Substance Abuse and Mental Health Services Administration

Keywords: Best Practices; Gender-Affirming Care; Healthcare; Mental Health; Policy; Research; Resources for Families

This report is written for multiple audiences, to include behavioral health providers, pediatric professionals and primary care providers, educators and school professionals, policymakers, and researchers. Families, parents, caregivers, and community leaders may also find it useful. It provides current knowledge about LGBTQI+ youth, a comprehensive research overview, and important information on behavioral health concerns within this community. More specifically, the report provides details on helpful and harmful interventions for these populations in clinical, community, family, and school settings. In particular, the report documents that attempts to change an individual’s sexual orientation and gender identity (SOGI; pronounced “SO-gee” change efforts) are harmful and should not be provided. Additionally, this report discusses evidence-informed policy options that could improve the overall health and well-being of LGBTQI+ youth.

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Moving Beyond Change Efforts: Evidence and Action to Support and Affirm LGBTQI+ Youth