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Title File Author Description Article Date
Sharing Our Lived Experiences: 22 Tips for Caring for Two-Spirit and Native LGBTQ Youth in the Child Welfare System This resource is dedicated to Two-Spirit and American Indian/Alaska Native LGBTQ children and youth whose lives are impacted by the child welfare system, and to the child welfare professionals, foster and adoptive parents, caregivers, and community members who strive to support them. The tips contained are meant to support child welfare workers, foster and adoptive parents, and caregivers in working with and caring for Two-Spirit and LGBTQ (lesbian, gay, bisexual, transgender, and questioning) American Indian/Alaska Native children and youth involved with the child welfare system. These tips may also be helpful to tribal community members that wish to be allies to their young relatives.  
Sharing Our Lived Experiences: Eight Tips for Understanding the Two-Spirit/LGBTQ Journey for Native Youth in the Child Welfare System This fact sheet is intended to assist and support Native youth who may be Two-Spirit and/or LGBTQ (lesbian/ gay/ bisexual/ transgender/ questioning). Native youth in child welfare placements can experience many challenges, including feelings of abandonment, guilt, shame, disconnection from extended family, and many feelings related to unresolved grief and loss due to multi-generational historical traumas. The goal of this document is to strengthen families in achieving wellness and stability by assisting youth in feeling connected to resources and communities. It is also meant to support healthy identity, healthy development, reduce the risks of suicide and substance abuse, and strengthen ICWA (Indian Child Welfare Act) compliance.  
Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People E. Coleman This protocol outlines the treatment for transgender, and gender nonconforming people who wish to undergo hormonal or surgical transition.   August 2012
Suicide Prevention Among LGBT Youth: A Workshop for Professionals Who Serve Youth This is a free workshop kit to help staff in schools, youth-serving organizations, and suicide prevention programs take action to reduce suicidal behavior among LGBT youth. Topics covered include suicidal behavior among LGBT youth, risk and protective factors for suicidal behavior, strategies to reduce the risk, and ways to increase school or agency cultural competence. The kit contains everything needed to host a workshop: a Leader’s Guide, sample agenda, PowerPoint presentations (in PDF), a sample script, and handouts.   2011
Supporting All Our Values: How Publicly Funded, Faith-Based Child Welfare Providers and Non-Discrimination Laws Can Promote Well-Being Center for the Study of Social Policy This report addresses the importance of promoting child well-being, the role of non-discrimination policies in achieving this, examples of partnerships between states and faith-based agencies, and recommendations for how states can ensure the best interest of children and families are met through these partnerships. Also included is a 50-state matrix of laws, regulations, and policies that protect youth in foster care from discrimination based on SOGIE.  
Supporting LGBTQ+ Youth During Troubling Times National Association of School Psychologists The National Association of School Psychologists’ handout, Supporting LGBTQ+ Youth During Troubling Times , provides educators, mental health professionals, parents, and caregivers with helpful background information and strategies to support at-risk LGBTQ+ youth. Risk factors, legal and ethical considerations, specific strategies, recommendations, and community resources are detailed.  
Supporting Your LGBTQ Youth: A Guide for Foster Parents This guide is designed to improve foster parents’ skills in supporting LGBTQ youth in the child welfare system. The guide emphasizes the unique role that foster parents can play in reducing risks and stigma while improving youths’ health and well-being in the community.  
Supporting the Sexual and Reproductive Health of Youth in Out-of-Home Care: A Guide for Caseworkers Nilofer Ahsan This document is one of three in a compendium of sexual and reproductive health guidance and resources for child welfare jurisdictions from a national work group convened by the CSSP. The goal of this document is to provide information and resources to workers to help them effectively support youth (ages 10 to 21) on sexual and reproductive health issues. The other two documents in this series include a policy and practice framework for child welfare leaders and policy makers and practical guidance meant specifically for use by the youth themselves. Both this document and the one designed for youth are aligned with the recommendations on current best practices around sexual and reproductive health policy and practice contained in the policy framework. Includes LGBTQ+ considerations and resources.   2018
Supportive Housing and Health Services for LGBTQIA+ Youth Experiencing Homelessness: Promising Practices National LGBTQIA+ Health Education Center This publication addresses health disparities that LGBTQIA+ youth experiencing homelessness face and focuses on ways to increase engagement of LGBTQIA+ youth into health and housing programs. It highlights three notable programs in three U.S. cities that have developed culturally tailored programs to engage and support LGBTQIA+ youth experiencing homelessness and includes promising practices based on common themes across the programs.   2020
Surveying LGBTQ Youth In Foster Care: Lessons From Los Angeles The objective of this report is to provide a methodology resource for those interested in learning more about LGBTQ youth in foster care in order to better meet their needs. This report will be useful to researchers interested in conducting traditional research as well as foster care systems who are adding sexual orientation, gender identity, and gender expression measures to their current internal research and evaluation efforts or administrative records. We describe and assess the methodology used in a Los Angeles County study which surveyed youth in foster care about their sexual orientation, gender identity and gender expression, other demographic characteristics, and experiences in foster care. We provide our survey instrument and recommended questions, summarize and assess our methodology in designing and conducting the survey, and review lessons that we drew from our experience. We hope this report will encourage further research on youth in foster care in general and LGBTQ youth in particular.  
