Multimedia
ABOUT THIS EPISODE
In this episode, we speak about queer and transgender youth mental health with Ryan Tieu, who brings their professional experience as a social worker and lived experiences as a first-generation immigrant, queer, transgender, and young person of color.
GUEST
Ryan Kim Tieu
Ryan Kim Tiêu is a Licensed Clinical Social Worker and Associate Director of Transgender Services at the San Francisco Community Health Center, a department within a larger health center staffed by and for transgender people providing mental health, healthcare, and advocacy services for queer and transgender community members. In conjunction with professional expertise, Ryan incorporates their lived experiences as a first-generation immigrant, queer, transgender, and young person of color into their praxis, training, and theories of change.
HOST
Christina N. Clayton, LICSW, SUDP, Northwest MHTTC Co-Director
Christina Clayton has been working in the behavioral health field since 1993 working with people and programs addressing severe mental health issues, substance use, co-occurring issues, chronic homelessness, integrated care, outreach, physical health, trauma and diversity/equity/inclusion topics. Christina has education and licenses/credentials in clinical social work, mental health and substance use. She is also a Clinical Assistant Professor and Field Instructor for the University of Washington School of Social Work (MSW ’97). Learn more about MHTTC Staff & Faculty
LEARN MORE
Webinar recording, slides, & resources: "Queer and Trans Youth Mental Health: Trauma-Informed & Anti-Racist Co-Conspiratorship"
PODCAST SERIES
Discover other episodes in the Putting It Together series here.
Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement
Published: March 14, 2023
Print Media
Learning that your elementary-aged child is thinking about self-harm or using language that signals suicide is frightening and disorienting. Thankfully, suicide is preventable and there are many things that you as parents and caregivers can do to help keep your children safe. This resource is designed to help parents and caregivers prevent suicidal thoughts and behaviors (STBs), recognize the warning signs of STBs, and, when necessary, intervene early and effectively to keep their child safe.
What’s inside the guide?
Myths and facts about STBs among elementary-aged children
Recognizing signs and symptoms of STBs
Responding effectively to keep your child safe, including sample language and concrete actions
Preventing STBs
Considerations for BIPOC and LGBTQ children and their unique needs
Published: March 8, 2023
Print Media
The Latinx LGBTQ+ youth group represents a range of sexual orientations and gender identities and expressions. Their diversity also includes the intersection with other aspects of their identity beyond race and ethnicity, such as religion, ability, and socioeconomic class. This factsheet focuses on group therapy as a culturally appropriate intervention and the role of clinicians in supporting Latinx LGBTQ+ youth dealing with chronic stressors to cultivate self-acceptance and affirm their sexual and gender
identity.
Published: March 7, 2023
Print Media
During this panel discussion, hosted in partnership with the Center of Excellence on LGBTQ+ Behavioral Health Equity and the MHTTC Network Coordinating Office, presenters discuss recent efforts to adapt and create prevention and screening resources to serve LGBTQ+ young people. Presenters include a first-person perspective from a trans person in recovery; implementation of SBIRT in high school settings; newly drafted guidelines for using SBIRT with transgender and nonbinary populations; and important findings about what drives harmful substance use among LGBTQ+ adolescents.
Access the resource list here or by clicking the "download" button above.
Please note: To view the video recording please download the resource list and click on the first general resource on the list, "View Panel Recording". After clicking, you will be prompted to sign up for an account to gain access.
Published: February 28, 2023
Multimedia
ABOUT THIS RESOURCE
This webinar provides a community-defined and evidence-based foundation for mental health providers serving queer and transgender communities. Drawing from historical and current perspectives, this webinar introduces a comprehensive approach to queer and transgender care with a focus on trauma-informed care for trans youth. Centering anti-racism, community lived experience, and an interdisciplinary framework, this webinar explores strengths, weaknesses, and best practices of trauma-informed care for trans youth.
