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Article Category: Highlights

LGBTQ Care: Inclusive Healthcare for Everyone

Published on September 26, 2024

Last updated 12:50 PM October 22, 2024

People at Atlanta Pride event

With dedicated health resources and caring, compassionate providers, Wellstar is making primary care more accessible to people who are lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ+).

Historically, many healthcare systems have not focused on the specific needs of the LGBTQ community. 

“The LGBTQ community has been marginalized by the healthcare system,” Wellstar Primary Care Physician Dr. Gabriella Maris said. “There is a lack of providers who have adequate training to understand and treat their unique health risks.”

Wellstar believes every person should have access to safe, high-quality healthcare. At each of our primary care locations, we maintain a welcoming, non-judgmental environment to treat patients. Across Wellstar, we’re committed to providing inclusive medical services in a safe, comfortable space to make LGBTQ care more available.

Dedicated health experts for the LGBTQ community

Members of the LGBTQ community may be at a higher risk for certain medical issues.

For example, lesbian and bisexual women may be at increased risk for breast, cervical and ovarian cancer, according to the American Cancer Society. The American Psychiatric Association also shared that LGBTQ people are more likely to experience mental health concerns and use mental health services.

Treating these health concerns starts with trained providers who take a caring, compassionate approach to help patients stay healthy.

Wellstar provides primary care for the LGBTQ community, including wellness exams, chronic disease management, virtual appointments and other health screenings. We also offer special services for people who identify as LGBTQ including:

  • Family planning and birth control
  • Prenatal and OB/GYN care
  • Pap smears for men and women
  • Colposcopy and anoscopy
  • Hormone therapy
  • PrEP and nPEP treatment for HIV prevention
  • Pediatric care

Gender-affirming care

Gender-affirming care is medical treatment that supports a patient’s gender identity when their identity differs from their sex assigned at birth. 

“Gender-affirming care has the ability to save lives,” said Wellstar Primary Care Physician Dr. Danielle Ortega. “We know that a large percentage of transgender individuals, even starting in adolescence, have either suicidal intent or attempts in the past, and we know that gender-affirming care, when appropriate, improves mental health and prevents suicide.”

Active partners in your care

Wellstar physicians provide great care to patients and our health experts are dedicated to being a true partner in your wellness journey.

“I want for patients to know that Wellstar is their medical home—for them to feel comfortable when they walk in our door and for them to know that this is going to be a clinic that is not judgmental, is truly empathic and is here to help them in whatever way we can,” Dr. Maris said. 

Our primary care team puts patients at the center of their care, presenting them with all their options and working with them to decide how to accomplish their goals.

“I get to know patients and understand what their goals are, what their hopes are, who their supports are, what their job entails, what their community is like and, specifically, what their goals are in relation to their health,” Dr. Ortega said.

Find a Wellstar primary care location near you. Learn more about diversity, equity, inclusion and belonging at Wellstar.

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Gabriella Maris Danielle Hunt Ortega Primary Care
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Highlights

Primary Care Opens Doors to Behavioral Health at Wellstar

What started as a research study has grown into a systemwide commitment at Wellstar to improve access to mental and emotional healthcare. By embedding licensed mental health practitioners in the primary care settings, Wellstar is making it easier for patients to receive behavioral health services alongside their routine medical care. 

Today, licensed clinical social workers (LCSW) work alongside primary care providers and pediatricians in more than a dozen Wellstar practices. And there are plans to grow that number.

“With social workers just steps away from an exam room, primary care physicians can make ‘warm handoffs’ for immediate behavioral health support,” said Dr. Jeffrey Tharp, chief medicine division officer for Wellstar.

“It helps lower barriers to mental health and substance use disorder treatment. And it removes some of the stigma some people associate with mental healthcare.”

Dr. Sophie Arkin, a psychologist in Wellstar’s Suicide Prevention department, said, “This is a great way to reach people who might otherwise fall through the cracks. It gives them a real opportunity to live a different life.”

Primary care clinicians connect adults to behavioral health specialists

Nearly 10 years ago, Wellstar was one of several health systems nationally that participated in a study of the effects of placing behavioral health clinicians in primary care.

The need is significant. Mental illness and substance use disorders are prevalent throughout the U.S. According to the 2024 State of Mental Health in America report, 22.5% of adults in Georgia had a mental illness in the past year. The report also said that 17% had a substance use disorder.

Primary care physicians at Wellstar routinely screen patients for depression, suicidal thoughts and alcohol or drug use. In other cases, they learn from conversations that patients may have:

  • Anxiety or panic disorders
  • Sleep disturbances
  • Stress related to work, family life or finances
  • Grief or unresolved trauma

Introducing the behavioral health clinician

When behavioral concerns emerge, the primary care team introduces the on-site clinical social worker. This specialist conducts an in-depth assessment to determine the next best steps for the patient. This is typically a short-term series of sessions that may lead to referrals to psychiatrists, psychologists or Wellstar’s suicide prevention team.

“One of the biggest strengths of this model is credibility,” Dr. Tharp said. “If a physician or nurse practitioner you trust says, ‘We have a counselor here I’d like you to meet,’ the patient is more likely to follow through.”

This model has proven especially effective for patients who are less likely to seek mental health support, such as men, seniors and caregivers.

