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Title File Author Description Article Date
I Want to Be Like Nature Made Me: Medically Unnecessary Surgeries on Intersex Children in the US In this report, based on interviews with intersex adults, parents of intersex children, and medical practitioners working with intersex people, interACT and Human Rights Watch document the fall-out from that medical paradigm, and the failure of the medical community to regulate itself effectively. There have been changes in practice in recent years, with many doctors now advising against surgery on infants and young children. But even so, surgery continues to be practiced on children with atypical sex characteristics too young to participate in the decision, when those procedures both carry a meaningful risk of harm and can be safely deferred.  
Implementing System Wide Policy and Practice Improvements to Support LGBTQ+ Youth and Families with Child Welfare System Involvement Kristen Weber and Bill Bettencourt This report describes the processes and outcomes associated with implementing Guidelines for Managing Information Related to Sexual Orientation and Gender Expression and Identity in Child Welfare Systems in Allegheny County, Pennsylvania. The Guidelines outline ways in which child welfare jurisdictions can implement system wide innovations to better serve LGBTQ+ youth and their families.   May 2021
In-Home Resources for Families of LGBTQ Youth This brief reviews resources and best practices for supporting LGBTQ youth and their families in-home settings.  
Infographic: LGBT People with Disabilities Movement Advancement Project In recognition of the 29th anniversary of the Americans with Disabilities Act, the Movement Advancement Project released a summary of research available on LGBTQ+ people living with disabilities. This resource describes the unique challenges faced by the estimated 3 million to 5 million LGBTQ+ Americans living with disabilities and outlines recommendations for advancing equality and opportunities to help remove these challenges.   July 2019
Information Packet: Transgender Youth in Child Welfare Settings Sikerwar & Rider This fact sheet reviews the experiences of transgender youth in the child welfare system. It offers a brief overview of national legislation and best practices for agencies.   2015
Intersex 101: Everything You Need to Know interACT Intersex is an umbrella term for differences in sex traits or reproductive anatomy. People are born with these differences or develop them at a young age. Genitalia, hormones, internal anatomy, or chromosomes can develop in many ways. The problem is, children’s bodies are often changed for them because of shame and stigma. This includes surgeries to create a vagina, reduce a clitoris, move a urethra, or remove testes. Most surgeries happen before the age of 2. We’ve worked with many of the world’s top human rights organizations, and all agree: Surgeries to change sex traits must be the individual’s choice. That’s why interACT uses innovative legal and other strategies to advocate for the human rights of children born with differences in their genitals, chromosomes, hormones, and reproductive anatomy. This two-page Intersex 101 guide was created by interACT as an introduction.  
Invisible Majority: The Disparities Facing Bisexual People and How to Remedy Them Movement Advancement Project This report focuses on the “invisible majority” of the LGBTQ community, the nearly five million adults in the U.S. who identify as bisexual and the millions more who have sexual or romantic attraction to or contact with people of more than one gender. The report provides an overview of current research so we can better understand those who comprise the largest share of the LGB population. It also examines how bias, stigma, discrimination, and invisibility combine to create serious negative outcomes for bisexual people, and it provides concrete recommendations for change. Finally, sidebars throughout the report highlight the lived experiences of bisexual people—and the pervasive discrimination and key disparities they face.   September 2016
Is Your Agency Ready to Serve Transgender and Non-Binary Clients? FORGE This checklist helps agencies check the following areas for trans-competency: Forms and paperwork; Bathroom options; Service options and curriculum; Advertising/publicity; Displayed materials; Referrals; Visible feedback/complaint mechanisms; Tracking clients; and Training.   April 2021
Just As They Are This resource will help parents recognize when and how conversion therapy is promoted, provides information about the dangers of the practice, and offers guidance to parents regarding practices that promote their LGBTQ+ child’s health and well-being.  