Learning Objectives:
Develop historical context and evolution of transgender care, diagnoses, and pathologization
Identify strategies for establishing trust, rapport, and mitigating medical mistrust
Address the role of mental health clinicians as allies and co-conspirators in advancing equity
Develop awareness and knowledge of the diversity of transgender experiences and identities
Explore best practices of trauma-informed care for queer and trans youth
ADDITIONAL RESOURCES
Shared by the Facilitator During Presentation
Presentation slides
Transgender Mental Health - Resources and Education Handout
Black LGBTQ Mental Health (Trevor Project 2020)
Legal Name & Gender Change Guide
Gender Unicorn
Gender Spectrum (support groups, school based training)
Gender Minority Stress and Resilience Measure (GMSR)
States offering Gender X Markers
2015 United States Transgender Survey
UCSF Gender Affirming Health Program
Sample demographic form for clients to indicate gender identity
Books, Shows, Links & Videos Shared by the Facilitator -- some links go to a book-selling site for the description, we encourage you to buy locally and support small businesses
Books on Race & Gender
The Invention of Women: Making an African Sense of Western Gender Discourses by Dr. Oyèrónkẹ́ Oyěwùmí
The Biopolitics of Feeling: Race, Sex, and Science in the Nineteenth Century by Dr. Kyla Schuller
Books on Transitioning
A Clinician's Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients by SC Chang, AA Singh, LM Dickey, and M Krishnan
My Gender Workbook by K. Bornstein (for adolescents exploring gender)
The Reflective Workbook for Parents and Families of Transgender and Non-Binary Children by D.M. Maynard
Also has workbooks for partners of trans people and teachers of trans students
The Gender Identity Workbook by AM Triska LCSW (for adolescents exploring gender)
Voices of Transgender Adolescents
Video: LGBTIQ People Talk About Their Experiences Accessing Healthcare (duration: approximately 6 minutes)
Video: Voices of Transgender Adolescents in Healthcare, from the Adolescent Health Initiative (AHI) at the University of Michigan Health System (UMHS) (duration: approximately 8 minutes)
https://pflag.org/
Pose (recommended by the speaker for its portrayal of transgender people by transgender actors)
Behavioral Health Sites with Resources
https://www.nami.org/Your-Journey/Identity-and-Cultural-Dimensions/LGBTQI
Center of Excellence on LGBTQ+ Behavioral Health Equity funded by SAMHSA
https://mhanational.org/issues/lgbtq-communities-and-mental-health -- HUGE number of many other resources, reports, sites
Top Health Issues for LGBT Populations Information & Resource Kit
Inclusive Evidence-Based Practices in Gender Non-Binary Mental Health Services from SMI Adviser
LGBTQIA+ Behavioral Health Resources from Northwest MHTTC
Addressing Our Bias When Working with the LGBTQ+ Community (Parts 1, 2, and 3) from National Hispanic and Latino MHTTC
Building Your Toolkit to Serve the LGBTQ Community
https://genderspectrum.org/
Advocacy & Information
https://freedomforallamericans.org/legislative-tracker/anti-transgender-legislation/
https://translifeline.org/
https://transequality.org/
https://transequality.org/about-transgend
https://neopronounss.carrd.co/
https://pronouns.org/
https://www.minus18.org.au/pronouns/
https://www.aclu.org/issues/lgbtq-rights/lgbtq-youth
https://www.aclu.org/legislative-attacks-on-lgbtq-rights
https://en.wikipedia.org/wiki/Marsha_P._Johnson
https://transequality.org/
Mapping Attacks on LGBTQ Rights in U.S. State Legislature from the ACLU
Other Articles of Interest
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2789423
https://www.nytimes.com/2021/04/08/style/neopronouns-nonbinary-explainer.html
https://www.pewresearch.org/social-trends/2022/06/07/the-experiences-challenges-and-hopes-of-transgender-and-nonbinary-u-s-adults/
https://www.whitehouse.gov/briefing-room/presidential-actions/2022/03/30/a-proclamation-on-transgender-day-of-visibility-2022/
FACILITATOR
Ryan Kim Tiêu, Associate Clinical Social Worker
Ryan Kim Tiêu is a Licensed Clinical Social Worker and Associate Director of Transgender Services at the San Francisco Community Health Center, a department within a larger health center staffed by and for transgender people providing mental health, healthcare, and advocacy services for queer and transgender community members. In conjunction with professional expertise, Ryan incorporates their lived experiences as a first-generation immigrant, queer, transgender, and young person of color into their praxis, training, and theories of change.
Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement
Published: February 6, 2023
Print Media
About this Resource:
Dual Diagnosis is when an individual is diagnosed with having a substance use disorder and mental health condition concurrently. There are factors that contribute to an individual’s and/or community’s likelihood of having a dual diagnosis, including barriers to health care and treatment, minority stress from discrimination and stigma, and lack of awareness about dual diagnosis and symptomology. In 2018, The National Institute on Drug Abuse (NIDA) found that approximately 7.7 million adults were living with a dual diagnosis. This report has a specific focus on the LGBTQ+ communities in the US and highlights the context within the Southeast.
For a downloadable PDF version of this resource, please click here.
Published: January 20, 2023
Presentation Slides
This presentation from December 7, 2022 dove into what it means to have culturally responsive services and key strategies for working with families of LGBTQ+ young people. Findings from a recent systematic review on cultural adaptations, as well as important insights from SAMHSA’s guide on Adapting Evidence-Based Practices for Under-Resourced Populations, were shared. Presenters were Angela Weeks and Leah Love from the Center of Excellence on LGBTQ+ Behavioral Health Equity.
Published: January 3, 2023
Multimedia
Suicide among LGBTQ+ people is rampant. Help spread awareness on this critical topic.
To access the slide deck used in this presentation, click DOWNLOAD above
CLICK HERE to view the recording
Event Description
People who identify as LGBTQ+ have higher rates of both suicide attempts and suicidal ideation. LGBTQ+ youth, in particular, have seen significant increases in suicide attempts in the recent years, often aligning with the passing of discriminatory laws or policies. While LGBTQ+ people share many risk factors and clinical needs with heterosexual or cisgender peers, the development and implementation of preventative care and interventions should also address the additional minority stressors facing this community.
This webinar will provide an overview of the critical risk and protective factors, considerations for risk assessment, and intervention strategies specific to LGBTQ+ people.
Trainer
Keri Frantell
Dr. Keri A. Frantell (she/her/hers) is a licensed psychologist working with university counseling students. She earned her doctorate in Counseling Psychology from the University of Tennessee. Her integrated program of practice, research, teaching, and advocacy centers on multiculturalism and social justice. In both research and clinical practice, she has extensive experience working with suicidality and LGBTQ+ populations. She has published on factors related to transgender suicidal ideation and attempts, bisexual oppression and the impact on mental and physical health, and the connection between religiosity and suicidality for LGB young adults.
Published: September 19, 2022
Toolkit
Research suggests that supporting gender diverse youth has significant physical and emotional health benefits. Lack of support increases stress, isolation, and some risky health behaviors (I.e., access to hormones without the guidance of a medical provider). Experts recommend providing comprehensive care for gender diverse youth which includes increased health care access, improved awareness from individuals working with youth (I.e., school personnel), and gender affirming laws and policies (Dowshen et al., 2016).
Authors: Johnson, K., Garcia, A., Young, R., Roberts, H., & Clarke, B.
Published: September 14, 2022
Toolkit
Research suggests that supporting gender diverse youth has significant physical and emotional health benefits. Lack of support increases stress, isolation, and some risky health behaviors (I.e., access to hormones without the guidance of a medical provider). Experts recommend providing comprehensive care for gender diverse youth which includes increased health care access, improved awareness from individuals working with youth (I.e., school personnel), and gender affirming laws and policies (Dowshen et al., 2016).
