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Ms. Marin-Molina said she was not aware of an increase in referrals to food pantries.
Sometimes a spike in referrals will reflect what's in the media, what's very current.
"He told me he made thousands in referrals from that," she said.
Her findings, first reported in The New York Sun, included a backlog in referrals and evaluations.
Polly Carmichael, director of gender identity services at the Tavistock, said: "We have seen a 40%to50%0% increase in referrals every year since 2009 but this year to date we have seen about a 100% increase in referrals.
The doubling of calls to Childline mirrors increases in referrals of young people to gender identity clinics across the UK.
Over the past decade these clinics have experienced dramatic increases in referrals of children and adolescents questioning their gender.
Since the spike in referrals, the clinic is finding different patterns in the young people they see.
In the last six months the service has seen a further increase in referrals with 634 children referred between April and September.
There was also a twofold increase in referrals of children and adolescents to the Sandyford clinic in Glasgow, from 90 in 2014 to 178 in 2015.
Since Mr. Klein's reorganization, the drop in referrals and compliance citywide had spurred criticism in the press and from the city's public advocate, Betsy Gotbaum.
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