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Transgender Resources

Transgender symbol

Our clinic

In 1998, our clinic began seeing transgender and gender-questioning youth and young adults, and we now have one of the busiest clinics in North America. At BCCH, our team (Endocrinologist, Endocrine Nurse Clinician, and Social Worker/Counsellor)—working in partnership with BCCH and community mental health professionals (Psychiatrists and Psychologists) and the BC Transgender Clinical Care Group—functions as a "clinic without walls" to deliver endocrine care (puberty blockers and cross-hormone therapy) to this population.

In general, our clinic will see new patients only after the beginning stages of puberty, or later, up to the age of about 18. The majority of patients will have been evaluated by one of the mental health professionals in BC who are competent in the diagnosis and management of gender dysphoria in youth. As elsewhere across BC, our care is delivered according to the World Professional Association for Transgender Health's Standards of Care 7.

Referrals to our clinic

To refer a patient to the Gender Clinic at BC Children’s Hospital, please follow the referral process outlined below.

Two steps are required:

  1. A referral needs to be sent to our clinic by a family physician, nurse practitioner, pediatrician, or psychiatrist. Please attach any relevant reports (labs, history). Use this referral form.
  2. An assessment needs to be completed by a trans-competent mental health professional (usually a psychologist or psychiatrist who has training and experience working with transgender and gender-questioning children/youth). For recommended practitioners, please contact us. The assessment completed by the mental health professional must be forwarded to our clinic.

Once our office has received both these items, the patient will be contacted for an appointment with the Pediatric Endocrinologist.

Frequently asked questions

Why is an assessment by a mental health professional required prior to seeing a pediatric endocrinologist?

Our clinic, as do most clinics caring for transgender and gender-questioning children/youth in Europe and North America, follows the Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People, version 7 established by the World Professional Association for Transgender Health (WPATH).

These guidelines recommend that a trans-competent mental health professional assess transgender and gender-questioning children/youth prior to consideration of medical treatment (puberty blockers/cross hormones) by the pediatric endocrinologist. These guidelines have been carefully established to ensure the health, safety, and well-being of children and youth.

What can I expect from a mental health assessment?

The goals of the mental health assessment, conducted by a trans-competent mental health professional, are to independently evaluate the child’s gender status and identity, to understand the child’s and the family’s unique needs and challenges, and to provide information relevant to the possible initiation of medical treatment.

The assessment provides information regarding a child’s mental health status, developmental concerns, and family and social support, as well as the child’s ability to consent or assent to reversible and potentially irreversible treatment in a developmentally appropriate manner.

BCCH Family Support & Resource Centre

The BCCH Family Support & Resource Centre has collected a number of books and other media on topics of interest to gender-questioning and transgender children and youth, and their familes.

Some important links

Transgender Health Information Program (THiP)

The BC Provincial Health Service Authority's Transgender Health Information Program has a brand-new website with many resources for transgender services for patients and professionals. Of greatest interest to our families:

Suggested reading & viewing

Know of any other good resources or links, or find a broken link? Please let us know...

SOURCE: Transgender Resources ( )
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