Family Tree Inc

TO CULTIVATE A HEALTHY COMMUNITY THROUGH COMPREHENSIVE SEXUAL HEALTH CARE AND EDUCATION.

CLINIC:FAMILY TREE CLINIC IS A NONPROFIT COMMUNITY CLINIC ESTABLISHED TO PROVIDE HEALTH SERVICES TO LOW-INCOME POPULATIONS. THE CLINIC OFFERS SERVICES ON A SLIDING FEE SCALE AND DOES NOT TURN ANYONE AWAY FOR INABILITY TO PAY. FAMILY TREE CLINIC IS DESIGNATED AN ESSENTIAL COMMUNITY PROVIDER BY THE STATE, AND IS PART OF THE TWIN CITIES HEALTH CARE SAFETY NET. SINCE 1971, FAMILY TREE CLINIC HAS OFFERED INNOVATIVE CLINICAL AND EDUCATION SERVICES FOCUSED ON SEXUAL HEALTH AND THAT CENTER RESPECT, CULTURAL COMPETENCE, AND INDIVIDUALITY; OUR SERVICES AND OUR INTEGRITY HAVE CONFRONTED HEAD-ON BOTH BARRIERS TO CARE AND HEALTH DISPARITIES AMONG OUR COMMUNITY MEMBERS. TODAY, BUILDING ON 50 YEARS OF HISTORY AND DEDICATION, FAMILY TREE IS A REGIONAL AND NATIONAL LEADER IN INCLUSIVE SEXUAL HEALTH CARE AND EDUCATION AND IS ON THE VANGUARD OF NEW AND INNOVATIVE APPROACHES TO HEALTH EQUITY. FIFTY YEARS AGO, THE ST. PAUL COMMUNITY CAME TOGETHER AT A MOMENT OF CRISIS TO CREATE FAMILY TREE CLINIC, AND TODAY FAMILY TREE HONORS THAT LEGACY BY OPERATING AS A COMMUNITY-BASED NONPROFIT CLINIC, AND - AT THE GRASSROOTS LEVEL - AN INTEGRAL PART OF THE COMMUNITY'S LONG-TERM HEALTH CARE SOLUTION.THE MISSION OF FAMILY TREE CLINIC IS TO CULTIVATE A HEALTHY COMMUNITY THROUGH COMPREHENSIVE SEXUAL HEALTH CARE AND EDUCATION. OUR VISION IS TO ELIMINATE HEALTH DISPARITIES THROUGH INNOVATIVE, PERSONALIZED SEXUAL HEALTH CARE AND EDUCATION FOR DIVERSE NEEDS. WE WORK TOWARD OUR MISSION AND VISION BY PROVIDING MEDICAL REPRODUCTIVE AND SEXUAL HEALTH SERVICES; LIMITED PRIMARY CARE; CULTURALLY RESPONSIVE SERVICES TO THE LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ) COMMUNITY; COMMUNITY HEALTH EDUCATION PROGRAMMING; A HEALTH EDUCATION PROGRAM FOR THE DEAF, DEAFBLIND AND HARD OF HEARING (DDBHH); THE MN FAMILY PLANNING + STD HOTLINE, WHICH INCLUDES WEB CHAT AND TEXT SERVICES (1-800-78-FACTS/SEXUALHEALTHMN.ORG); AND THROUGH COLLABORATIVE PARTNERSHIPS WITH OTHER SERVICE ORGANIZATIONS. FAMILY TREE CLINIC'S BOARD OF DIRECTORS APPROVED A STRATEGIC PLAN WHICH BUILDS ON FAMILY TREE'S LONG-STANDING COMMITMENT TO IMPROVING THE HEALTH AND WELLNESS OF THE TWIN CITIES COMMUNITY, PARTICULARLY THOSE WHO ARE UNDERSERVED, EXPERIENCE HEALTH DISPARITIES, AND FACE BARRIERS TO ACCESSING CARE. THE KEY GOALS OF THIS AMBITIOUS PLAN ARE: 1) PROVIDE NATIONAL LEADERSHIP FOCUSED IN EDUCATION, ADVOCACY AND