Transgender youth are those whose genders do not align with their sex assigned at birth. Transgender youth are increasingly visible and frequently encounter discrimination and a lack of understanding from others, especially at school. As a result, they experience profound mental health challenges, with one in five transgender youth attempting suicide. However, such youth who are adequately supported do not experience serious mental health difficulties. Accordingly, promoting school support for transgender youth is critical. While school staff know how to help youth generally, many want more guidance on how to help transgender youth. However, few resources provide clear and actionable best practices for school staff to help transgender youth.
Best practices for supporting transgender youth in schools include verbal, behavioral, and visual skills that all school staff can use. Research shows that when these practices are used, transgender youth experience fewer mental health challenges, feel more connected to their school community, and do better academically.
There are at least 20 best practices for supporting transgender youth in schools supported by empirical and practice-based literature; they span four categories: (a) language to use and avoid, (b) coming out at school, (c) creating a supportive school environment, and (d) preventing and intervening in bullying. Examples include sharing pronouns, advocating for, and sharing the location of gender-inclusive facilities, and intervening in gender-based bullying. School staff—including school social workers—can and should use this set of easy-to-implement, research-informed best practices to improve transgender youths’ mental health.
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Best Practices for Supporting Transgender Youth in Schools
Patrick Mulkern, August Wei, and Maggi Price
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Maternal Mental Health
Suresh Jungari
Maternal mental health (MMH) concerns encompass perinatal or postnatal fear of childbirth and any stress during pregnancy, childbirth, and the postpartum period. Maternal mental health issues have not received sufficient attention in research discourse, especially in low- and middle-income countries. The prevalence of maternal mental health problems ranges from 10% to 35% in both developed and developing countries. Individual, reproductive-related, and community-level factors contribute to increasing MMH concerns. Maternal mental health conditions may lead to compromised quality of life, delayed child development, loss of employment, and financial burdens. Routine maternal healthcare has been found to lack of integration of mental health aspects. Health systems should be equipped to address maternal mental health problems during routine maternal healthcare. More efforts are also needed in conducting research on varied dimensions of MMH.
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The Movement for Black Lives
Troy D. Harden and Aislinn Pulley
The phrase “Black Lives Matter” has become an identifiable phrase across the globe. Accelerated by social media in an online platform and social action, it is marked by a mass of not only Black folks, but a multiracial collective that has also manifested in direct action protests against police violence toward Black people. Initially a hashtag, #BlackLivesMatter, the phrase emerged into one of the most significant social movements in modern times. The Black Lives Matter Movement, along with the term Movement for Black Lives (M4BL), has centered on the historically ignored killings of Black men, women, and youth at the hands of state-sanctioned violence in public discourse, and offers an inclusive approach to organizing for social change.
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Gender Identity and Gender Expression
Jama Shelton
Gender identity and gender expression are aspects of personal identity that impact an individual across multiple social dimensions. As such, it is critical that social workers understand the role of gender identity and gender expression in an individual’s life. Many intersecting factors contribute to an individual’s gender identity development and gender expression, as well as their experiences interacting with individuals, communities, and systems. For instance, an individual’s race, geographic location, disability status, cultural background, religious affiliation, age, economic status, and access to gender-affirming healthcare are some of the factors that may impact experiences of gender identity and gender expression. Gender identity and expression are dimensions of diversity that social workers will interact with at all levels of practice. As such, it is important for social work educational institutions to ensure their students are prepared for practice with people of all gender identities and expression, while also understanding the historical context of the social work profession in relation to transgender populations and the ways in which the profession has reinforced the sex and gender binaries.
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Queer Communities, LGBTQIA2S+ Populations, and Macro Practice
Michael P. Dentato
Related to understanding queer identities, an ongoing need exists for the expansion of competency among social workers across micro and macro practice frameworks. Practitioners must be aware of their own positionality and use of cultural humility associated with practice and advocacy for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and two-spirit+ (LGBTQIA2S+) communities, which include those identifying as demisexual, omnisexual, and pansexual, among others. Relatedly, social workers must be attentive to evolving terminology and contexts through which the term queer has been defined over the years, as well as relevant challenges with connectedness to (or separation from) the larger LGBTQIA2S+ community. Age cohort associations and the role of intersectionality also have relevance and underscore the multidimensional discourse necessary to develop effective competency and the ability to engage in affirming macro practice with queer communities. Social work practitioners must understand the implications for best practices associated with establishing and maintaining an affirming alliance with queer clients via policy practice efforts, advocacy efforts, community organizing, service provision, or therapeutic context. In addition, there remains a continued need for ongoing research associated with understanding the unique needs of queer identities and the queer community at large.
