Anonymous ID: bc4049 Jan. 19, 2024, 3:16 a.m. No.20266411   🗄️.is 🔗kun

Supplement to CCHCS/DHCS Care Guide: Gender Dysphoria

GUIDELINES FOR REVIEW OF REQUESTS FOR

SEX REASSIGNMENT SURGERY (SRS)

3

  1. SRSRC Review Process

a. The SRSRC shall review, evaluate and discuss the information provided by the

IUMC and the patient and obtain additional information as determined necessary,

prior to finalizing and reporting its findings to the HQUMC.

b. The following criteria shall be considered by the SRSRC regarding whether or not

SRS will be recommended:

1) The patient has been diagnosed with GD by a CDCR mental health provider

and the diagnosis is supported with appropriate documentation and clinical

justification as set forth by CCHCS policies and care guidelines.

2) Any known medical and/or co-existing mental health concerns have been fully

assessed and have been well-controlled for at least one (1) year; do not pose a

contraindication to SRS; and are not likely to worsen with surgery or impede

surgical recovery.

3) The patient has continuously manifested a desire to live and to be accepted as

a member of the preferred sex, including the desire to make his/her body as

congruent as possible with the preferred sex, for at least two (2) years; has

lived full-time in his/her desired gender role for at least 12 months; and has

received at least 12 continuous months of medically supervised hormone

therapy appropriate to his/her gender goals (unless there was a medical

contraindication to this therapy).

4) The patient is in significant distress due to gender dysphoria; the distress

cannot be attributed to the conditions of confinement, mental illness or any

other factor; and there are no available, additional treatments other than SRS

that are likely to alleviate the distress. Distress due to gender dysphoria can be

demonstrated by clinical findings (such as anxiety and sadness), an inability to

develop appropriate interpersonal relationships and/or an inability to grow

emotionally or learn effectively.

5) The patient must have at least two (2) years remaining before his/her

anticipated parole or release date and has been provided with necessary and

relevant information to enable him/her to understand that his/her environment

will be different after surgery and the new environment may be unfamiliar and

pose significant adaptive challenges.

6) The patient can be expected to successfully and safely transfer and adjust

medically and psychologically to confinement postoperatively with inmates of

his/her postoperative gender, and there are no penological contraindications for

placement in the prison housing the inmate’s professed gender.

7) There is no evidence suggestive of any external coercion or predation and the

desire for SRS is freely given by the patient.

8) Any relevant factors listed in Attachment 3.

9) Any other information available which may be relevant to their discussion or

determination.

c. The findings of the SRSRC will be based on a majority vote of the members and

forwarded to the HQUMC. The report to HQUMC shall detail in writing the

committee’s findings outlined in Sections II(B)2(a-c) and II(B)5(b)1-9

 

Military is about unity, changing sex is all about self, stay out of the military.

 

https://transgenderlawcenter.org/wp-content/uploads/2015/10/Guidelines-for-Review-of-Requests-for-Sex-Reassignment-Surgery-SRS.pdf

Anonymous ID: bc4049 Jan. 19, 2024, 3:43 a.m. No.20266444   🗄️.is 🔗kun

>>20266436

 

The epitomy of, 'watch who you follow', they guide you somewhat in a straight line, then veer off a cliff, taking followers with them.

 

Trust your natural instincts, gut instincts