POLICY ON SEXUAL HEALTH CARE; 2) REDUCE HEALTH DISPARITIES THROUGH ACCESSIBLE, SEX POSITIVE HEALTH CARE AND EDUCATION; 3) EXPAND SERVICES AND PROGRAMS TO BETTER CONNECT THE COMMUNITY WITH COORDINATED, QUALITY CARE AND EDUCATION GROUNDED IN SEXUAL AND REPRODUCTIVE HEALTH; AND 4) INCREASE FAMILY TREE CLINIC'S ORGANIZATIONAL CAPACITY TO SUCCESSFULLY CARRY OUT ITS WORK. THESE LONG-TERM GOALS INCLUDE SPECIFIC STRATEGIES TO INCREASE FAMILY TREE'S ABILITY TO SERVE CURRENT AND NEW CLIENTS, LEADING THE ORGANIZATION TO EXPAND MEDICAL SERVICES MULTIPLE TIMES IN ORDER TO OFFER ACUTE PRIMARY CARE, A HORMONE CARE PROGRAM FOR GENDER AFFIRMATION, AND PREP FOR HIV PREVENTION.FAMILY TREE'S BOARD OF DIRECTORS IS SOON EMBARKING ON A NEW STRATEGIC PLANNING PROCESS THAT WILL GENERATE LONG-TERM GOALS FOR DEVELOPING OUR NEW SEXUAL HEALTH AND EDUCATION CENTER -- MADE POSSIBLE BY OUR POWER TO BUILD CAPITAL CAMPAIGN -- INTO A BEACON OF HEALTH AND WELLNESS IN THE TWIN CITIES AND BEYOND.FAMILY TREE CLINIC DELIVERS ON OUR MISSION THROUGH FOUR ROOT PROGRAMS OF EXCELLENCE: 1) CULTURALLY RESPONSIVE MEDICAL SERVICES CENTERING PEOPLE MOST IMPACTED BY HEALTH INEQUITIES; 2) COMPREHENSIVE SEXUALITY AND HEALTHY RELATIONSHIPS EDUCATION FOCUSED IN SCHOOLS, CORRECTIONS AND WITHIN DDBHH COMMUNITIES; 3) COMMUNITY ENGAGEMENT THAT CREATES PATHWAYS FOR THE COMMUNITY TO INFORM AND SHAPE THE SERVICES WE PROVIDE; AND 4) INTERDISCIPLINARY TRAINING FOR HEALTH CARE PROFESSIONALS AND MEDICAL STUDENTS, WITH A FOCUS ON LGBTQ-COMPETENCY IN HEALTH CARE DELIVERY. WE BELIEVE THAT PATIENT-CENTERED MEDICAL CARE, UPSTREAM EDUCATION, INTENTIONAL ENGAGEMENT OF COMMUNITIES AND TRAINING OF THE FUTURE HEALTH CARE WORKFORCE WILL RESULT IN HEALTH EQUITY FOR PEOPLE MOST ON THE MARGINS. TODAY WE SERVE OVER 23,000 PEOPLE IN A TYPICAL YEAR THROUGH OUR ROOT PROGRAMS, AND ARE AN ESTABLISHED STATEWIDE AND REGIONAL LEADER IN THE FIELD OF LGBTQ HEALTH EQUITY AND INCLUSIVE CARE MODELS. FAMILY TREE OFFERS ONE OF THE ONLY SLIDING-FEE SCALE, INFORMED CONSENT HORMONE CARE PROGRAMS IN THE STATE. PATIENTS IN THIS PROGRAM COME FROM THE 7-STATE UPPER MIDWEST REGION AND CANADA TO RECEIVE CARE AT FAMILY TREE. TRANS FOLKS CHOOSE OUR PROGRAM FOR MANY REASONS - WE OFTEN HEAR THAT THIS IS THE ONLY CLINIC WHERE THEY FEEL SAFE, SEEN, RESPECTED, AFFIRMED AND LIKE THEY ARE PARTNERS IN THEIR CARE.FAMILY TREE CLINIC PROVIDES PREVENTIVE PRIMARY MEDICAL CARE SERVICES, WITH A FOCUS ON REPRODUCTIVE AND SEXUAL HEALTH CARE. MEDICAL SERVICES INCLUDE