For children 9 years old and younger: The GeMS-Youth GeMS-Y program offers consultations to gender-diverse youth and their families, a play therapy assessment with your child, discussion of specific and general gender issues in young children and assistance accessing resources in your community. Given the lack of consistent benefit and the poor methodological quality of the trials included in this analysis, definitive recommendations regarding the use of this therapy cannot be made at this time. We strongly recommend that all of our patients discuss options for fertility preservation with their medical provider, prior to starting puberty blockers or gender-affirming hormones. According to the revised safety precautions, these beds should not be used in persons who exhibit burrowing behavior; who are violent, aggressive, combative, or suicidal; who have multiple lines, or who have excessive pica eating disorder.
No trial met all the validity criteria. Patients in the conventional bed group had a higher incidence of cigarette smoking. This is meant to optimize continuity of care and is not intended to be a timeline to intervention.