Juvenile Facilities Checklist For Defenders: Advocating For The Safety And Well-Being of Transgender, Gender Non-Conforming, And Intersex Young People The National Juvenile Defender Center (NJDC) produced a publication entitled “Juvenile Facilities Checklist for Defenders” to assist defenders in monitoring conditions and practices in detention and correctional facilities and other types of secure and non-secure facilities. The checklist provides defenders with the necessary tools to advocate for their clients in these facilities to prevent unnecessary or inappropriate placement, reduce the period of confinement, or intervene to challenge harmful conditions or practices on the young person’s behalf.   October 2019
Know Your Rights Guide for Transgender People Navigating COVID-19 The Transgender Legal Defense & Education Fund The COVID-19 pandemic presents a series of unique challenges that may have a long-term impact on transgender people and their families. The Transgender Legal Defense & Education Fund has prepared a series of “ Know Your Rights” guides for transgender and non-binary people who are confronted by COVID-19 and questions related to employment, housing, health care, identification, and accessing assistance from government agencies among other issues.  
LGBTQ & Gender-Affirming Spaces This brief uses data from The Trevor Project’s ?2020 National Survey on LGBTQ Youth Mental Health to examine the association between access to affirming spaces and suicide attempts. LGBTQ youth are at elevated risk for poor mental health and suicide compared with straight/cisgender peers (Johns et al, 2019; Johns et al., 2020). Because this risk is related to the harmful ways LGBTQ youth are treated, rather than something about being LGBTQ in itself, increased acceptance and affirmation can reduce risk (Meyer, 2016). All LGBTQ youth deserve access to spaces — such as homes, schools, and workplaces -- that positively affirm their LGBTQ identity. Unfortunately, not all LGBTQ youth experience acceptance of their identity, and physical distancing policies implemented to minimize the health risks of the COVID-19 pandemic can disrupt access to existing affirming spaces (Green, Price-Feeney, & Dorsion, 2020). This may be particularly true for transgender and nonbinary youth who have increased risk for attempting suicide due in large part to increased exposure to minority stress (Price-Feeney, Green, & Dorison, 2020; Hendricks & Testa, 2012).   December 2020
LGBTQ+ Families for Black Lives Toolkit Family Equality Family Equality published the LGBTQ+ Families for Black Lives toolkit to empower families and children of different age levels to deepen their anti-racist work and continue these conversations in their households. The toolkit seeks to empower families to deepen their anti-racism work through tangible, age-appropriate action ranging from coloring book pages to writing elected officials. It is our hope that with this toolkit you may start or continue conversations in your household and community that will continue long after the hashtags and protests end.  
LGBTQ+ Financial Guide to Becoming a Parent Joyce Kauffman While the U.S. still has a way to go to achieve LGBTQ+ equality, some significant strides have been made, particularly when it comes to LGBTQ+ families.   3/7/2022
LGBTQ+ Youth of Color Impacted by the Child Welfare and Juvenile Justice Systems: A Research Agenda Williams Institute This report is a collection of working papers focused on understanding what we know and what we need to better understand about the lives and outcomes of system-involved youth who are both LGBTQ and racial/ethnic minorities.  
LGBTQ+ Youth: How to Help Yourself or a Friend HRC Foundation, Child Mind Institute This tip sheet from the gives guidance for LGBTQ+ youth on how to take care of their mental health. Mental health is an important part of our overall health and well-being. Feeling sad, alone, worried, or scared is very likely a sign that our mental health is in need of care, just like having a cough or a bruise that won’t heal is a sign of needing care. It is often difficult to talk about our feelings or needs for support but talking about mental health symptoms and getting help are the first steps in taking care of our mental health. When we feel happy, safe, and supported, we are more likely to succeed in school, maintain meaningful relationships and reach our hopes and dreams.  
Latinx LGBTQ+ Immigrant Youth: A Provider Fact Sheet This Each Mind Matters fact sheet was created as a resource for service providers, including nonprofit staff, community-based organizations, health care professionals, and other providers. It provides an introduction to the unique challenges faced by Latinx LGBTQ+ immigrant youth, relevant resources, and best practices. In English and Spanish.  