PAP SMEARS AND ANNUAL PREVENTIVE EXAMS; COLPOSCOPY AND BREAST/CHEST EXAMS; MAMMOGRAM REFERRALS; MENOPAUSE CARE; STI TESTING AND TREATMENT; HIV CARE INCLUDING SCREENING, TESTING, AND PREP FOR HIV PREVENTION; TREATMENT FOR UTI'S AND OTHER INFECTIONS; PRECONCEPTION COUNSELING; PREGNANCY TESTING AND ALL-OPTIONS COUNSELING; ACUTE PRIMARY CARE INCLUDING UPPER RESPIRATORY INFECTIONS, SKIN CONDITIONS, AND IMMUNIZATIONS; SMOKING CESSATION; AND AN INFORMED CONSENT TRANS HORMONE CARE PROGRAM. PATIENTS MAY PAY FOR THESE SERVICES USING INSURANCE, GOVERNMENT ASSISTANCE OR GRANTS, OR ACCORDING TO FAMILY TREE'S SLIDING-FEE SCALE. TO ENSURE EQUITABLE ACCESS TO OUR HEALTH CARE SERVICES FOR OUR TRADITIONALLY MARGINALIZED PATIENT BASE, WE DO NOT TURN ANYONE AWAY FOR INABILITY TO PAY. FAMILY TREE PROVIDES SERVICES PRIMARILY TO INDIVIDUALS IN THE 7-COUNTY METRO, WITH NEARLY 60% OF PATIENTS RESIDING IN EAST METRO COUNTIES OF RAMSEY, WASHINGTON, AND DAKOTA.FAMILY TREE CLINIC'S TARGET POPULATIONS ARE LOW-INCOME INDIVIDUALS EXPERIENCING HEALTH DISPARITIES, INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED, WOMEN AND TEENS IN NEED OF HIGH QUALITY REPRODUCTIVE HEALTH CARE, INDIVIDUALS FACING BARRIERS TO ACCESSING CARE DUE TO FEAR, INADEQUATE TRANSPORTATION AND LACK OF CULTURAL COMPETENCE, LGBTQ COMMUNITY MEMBERS, PEOPLE OF COLOR, AND INDIVIDUALS ON PUBLIC ASSISTANCE PROGRAMS. IN 2021, FAMILY TREE CLINIC PROVIDED 4,681 VISITS TO 2,017 UNDUPLICATED PATIENTS. SEVENTY-SIX PERCENT OF PATIENTS SERVED WERE AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES AND 44% WERE LIVING AT OR BELOW THE POVERTY LEVEL. THIRTY-SIX PERCENT WERE UNINSURED AND ANOTHER 23% WERE USING MEDICAID OR MNCARE. THIRTY-SEVEN PERCENT OF PATIENTS IDENTIFIED AS PEOPLE OF COLOR: 12% AFRICAN AMERICAN, 5% ASIAN, 1% AMERICAN INDIAN/NATIVE, 1% PACIFIC ISLANDER, 11% MULTIRACIAL, 8% LATINX, 3% OTHER. ADDITIONALLY, 42% REPORTED THEY ARE TRANSGENDER OR GENDER NON-CONFORMING, AND 52% REPORTED THEY ARE GAY, LESBIAN, QUEER, BISEXUAL. FORTY-SIX PERCENT OF PATIENTS WERE 25 YEARS OLD OR YOUNGER, AND ANOTHER 46% WERE BETWEEN 26 AND 35 YEARS OLD. FAMILY TREE OFFERS MNSURE NAVIGATION AND RESOURCES COORDINATION. FAMILY TREE STAFFS FIVE CERTIFIED MNSURE NAVIGATORS, INCLUDING MNSURE'S ONLY DEAF NAVIGATORS, WHO WORK WITH CLIENTS TO ENROLL THEM IN INSURANCE PROGRAMS, INCLUDING MINNESOTA HEALTH CARE PROGRAMS, PRIVATE INSURANCE OPTIONS, AND A MEDICAID WAIVER PROGRAM CALLED THE MINNESOTA FAMILY PLANNING PROGRAM (MFPP).

