Washington University in St. Louis opened an internal investigation into its Transgender Center at St. Louis Children’s Hospital, after a former employee alleged that the center was not appropriately assessing minors before providing them with care.
that children were being routinely prescribed puberty blockers or hormone therapy without “appropriate or accurate” mental health assessments. Bailey’s investigation is ongoing.
After an eight-week internal investigation, the university said in a summary of its findings that her allegations are unsubstantiated but that it would be changing some of its practices. The center will also require a family to provide custody agreements before an initial visit at the center if the patient is a minor, the summary said. Previously, providers would ask for custody agreements “before medical intervention in cases where decision-making authority was in question.”
The university said that physicians will no longer perform gender-affirming operations on minors. Washington University declined to say when it adopted this policy. Jess Jones, who uses they/them pronouns and was an education liaison at the center from 2018 to 2020, shared a variety of documents regarding the center’s protocols, including documents that they said were provided to every family at their first visit, an endocrine “roadmap” that outlined steps patients had to complete to start gender-affirming treatment, and internal documents with hypothetical patient cases that the center used for teaching.
Jones said the center would sometimes “gatekeep” access to care, “which is why Jamie’s account was so appalling.”
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