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Title File Author Description Article Date
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.  
Recommendations for LGBTQQ Mentoring The National Mentoring Partnership The LGBTQ supplement to Elements of Effective Practice for Mentoring responds to a longstanding call to extend the reach and quality of mentoring relationships to one of our nation’s most underserved, marginalized, and vulnerable populations — youth who are lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQQ). Part of a shared commitment by Big Brothers Big Sisters of America and MENTOR: The National Mentoring Partnership to improve mentoring services to all children and youth across the country, the supplement offers step-by-step operations guidance to develop safer, more affirming, and responsive mentoring relationships for LGBTQ youth.  
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
Recruiting, Training, and Retaining LGBTQ-Proficient Clinical Providers: A Workforce Development Toolkit National LGBTQIA+ Health Education Center As lesbian, gay, bisexual, transgender, and queer (LGBTQ) people increasingly access care at health centers, the clinical workforce needs to be prepared to meet the unique health needs of LGBTQ patients. Finding LGBTQ-proficient providers, however, can present a challenge, especially outside major metropolitan areas.   May 2019
Reducing System Crossover for Black LGBTQ+ Girls & Nonbinary Youth Madeline Stern This publication from the Center for Juvenile Justice Reform highlights the critical need to ensure that systems fully support Black LGBTQ+ girls and nonbinary youth--a population that is at higher risk for crossover (i.e., becoming dually-involved in both the juvenile justice and child welfare systems) than their non-Black, non-LGBTQ+ peers. The white paper also provides recommendations to mitigate this disparity and improve the experiences of and outcomes for this population of young people.  
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 For All GLBTQ Legal Advocates & Defenders, GLSEN, the National Center for Lesbian Rights, and PFLAG National As schools and school districts across the country face hostile protests of LGBTQ+ inclusive education, students who are experiencing discrimination, bullying and harassment based on their sexual orientation, gender identity or gender expression now have a new resource to help defend their rights. “Safe Schools for All” is a unique resource to help make schools safe and inclusive of all students and is rooted in guidance from the Civil Rights Division of the U.S. Department of Justice and the Office of Civil Rights of the U.S. Department of Education. GLBTQ Legal Advocates & Defenders (GLAD), GLSEN, the National Center for Lesbian Rights (NCLR), and PFLAG National, four of the nation’s leading LGBTQ+ organizations, collaborated to create SafeSchoolsForAll.org for students, parents, and supporters to take action against bullying, harassment and discrimination.   November 2021
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 Orientation, Gender Identity & Expression Resource Guide for Children's Residential Providers and Caregivers Califnornia Department of Social Services This guide is intended to inform and provide best practice suggestions for Children’s Residential Providers and Caregivers relating to Sexual Orientation, Gender Identity and Expression (SOGIE) while ensuring the health and safety of children during out of home care and during their transition into young adulthood. A glossary of terms related to SOGIE has been compiled and placed as an appendix to provide a context and meaning for the language used in this guide. This guide is not an exhaustive treatment of this subject and cannot be used as a substitute for understanding and complying with the regulations, standards and statutes governing all caregivers.   March 2020
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
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.  


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