HEALTH EDUCATION PROGRAM:FAMILY TREE'S COMMUNITY HEALTH EDUCATION PROGRAM FILLS AN URGENT PUBLIC HEALTH NEED BY PROVIDING COMPREHENSIVE SEX EDUCATION TO UNDERSERVED AND AT-RISK YOUTH AND ADULTS WHICH HAS PROVEN POSITIVE BEHAVIORAL EFFECTS. IN FACT, THE MAJORITY OF PARTICIPANTS IN COMPREHENSIVE SEX EDUCATION PROGRAMS DELAY SEXUAL ACTIVITY, REDUCE THEIR NUMBER OF SEXUAL PARTNERS, AND INCREASE CONDOM OR CONTRACEPTIVE USE. COMPREHENSIVE SEX EDUCATION, BY UNDOING HARMFUL GENDER NORMS AND BUILDING COMMUNICATION AND HEALTHY RELATIONSHIP SKILLS, IS ALSO A PROVEN STRATEGY FOR SEXUAL VIOLENCE PREVENTION. FAMILY TREE TRAVELS TO CORRECTIONAL FACILITIES, COLLEGES, PUBLIC SCHOOLS, CHEMICAL DEPENDENCY TREATMENT CENTERS, AND SHELTERS AND ACROSS THE METRO REGION TO ENSURE THAT EVERYONE HAS THE FULL ARRAY OF TOOLS THEY NEED TO MAKE HEALTHY AND INFORMED DECISIONS ABOUT THEIR SEXUAL HEALTH. WE PROVIDE IN-DEPTH AND EVIDENCE-BASED INFORMATION ON BIRTH CONTROL OPTIONS, SEXUALLY TRANSMITTED INFECTIONS, PUBERTY, HEALTHY RELATIONSHIPS, PARENTS ARE SEX EDUCATORS (PASE) PROGRAMS, AND EARLY CHILDHOOD FAMILY EDUCATION (ECFE) CLASSES. OUR COMMUNITY HEALTH EDUCATION PROGRAM CONTINUES TO MEET CRUCIAL NEED DURING THE COVID-19 PANDEMIC. DESPITE THE DISRUPTION IN OUR EDUCATION PROGRAMMING CAUSED BY THE PANDEMIC, THE PROGRAM'S IMPACT IN THE EAST METRO REMAINS STRONG. SOME OF OUR COMMUNITY PARTNERS, INCLUDING PUBLIC SCHOOLS IN THE EAST METRO, HAVE ONCE AGAIN BEGUN REQUESTING EDUCATION LESSONS FROM OUR STAFF, AND OUR EDUCATORS HAVE WORKED TIRELESSLY ON CONVERTING LESSONS FOR VIRTUAL LEARNING.THREE DEAF STAFF PERSONS FLUENT IN AMERICAN SIGN LANGUAGE (ASL) RUN OUR INNOVATIVE HEALTH EDUCATION PROGRAM FOR THE DEAF, DEAFBLIND AND HARD OF HEARING (DDBHH) COMMUNITY, LEADING WORKSHOPS ON ANATOMY, PREGNANCY PREVENTION, PUBERTY, HEALTHY RELATIONSHIPS, SELF-ESTEEM, SEXUALLY TRANSMITTED INFECTIONS, AND PARENTS ARE SEXUALITY EDUCATORS (PASE) PROGRAMS. THIS IS THE ONLY PROGRAM OF ITS KIND IN THE STATE AND POSSIBLY THE COUNTRY. APPROXIMATELY 10% OF U.S. RESIDENTS MANAGE PROFOUND HEARING LOSS. ON AVERAGE, DDBHH COMMUNITY MEMBERS ARE AT A GREATER LIKELIHOOD OF BEING LOW-INCOME, UNINSURED, ALIENATED FROM HIGHER EDUCATION, AND AT A GREATER RISK FOR