Transcend Competency

• Overview of trans & gender diverse communities & people from ancient times to present day

• How the gender binary came to be a powerful cultural idea, and WHO and WHAT that served

• Deeper dive into transgender history from Victorian Era to Stonewall

• Transgender history continued: US social & medical advances: Stonewall to present day

• Critical analysis of the problems involved with medicalizing trans identities

• Exploring our own internal biases & programming about gender from our culture

• Fundamental understandings about a trans experience

• Breaking the Binary: Level 1: Sex

• The Intersex community & the complexities of sex differentiation (By guest lecturer & Intersex activist Hans Lindahl)

• Breaking the Binary Level 2: Gender

• Fundamentals of Allyship (includes extensive review of trans & nonbinary terminology)

• Review and challenge our cis-heteronormative cognitive distortions that serve as roadblocks to progress

• All things terminology & pronouns, and how to evolve as language inevitably changes

This module teaches important attitudes and practices associated with allyship to the LGBTQIA+ community. We go deeper into definitions of terms & how to use them, as well as more direct & actionable advice on what to say, what not to say, & why.

• Marketing messages: How to make your website & online presence communicate inclusivity & safety

• Forms Framework: How to create inclusive client registration/intake forms

• Administrative practices: Optimizing phone, email, and front desk protocols

• In-person considerations: bathrooms, signage, & employee nondiscrimination (one of the best signs of trans inclusivity is trans/gender diverse staff)

• How to maintain accurate and affirming client data in electronic health systems

Direct one-on-one support offered here on:

• Editing & restructuring your intake forms

• Comprehensive review & recommendations for website or online presence (Psychology Today, e.g.)

• Strategizing on how to maintain client data in electronic health systems

• Taking an inclusive comprehensive health/mental health history

• What it means to have an LGBTQIA+ trauma-informed approach

• Consent talk by Radiance Romesberg

• How to avoid trans broken arm syndrome (and other biases)

Direct one-on-one support offered here in the form of:

• Mock client interviews (recorded or non-recorded) with individualized feedback on how you’re coming across

• Review of nonmedical gender affirmation & common challenges for adults

• Complete guide to name & gender marker changes (with resources to provide directly to your clients and/or on your website)

• Introduction to hormone treatment for trans folks

• Testosterone-based regimens: risks, benefits, common side effects, and expected effects

• Estrogen and progesterone-based regimens: risks, benefits, common side effects, and expected effects

• Psychiatric effects of hormone therapy, and how to talk about this with clients

• For prescribing providers: Deeper dive into HRT - monitoring parameters, typical dosing ranges, drug-drug interactions

• Comprehensive review of more than 25 gender-affirming surgical procedures

• Common risks, benefits, outcomes of gender-affirming surgeries

• Typical processes involved to obtain insurance authorization for surgery

• Review of nonsurgical (or less invasive medical) interventions for gender affirmation

• Review WPATH Soc 8 criteria for writing behavioral health letters for gender-affirming surgery

Resources provided:

• Behavioral health letter templates for multiple gender-affirming surgeries

• Multiple patient care documents, informed consents, and information about specific procedures & insurance requirements

• Supporting trans/gender diverse clients in navigating family relationships

• How to support gender-expansive youth and their parents/families

• Special considerations & nuances in working with gender diverse adolescents

• The science and practice of gender-affirming healthcare for adolescents

• Discuss prevalence of neurodivergent-identified clients within trans/gender diverse community

• Discuss what a neurodiversity-affirming paradigm of care means, particularly with autistic clients

• Special guest lecturer who is an expert clinician and educator on neurodiversity-affirming care paradigms

• Discuss prevalence of many under-recognized and underdiagnosed medical conditions in the trans/gender diverse population

• Emphasize history of medical gaslighting in clients’ medical experiences and how to take a medical trauma-informed approach

  Review of the following medical conditions, as well as assessment paradigms, treatment protocols, & how to refer clients to appropriate care:

• POTS/dysautonomia spectrum conditions

• Mast Cell Activation Syndrome

• Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

• Ehler’s Danlos Syndrome

• Fibromyalgia

• Discuss allyship & activism: how to get involved on a larger scale

• Media literacy & training - how to spot subtly anti-trans media & best practices for engaging with the media

• How to communicate your skills and knowledge with other professionals, network effectively, and help the field become more trans-affirming

• Upon program completion, receive a certificate and unique code to embed on your website, detailing the extensiveness of this program, increasing your credibility to potential clients & colleagues

Twice-monthly group Q&A calls with Jess Romeo and other group members. Intentionally-created safe space to:

• Ask clinical/case questions

• Practice use of new terminology

• Learn with (and from) like-minded others

• Build a network of providers on the same journey as you

Community discussion forum to:

• Ask clinical/case questions

• Connect with colleagues

• Discuss course content

• Share your wins & experiences

Direct Support & Feedback on:

• Marketing/online presence

• Structuring intake and all client-facing forms for trans-inclusivity

• Maintaining client demographic data for inclusivity & accuracy

• How you may come across in clinical scenarios: mock interviews with course administrators who are experts in working with the trans/gender diverse community

Resources

• Access to all templates I use in my trans-affirming psychiatric practice

• Treatment protocols discussed in above sections

• Gender-affirming surgery letter templates

• Complete guide to name/gender marker change

• Several handouts/references on terminology, what to say/what not to say

• Books & online sources used in building content for this program

• PDFs of all slide presentations

Networking & Outreach

• Trans-Affirming Provider Resource List: get your practice listed on a coveted resource list of trans-affirming providers

• Coaching & support on how to network with existing specialists in the LGBTQIA+ community so they can learn that you exist!

Various options available, including:

Payment plans

Specific modules only

Admin Essentials for administrative staff training (includes lifetime access to modules 1-4 as your LGBTQIA+ onboarding modules for new staff, plus or minus a comprehensive review of your practice’s forms, marketing materials, & policies/procedures)

Full Transcend Competency Program

$3,300 (3 and 6-month payment plans available)

Know this is for you? Scroll to the bottom of the page to be taken to an enrollment page.

Need to talk about options that suit your situation better? Schedule a free practice consultation so we can chat. I’d love to make this work for you!

Admin Essentials Lite: Lifetime online access to content - $1200

Admin Essentials Standard: Includes the above, plus comprehensive review of website, forms, & policies (includes one-on-one meetings with me & my director of operations to ensure quality and personalization to your needs): $2500

To combine Admin Essentials with the flagship Transcend Competency program for clinicians at your practice, please schedule a call using the far left link below, or email training@integramentalhealth.com to discuss your practice’s specific needs.

We can tailor a program, and a tuition rate that works for you!