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Title File Author Description Article Date
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
New Arkansas Law—and Similar Bills—Endanger Transgender Youth, Research Shows Sara Reardon Arkansas became the first state to ban physicians from giving hormones or puberty-delaying drugs to transgender people under age 18. Doctors who do so could be stripped of their licenses and sued. The law is called the Save Adolescents from Experimentation (SAFE) Act.   April 2021
Our Space & beFIERCE Stephanie Perron Our Space is a LGBTQ youth community center operated in Hayward, Calif., that serves LGBTQ youth between the ages of 14 to 24. Our Space supported the development of beFIERCE, a tool kit for providers working with LGBTQ foster care youth. beFIERCE walks providers through the needs of LGBTQ youth and how their organizations can better support the population.   2015
Out of the Shadows: Supporting LGBTQ Youth in Child Welfare Through Cross-System Collaboration Martin, M., Down, L., & Erney, R. This resource reviews the disproportionate representation of LGBT young people of color who are engaged in the child welfare system. This resource reviews outcomes and protective factors.   2016
Parenting a Transgender or Gender-Expansive Child: How to Protect Your Family Against False Allegations of Child Abuse Parents raising transgender and gender-expansive children must take additional steps that they could not have anticipated when their child was first born. These parents must also prepare their child and family to cope with the possibility of negative reactions, based on fear or misinformation, to their child’s gender and the family’s decision to love and affirm their child for who they are.  
Practice Brief: Providing Services and Supports for Youth Who Are LGBTQI2-S This brief reviews developing culturally and linguistically competent programs and services to meet the needs and preferences of LGBTQI2-S youth.   2008
Promising Practices in Adoption and Foster Care: A Comprehensive Guide to Policies and Practices that Welcome, Affirm, and Support Lesbian, Gay, Bisexual, and Transgender Foster and Adoptive Parents The Promising Practices guide is the cornerstone of All Children-All Families as it outlines key benchmarks of LGBT cultural competency and providers a framework for agency affirmation of LGBT prospective parents.   2012
Psychological Functioning in Transgender Adolescents Before and After Gender-Affirmative Care Compared With Cisgender General Population Peers Anna I.R.van der Miesen M.D Purpose: Transgender adolescents are at risk for internalizing and externalizing problems, along with high suicidality rates, and poor peer relations. The present study compared transgender adolescents before and after gender-affirmative care with a sample of nonclinical age-equivalent cisgender adolescents from the general population on psychological well-being and aimed to investigate the possible effect of transgender care involving puberty suppression. Conclusions: Transgender adolescents show poorer psychological well-being before treatment but show similar or better psychological functioning compared with cisgender peers from the general population after the start of specialized transgender care involving puberty suppression.   June 2020
Psychosocial Characteristics of Transgender Youth Seeking Gender-Affirming Medical Treatment: Baseline Findings From the Trans Youth Care Study Diane Chen Ph.D Purpose: This study aimed to characterize two developmental cohorts of transgender and nonbinary youth enrolled in the Trans Youth Care Network Study and describe their gender identity–related milestones and baseline mental health and psychosocial functioning. Conclusions: GnRHa cohort youth appear to be functioning better from a psychosocial standpoint than GAH cohort youth, pointing to possible benefits of accessing gender-affirming treatment earlier in life.   June 2021
REACHING HIGHER: A Curriculum for Foster/Adoptive Parents and Kinship Caregivers Caring for LGBTQ Youth Reaching Higher was developed by the National Center for Child Welfare Excellence in an effort to reach an improved level of service delivery for LGBTQ youth and their families. The curriculum was developed to increase the competence of any family providing out of home care for youth—foster/adoptive families, kinship care families, guardianship families, or adoptive families. The curriculum is meant to enhance the skills of those providing direct care for LGBTQ youth. The curriculum with some adaptation may also be helpful for those providing care in group homes and residential care facilities.  
