A Practitioner's Guide to California Transgender
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Bending the Mold: an Action Kit for Transgender Students
BENDING THE MOLD AN ACTION KIT FOR TRANSGENDER STUDENTS TABLE OF CONTENTS Introduction . 1. How Does Your School Measure Up? . .4 . How to Be a Transgender Ally . .5 . Your Social Change Toolkit . .6 . Preventing Violence and Bullying . 8. Securing Freedom of Gender Expression . 10. Promoting Transgender-Inclusive Policies . 12. Building Community and Fighting Invisibility . .14 . Protecting Confidentiality . .16 . Making Bathrooms & Locker Rooms Accessible . .18 . Fighting for Equality in Sports Teams . 20. Accessing Health Care . 22. Glossary . 24. Resources . 26. Appendix: Sample Model School Policy . .30 . A joint publication by Lambda Legal and the National Youth Advocacy Coalition (NYAC) Dedicated to Lawrence King, 1993-2008, whose memory inspires us to keep building a world in which gay, lesbian, bisexual, transgender and gender non-conforming youth can live freely and without fear. BENDING THE MOLD AN ACTION KIT FOR TRANSGENDER STUDENTS Transgender and gender-nonconform- students is an ever-present danger. ing students come out every day all The February 12, 2008 shooting of A May 2007 Gallup poll found that over the country, and they deserve to Lawrence King, a gender-nonconforming 68 percent of people are in favor of be treated with respect and fairness. junior high school student in Oxnard, expanding federal hate crimes laws Some schools are already supportive of California, was a tragic reminder of the to cover sexual orientation, gender gay, lesbian and bisexual students, but hate and fear that still haunt us. and gender identity. need more education around transgen- In Focus: Hate Crimes, Gay & Lesbian Alliance der issues. Other schools discourage Whether you’re transgender or Against Defamation, www.glaad.org diversity in both sexual orientation and gender-nonconforming, questioning or gender identity, and suppress or punish an ally, this kit is designed to help you The total number of victims certain forms of gender expression. -
10 Tips for Working with Transgender Patients
Introduction to the transgender community MEDICAL PROTOCOLS The World Professional Association for Gender identity is our internal understanding of Transgender Health (WPATH) publishes our own gender. We all have a gender identity. Standards of Care for the treatment of The term “transgender” is used to describe people gender identity disorders, available at whose gender identity does not correspond to their www.wpath.org. These internationally rec- birth-assigned sex and/or the stereotypes asso- ognized protocols are flexible guidelines ciated with that sex. A transgender woman is a designed to help providers develop individ- woman who was assigned male at birth and has ualized treatment plans with their patients. 10 Tips for Working a female gender identity. A transgender man is a man who was assigned female at birth and has a Another resource is the Primary Care Proto- with Transgender male gender identity. col for Transgender Patient Care produced by Center of Excellence for Transgender Patients For many transgender individuals, the lack of con- Health at the University of California, San An information and resource publication gruity between their gender identity and their Francisco. You can view the treatment birth sex creates stress and anxiety that can lead protocols at www.transhealth.ucsf.edu/ for health care providers to severe depression, suicidal tendencies, and/or protocols. These protocols provide accu- increased risk for alcohol and drug dependency. rate, peer-reviewed medical guidance on Transitioning - the process that many transgen- transgender health care and are a resource der people undergo to bring their outward gender for providers and support staff to improve expression into alignment with their gender iden- treatment capabilities and access to care tity - is for many medically necessary treatment for transgender patients. -
Harsh Realities: the Experiences of Transgender Youth in Our Nation’S Schools
Harsh Realities The Experiences of Transgender Youth in Our Nation’s Schools A Report from the Gay, Lesbian and Straight Education Network www.glsen.org Harsh Realities The Experiences of Transgender Youth in Our Nation’s Schools by Emily A. Greytak, M.S.Ed. Joseph G. Kosciw, Ph.D. Elizabeth M. Diaz National Headquarters 90 Broad Street, 2nd floor New York, NY 10004 Ph: 212-727-0135 Fax: 212-727-0254 DC Policy Office 1012 14th Street, NW, Suite 1105 Washington, DC 20005 Ph: 202-347-7780 Fax: 202-347-7781 [email protected] www.glsen.org © 2009 Gay, Lesbian and Straight Education Network ISBN 1-934092-06-4 When referencing this document, we recommend the following citation: Greytak, E. A., Kosciw, J. G., and Diaz, E. M. (2009). Harsh Realities: The Experiences of Transgender Youth in Our Nation’s Schools. New York: GLSEN. The Gay, Lesbian and Straight Education Network is the leading national education organization focused on ensuring safe schools for all lesbian, gay, bisexual and transgender students. Established nationally in 1995, GLSEN envisions a world in which every child learns to respect and accept all people, regardless of sexual orientation or gender identity/expression. Cover photography: Kevin Dooley under Creative Commons license www.flickr.com/photos/pagedooley/2418019609/ Inside photography: Ilene Perlman Inside photographs are of past and present members of GLSEN’s National Student Leadership Team. The Team is comprised of a diverse group students across the United States; students in the photographs may or may not identify as transgender. Graphic design: Adam Fredericks Electronic versions of this report and all other GLSEN research reports are available at www.glsen. -