Lesbian, Gay, Bisexual and Transgender Youth in the Juvenile Justice System: A Guide to Juvenile Detention Reform This guide highlights a wide range of best practices that juvenile justice facilities can implement to advance the safety and well-being of LGBT youth.   September 28, 2015
Lesbian, gay, and bisexual (LGB) youth within in welfare: Prevalence, risk and outcomes The purpose of this study was to estimate the population of sexual minority or LGB (lesbian, gay and bisexual) children and youth involved with the child welfare system, and to compare their health, mental health, placement and permanency outcomes to those of non-LGB youth. Data were drawn from the Second National Survey of Child and Adolescent Well-Being (NSCAW-II), a nationally representative sample of children who were referred to child welfare due to a report of abuse or neglect over a fifteen month period. Results indicate that approximately 15.5% of all system involved youth identified as lesbian, gay or bisexual, and that lesbian and bisexual females, and LGB youth of color are both overrepresented within child welfare systems. Although no substantive difference in risk factors, permanency and placement were found between LGB and Non-LGB youth, LGB youth were significantly more likely to meet the criteria for adverse mental health outcomes. Implications for child welfare practice and policy are presented, along with recommendations for future research in this area.  
Mental Health and Timing of Gender-Affirming Care Julia C. Sorbara, Lyne N. Chiniara, Shelby Thompson and Mark R. Palmert BACKGROUND: Gender-incongruent (GI) youth have high rates of mental health problems. Although gender-affirming medical care (GAMC) provides psychological benefit, some GI youth present to care at older ages. Whether a relationship exists between age of presentation to GAMC and mental health difficulties warrants study. CONCLUSIONS: Late pubertal stage and older age are associated with worse mental health among GI youth presenting to GAMC, suggesting that this group may be particularly vulnerable and in need of appropriate care.   October 2022
Mental Health of Transgender Children Who Are Supported in Their Identities Transgender children who have socially transitioned, that is, who identify as the gender “opposite” their natal sex and are supported to live openly as that gender, are increasingly visible in society, yet we know nothing about their mental health. Previous work with children with gender identity disorder (GID; now termed gender dysphoria) has found remarkably high rates of anxiety and depression in these children. Here we examine, for the first time, mental health in a sample of socially transitioned transgender children. Results demonstrate that socially transitioned transgender children who are supported in their gender identity have developmentally normative levels of depression and only minimal elevations in anxiety, suggesting that psychopathology is not inevitable within this group. Especially striking is the comparison with reports of children with GID; socially transitioned transgender children have notably lower rates of internalizing psychopathology than previously reported among children with GID living as their natal sex.  
Model Anti-Harassment and Nondiscrimination Policy for Child Welfare or Juvenile Justice Agencies This model anti-harassment and non-discrimination policy is for child welfare and juvenile justice agencies who wish to adopt a policy that would prohibit all forms of harassment, create a safe environment for all youth and service providers, and ensure that all youth have equal access to all available services, placement, care, treatment, and benefits provided by the agency.   2006
Model Policy:?Transgender, Gender Nonconforming, and Intersex Youth in Confinement Facilities Shannan Wilber and Jason Szanyi The purpose of this model policy is to address operational practices that promote the safety, dignity, and well-being of TGNCI youth in confinement facilities. Although many of the provisions apply to all youth, the policy was created specifically to address the unique needs and vulnerabilities of TGNCI youth. The model policy is designed for broad application in a wide range of confinement facilities (e.g., detention facilities, residential treatment centers, shelter homes).   2019
Moving a Child Welfare System to Be More Affirming of the LGBTQ Community: Strategies, Challenges and Lessons Learned Megan Good and Shauna Lucadamo This report describes the challenges, successes and lessons learned that came with the work of shifting perspectives about LGBTQ communities in a local government organization. Much of the work was focused on affecting change in the child welfare system, but progress in that arena created ripple effects that continue to foster change in other areas of DHS.   June 2018
Moving the Margins: Training Curriculum for Child Welfare Services with LGBTQ Youth in Out-of-Home Care Kelly & Clark This train-the-trainer curriculum includes a 101 and a 201 section. Aimed at increasing providers’ sensitivity and enhancing their skills, the modules within the curriculum provide definitions, values clarifications, and a learning lab on LGBTQ youth in out-of-home care.   2009


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