Doctor

Li Brookens


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Practice Accepts: Nothing, with the exception of Denver Medicaid

 

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

Yes

 

Estimated number of transgender clients seen:

 

Trans Children-0

Trans Youth-6

Genderqueer and  Gender Non-Conforming-10

Trans Women-8

Trans Men-10

Trans Elders-3

 

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

YES.  Transgender Identity and Expression, Lesbian, gay, Bisexual identity ,  depression, anxiety, and mood swings

Please describe your level of experience (e.g. years,  training, etc. ) in working with Trans* and Gender non-conforming  clients ? 

4 years experience working clinically with Transgender identified clients.  Numerous presentations of Transgender identity (i.e.- Mental Health Partners, May 2014)   Clinical supervisor at the Gender Identity Center of Colorado,  Trans* and Genderqueer consultant at Out Boulder,  coordinator of the Boulder Trans* and Genderqueer Support Group,  publication on transgender inclusion in U.S. college sports.  WPATH member.

 

Please describe your treatment approach ( e.g., cognitive behavioral, experiential , body-centered, DBT, etc. ). 

Client centered social justice orientation,  motivational interviewing, DBT, psychodynamic

 

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

YES.  I follow the WPATH SOC, version 7 ( World Professional Association for Transgender Standards of Care).  I write letters depending on the needs of the client in collaboration with my mental health assessment.  I utilize a transparent and timely process with all my clients who seek letters as opposed to ongoing psychotherapy.

 

On average, how many sessions or hours of assessment do you require to assess eligibility for ?

 

Hormone Therapy- 1-3

Chest Surgery- 1-3

Genital Surgery, if primary letter writer- 1-3

Genital Surgery, if secondary letter writer (when 1st letter is written by client’s primary/ ongoing psychotherapist)- 1 session and a release of information to coordinate care with primary letter writer.

 

How do you assess readiness for Hormone Therapy and or Surgery  ?

Clinical Interview-  yes

Collateral Contacts- yes

Psychological Testing-

Written Questionnaire- yes

 

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)?

Following WPATH SOC v.7 there are few instances that would lead to me denying someone a letter who is seeking medical transition. Cases where someone is actively experiencing psychosis that interferes with their ability to test reality and make informed medical decisions will lead me to recommend stabilization prior to letter writing.

 

Does a coexisting mental condition preclude providing the client with a letter?

No.  In my experience, coexisting mental health conditions are common and often significantly reduce in cases where someone’s gender dysphoria is a contributing factor.  Through open dialogue and consultation, I rarely see coexisting conditions as a prohibiting factor.  If I have any concerns during an assessment, I inform the client trough a transparent process.

 

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 and reception staff ? 

Yes

 

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

Yes

 

Do you have anything in your physical environment that would be welcoming to a Trans* person ( i.e. brochures, pamphlets, magazines, pictures that relate to Trans* people and or Trans* issues?

Yes

 

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

Yes.  Mandatory Disclosure and Privacy Practice documents

 

Do you have a way of protecting the confidentiality of a patients Trans* status?

Yes.  I utilize Release of Information paperwork per client request.  Otherwise my practice is strictly confidential.

 

Have you or your staff attended training or had other education on providing services to Trans* patients apply?

Person responding to survey –  Yes

 

Please describe the training noted above, if applicable.

Attended: January 2014.  “Growing Up Gender” presented by Tera Eastcott, PsyD. Boulder CO  February, 2014. “Trans-affirmative Care: The Evolving Roles of Clinical Social Workers with Transgender, Transsexual, and Gender Non Conforming Individuals.”Presented by Lissette Lahana, LCSW Northhampton, MA.  Presented:  May 2014. “Working with Transgender Clients.” Mental Health Partners.  Boulder, CO.  Febuary 2014.  “WPATH SOC: Informed Consent Model for Transgender and Gender Variant Identities.”  Work Shop presentation.  Gold Rush Conference: Denver, CO.   November 2013. “Transgender Inclusion in Policy and Practice:  Examining U.S. Collegiate Sports.”  Academic panelist , moderated by Scarlet Bowen, PhD.  TRANSforming Gender Symposium,  University of Colorado: Boulder CO.  July, 2011  “Queering the NCAA: How Transgender Athletes are Included in College Sports.”  Thesis Colloquium moderated by Pat Griffen, PhD.  Smith College School for Social Work: Northampton, MA.  March 2011.  ” Trans Issues in Mental Health.” co-presenter with Randall Ehrbar. PsyD.   TRANSforming Gender Symposium , University of Colorado: Boulder, CO .  ” Diagnosing Difference (documentary film) and Discussion with University of Colorado Mental Health Providers.”  Co-presenter with Hans Foote, PsyD.  TRANSforming Gender Symposium, University of Colorado: Boulder, CO.  February, 2011.  “Working with Transgender Clients: PHP’s Clinical Staff and Knowledge Experiences.”  Department specific research design, data analysis, and presentation for staf.  Psychological Health and Psychiatry, University of Colorado: Boulder,CO.

 

 

 

If you have any concerns about the level of intake staff that could create an uncomfortable situation for Trans* clients ?  Is there someone the patient can contact to assist?

One person, Li