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This is a 24-hour training covering the national Prison Rape Elimination Act Standards and implications for responding to the different needs of boys, girls and gender non-conforming youth who are sexually abused in custody. The following are the goals of this training: (1) review the applicable PREA Standards for responding to sexual abuse in custody and their gender impact; (2) review the dynamics of custodial sexual abuse for boys, girls and gender non-conforming youth; (3) identify the components of adolescent development and sexuality and understand their impact on sexual abuse of youth; (4) discuss immediate and long-term medical and mental health care needs of youthful victims of sexual abuse; and (5) identify legal, investigative and other implications and strategies of responding to custodial sexual abuse … NOTE: BJA is currently undergoing a comprehensive review of this curriculum for official approval. Use of this curriculum, either in part or in whole, does not guarantee that an auditor will find a facility “meets standards” in regards to compliance. Modules comprising this training program are: Training Objectives; The Prison Rape Elimination Act of 2003; Vectors of Sexual Abuse in Custody-- Gender, Sexuality, and Victimization; Adolescent Development; Adolescent Sexuality; Impact of Culture-- Agency and Youth; Gender, Victimization and Vulnerable Youth; State Criminal Laws; Policy; Medical and Mental Health of Victims in Custody; Operational Practices; Gender Implications for Investigations; Human Resources and the Impact of Gender; and Legal Liability and Gender. In addition to an Instructor's Guide are a Pre-training Checklist, a PowerPoint presentations and handouts (if available) for each module.

Responding to Sexual Abuse of Youth in Custody: Responding to the Needs of Boys, Girls and Gender Non-Conforming Youth Cover

"Members of the transgender community are among the most misunderstood and marginalized of populations, leaving them vulnerable to sexual violence. This vulnerability, coupled with past discrimination, stereotypical perceptions, and other barriers to service, means lost opportunities for justice and healing. Yet another concern is that frequently, victims must explain to service providers what it means to be transgender in order to receive culturally competent care. When faced with this lack of understanding, many victims forgo seeking assistance out of fear, mistrust, or frustration. But they urgently need our help… The guide presents a wide array of information in a user-friendly electronic format that allows practitioners to pick and choose the information that is most useful to them, from basic information about the transgender experience to specific guidance for sexual assault service providers and advocates, law enforcement officers, medical and mental health care providers, and support group facilitators. It includes practical tools to promote understanding and support of transgender victims, such as preferred language terms. Everyone is encouraged to review the guide's core resource, "Transgender 101," to gain a basic understanding of this population before accessing the educational provider-specific sections. We hope that you will find this guide to be invaluable in preparing you to serve transgender victims of sexual violence, as well as helping to build more enlightened communities. We welcome your ideas for additional resources to enhance our collective cultural competence as we strive to serve all victims of crime" (p. 2). Sections comprising this toolkit are: a message from OVC Director Joye E. Frost; about this guide; Transgender 101; sexual assault in the transgender community; and tips for those who serve victims.

Responding to Transgender Victims of Sexual Assault Cover

Lesbian, gay, bisexual, and transgender, or LGBT, youth continue to be significantly over-represented in the nation’s juvenile justice system, even as overall rates of youth incarceration are on the decline … This brief [explains] what works for LGBT youth by outlining the critical components of model juvenile justice policies that are already being implemented around the country and offers sample language that all jurisdictions can adopt (p. 1-2). Sections of this publication cover: LGBT youth experience high rates of discrimination and abuse; model policies exist and are working; nondiscrimination provisions—nondiscrimination and gender presentation; screening and intake; classification and housing placement—limits on isolation and segregation of LGBT youth, placement decisions based on gender identity, and classification decisions based on individualized assessment; confidentiality; privacy and safety of transgender youth; respectful communication-- no demeaning language, and preferred name and pronoun use; access to LGBT supports; medical and mental health services and treatment-- specific medical and mental health care needs of transgender youth, counseling should not try to change LGBT identity, sex-offender treatment, and provide appropriate medical and mental health care; staff training and policy dissemination; youth education and policy dissemination; and enforcement. These policy guidelines reflect the best practices already in place around the country. All jurisdictions should adopt similar measures to ensure that LGBT youth under the supervision of the juvenile justice system are treated fairly, are free from harm, and receive the supportive treatment and services they deserve (p. 13).