Authors: Roberts, H., Johnson, K., & Clarke, B.
Published: September 14, 2022
Toolkit
Research suggests that supporting gender diverse youth has significant physical and emotional health benefits. Lack of support increases stress, isolation, and some risky health behaviors (I.e., access to hormones without the guidance of a medical provider). Experts recommend providing comprehensive care for gender diverse youth which includes increased health care access, improved awareness from individuals working with youth (I.e., school personnel), and gender affirming laws and policies (Dowshen et al., 2016).
Authors: Johnson, K., Roberts, H., & Clarke, B.
Published: September 14, 2022
Toolkit
Research suggests that supporting gender diverse youth has significant physical and emotional health benefits. Lack of support increases stress, isolation, and some risky health behaviors (I.e., access to hormones without the guidance of a medical provider). Experts recommend providing comprehensive care for gender diverse youth which includes increased health care access, improved awareness from individuals working with youth (I.e., school personnel), and gender affirming laws and policies (Dowshen et al., 2016).
Authors: Johnson, K., Roberts, H., & Clarke, B.
Published: September 14, 2022
Toolkit
Research suggests that supporting gender diverse youth has significant physical and emotional health benefits. Lack of support increases stress, isolation, and some risky health behaviors (I.e., access to hormones without the guidance of a medical provider). Experts recommend providing comprehensive care for gender diverse youth which includes increased health care access, improved awareness from individuals working with youth (I.e., school personnel), and gender affirming laws and policies (Dowshen et al., 2016).
Authors: Young, K., Johnson, S., & Clarke, B.
Published: September 14, 2022
Toolkit
Research suggests that supporting gender diverse youth has significant physical and emotional health benefits. Lack of support increases stress, isolation, and some risky health behaviors (I.e., access to hormones without the guidance of a medical provider). Experts recommend providing comprehensive care for gender diverse youth which includes increased health care access, improved awareness from individuals working with youth (I.e., school personnel), and gender affirming laws and policies (Dowshen et al., 2016).
Author: Johnson, K., Garcia, A., Young, K., Roberts, H., & Clarke, B.
Published: September 14, 2022
Print Media
This informational brief was created by our partners at the Ohio Association of County Behavioral Health Authorities (OACBHA). The content of this brief was developed from the information provided in a Great Lakes MHTTC training of the same name that was presented by Amney Harper, PhD and Liz Cannon, PhD in June 2022.
Liz Cannon, PhD
Dr. Liz Cannon is the Director of the UW Oshkosh LGBTQ+ Resource Center and a senior lecturer in Women’s and Gender Studies. Amney also administers the LGBTQ Studies certificate program and teaches courses such as Two Spirit Lives and Introduction to LGBTQ Studies. Ey has been developing curriculum for SAFE trainings at UWO for 24 years, and ey started the Resource Center in 2008.
Amney Haper, PhD
Amney Harper, Ph.D. is a Full Professor, Graduate Program Coordinator, and Co-Chair of the Department of Counseling and Human Services at the University of Wisconsin Oshkosh. She also teaches for the LGBTQ Certificate in the Women and Gender Studies Department. She graduated with a Ph.D. in Counselor Education from Auburn University in May of 2008. Amney engages in a variety of service and scholarly work related to Social Justice and Multicultural Considerations. She serves as a SAFE trainer and a Trans Safe Trainer on campus and is active and involved in a variety of other LGBTQ+ committees, including the LGBTQ Advocacy Council, the Campus Pride Index Taskforce, the LGBTQ+ Resource Center Advisory Board, and the TransAction Committee. Amney has presented and published widely on LGBTQ+, Multicultural, and Social Justice topics.
The Great Lakes MHTTC has provided this product for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. It was created in response to a need identified by Region 5 stakeholders.
Developed in partnership with OACHBA.