SEXUAL ABUSE AND LACK OF INFORMATION AROUND SEXUAL HEALTH. ADDITIONALLY, DEAF LGBTQ INDIVIDUALS ARE AT A HIGHER RISK OF IN-COMMUNITY DISCRIMINATION AND MORE LIKELY TO CONCEAL THEIR SEXUAL BEHAVIOR, ENGAGE IN UNSAFE ACTIVITIES, AND LACK ACCESS TO ACCURATE AND UP-TO-DATE SEXUAL HEALTH INFORMATION. FAMILY TREE CONFRONTS THESE DISPARITIES BY PROVIDING HUNDREDS OF DDBHH COMMUNITY MEMBERS WITH RESOURCES, INFORMATION, AND SOCIAL SUPPORT THAT MIGHT OTHERWISE HAVE BEEN INACCESSIBLE TO THEM.SINCE 1979, WE HAVE OPERATED THE DEPARTMENT OF HEALTH-FUNDED MN FAMILY PLANNING + STD HOTLINE (1-800-78-FACTS, WWW.SEXUALHEALTHMN.ORG), A STATEWIDE SERVICE PROVIDING FREE AND CONFIDENTIAL INFORMATION ABOUT STIS, BIRTH CONTROL, AND FAMILY PLANNING. THROUGH THE HOTLINE, WE ALSO MAINTAIN A FAMILY PLANNING PROVIDER DATABASE AND PROVIDE REFERRALS TO LOW-COST CLINICS IN ALL 87 COUNTIES IN MINNESOTA.1. TO MEET THE GOALS OF OUR STRATEGIC PLAN, WE HAVE COMMITTED TO AN AMBITIOUS PLAN OF ACTIVITIES IN 2021. IT IS DIFFICULT TO KNOW WHEN/IF IN-PERSON ACTIVITIES CAN RESUME AS NORMAL, BUT WE ANTICIPATE AND ARE PLANNING FOR A SURGE IN DEMAND FOR FAMILY TREE'S SERVICES WHEN WE RETURN TO SOME SENSE OF NORMALCY. WE KNOW INDIVIDUALS AND COMMUNITY ORGANIZATIONS HAVE DELAYED SEEKING HEALTH CARE AND SEX EDUCATION CLASSES, AND ONE STUDY SUGGESTS THAT 31.5% OF AMERICANS HAVE AVOIDED ROUTINE MEDICAL CARE BECAUSE OF THE PANDEMIC. WITH THAT IN MIND, WE COMMIT TO THE FOLLOWING ACTIVITIES.2. PROVIDE REPRODUCTIVE AND SEXUAL HEALTH MEDICAL SERVICES THROUGH 6,500 TELEHEALTH AND IN-PERSON PATIENT VISITS, REACHING 3,000 UNDUPLICATED PATIENTS;3. OFFER A FULL RANGE OF AFFORDABLE, LOW COST, BIRTH CONTROL OPTIONS TO ALL;4. ENHANCE PATIENT ACCESS TO LONG ACTING REVERSIBLE CONTRACEPTION (LARC) METHODS, AND PROVIDE LARCS TO 300 PATIENTS;5. ENHANCE PATIENT ACCESS TO PREP, A DAILY PILL THAT PREVENTS THE TRANSMISSION OF HIV, PROVIDING PREP TREATMENT TO 100 PATIENTS;6. UTILIZE 5 TRAINED MNSURE NAVIGATORS ON STAFF TO ASSIST 600 INDIVIDUALS WITH ACCESS TO, AND ENROLLMENT IN, HEALTH COVERAGE VIA MINNESOTA'S HEALTH INSURANCE EXCHANGE;7. ENROLL 500 INDIVIDUALS IN THE MINNESOTA FAMILY PLANNING PROGRAM;8. PROVIDE MINOR ILLNESS CARE TO 1,000 PATIENTS;9. PROVIDE OFF-SITE