Restoring Justice: A Blueprint for Ensuring Fairness, Safety, and Supportive Treatment of LGBT Youth in the Juvenile Justice System Cover

You should be familiar with this report if you work with transgender and gender non-conforming (TGNC) youth. This guide "offers child welfare and juvenile justice practitioners concrete guidance, strategies for success, and resources that will enable staff to meet the specific needs of TGNC children and youth. The guide features an overview of the barriers that TGNC children and youth face in foster care and juvenile detention, a glossary of terms, an overview of affirming resources, policies, and best practices especially meaningful to staff to help affirm and support TGNC young people." Twenty-three focus areas comprise this publication. Topics discussed range from children's services non-discrimination policies and commitment to respective care to preferred name , pronouns, and identity language to medical transition to staff cultural competency training, to name a few. Appendixes include how to respectively ask identity questions, and a glossary.

Safe & Respected: Policy, Best Practices & Guidance for Serving Transgender & Gender Non-Conforming Children and Youth in the Child Welfare, Detention, and Juvenile Justice Systems Cover

“The overall goal of the SOC [Standards of Care] is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment … While this is primarily a document for health professionals, the SOC may also be used by individuals, their families, and social institutions to understand how they can assist with promoting optimal health for members of this diverse population” (p. 1). Sections of this publication are: purpose and use of the SOP; global applicability; the difference between gender nonconformity and gender dysphoria; assessment and treatment of children and adolescents with gender dysphoria; mental health; hormone therapy; reproductive health; voice and communication therapy; surgery; postoperative care and follow-up; lifelong prevention and primary care; applicability of SOP to people living in institutional environments; and applicability of SOP to people with disorders of sex development. Appendixes include: glossary; overview of medical risks of hormone therapy; summary of criteria for hormone therapy and surgeries; and evidence for clinical outcomes of therapeutic approaches.

Standards of Care for health cover

Jails are traumatizing and often dangerous places, especially for lesbian, gay, bisexual, and transgender people, and anyone who is gender nonconforming. In a country that incarcerates more of its people than any other in the world, LGBT people are more likely to end up behind bars, and more likely to face abuse behind bars. Being LGBT in a US jail or prison often means daily humiliation, physical and sexual abuse, and fearing it will get worse if you complain. Many LGBT people are placed in solitary confinement for months or years just because of who they are. Fortunately, advocates across the country are working to change this. Today, there are new national standards, legal developments, and other new tools—as well as many allies beyond the LGBT community who are combating mass incarceration and abuse behind bars—that make this a better time than ever to press for change.

Studies show that the prevalence of suicide thoughts and attempts among transgender adults is significantly higher than that of the U.S. general population. Using data from the 2015 U.S. Transgender Survey, this report examines key risk factors associated with suiciality among a sample of transgender people.

This is "the first study to focus on lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth; young men who have sex with men (YMSM); and young women who have sex with women (YWSW) who get involved in the commercial sex market in order to meet basic survival needs, such as food or shelter. The report documents these youth’s experiences and characteristics to gain a better understanding of why they engage in survival sex, describes how the support networks and systems in their lives have both helped them and let them down, and makes recommendations for better meeting the needs of this vulnerable population " (website). Sections of this report include; highlights; youths' engagement in the commercial sex trade for survival; current study goals and methodology; findings regarding the characteristics of LGBTQ youth, YMSM, and YWSW engaged in survival in New York City, the pathways into the survival-sex trade for this population, the characteristics of the commercial sex market, how much the youth earn and how they spend these earnings, the physical risks to them and how they protect themselves, the ways others help the youth find customers, the number of youth involved in exploitative situations, the composition of the youths' network, and the youths' perceptions of engaging in survival sex; discussion and summary; policy and practice guidelines; and main findings.

Surviving the Streets of New York: Experiences of LGBTQ Youth, YMSM, and YWSW Engaged in Survival Sex Cover

The Fenway Institute conducts policy research on issues affecting LGBT health, HIV policy, hepatitis, sexually transmitted infections, and other issues. We also address the social determinants of health, which the World Health Organization defines as “the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness.”

We conduct research on issues affecting LGBT youth and LGBT elders, and on policies affecting LGBT people involved with the corrections system. Health policy research is disseminated to policy makers, health care and service providers, advocates, researchers and others through a variety of means.

The Intersex Society of North America (ISNA) is devoted to systemic change to end shame, secrecy, and unwanted genital surgeries for people born with an anatomy that someone decided is not standard for male or female.

  • We have learned from listening to individuals and families dealing with intersex that:
  • Intersexuality is primarily a problem of stigma and trauma, not gender.
  • Parents’ distress must not be treated by surgery on the child.
  • Professional mental health care is essential.
  • Honest, complete disclosure is good medicine.
  • All children should be assigned as boy or girl, without early surgery.

Click here to learn more about our agenda. With your help, we can make the world a safer place for families dealing with intersex conditions.


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