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Reproductive Health Justice
Silvia M. Chávez-Baray, Eva M. Moya, and Omar Martinez
Reproductive health endeavors in regard to prevention, treatment, and emerging disparities and inequities like lack of access to comprehensive and equitable reproductive health for immigrants and LGBTQ+ populations are discussed. Practice-based approaches for reproductive health justice and access care models, to advance reproductive justice, are included. Implications for macro social work practice and historical perspectives, practices, and social movements of reproductive health justice in the United States to promote reproductive health justice in the context of political, legal, health, and social justice efforts are salient to advance social justice.
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Income and Wealth Inequality
Laurel Sariscsany
Reversing extreme economic inequality is one of the grand challenges for social work, identified as one of the most critical issues in the field. Two key types of economic inequality, income and wealth inequality are described. Although, wealth and income inequality are often discussed synonymously they have differing levels of inequality and impact clients’ lives differently. Perhaps more importantly, as this article describes, solving income and wealth inequality require differing solutions. The article further explores the specific income and wealth inequality experienced by women and people of color, due in part to discrimination. Lastly, the efforts of social workers to address economic inequality through research, practice, and advocacy are described.
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Intimate Partner Violence and Reproductive Coercion
Amber Sutton, Haley Beech, and Debra Nelson-Gardell
Intimate partner violence (IPV) affects millions of individuals yearly, both domestically and globally. Direct linkages exist between experiencing IPV and adverse health outcomes. No matter the type of service arena, social workers encounter IPV; for that reason, all social workers need to be familiar with IPV, its consequences, and potential interventions. One form of IPV that is often undetected and underreported is reproductive coercion (RC). Reproductive coercion, a relatively new term, focuses on birth control sabotage and pregnancy coercion. Reproductive coercion is directly associated with IPV in that power and control are maintained by stripping away autonomy and decision-making ability concerning one’s reproductive and sexual health. Although many victims of IPV will experience this type of sexual abuse, RC is a less discussed form of violence and is often difficult to detect through traditional screening processes, further delaying effective intervention. Reproductive coercion affects the overall emotional, physical, and psychological health of survivors, therefore social workers need to be able to identify specific RC behaviors and know how to appropriately intervene and advocate. A thorough review of the existing literature on the link between IPV and RC has been organized into practical application methods that social workers can use to inform micro, mezzo, and macro levels of practice. All practice methods are designed to aid in reducing harm caused by RC and to help increase survivors’ control over their own bodies and reproductive health. Such applications will include screening for potential abuse, recognizing risk and protective factors, introducing culturally sensitive interventions, and policy implications and recommendations.
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Womanism and Domestic Violence
Selena T. Rodgers
Domestic violence is a public health problem shown to inflict severe mental and physical injury on millions of individuals and has considerable social costs. Absent from the literature is an examination of womanism ideologies, which provide a greater understanding of the full praxis that black women who experience domestic violence engage. Drawing from initial conceptualizations of womanism and later contributions of Africana womanism, this article brings into focus pervasive acts of violence perpetrated against black women, their racial loyalty to protect black men, and the limitations of existing domestic violence models and interventions. This entry addresses how these three interconnected areas are treated within the conceptual framework of womanism. An overview of violence against black women reveals the historical and contemporary forms of knowledge and praxis that have sought to overcome the social problem of intimate partner abuse, including the social construction of controlling images and the Power and Control Wheel (The Duluth Model). This entry also examines the prevalence of violence perpetrated against black women and compounding factors. In addition, this author considers the Violence Against Women Act and its consequences on laws and policies that affect the race, gender, and class experiences of black women coping with domestic violence. Also analyzed is the quintessential role of demographics, the culture of domestic violence, and international debates about womanism, including how black women intellectuals are prioritizing race-empowerment perspectives and a reference point to articulate healthy black relationships are prioritized. The article also reviews social work practice with black women victims/survivors of domestic violence and their families.
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Sexual Orientation
William J. Hall
Sexual orientation is a multidimensional phenomenon involving a person’s sexual attraction, sexual behavior, and sexual orientation identity. Sexual orientation patterns may remain consistent or fluctuate over time. Although heterosexual attractions, behaviors, and identities appear to be the dominant manifestations of sexual orientation, other sexual expressions exist. The causes of sexual orientation are still not completely understood; however, evidence suggests that biological factors play a strong role. Sexual development is an important part of human development, and there are parallel and differing developmental tasks and trajectories for those who are heterosexual and those who are queer. Non-heterosexual sexualities are often stigmatized, which contributes to homophobia and heterosexism. There is a continuing history in the mental health professions of efforts to change the sexual orientation of people who are queer, despite evidence of harm and ethical mandates. Researchers and service providers should assess sexual orientation because it is one of many important characteristics in the lives of individuals.
