and following their
visit. He provides information about
the visit and the informed consent
process and collects pertinent
patient information to assist with the
visit. He also provides links to videos
that explain both estrogen-based
and testosterone-based therapy.
In addition to what we need for our
patient visit, Matt spends time doing
medical and legal research for our
patients and providing appropriate
referrals.
In our rst four months of offering
GAC, our clinicians have met with
55 patients throughout the tri-
counties. Of those 55 appointments,
about half requested estrogen
treatment and half requested
testosterone-based hormone
therapy. Several patients have
expressed enthusiasm and relief
in knowing that we now provide
these vital services. They share
that our staff are sensitive to their
needs and engage them with
culturally appropriate and respectful
language, terminology, questions,
and information.
Planned Parenthood is proud to
advance gender afrming care
throughout our afliate. At the heart
of caring for our patients, is ensuring
that every patient feels seen, heard,
respected and cared for with dignity
and professionalism.
Providing Gender Afrming Care
In a recent poll of lesbian, gay, bisexual, transgender, and queer
(LGBTQ) Americans, 20 percent of respondents reported being
personally discriminated against when visiting a doctor or health
clinic. A separate survey conducted by the nonprot Lambda Legal
found that 70 percent of transgender and gender-nonconforming
individuals have faced serious discrimination in a healthcare setting.
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Matt Raiti,
GAC Navigator