Designed as guide, this tool reviews effective communication and patient-centeredness in providing safe and high-quality health care to diverse patient populations.
The Joint Commission (Techurtz & Burke, 2014)
Through this series, Fight for Our
Girls, the Center for the Study of
Social Policy’s Alliance for Racial
Equity in Child Welfare seeks to radically shift the narrative surrounding girls of color and status offenses from a focus on delinquency and misbehavior to structural discrimination, trauma and youth well-being. This is an introduction to a series of briefs that will promote programs, policies and initiatives aimed at developing a trauma-informed approach to addressing status offenses and supporting the ability of girls of color to thrive.
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.
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.
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.
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.
American Institutes for Research
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.
Lambda Legal, Children’s Rights and the Center for the Study of Social Policy.
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.
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.
Legal Services for Children & National Center for Lesbian Rights (2006)