Published: August 8, 2022
Print Media
ABOUT THIS RESOURCE
This document explores LGBTQ youth suicide prevention from the family perspective and was developed in conjunction with the "Navigating the Tough Stuff: LGBTQ Suicide Prevention for Families" webinar held on July 22, 2022.
View the recorded webinar and other related resources here.
Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement
Published: August 5, 2022
Print Media
ABOUT THIS RESOURCE
This document explores how to increase LGBTQ youth suicide awareness from the family perspective and was developed from the "Navigating the Tough Stuff: LGBTQ Suicide Awareness for Families" webinar held on July 8, 2022.
View the recorded webinar and other related resources here.
Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement
Published: August 5, 2022
Multimedia
ABOUT THIS RESOURCE
This webinar explores LGBTQ youth suicide prevention from the family perspective. Offered in collaboration with Oregon Family Support Network.
ADDITIONAL RESOURCES
Presentation slides
Highlights & Key Concepts Document
Providing Affirming Care to the LGBTQ+ Community
The Trevor Project’s 2022 National Survey on LGBTQ Youth Mental Health
Trans Lifeline
Oregon Family Support Network Protective Factors Family Prevention Form
The Trevor Project's Self-Care Guide
The Family Acceptance Project: General Acceptance Poster (in English); visit the Family Acceptance Project website for posters in other languages and more information about the Family Acceptance Project
The Family Acceptance Project: Conservative Acceptance Poster (in English); visit the Family Acceptance Project website for posters in other languages and more information about the Family Acceptance Project
Parents’ Influence on the Health of Lesbian, Gay, and Bisexual Teens: What Parents and Families Should Know, from the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionDivision of Adolescent and School Health, Centers for Disease Control
Suicide Risk and Prevention for LGBTQ People, from the National LGBT Health Education Center
LGBTQIA+ Behavioral Health Resources curated by the Northwest MHTTC
50 Simple Self-Care Practices for a Healthy Mind, Body, and Soul
Awareness and Information Resources
Fifteen Apps Parents Should Know About
The 10 Life Domains
Self-Care for Families and Family Members
Suicide in America: Frequently Asked Questions
FACILITATOR
Shawna Canaga
Shawna Canaga is a Family Support Specialist and the statewide Peer Delivered Services Trainer for Oregon Family Support Network (OFSN). OFSN is a family run organization that promotes mental, behavioral, and emotional wellness for families and youth through education, support, and advocacy. Shawna comes to this position with over a decade of experience supporting youth and families, and with lived experience as a mother of an adult child with complex mental health needs. Throughout both of these journeys Shawna has cultivated a passion for supporting family-driven and person-centered care within the youth and family serving systems
Published: July 25, 2022
Interactive Resource
The Latinx LGBT+ Community: The consequences of intersectionality
The material in this curriculum underscores the critical need to understand how intersections between culture, ethnic minority status, gender identity, and sexual orientation influence the psychological health and wellbeing of LGBTQ+ Latinx populations.
Celebrating diversity and our identities throughout the year to strengthen mental health
Published: July 20, 2022
Interactive Resource
La Comunidad LGBT+ Latinx: Las consecuencias de la interseccionalidad
El material de este libro subraya la necesidad crítica de comprender cómo las intersecciones entre cultura, estatus de minoría étnica, identidad de género y la orientación sexual influyen sobre la salud psicológica y el bienestar de las poblaciones LGBTQ+ Latinx.
Celebrando la diversidad y nuestras identidades a través de año para fortalecer la salud mental
Published: July 20, 2022
Print Media
Stress is a common factor in our society that affects and impacts us daily. On many occasions, this is the cause of various physical and mental health conditions, which creates difficulty in our daily lives. For marginalized communities, the stress factor increases. For decades, the LGBT+1 community has been a population marginalized and stigmatized by the State. Adding to this issue, being part of an ethnic minority increases the stress factor.