BIRTH CONTROL, PREGNANCY PREVENTION, AND STI SCREENING SERVICES TO 75 WOMEN AT WOMEN'S ADVOCATES, A SHELTER FOR WOMEN IN ST. PAUL;10. CONDUCT NECESSARY OUTREACH AND ENGAGEMENT TO ENSURE THAT 45% OF MEDICAL REPRODUCTIVE HEALTH SERVICES PROVIDED WILL BE TO PEOPLE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL, AND AT LEAST 80% OF PATIENTS WILL BE AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL;11. PROVIDE COMPASSIONATE AND HIGH-QUALITY MEDICAL CARE WITH INTEGRITY, SUCH THAT AT LEAST 90% OF PATIENTS WILL REPORT A HIGH LEVEL OF SATISFACTION WITH OUR SERVICES;12. RESPOND TO OVER 3,000 CALLS, TEXT EXCHANGES, AND WEB CHATS ON THE MN FAMILY PLANNING + STD HOTLINE;13. SERVE A PATIENT BASE THAT IS AT LEAST 50% LGBTQ-IDENTIFIED, AND AT LEAST 45% PEOPLE OF COLOR AS DEMONSTRATED BY COLLECTION OF DATA ON SEXUAL ORIENTATION, GENDER IDENTITY AND RACIAL AND ETHNIC DEMOGRAPHICS;14. CULTIVATE CLINICAL SERVICES AND ENVIRONMENTS THAT BETTER MEET THE NEED FOR CULTURALLY COMPETENT SEXUAL AND REPRODUCTIVE HEALTH CARE FOR THE LGBTQ COMMUNITY IN THE TWIN CITIES AREA;15. DELIVER A LEADING TRANS HORMONE CARE PROGRAM UTILIZING INFORMED CONSENT, AND SERVE 800 TRANSGENDER PATIENTS FOR HORMONE CARE AND SEXUAL HEALTH CARE SERVICES;16. PARTNER WITH THE NATIONAL RESEARCH ORGANIZATION ETR, AND SEATTLE-BASED KING COUNTY PUBLIC HEALTH TO TRAIN TEACHERS AROUND THE COUNTRY IN THE EVIDENCED INFORMED FLASH CURRICULUM;17. PROVIDE 850 EDUCATIONAL PRESENTATIONS TO 16,000 INDIVIDUALS THROUGH THE COMMUNITY HEALTH EDUCATION PROGRAM, REACHING AT LEAST 7,000 YOUTH OF COLOR; AND18. PROVIDE 1,300 DEAF, DEAFBLIND, AND HARD OF HEARING INDIVIDUALS WITH ACCESS TO SEXUAL HEALTH EDUCATION AND RESOURCES THEY WOULD NOT OTHERWISE BE ABLE TO OBTAIN.EACH OF OUR ACTIVITIES TIE BACK TO A STRATEGIC PLAN GOAL, AND ARE TIED TOWARDS AN IMPACT OUTCOME. STEMMING OUT OF OUR STATED ACTIVITIES, WE DEFINE OUR IMPACT IN THE FOLLOWING WAYS:1. IMPROVE HEALTH OUTCOMES FOR INDIVIDUAL PATIENTS AS WELL AS PATIENTS' FAMILIES BY INCREASING ACCESS, ON A COMMUNITY LEVEL, TO STATE PROGRAMMING THAT PROVIDES INDIVIDUALS WITH THE RESOURCES THEY NEED TO ACCESS GENERAL AND SEXUAL HEALTH CARE SERVICES.2. ENSURE THAT PATIENTS HAVE CONTROL OVER THEIR OWN REPRODUCTIVE