Outline Introduction, Background, and Terminology
SUMMARY OF CLINICAL EVIDENCE FOR GENDER REASSIGNMENT SURGERIES Outline Introduction, Background, and Terminology ................................................................................................ 2 Categories of Gender Reassignment Surgery ........................................................................................... 3 Summaries of Clinical Evidence for Gender Reassignment Surgeries ......................................................... 4 Surgeries for Female-to-Male (FTM) individuals..................................................................................... 4 Breast/Chest Surgery ........................................................................................................................ 4 Genital Surgeries ............................................................................................................................... 4 Other Surgeries ................................................................................................................................. 4 Surgeries for Male-to-Female (MTF) individuals..................................................................................... 5 Breast/Chest Surgery ........................................................................................................................ 5 Genital Surgeries ............................................................................................................................... 5 Other Surgeries ................................................................................................................................ -
Why Allowing Sex-Reassignment Surgery for Transgender Life Prisoners Facilitates Rehabilitation and Reconciliation
THE CAGED BIRD SINGS OF FREEDOM: WHY ALLOWING SEX-REASSIGNMENT SURGERY FOR TRANSGENDER LIFE PRISONERS FACILITATES REHABILITATION AND RECONCILIATION BY: ALEXANDER KIRKPATRICK* ABSTRACT In October 2015, California became the first state in U.S. history to implement guidelines for transgender state prisoners to petition for gender- affirming and sex-reassignment surgeries. These guidelines raise the question why California would authorize gender-affirming surgeries for prisoners serving life-sentences, yet struggle to implement laws to make the same surgeries more accessible to law-abiding citizens. While the California Department of Corrections and Rehabilitation ("CDCR") likely implemented the radical SRS policy to abide by Eighth Amendment protections for transgender inmates suffering from severe gender dysphoria-inmates to whom SRS coverage is medically necessary and constitutionally required-this Note outlines four alternative justifications * Class of 2017, University of Southern California Gould School of Law, B.A. Political Science, University of Colorado at Boulder. This Note is dedicated to my client, Amelia, who shared her vulnerable and inspiring story of incarceration, transition, and hope. Amelia is fighting for freedom every day in a California male institution. Thank you to my mentor and Note supervisor, Heidi Rummel, whom champions juvenile justice at the Post-Conviction Justice Project. She has exemplified the values of a lawyer I hope to become. Dear thanks to my partner, Mifa, who continues to challenge me to approach the world with empathy and fight for social justice. Thank you to my parents, brother, and aunt who have supported me every step of the way and showed me the value of storytelling. -
Model Policy & Legal Guide
MODEL POLICY & LEGAL GUIDE FOR PROVIDING CULTURALLY COMPETENT SERVICES TO TRANSGENDER & GENDER NONCONFORMING CLIENTS OF HOMELESS SHELTERS & HOUSING PROGRAMS Transgender Law Center Transgender Law Center works to change law, policy, and attitudes so that all people can live safely, authentically, and free from discrimination regardless of their gender identity or expression. Transgender Law Center 1629 Telegraph Ave, Suite 400 Oakland, CA 94612 p 415.865.0176 f 877.847.1278 [email protected] www.transgenderlawcenter.org Copyright © 2016 Transgender Law Center This guide may be used and reproduced without permission of Transgender Law Cen- ter so long as it is properly cited. Excerpts may be taken if (a) they are properly cited AND (b) they are used within their proper context AND (c) a note is included that the excerpt is not legal advice. 2 Transgender Law Center Purpose of this Guide The purpose of this policy is to assist staff in shelters and homeless service agencies with providing services to transgender and gender nonconforming individuals in a manner consistent with federal, state, and local laws. Homelessness, shelter access, and client safety are serious issues for the transgender and gender nonconforming communities across the country. Transgender and gender nonconforming (TGNC) people experience homelessness at much higher rates than the general public because of frequent discrimination and abuse based on their gender identity and presentation. And yet, TGNC people experiencing homelessness often face barriers to shelter services because of the same discrimination that contributed to their homelessness in the first place. In a 2011 survey of 6,500 TGNC people, almost 20% of transgender individuals reported experiencing homelessness at some point in their lives.1 A majority of those trying to access a homeless shelter reported being harassed by shelter staff or residents; almost 30% of that majority were turned away altogether. -
