Fostering inclusive healthcare in Kentville: the launch of a new Gender Affirming Care Clinic

A Gender Affirming Care Clinic in Kentville officially opened its doors on February 15, marking a significant step in providing vital support for youth navigating gender transitions. The collaboration between Nova Scotia Health’s Mental Health and Addictions Program and Kentville Pediatrics brings together a multidisciplinary team committed to holistic care

Drs. Brian Crouse and Jennifer Hilliard, pediatricians at the clinic, underwent World Professional Association for Transgender Health training (WPATH), and are dedicated to providing a safe space for gender diverse clients through providing specialized medical care.

"As a nurse specializing in gender diversity, our team is committed to providing affirming and culturally competent care to our clients. By creating a therapeutic space that honors each individual's unique experiences and identities, we can support them in their journey towards self-discovery and acceptance,” said Beverly Rogers. 

The clinic's team includes Mental Health and Addictions staff such as nursing, community support, social work, pharmacy, and administrative staff, who all work together to create a comprehensive approach to care. "Our team embraces diversity and fosters a culture of inclusivity, and by doing so, we hope to contribute to a healthcare system that truly meets the needs of all individuals,” said Rogers. 

This initiative marks the first of its kind in Nova Scotia outside of the IWK, with the goal of eliminating the necessity for local youth to journey to Halifax for gender-affirming services. The Kentville team spent time shadowing the Halifax clinic led by Dr. Arati Mokashi, a prominent figure in the field, and drawing inspiration from colleagues at the IWK. The ultimate goal is to replicate this model in other regions, with plans to invite provincial physicians to learn from the Kentville experience.

Sarah Rafuse, a clinical social worker working at the clinic, expresses “every young person deserves access to the support and services they need, right where they are. Waiting and traveling for specialized care only adds to their distress and perpetuates inequity. It's time we recognize that gender affirming care is essential healthcare and ensure it is readily available through familiar channels for those who need it most."

This ambitious project signifies a significant stride towards accessible and inclusive healthcare for gender-diverse youth, ushering in a new era of support for gender diverse clients in Nova Scotia.

To initiate the referral process for gender affirming care and secure client appointments with the clinic team, two key steps are necessary:

• A referral from a healthcare provider such as a family doctor, nurse practitioner, Maple doctor, etc., to Kentville Pediatrics; and
• Completion of a hormone readiness assessment, which can be done either through Mental Health and Addictions Program Intake Service or by a private clinician.