An Epidemic of Homelessness
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LESBIAN, GAY, BISEXUAL AND TRANSGENDER YOUTH An Epidemic of Homelessness by Nicholas Ray with chapters contributed by Colby Berger, Waltham House, Waltham, Mass. Susan Boyle, Urban Peak, Denver, Colo. Mary Jo Callan and Mia White, Ozone House, Ann Arbor, Mich. Grace McCelland, Ruth Ellis Center, Detroit, Mich. Theresa Nolan, Green Chimneys, New York, N.Y. National Gay and Lesbian Task Force Policy Institute National Coalition for the Homeless The National Gay and Lesbian Task Force Policy Institute is a think tank dedicated to research, policy analysis and strategy development to advance greater understanding and equality for lesbian, gay, bisexual, and transgender people. Washington, DC Cambridge, MA 1325 Massachusetts Ave NW, Suite 600 1151 Massachusetts Avenue Washington, DC 20005-4171 Cambridge, MA 02138 Tel 202 393 5177 Tel 617 492 6393 Fax 202 393 2241 Fax 617 492 0175 New York, NY Miami, FL 80 Maiden Lane, Suite 1504 3510 Biscayne Blvd Suite 206 New York, NY 10038 Miami, FL 33137 Tel 212 604 9830 Tel 305 571 1924 Fax 212 604 9831 Fax 305 571 7298 Los Angeles, CA Minneapolis, MN 8704 Santa Monica Blvd, Suite 200 810 West 31st Street West Hollywood, CA 90069 Mineeapolis, MN 55408 Tel 310 855 7380 Tel/Fax 612 821 4397 Fax 310 358 9415 [email protected] www.thetaskforce.org National Coalition for the Homeless www.nationalhomeless.org © 2006 The National Gay and Lesbian Task Force Policy Institute When referencing this document, we recommend the following citation: Ray, N. (2006). Lesbian, gay, bisexual and transgender youth: An epidemic of homelessness. New York: National Gay and Lesbian Task Force Policy Institute and the National Coalition for the Homeless. LGBT Youth ii Homelessness Contents EXECUTIVE SUMMARY . .1 Why are so many LGBT youth becoming homeless? . .1 What impact does homelessness have on LGBT youth specifically? . .2 Mental health issues . .2 Substance abuse . .2 Risky sexual behavior . .3 Victimization of homeless LGBT youth . .3 LGBT homeless youth and the Juvenile and criminal justice systems . .3 Transgender homeless youth . .4 The federal response to youth homelessness . .4 The potential for anti-LGBT discrimination at faith-based service providers . .4 The experiences of LGBT homeless youth in the shelter system . .5 Model programs to improve service delivery to LGBT homeless youth . .6 Conclusion and policy recommendations . .6 Federal level recommendations . .6 State and local level recommendations . .7 Practitioner level recommendations . .7 Conclusion . .7 INTRODUCTION . .8 What is the definition of “homeless youth?” . .9 HOW MANY LGBT HOMELESS YOUTH ARE THERE AND WHY DO THEY BECOME HOMELESS? . .11 A note on acronyms . .11 Barriers to a more accurate count . .14 Why do youth become homeless? . .16 Sexual orientation and gender identity issues . .16 Physical or sexual assault . .18 Additional factors that lead to homelessness . .19 Why do youth remain homeless? . .21 THE FEDERAL RESPONSE TO YOUTH HOMELESSNESS . .24 The Runaway and Homeless Youth Act . .25 A brief legislative history . .25 Congress acts . .27 iii Federal programs for homeless youth . .28 Basic Center Program . .28 Street Outreach Program . .29 Transitional Living Program . .30 National Runaway Switchboard . .31 Federal funding under the Runaway and Homeless Youth Act . .31 Table 1: Federal RHYA Funding 2001 to 2006 ($ in millions) . .32 McKinney-Vento Homeless Assistance Act . .32 The impact of federal immigration policy on LGBT homeless youth . .35 Organizational advocacy for people experiencing homelessness . .36 Faith-based service providers . .37 The Potential for anti-LGBT discrimination at faith-based service providers . .39 CRITICAL ISSUES AFFECTING LGBT HOMELESS YOUTH . .41 Mental health issues . .41 How are homeless youth affected? . .42 Mental health crises facing LGBT youth . .43 Mental health services . .45 Substance abuse . .46 Table 2: Percentage of youth in different housing situations and the substances they use . .47 Figure 1: Lifetime substance use by homeless youth . .48 Substance use and LGBT youth . .49 Risky Sexual Behavior . .53 Risky behavior in homeless LGBT youth . .53 Sexual health risks for homeless youth populations . .53 Determinants of sexual health of homeless youth . .54 Survival sex . .55 The experience of transgender homeless youth . .58 Access to medical care for the homeless transgender community . .60 Figure 2: A summary of risky behaviors reported by trans-identified youth . .62 Risks facing homeless transgender youth . .62 Community-based health centers reaching out to low and no income transgender people . .63 Conclusion . .64 Crime and victimization . .66 Physical and verbal harassment in school . .66 Young and homeless victims of crime . .67 The criminalization of homelessness . .71 The juvenile and criminal justice systems . .73 LGBT people in prison . .73 Rape in prisons . .74 LGBT youth in the juvenile justice system . .77 Resiliency . .79 EXPERIENCES OF HOMELESS LGBT YOUTH IN THE SHELTER SYSTEM . .83 Faith-based programs . .85 Conclusion . .89 LGBT Youth iv Homelessness RUTH ELLIS CENTER:STREET OUTREACH PROGRAM AND DROP-IN CENTER . .91 History and background . .91 Characteristics of our youth . .92 Collaborations . .93 Staffing our programs . .93 The Street Outreach Program . .95 The Drop-in Center . .96 Positive Youth Development . .97 Sexual abuse and exploitation . .98 Range of services . ..