Trans People, Transitioning, Mental Health, Life and Job Satisfaction
DISCUSSION PAPER SERIES IZA DP No. 12695 Trans People, Transitioning, Mental Health, Life and Job Satisfaction Nick Drydakis OCTOBER 2019 DISCUSSION PAPER SERIES IZA DP No. 12695 Trans People, Transitioning, Mental Health, Life and Job Satisfaction Nick Drydakis Anglia Ruskin University, University of Cambridge and IZA OCTOBER 2019 Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world’s largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. ISSN: 2365-9793 IZA – Institute of Labor Economics Schaumburg-Lippe-Straße 5–9 Phone: +49-228-3894-0 53113 Bonn, Germany Email: [email protected] www.iza.org IZA DP No. 12695 OCTOBER 2019 ABSTRACT Trans People, Transitioning, Mental Health, Life and Job Satisfaction For trans people (i.e. people whose gender is not the same as the sex they were assigned at birth) evidence suggests that transitioning (i.e. -
Know Your Rights
KNOW YOUR RIGHTS Filing an Employment Discrimination Complaint with the EEOC Transgender Law Center Transgender Law Center works to change law, policy, and attitudes so that all people can live safely, authentically, and free from discrimination regardless of their gender identity or expression. Transgender Law Center 1629 Telegraph Ave, Suite 400 Oakland, CA 94612 p 415.865.0176 f 877.847.1278 [email protected] www.transgenderlawcenter.org Copyright © 2016 Transgender Law Center This guide may be used and reproduced without permission of Transgender Law Cen- ter so long as it is properly cited. Excerpts may be taken if (a) they are properly cited AND (b) they are used within their proper context AND (c) a note is included that the excerpt is not legal advice. Background of Federal Employment Rights for Transgender Employees In 2012, the U.S. Equal Employment Opportunity Commission (EEOC)1 issued a landmark decision, Macy v. Holder, holding that the federal sex discrimination law, Title VII2, prohibits discrimination against transgender employees. This ruling was issued in the case of Macy v. Holder, brought to the EEOC by Transgender Law Center on behalf of our client Mia Macy. In 2015, the EEOC decided Lusardi v. McHugh, holding that some of the most common forms of harassment faced by transgender employees – telling them they can’t use the same restroom as everyone else, or intentionally calling them by the wrong name and pronoun – constitute unlawful discrimination under Title VII. Transgender Law Center was proud to represent the employees in both Macy and Lusardi. What Does This Mean for You? This means that transgender and gender non-conforming people everywhere in the United States are protected from employment discrimination by federal law and have access to legal protection through the EEOC if they experience employment discrimination because of their gender identity or expression. -
Sex Reassignment Surgery Page 1 of 14
Sex Reassignment Surgery Page 1 of 14 Medical Policy An Independent licensee of the Blue Cross Blue Shield Association Title: Sex Reassignment Surgery PRE-DETERMINATION of services is not required, but is highly recommended. http://www.bcbsks.com/CustomerService/Forms/pdf/15-17_predeterm_request_frm.pdf Professional Institutional Original Effective Date: January 1, 2017 Original Effective Date: January 1, 2017 Revision Date(s): January 1, 2017; Revision Date(s): January 1, 2017; January 27, 2021; March 18, 2021 January 27, 2021; March 18, 2021 Current Effective Date: January 1, 2017 Current Effective Date: January 1, 2017 State and Federal mandates and health plan member contract language, including specific provisions/exclusions, take precedence over Medical Policy and must be considered first in determining eligibility for coverage. To verify a member's benefits, contact Blue Cross and Blue Shield of Kansas Customer Service. The BCBSKS Medical Policies contained herein are for informational purposes and apply only to members who have health insurance through BCBSKS or who are covered by a self-insured group plan administered by BCBSKS. Medical Policy for FEP members is subject to FEP medical policy which may differ from BCBSKS Medical Policy. The medical policies do not constitute medical advice or medical care. Treating health care providers are independent contractors and are neither employees nor agents of Blue Cross and Blue Shield of Kansas and are solely responsible for diagnosis, treatment and medical advice. If your patient is covered under a different Blue Cross and Blue Shield plan, please refer to the Medical Policies of that plan. DESCRIPTION Gender dysphoria involves a conflict between a person's physical or assigned gender and the gender with which he/she/they identify. -