LIVES AND HAVE THE ABILITY TO REDUCE/ELIMINATE UNINTENDED PREGNANCIES; CONTRIBUTE TO THE REDUCTION OF UNINTENDED PREGNANCIES STATEWIDE AND WITHIN OUR DIRECT COMMUNITY.3. PROVIDED INTEGRATED HEALTH CARE, INCLUDING MINOR ILLNESS CARE, TO PATIENTS WHO RELY ON FAMILY TREE AS A COMPASSIONATE, AFFIRMING, AND HIGH-QUALITY MEDICAL PROVIDER.4. INCREASE FAMILY TREE'S CAPACITY TO SERVE LOW-INCOME, UNDERINSURED, AND UNINSURED PATIENTS BY SUPPORTING ENROLLMENT AND APPROPRIATE COMPENSATION FROM HEALTH PLANS FOR SERVICES PROVIDED TO ELIGIBLE INDIVIDUALS.5. REMAIN TRUE TO THE ORGANIZATION'S FOUNDING COMMITMENT TO INCREASING ECONOMIC ACCESS TO HEALTH CARE BY CONFIRMING THAT THE MAJORITY OF CLINICAL VISITS ARE APPORTIONED TO LOW-INCOME PATIENTS.6. DISMANTLE STRUCTURAL INEQUITIES BY COUPLING THE HIGHEST QUALITY OF HEALTH CARE WITH LOW-INCOME ACCESS.7. MEET AND EXCEED INTERNAL AND EXTERNAL QUALITY ASSURANCE STANDARDS FOR PATIENT CARE, FURTHER GROWING OUR REPUTATION AND MEETING OUR ETHICAL OBLIGATION TO DELIVER EXEMPLARY CARE WITH OBVIOUS AND GENUINE RESPECT FOR OUR PATIENTS.8. MEET OUR OBLIGATIONS AS STEWARDS OF THE STATE HOTLINE PROGRAM, EXTENDING UNBIASED, ACCURATE, AND RESPONSIVE HEALTH CARE INFORMATION, RESPONDING TO INDIVIDUALS IN CRISIS, AND IMPROVING HEALTH CARE OUTCOMES OF THE INDIVIDUALS WHO SEEK OUR ASSISTANCE.9. REDUCE THE INCIDENCE OF STIS AMONG YOUTH AND OTHER AT-RISK COMMUNITY MEMBERS AS EVIDENCED BY STATEWIDE AND REGIONAL INCIDENCE RATES.10. REDUCE INSTANCES OF SEXUAL VIOLENCE BY IMPLEMENTING COMPREHENSIVE SEXUALITY EDUCATION AS A STRATEGY FOR THE PRIMARY PREVENTION OF SEXUAL VIOLENCE.11. BECOME A MODEL FOR TRANS HEALTH CARE IN THE UPPER MIDWEST, WITH OUR SLIDING-SCALE TRANSGENDER HORMONE CARE PROGRAM AND SEXUAL AND MINOR ILLNESS CARE SERVICES.12. IMPROVE THE SEXUAL AND MENTAL HEALTH OF NEARLY 800 TRANSGENDER PATIENTS SEEKING HORMONE CARE FOR GENDER TRANSITION.13. DISRUPT THE STRUCTURAL INEQUITIES AND BARRIERS TO SEXUAL HEALTH CARE ACCESS FOR DDBHH INDIVIDUALS AND MARGINALIZED AND AT-RISK YOUTH IN THE TWIN CITIES METRO REGION.14. MULTIPLY THE IMPACT OF OUR APPROACH BY TRAINING HEALTH PROFESSIONALS AND COMMUNITY PARTNERS TO ENGAGE PATIENTS AND CLIENTS THROUGH POSITIVE, EVIDENCE-BASED PROGRAMMING.