Mostly as a case manager.

Housing, employment, social security, education, AOD rehab or treatment program, doctor, psychiatrist etc etc referrals. Reminder with each that it’s illegal here to discriminate against them over their being transgender and to please come see me for assistance if they are discriminated against. I’ll walk you through making a complaint to the ombudsman and we can skip some red tape. If needed, I will also refer you to free legal support.

If the referral doesn’t work out (usually therapy because it’s hard to click) we find a better fit until something fits.

Information on puberty blockers, exogenous hormones, and surgery outcomes. Good and bad. Ideally a client would please read a collection of unedited accounts from real transgender people who have had successful outcomes and who have had poor outcomes. My opinions won’t be a part of that text. Just the people’s accounts. The goal is to ensure that an unscrupulous surgery team that promises perfection is not the only input the person receives.

Liaise with a particular local shelter who offers single room occupancy with code locked doors and their own toilet and shower as the best option for transgender individuals who are homeless.

I’m not qualified to do anything else and lack the patience and frustration tolerance for any sort of group therapy. I can navigate the systems and open doors but I cannot discuss gender in a way that encourages or validates the concept.