Erin K. Tierno

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Name: Erin K. Tierno
Name of Practice:
Address: 1070 West Century Drive, Louisville, CO 80027
Phone: (720) 626-4105
Mental Health Degree/Licensure/Certification: LCSW

Does your practice accept private health insurance payment? Consumers are advised to contact their insurer regarding insurance coverage for a specific provider.

What types of public insurance do you accept, if any?

Please explain insurance limitations, if any.

Do you have a sliding scale for patients with limited resources?

Please estimate the number of clients you have worked with in each of the following categories:
Trans Children: 0
Trans Youth: 0
Genderqueer and Gender Non-Conforming: 10
Trans Women: 0
Trans Men: 10
Trans Elders: 4

Do you specialize in particular health issues (e.g. gender identity, trauma related depression and anxiety disorders, autism spectrum, etc.)?

Please describe your level of experience (e.g. years, training, etc.) in working with Trans and Gender non-conforming clients.
As the former Clinical Supervisor for the behavioral health program at NewYork-Presbyterian Hospital’s Community Healthcare Network, I worked closely with the agency’s Transgender Family Program which was one of the first of its kind in NYC. I participated in and conducted countless trainings over 7 years of employment with that agency, and provided individual and group psychotherapy services for nearly 50 trans identified and gender nonbinary people during that time.

Please describe your treatment approach (e.g. cognitive behavioral, experiential, body-centered, DBT, etc.).
I am trained in psychoanalytic psychotherapy, as well as attachment based models.

Do you provide single case assessments (for individuals not seeking ongoing psychotherapy) and, as appropriate, letters of eligibility for hormone therapy and gender related surgeries?

On average, how many sessions or hours of assessment do you require to assess eligibility for:
Hormone Therapy: 2
Chest Surgery: 3
Genital Surgery, if primary letter writer: 6
Genital Surgery, if secondary letter writer (when 1st letter writer is written by client’s primary/ongoing psychotherapist): 2

How do you assess readiness for Hormone Therapy and/or Surgery?
Clinical interview, Collateral contacts

If there have been cases in which you have determined that a client does not meet eligibility requirements for hormone therapy or gender surgery, what are the criteria under which you have denied a request for a letter (or cases in which you anticipate that you would deny a request for a letter)?

Does a coexisting mental condition preclude providing the client with a letter?
No. Not necessarily.

Does your practice have inclusive paperwork (e.g. list more than male and female gender options, allow a place for preferred name, etc.)?
Paper files that are inclusive: Yes
Electronic health records that are inclusive: Yes

Does your practice have a system for recording preferred name and pronoun of patients and communicating that to staff, especially scheduling/appointment staff and reception staff?

Does your practice have all-gender or gender-neutral restrooms?

Do you have anything in your physical environment that would be welcoming to a Trans person, such as brochures, pamphlets, magazines, pictures that relate to Trans people and/or Trans issues?

Does your practice have an inclusive non-discrimination policy that includes gender identity and expression, and sexual orientation?

Do you have a way of protecting the confidentiality of a patient’s Trans status?

Have you or your staff attended training or had other education on providing services to Trans patients?
Person responding to survey: Yes
Other Clinical Staff: No
Scheduling/Appointment Staff: No
Reception/Front Office Staff: No

Please describe the training noted above, if applicable.

Do you have any concerns about the experience level of intake staff that could create an uncomfortable situation for trans clients? If so, is there someone the patient could contact to assist?