THE IMPACT OF STIGMA AND DISCRIMINATION Against LGBT People in West Virginia Christy Mallory, Luis Vasquez ,Taylor N.T. Brown, Rayna E. Momen, Brad Sears In this study, we provide data and research documenting the prevalence of several forms of stigma and discrimination against LGBT adults and youth in the U.S. and in West Virginia specifically, including discrimination and harassment in employment, housing, and public accommodations; bullying and harassment in schools; and family rejection of LGBT youth. We discuss the implications of such stigma and discrimination on LGBT individuals, in terms of health and economic security; on employers, in terms of employee productivity, recruitment, and retention; and on the economy, in terms of health care costs and reduced productivity. To the extent that West Virginia can create a more supportive environment for LGBT people, it will reduce the economic instability and health disparities experienced by LGBT individuals, which, in turn, would benefit the state, employers, and the economy.   February 2021
Teen SENSE: Model Sexual Health Care Standards for Youth in State Custody This resource reflects the minimum requirements that facilities should meet in order to appropriately address the sexual health care needs of youth in the state’s care. Youth should be provided with confidential, culturally competent care including physical and mental health screenings; universal offers of STI and HIV testing; written information, counseling, and treatment related to pregnancy, STI and HIV transmission and prevention, and sexual violence; and ongoing care and discharge planning related to sexual and reproductive health.   2012
The Cuyahoga Youth Count: A Report on LGBTQ+ Youth Experience in Foster Care. Matarese, M., Greeno, E., Weeks, A., Hammond, P. The findings in this study include the overrepresentation of youth with diverse SOGI in foster care in a Midwest county, disparities in their treatment experiences and increased mental health hospitalizations, as well as more youth with diverse SOGI reporting use of substances and experiencing discrimination and adverse experiences. These findings are symptomatic of the need for increased SOGIE-tailored prevention services for families, clinical interventions to support family reunification and family accepting and affirming behaviors, and policy and practice shifts both within the child welfare system as well as partnering with the child/youth-serving provider organizations and systems.   2021
The DSM-5 and the Politics of Diagnosing Transpeople Zowie Davy In the DSM-5, there has been a change in the diagnosis for transpeople of all ages from Gender Identity Disorder (GID) to Gender Dysphoria (GD), in part to better indicate the distress that transpeople may experience when their gender identity feels incongruent. The aims of this article are, firstly, to question whether changing the diagnosis lessens the stigmatization of transpeople. I will suggest that the semantic change from GID to GD marks ‘‘inverted’’ gendered expressions as pathological and, thus, continues to stigmatize transpeople. Secondly, the article explores the development of the GD diagnosis, and illustrates how the scientific data this were founded on are contentious. The article then demonstrates how the trans anti-pathologization movement has challenged the perceived pathologizing effects of the DSM-5 classification of GD. The article examines a selection of Western transgender community advocates’ websites, forums, and blogs. From these sources, the article then explores the different narratives of trans- people and political groups who offer details of their praxis, and evidences how the trans anti-pathologization advocates use the & ZowieDavy zdavy@lincoln.ac.uk available science and human rights discourses to contest the role of psychiatry in the treatment of transpeople.   June 2015
The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding At a time when lesbian, gay, bisexual, and transgender individuals--often referred to under the umbrella acronym LGBT--are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs.   2011
The Model Standards Project: Creating Inclusive Systems for LGBT Youth in Out-of-Home Care This article describes the history, development, and goals of the Model Standards Project (MSP), a collaboration between Legal Services for Children and the National Center for Lesbian Rights. The article concludes with recommendations for implementation of the standards in local jurisdictions.   2006
The Supporting the Well-Being of System-Involved LGBTQ Youth Certificate Program Center for Juvenile Justice Reform Georgetown University Program is designed to help juvenile justice, child welfare, and other system partners target and improve outcomes for at-risk LGBTQ youth. The program focuses on the particular challenges faced by LGBTQ youth in child-serving systems (including juvenile justice, child welfare, education, and behavioral health) as well as strengths and protective factors common to the population. It highlights effective policy and practice reforms that promote positive youth development and takes a holistic approach to addressing their needs.  