The Minority Stress Model describes the excessive stress to which individuals of stigmatized social categories are exposed due to their social position, which is often that of a minority. Rodríguez-Seijas and colleagues (2019) estimate that about 25% of people in the Latinx sexual identity/orientation minority sector in the past year have met the criteria for a diagnosis of major depression and 37% a diagnosis of alcohol use. Compared to heterosexual Latinxs, you see a difference between 11% and 13%, respectively. This is a worrying figure because it reflects the social disparities the community goes through.
Published: July 19, 2022
Multimedia
ABOUT THIS RESOURCE
This webinar explores how to increase LGBTQ youth suicide awareness from the family perspective. Offered in collaboration with Oregon Family Support Network.
ADDITIONAL RESOURCES
Presentation slides
Highlights & Key Concepts Document
50 Simple Self-Care Practices for a Healthy Mind, Body, and Soul
Awareness and Information Resources
Fifteen Apps Parents Should Know About
The 10 Life Domains
Self-Care for Families and Family Members
Suicide in America: Frequently Asked Questions
LGBTQIA+ Behavioral Health Resources from the Northwest MHTTC
Webinar Recordings and Resources on Crisis Planning and Family Partner Training
Wellness Recovery Action Plan (WRAP) Overview from the Copeland Center for Wellness and Recovery
2022 National Survey on LGBTQ Youth Mental Health from the Trevor Project
Voices of Youth Count Initiative from Chapin Hall at the University of Chicago
Resources on Stigma from the TTC Network
Trans Lifeline
Self-Paced Course: "Providing Affirming Care to the LGBTQ+ Community" on HealtheKnowledge
FACILITATOR
Shawna Canaga
Shawna Canaga is a Family Support Specialist and the statewide Peer Delivered Services Trainer for Oregon Family Support Network (OFSN). OFSN is a family run organization that promotes mental, behavioral, and emotional wellness for families and youth through education, support, and advocacy. Shawna comes to this position with over a decade of experience supporting youth and families, and with lived experience as a mother of an adult child with complex mental health needs. Throughout both of these journeys Shawna has cultivated a passion for supporting family-driven and person-centered care within the youth and family serving systems.
Published: July 8, 2022
Multimedia
Learning objectives:
Defining terms - learning gender terminology
Theoretical basis and tenants of gender affirmative model
Medical interventions available to transitioning youth
Learn about effective strategies and engagement of affirmative practice
Increasing the clinical and cultural competence of psychologists and allied mental health professionals who will be treating transgender and gender expansive children and youth
Presented by: Andrea Garcia, MA, MS, PLMHP
Andrea Garcia, MA, MS, PLMHP is a predoctoral intern in the Munroe-Meyer Institute Department of Psychology at UNMC. Andrea provides services in the Sleep and Primary Care Clinic. Andrea is a doctoral graduate student from the University of Kansas, School Psychology Program. Andrea’s dissertation research is focused on the neurocognitive outcomes of children prenatally exposed to opioids. Her research has been presented in the state capital research summit and a grant from the Children’s Miracle Network. Andrea’s clinical experience has ranged from working with children with severe emotional disturbances to children with chronic sleep problems. At the end of her clinical rotation at Munroe Meyer Institute, Andrea will pursue a post-doc in pediatric psychology focused on actively promoting the health and psychological well-being of children with complex medical conditions and their families.
Learn more about this series: Tele-Behavioral Health Consultation (TBHC) Primary Care Webinar Series
Published: June 9, 2022
eNewsletter or Blog
ABOUT THIS RESOURCE
In June, the Northwest MHTTC celebrates and offers resources for Pride Month, Juneteenth, PTSD Awareness Month and Men's Health Month. This newsletter also includes information on two upcoming webinar series: Suicide Awareness for LGBTQ Youth & Families, and Supporting the Mental Health of Refugee & Asylee Communities. Other topics include 988 and Early Psychosis resources, the Surgeon General's Health Worker Burnout Advisory, and a new SAMHSA Tobacco-free Toolkit for behavioral health agencies.
Published: June 8, 2022