Resource
Working with trans and gender-diverse clients
Resources for clinicians and allied health staff working with transgender, Two-Spirit, gender diverse, and non-binary clients. Internal and external content on gender-affirming care, healthcare programs and supports, peer and community resources, and providing primary care to this population.
Gender-affirming care
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RACE Line 'Transgender Care' option
The Rapid Access to Consultative Expertise (RACE) advice line allows Physicians (SPs and FPs), Medical Residents (MRes), Nurse Practitioners (NPs) and Midwives to speak directly with specialists. Select 'Transgender Care' option to connect with an expert on gender-affirming care.
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Primary Care Learner Pathway
Trans Care BC's online learning courses are designed for primary care providers in BC to increase their knowledge about transgender health and develop the skills to provide gender-affirming care. All training is online and free. Clinical courses earn Mainpro+ learning credits.
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Forms, referral forms, consent forms and recommendation templates
Trans Care BC
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Trans primary care guide
Rainbow Health Ontario (Canada)
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Point-of-care quick reference guide
Rainbow Health Ontario (Canada) - find summaries of feminizing and masculinizing hormone monitoring and the effects and expected time courses for feminizing and masculinizing hormones.
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Hormones
General information on accessing gender-affirming hormone therapy in BC; more specific information on effects and risks of gender-affirming hormone therapies.
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Pathways for patient access to hormones or puberty blockers
In B.C., there are three primary pathways to access hormone therapy and puberty blockers. The availability of these options may depend on location and a client's primary care provider(s).
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Medication Administration Policy
Cross-site medication administration policy for VCH, PHSA, PHC. Includes information on safety checks and documentation.
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Intramuscular injections pamphlet
Recommended patient teaching material - a guide to giving yourself intramuscular hormone injections by Trans Care BC and BC Centre for Disease Control (BCCDC) Harm Reduction Services.
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Subcutaneous injections pamphlet
Recommended patient teaching material - a guide to giving yourself subcutaneous hormone injections by Trans Care BC and BCCDC Harm Reduction Services.
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Transgender Health: Injection Guide
Fenway Health: A step-by-step guide for intramuscular (IM) and subcutaneous (SubQ) injections.
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How to access free hormone injection supplies
Many harm reduction sites across BC offer free injection supplies. Use the Towards the Heart site finder to find the nearest site.
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Trans Care BC - Hormone Therapy Forms
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Trans Care BC
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Trans Care BC health navigation services information
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VCH Trans Specialty Care
Trans Specialty Care offers knowledgeable and specialized care to transgender and gender-diverse persons 15 years and older who reside in the VCH region.
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The Gender Clinic - BC Children's Hospital
The Gender Clinic supports the needs of transgender and gender-questioning youth up until their 17th birthday with puberty blockers and/or gender-affirming hormones.
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VCH Primary Care Clinics
Clients who meet the mandate for VCH primary care clinic attachment may be able to access gender-affirming care at their home clinic.
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The World Professional Association for Transgender Health (WPATH)
The World Professional Association for Transgender Health (WPATH) is a non-profit, interdisciplinary professional and educational organization devoted to transgender health.
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WPATH Standards of Care
WPATH has established internationally accepted Standards of Care (SOC) for the treatment of individuals with gender dysphoria. These internationally accepted guidelines are designed to promote the health and welfare of transgender, transsexual and gender-variant persons in all cultural settings. The Standards of Care are updated and revised as new scientific information becomes available.
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Trans Care BC - Surgery Overview
Directory of gender-affirming surgeries.
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Trans Care BC - Health professionals surgery page
Trans Care BC is committed to helping health-care professionals provide the best possible clinical guidance to trans, Two-Spirit, non-binary patients.
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Surgical summary sheets
Created by Rainbow Health Ontario. Information to facilitate discussion of surgeries between primary care providers and patients. It is not exhaustive and does not replace the informed consent process between surgeon and patient.
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Workbook for Chest Construction Surgery in BC
Trans Care BC
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Workbook for Phalloplasty, Metoidioplasty, and Erectile Tissue Release Surgeries in BC
Trans Care BC
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Workbook for Vaginoplasty and Vulvoplasty Surgery in BC
Trans Care BC
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Gender Surgery Program BC
Offers both feminizing and masculinizing procedures consistent with the guidelines established by the World Professional Association of Transgender Health (WPATH).
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Staff training and client interactions
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Creating affirming services
These downloadable resources help providers create clinical environments that are affirming and culturally safe for trans, Two-Spirit and non-binary people.
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Gender inclusive language - with new clients
Trans Care BC
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Gender inclusive language - clinical settings with new clients
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Gender Diversity, Equity and Inclusion in Healthcare (Trans 101)
LearningHub
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Advancing Healthcare Equity for Gender Diverse populations (Trans 201)
LearningHub
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Understanding Gender
Trans Care BC
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Intro to Gender Diversity
LearningHub
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Intro to Gender Diversity Expanded
LearningHub
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Supporting gender-creative children and their families
LearningHub
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Indigenous gender diversity: creating culturally relevant and gender-affirming services
LearningHub
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Advancing Healthcare Equity for Gender Diverse populations (Trans 201)
LearningHub
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Glossary of terms
Trans Life Line
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Sexual and reproductive health
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HIM Health Centres
Provide STBBI testing for gender-diverse people and GBQ men.
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BCCDC STI clinic
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Get Checked Online
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Self-Swab Cervical Screening Kit
BC Cancer - instructions and Order Form for Clients
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Estrogen-Based Hormone Therapy Effects
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Testosterone-Based Hormone Therapy Effects
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Sex and intimacy
Trans Care BC
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HIV PrEP Considerations for Gender Diverse Patients
Trans Care BC
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Reproductive Health Info and Resources
Trans Care BC
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Fertility care for trans and gender-diverse people
Video - Presented by Dr. Beth Taylor, MD, FRCSC and moderated by Trans Care BC's medical director, Dr. Marria Townsend. (Nov. 2020)
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Trans-Inclusive Abortion Services Manual
Options for Sexual Health
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Mental health and substance use
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Mind Map BC
A custom-made database of outpatient mental health services focused on services that are affirming of 2S/LGBTQ+* people
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Trans Lifeline
a grassroots hotline and microgrants funded non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community.
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Trans Lifeline
A grassroots hotline and microgrants funded non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community.
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People who use drugs
Health Initiative For Men (HIM)
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Resources for people who use drugs
Health Initiative For Men (HIM)
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Vancouver Addiction Matrix Program (VAMP)
Outpatient stimulant addiction treatment program, includes programming specific for trans and GBQ men
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Peak House
LGBTQ+ competent voluntary treatment program for youth
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Palliative, hospice and end-of-life care
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Virtual Hospice: Proud, Prepared, and Protected
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My Choices for Safe and Inclusive Healthcare
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Planning for My Care
The My Choices for Safe and Inclusive Healthcare and Planning for My Care documents may be used to help advise healthcare providers learn what is important to their patients and to respect their gender identity and expression.
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Hospital, emergency and acute Care
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ED Trans Care Best Practices
Emergency Care BC
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Gender-affirming Patient Care in a Hospital Setting
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