The Gender Identity Center of Colorado (Karen Scarpella)

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Name of Practice: The Gender identity Center of Colorado
Address: 1151 Huron st. Denver, CO
Phone: 303-202-6466
Mental Health Degree/Licensure/Certification: Individual clinicians range from MSW, LCSW, PhD., MA, LPC, LPCC, NCC, CAClll

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

Practice Accepts:  Application pending for Medicare and Medicaid approval.

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

Do you specialize in particular health issues (e.g. gender identity, trauma related depression and anxiety disorders,  autism spectrum disorders, etc.)?
Yes.  We specialize Gender Identity issues, but also address trauma, depression, anxiety, and grief work.

Please describe your level of experience (e.g. years, training, etc.) in working with Trans* and Gender non-conforming  clients.
The clinical supervisor has over 16 years of experience, and the clinicians have varied amounts of experience.

Please describe your treatment approach (e.g., cognitive behavioral, experiential , body-centered, DBT, etc.).
Counseling approaches and modalities are varied, to include CBT, DBT, person-centered, and several others- based on clinician preference and client need.  Clients are screened, then placed with the clinician who will be the best fit for their specific needs

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.  We provide letters of referral for hormones and surgeries following criteria of the WPATH Standards of Care.

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

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

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)?
In extremely rare cases. a letter of referral may be delayed due to the clients inability to consent based on co-existing conditions that might prevent them from being able to fully consent to surgical intervention, or a lack of understanding of full risks and benefits of the procedures.  The Gender Identity Center of Colorado has never denied someone a letter within our WPATH standards of care.

Does a coexisting mental condition preclude providing the client with a letter?
No.  A letter could potentially be delayed only in rare and extreme cases of unaddressed severe mental illness.  Most mental health conditions are not an issue when assessing for readiness.

Does your practice have 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.  We have a formal written non-discrimination policy.

Do you have a way of protecting the confidentiality of a patients Trans* status?
Yes.  Everything is confidential.

Have you or your staff attended training or had other education on providing services to Trans* patients apply?
Person responding to survey– Yes
Other Clinical Staff– Yes
Scheduling/ Appointment Staff- Yes
Reception/Front Office Staff– Yes

I f 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?
The Executive Director/Program Director/Clinical Supervisor is always available to hear concerns.