Transgender Youth, the Non-Medicaid Reimbursable Policy, and Why the New York City Foster Care System Needs to Change
Transgender Youth, the Non-Medicaid Reimbursable Policy, and Why the New York City Foster Care System Needs to Change * Julie Anne Howe CONTENTS I. INTRODUCTION ........................................................................................... 2 II. TRANSGENDER YOUTH IN FOSTER CARE ....................................................... 4 A. TERMINOLOGY ................................................................................. 4 B. A HISTORY OF DISCRIMINatION AGAINST TRANSGENDER ...... YOUTH........................................................................................ 5 C. THE IMPORtaNCE OF MEDICAL NECESSITY .............................8 III. MARIAH L. V. ADMINISTRATION FOR CHILdren’s SERVICES ................ 12 IV. THE NON-MEDICAID REIMBURSABLE POLICY ............................................. 14 V. A FACIAL DUE PROCESS CHALLENGE TO THE POLICY’s VETO ClAUSE ................................................................................................................... 16 A. THE State’s DuTY TO YOUTH IN FOSTER CARE ................... 17 B. THE RIGHT TO PRIVACY ......................................................... 17 i. The Right’s Scope ..........................................................................18 ii. The Undue Burden Test .......................................................... 22 VI. AN AS-APPLIED EQUAL PROTECTION CHALLENGE TO THE POLICY .... 25 A. THE SEX DISCRIMINatION FRAMEWORK ............................... 25 B. DISCRIMINatORY INTENT ..................................................... -
Detransition, Retransition: What Providers Need to Know
Detransition, Retransition: What Providers Need to Know julie graham, MS, MFT Director, Gender Health SF San Francisco Department of Public Health Continuing Medical Education Disclosure . Program Faculty: julie graham, MS, MFT . Current Positions: Director, Gender Health SF, San Francisco Department of Public Health . Disclosure: No relevant financial relationships. It is the policy of The National LGBT Health Education Center, Fenway Health that all CME planning committee/faculty/authors/editors/staff disclose relationships with commercial entities upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, they are resolved prior to confirmation of participation. Only participants who have no conflict of interest or who agree to an identified resolution process prior to their participation were involved in this CME activity. 2 Agenda . Introductory remarks . How I learned about this topic . Contextualizing detransition and regret . Definitions, language and frames . What people say they need . Q and A Complexity . Listen to this talk in its entirety— . Don’t cherry pick . Clinical talk . My interest is helping you do a better job than I did with my first detransitioning patient . We need to tolerate increasing complexity as people experience a new landscape—one where surgeries are paid for, where there is a little bit more openness to exploration . Lack data we will have in the future, learning as we go Harriet Controversial . It is a fact that some people will die or have a terrible quality of life if they do not access every possible medical procedure to decrease their gender dysphoria. They experience pain and suffering from lack of access and poorly educated provider care. -
Rights of Transgender Adolescents to Sex Reassignment Treatment
THE DOCTOR WON'T SEE YOU NOW: RIGHTS OF TRANSGENDER ADOLESCENTS TO SEX REASSIGNMENT TREATMENT SONJA SHIELD* I. INTRODUCTION .................................................................................................... 362 H . DEFINITIO NS ........................................................................................................ 365 III. THE HARMS SUFFERED BY TRANSGENDER ADOLESCENTS CREATE A NEED FOR EARLY TRANSITION .................................................... 367 A. DISCRIMINATION AND HARASSMENT FACED BY TRANSGENDER YOUTH .............. 367 1. School-based violence and harassment............................................................. 368 2. Discriminationby parents and thefoster care system ....................................... 372 3. Homelessness, poverty, and criminalization...................................................... 375 B. PHYSICAL AND MENTAL EFFECTS OF DELAYED TRANSITION ............................... 378 1. Puberty and physical changes ........................................................................... 378 2. M ental health issues ........................................................................................... 382 IV. MEDICAL AND PSYCHIATRIC RESPONSES TO TRANSGENDER PEOPLE ........................................................................................ 385 A. GENDER IDENTITY DISORDER TREATMENT ........................................................... 386 B. FEARS OF POST-TREATMENT REGRET ...................................................................