The Trevor Project Research Brief: LGBTQ Youth with a History of Foster Care LGBTQ youth are at elevated risk for suicide compared with their straight/cisgender peers (Johns et al, 2019; Johns et al., 2020). This risk stems from experiences of minority stress including victimization and rejection rather than something inherent about being LGBTQ (Meyer, 2003). Victimization and rejection from caregivers can also result in LGBTQ youth involvement in the foster care system (Newcomb et al., 2019), which is strongly associated with greater suicide risk among youth in general (Brown, 2020). Despite the overrepresentation of LGBTQ youth among those who have entered foster care (Baams, Russel, & Wilson 2019), there remains a lack of studies examining which subgroups of LGBTQ youth are most at risk of being in foster care as well as how a foster care history relates to suicide risk among LGBTQ youth.   May 2021
The Trevor Project: National Survey on LGBTQ Youth Mental Health 2021 Our third annual survey provides brand new data on the impacts of the COVID-19 pandemic, mental health care disparities, discrimination, food insecurity, conversion therapy, and suicide — in addition to the benefits of LGBTQ-affirming spaces and respecting the pronouns of transgender and nonbinary youth.   2020
The Tribal Equity Tool Kit: Tribal Resolutions and Codes to Support Two-Spirit and LGBT Justice in Indian Country This toolkit provides sample legal language for adapting tribal resolutions and codes to recognize the rights of all tribal citizens, including Two Spirit and LGBTQ Natives. This is the third edition of the toolkit published with the support of a growing coalition of national organizations including the National LGBTQ Task Force, the Western States Center and the Center for American Progress.  
The Whole Youth Model: How Collecting Data About Sexual Orientation, Gender Identity, and Gender Expression (SOGIE) Helps Probation and Youth Courts Build More Authentic Relationships Focused on Improved Well-Being Aisha Canfield, M.P.P. Shannan Wilber, Esq. Angela Irvine, Ph.D. Malachi Larrabee-Garza This guide presents both a guide for collecting SOGIE data as well as a perspective on how this practice should fit within reforms to treat all youth respectfully with the ultimate aim of improving well-being.   December 19, 2019
The relationship between family acceptance-rejection and transgender youth psychosocial functioning. Emily M. Pariseau, Lydia Chevalier, Kristin A. Long,Rebekah Clapham, Laura Edwards-Leeper, Amy C. Tishelman Objective: Transgender youth have a high risk of adverse mental health outcomes. Family acceptance may play a protective role in transgender youth’s psychosocial adjustment; however, studies have largely examined acceptance independent from gender identity, averaged across family members, and in extreme examples (i.e., high acceptance or high rejection). Grounded in interpersonal acceptance-rejection theory, this study documents transgender youth’s experiences of family acceptance-rejection across family members, including siblings, and investigates the relationship between family acceptance-rejection and youth psychosocial functioning. Method: Fifty-four youth completed psychosocial questionnaires, and youth and caregivers completed semistructured clinical interviews, which were coded for family acceptance-rejection. Analyses examined associations between acceptance-rejection and psychosocial variables. Results: Lower primary caregiver past acceptance predicted increased youth depressive/anxiety symptoms/internalizing problems. Higher secondary caregiver in- difference predicted increased youth depressive symptoms. Lower sibling acceptance predicted increased youth suicidal ideation. Conclusions: Findings demonstrate that family acceptance-rejection plays an important role in the psychosocial adjustment of transgender youth. New to the existing literature are the findings that caregiver indifference and sibling acceptance are associated with mental health outcomes.   2019
Tips for Child Welfare Professionals: Talking About LGBT-Headed Families This tip sheet discuss talking to and working with LGBT-headed families.   2012
Toolkit for Practitioners/Researchers Working with Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Runaway and Homeless Youth Ferguson & Maccio This resource discusses the overrepresentation of LGBTQ youth in homeless and runaway populations.   September, 2012
Toolkit to Support Child Welfare Agencies in Serving LGBTQ Children, Youth, and Families Provides links to knowledge- and skill-building resources; including articles, videos, tools, training curricula, tip sheets, information briefs, websites, and other products, to help state and territorial child welfare agencies meet the needs of LGBTQ children, youth, and families.  


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