Thanks for saving my life
“1.5 years later and I'm still grateful for you helping me start hrt. You saved my life, thank you 🙂”
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Name: Li Brookens
Name of Practice: Umbrella Collective Inc
Address: 2769 Iris Ave. Suite 118. Boulder CO 80304
Mental Health Degree/Licensure/Certification: LCSW
Practice Accepts: Medicaid, Blue Cross Blue Shield
Do you have a sliding scale for patients with limited resources?
Estimated number of transgender clients seen:
Genderqueer and Gender Non-Conforming-25
Do you specialize in particular health issues (e.g. gender identity, trauma related depression and anxiety disorders, autism spectrum disorders, etc.)?
YES. Transgender and Non-binary 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 ?
I’ve worked with Transgender and Non-binary identified clients since 2010 and follow the WPATH SOC. I attended a WPATH training and participate in ongoing education surrounding transgender identities consultation. Over the years I have given multiple presentations to colleagues and the trans community on understanding Trans and NB identities (click here for more info). These trainings have used clinical, experiential, and self-advocacy lenses to help our community build holistic understanding of gender. In addition I have been a clinical supervisor (2013-2016) and the Interim Clinical Director (summer 2018) at the Gender Identity Center of Colorado, the Trans and Genderqueer consultant and coordinator of the Boulder County Gender Support group at Out Boulder County (2013-2018), and have a publication on transgender inclusion in U.S. college sports. Finally, I’m a WPATH member in good standing.
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 appropriate, 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) and document whether the client meets the eligibility for the medical procedure requested. 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 ?
Genital Surgery, if primary letter writer-1
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, face to face
Collateral Contacts-if needed
Psychological Testing- No
Written Questionnaire- yes- general intake paperwork
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 does not have a safe place to recover following surgery or 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 primary 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 ?
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 ( i.e. 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?
Yes, see our website: http://www.umbrellacollective.org/about/
Do you have a way of protecting the confidentiality of a patients Trans* status?
Yes. I follow HIPAA
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: November 2015. “Transgender Health: Best practices in medical and mental health care” presented by WPATH. 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: click here for more info
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?
Li Brookens receives all referrals and connects potential clients to the best fit therapist. All therapists with Umbrella Collective therapists are trans knowledgeable and in biweekly consultation and supervision with Li Brookens.