Recommended LGBTQ Children, Youth, and Families Cultural Competence Tools, Curricula, and Resources This synthesis recommends publicly available resources that can support workforce development in child-, youth-, and family-serving systems (e.g., schools, healthcare, child welfare, homelessness, juvenile justice). Resources are intended to support more competent practice and affirming, inclusive services and supports for LGBTQ children, youth, and families.   2015
Recommended Practice Guidelines: To Promote the Safety and Well–Being of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) Youth and Youth at Risk of or Living with HIV in Child Welfare Settings The recommended practices offer guidance to state and local child welfare agencies to ensure safe, appropriate care in the best interests of LGBTQ children in the child welfare system.   2012
SOGIE Data Collection in Public Systems of Care a Practice Guide For Santa Clara County SHANNAN WILBER, ESQ AISHA CANFIELD, MPP This guide will provide an overview of SOGIE data collection in pubic youth-serving systems in California and nationally, discuss the lessons learned from these efforts, and conclude with recommendations for public agencies in Santa Clara County that are contemplating or implementing SOGIE data collection.   June 2019
Safe Havens: Closing the Gap Between Recommended Practice and Reality for Transgender and Gender-Expansive Youth in Out-of-Home Care This new report offers the first comprehensive analysis of the troubling lack of explicit laws and policies in most states to protect transgender, gender-expansive and gender non-conforming (TGNC) youth in the child welfare, juvenile justice, and runaway and homeless youth systems (“out-of-home care systems”). The report is co-authored by Lambda Legal, Children’s Rights and the Center for the Study of Social Policy.  
Safe Schools Program for LGBTQ Students: Guidance for Massachusetts Public Schools Creating a Safe and Supportive School Environment All students need a safe and supportive school environment to progress academically and developmentally. Administrators, faculty, staff, and students each play an important part in creating and sustaining that environment. This guidance is intended to help school and district administrators take steps to create a culture in which transgender and gender nonconforming students feel safe, supported, and fully included, and to meet each school’s obligation to provide equal educational opportunities for all students, in compliance with G.L. c. 76, §5 and the state regulations. The guidance sets out general principles based on the law, and addresses common issues regarding transgender and gender nonconforming students. It offers case studies based on experiences of schools and students in Massachusetts, and reflects the need to consider issues on a case-by-case basis. The list of issues is not exhaustive, and the examples are intended to be illustrative, not prescriptive.   2012
Schools In Transition A Guide for Supporting Transgender Students in K-12 Schools Asaf Orr, Esq.,Joel Baum, M.S.,Jay Brown,Elizabeth Gill, Esq. The guide is geared toward the needs of all students, kindergarten through twelfth grade, and incorporates distinctions and recommendations based on the specific ages and stages of students’ development Statements, recommendations and resources are based on data, research and best practices that have been tested in the field, as well as narratives of real experiences from students, parents, caregivers and educators.  
Sexual & Gender Minority Health Disparities Research Framework (Adapted from the NIMHD Minority Health and Health Disparities Research Framework) The Sexual & Gender Minority Health Disparities Framework, an adaptation of the National Institute on Minority Health and Health Disparities (NIMHD) Minority Health and Health Disparities Research Framework, seeks to highlight the numerous unique influences, factors, behaviors, and issues that impact the health and well-being of SGM populations across the lifespan. An ecological model was utilized for this framework to provide a more holistic perspective of the factors that can affect SGM-specific health disparities; influences can transcend multiple levels. It is important to note that the examples of factors provided within each domain is not meant to be exhaustive, but rather, illustrative. Arrangement and order of factors within each domain is random and does not signify prioirtization or ranking by importance. Further, it is vital that this framework be interpreted using an intersectional approach, which understands that interlocking and interdependent systems of oppression or support across different social categories and identities, including racial and ethnic identity, ability, age, socioeconomic status, may result in unique health inequities.   October 2021
Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior Jeremy W. Luk, Risë B. Goldstein, Jing Yu, Denise L. Haynie and Stephen E. Gilman OBJECTIVE: To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents. CONCLUSIONS: Sexual minority adolescents had earlier onset of suicidality and faster progression from suicide ideation to plan than heterosexual adolescents. The assessment of sexual minority status in routine pediatric care has the potential to inform suicide risk screening, management, and intervention efforts among early sexual minority adolescents.   April 2021
Sexual and Gender Minority Youth in Los Angeles Foster Care The Findings of the Los Angeles Foster Youth Survey (LAFYS), which represents a first step towards population-based data collection on LGBTQ foster youth. This data provides opportunities for policy makers and practitioners to make evidence-based decisions to allocate resources to address the challenges of LGBTQ youth.  
Sexual and Reproductive Health of Youth in Out-of-Home Care: A Policy and Practice Framework for Child Welfare Nilofer Ahsan For the past several years, the Center for the Study of Social Policy (CSSP) has been working to bring attention to the unmet needs of youth in foster care who are expecting a child and/or parenting. This document is the cornerstone of a three-part compendium of sexual and reproductive health guidance and resources for child welfare jurisdictions. This document is intended primarily for child welfare leadership and policy makers. The document briefly explores the urgent need for comprehensive sexual and reproductive health care for youth in out-of-home care and lays down nine fundamental principles for action. It provides extensive guidance for jurisdictions as they consider the policies and practices they should have into place to better serve adolescents in or leaving foster care.   March 2018


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