Where primary and behavioral health cross paths

People with chronic conditions like diabetes, digestive disorders and kidney disease sometimes have or develop mental health conditions like depression and anxiety. As a result, patients may find it harder to:

  • Get the follow-up testing and care they need
  • Follow nutrition and exercise instructions
  • Take medications according to their doctor’s instructions

Not treating behavioral health issues can contribute to patients’ worsening physical health and higher medical costs.

Conversely, many patients may go to their primary care physician because they’re having trouble breathing, their heart is pounding or they have frequent headaches. Or they’re sweating or feel faint, dizzy or nauseated.

Those can be signs of a medical problem. They can also be symptoms of an emotional or mental health issue. In that case, a behavioral health clinician is around the office corner.

“We know that stress and anxiety show up in lots of different ways in the body. Understanding that allows people to adopt a new philosophy about how to take care of themselves,” Dr. Arkin said.

Pediatricians screen and refer children for behavioral health

Childhood and adolescence are critical periods in development. Mental health issues can affect a child’s ability to learn, grow and develop healthy relationships both now and as an adult.

Pediatricians routinely screen children for behavioral health concerns. They ask questions about social, emotional and behavioral development. Screenings for autism risk begin in early childhood and depression screenings begin at age 12.

At Wellstar KenMar Pediatrics in Marietta and Kennesaw, pediatricians turn to their in-house behavioral health partner, Dr. Kayla Fitch. Common reasons to refer include:

  • Behavior challenges
  • Feeding disorders, such as extreme picky eating
  • Mental health issues among children with chronic or acute illnesses
  • Requests for attention deficit hyperactivity disorder (ADHD) evaluations
  • Severe social or separation anxiety

While under her care, Dr. Fitch screens patients for anxiety and suicide risk.

“One of the things I’m the most passionate about is early anxiety treatment for kids. We can help kids when they’re 4, 5, 6 years old,” Dr. Fitch said. “I teach parents basic concepts around how to expose their children to anxiety-producing situations to decrease their anxiety.”

She helps children learn “coping strategies, like deep breathing and muscle relaxation. These are things kids can benefit from if we teach them creatively.”

Growing commitment to integrated care

Wellstar’s primary care model continues to evolve to meet the behavioral health needs of patients throughout their life. Time will bring even more collaboration and improved outcomes.

“It serves everyone—patients, families and doctors—to create these seamless connections between primary and behavioral health practitioners,” Dr. Tharp said. “We see the benefits every single day in our patients’ health and their outlooks.”

Learn more about behavioral health at Wellstar.

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Doctor speaking with patient

Highlights

Wellstar Opens New Locations in Douglasville & Villa Rica

To serve our community’s growing healthcare needs, Wellstar has opened new urgent care, primary care and pediatric locations in Douglasville and Villa Rica.

Wellstar Urgent Care 

If you’re dealing with a minor injury or illness or need care after your physician’s regular office hours, going to urgent care is often the right choice. Wellstar Urgent Care centers provide quick, convenient care for non-emergency medical conditions such as coughs, colds, sprains, broken bones and minor bites, burns and cuts. Visit our new locations at:

Douglasville
2710 Fairburn Road, Suite 175
(943) 202-8640

Check in at this location

Villa Rica
662 Carrollton Villa Rica Highway, Suite 100
(943) 202-8590

Check in at this location

Wellstar Primary Care

Primary care is ongoing, comprehensive care and preventative medicine that helps you live a full, healthy life. Services include wellness exams, vaccinations, treatment for acute illnesses like flu and management of chronic conditions such as diabetes. Wellstar Primary Care often has same-day or next-day availability and is welcoming new patients. Visit our new locations at:

Douglasville
2710 Fairburn Road, Suite 150
(943) 202-8560

 

Villa Rica
662 Carrollton Villa Rica Highway, Suite 200
(943) 202-8560

Wellstar Pediatrics

From wellness checkups and immunizations to chronic and complex conditions, Wellstar Children's of Georgia focuses on the physical, mental and emotional well-being of every patient, helping families navigate care with confidence. Visit our new location at: 

Douglasville
2710 Fairburn Road, Suite 100
(943) 202-8660

 Photos of Douglasville and Villa Rica locations 

 

Keep reading
Illustration of a lung scan

Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

We are dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded by an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in one of the nation's largest lung screening programs and an incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level and if a patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is suspected.

The program, which started in fall 2020, has identified a total of 203 lung cancers and 22 other types of cancer, as of November 2025.

Expert care and support at every step

From the very beginning, people with lung cancer at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic—at Wellstar Cobb, Wellstar Douglas, Wellstar Kennestone, Wellstar North Fulton, Wellstar Paulding and Wellstar West Georgia Medical Centers, as well as Wellstar Cherokee Health Park and the Thoracic NOW Clinic at Wellstar MCG Health Medical Center—give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

"We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test," Dr. Fortes said. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 60 to 90 days. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in patients with lung cancer.

"We have data to show that if we delay treatment, even in early-stage cancers, we decrease the chance of a cure," Dr. Fortes said. "The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

More than 90% of lung cancer surgeries at Wellstar are performed using either the Da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The Da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process, significantly improving diagnostic yield compared to other modalities.

"The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung," said Dr. Fortes.

To reduce your risk of lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as exercising and avoiding smoking. Learn more about treatments on our lung cancer care page.

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