LGBQ & T/GA Youth: Trauma-Informed Approach

 
Viewing LGBQ & T/GA Youth
Through a Trauma Informed Lens
Intersections of Equality
GEAE Symposium
April 30, 2016
 
Dr. William Koehler, LCSW (wkoehler@edinboro.edu)
Dr. Hilary Copp, LSW (hcopp@edinboro.edu)
Edinboro University Department of Social Work
 
 
 
 
Agenda
 
1.
LGBQ & T/GA basics
2.
LGBQ & T/GA youth experiences
3.
Trauma basics
4.
Applying a trauma-informed approach to work with
LGBQ & T/GA youth
 
1. LGBQ & T/GA Basics
 
Terminology: Sexual Orientation
 
LGBQ = lesbian, gay, bisexual, questioning/queer
Lesbian
: Describes a girl who is attracted to other girls.
Gay
: Describes a boy who is attracted to other boys.
Bisexual
: Describes a person who is attracted to both
girls and boys (see also: 
demisexual
).
Pansexual
: Describes a person who is attracted to
people across the gender spectrum (beyond male and
female).
 
Sexual Orientation Terminology cont.
 
Queer
: An umbrella term that some LGBTQ people
use to refer to the entire community. Note: Many
people find this term offensive. This is an “in-group”
term only.
Questioning
: Describes a person who is exploring
their own sexual or gender identity.
Asexual
: Describes a person who is not sexually
attracted to anyone. Sometimes referred to as “ace.”
 
Terminology: Gender Identity
 
T/GA = Transgender/gender atypical
Transgender
: An umbrella term for anyone who does not feel that
they fit into gender norms; can also be used interchangeably with
transsexual. (see also: 
gender atypical
, 
genderqueer
, 
agender
, 
non-
binary
)
Transsexual
: Describes a person who feels like the sex they were
assigned at birth does not match the gender they feel inside.
Typically individuals who identify as transsexual intend to
“transition” via hormone therapy and/or surgical procedures.
 
Gender Identity Terminology cont.
 
Genderfluid
: Describes a person whose gender identity varies,
sometimes from day to day. Increasingly common among youth.
Intersex
: Describes a person whose genitals are a combination of male
and female. Previously known as “hermaphrodite,” though this term is
now considered offensive.
Crossdresser/transvestite
: Describes a person who wears clothing of the
opposite gender for performance or sexual gratification, rather than as
an expression of identity.
Cisgender
: Describes a person whose gender identity matches the
gender they were assigned at birth.
 
2. LGB & T/GA Youth
    Experiences
 
Sexual & Gender Identity in Adolescence
 
As of 2010, the average coming-out age was 16 (typically well after
coming out to self).
Upon coming out to their parents, up to 50% of LGBT teens report a
negative reaction, and 26% report being kicked out of their homes.
LGBT youth feel unsafe at school because of their sexual orientation
(55%) or their gender expression (38%).
Three quarters of LGBT students are verbally harassed for their
sexual orientation, and approximately half are verbally harassed for
their gender expression.
 
Adolescent Sexual & Gender Identity cont.
 
Approximately half of LGBT students experience cyberbullying
(Facebook, text messages, Yik Yak, etc.) based on their sexual
orientation and/or gender expression.
Two thirds of LGBT students are physically harassed (pushed or
shoved) because of their sexual orientation, and a quarter are
physically harassed because of their gender expression.
Nationally, 16.5% of LGBT students are physically assaulted
(punched, kicked, injured with a weapon) because of their sexual
orientation, and 11% because of their gender expression.
 
GLSEN National Survey (2013)
 
Percentages of respondents who heard the following
language at school “frequently” or “often”
“Gay” used in a negative way: 71%
Homophobic remarks like “dyke” or “faggot”: 64.5%
Gender policing remarks like “not masculine/feminine
enough”: 56%
Anti-transgender remarks like “tranny” or “he/she”: 33%
Teachers or staff making homophobic remarks: 51%
Teachers or staff making negative remarks about gender
expression: 55.5%
 
GLSEN Pennsylvania Survey (2011)
 
8 in 10 LGBT students reported verbal harassment
based on their sexual orientation
6 in 10 reported verbal harassment based on their
gender expression
2 in 10 reported physical harassment (pushed or
shoved) based on gender expression
1 in 10 reported physical assault (punched, kicked, or
injured with a weapon) based on sexual orientation
 
GLSEN Pennsylvania Survey cont.
 
27% 
regularly
 heard staff make negative comments
about someone’s gender expression; 18% heard staff
regularly
 make homophobic remarks
60% of students who were harassed or assaulted in
school never reported it to school staff
Of those who did report incidents to school
authorities, only 36% said reporting resulted in
effective intervention by staff
 
Local Data
 
In a 2015 survey of 59 teachers from the one middle/high
school in the  Corry School District:
68% felt that bullying of perceived LGBQ students was a
problem in their school
80% felt that bullying of transgender students was a
problem in their school
67% have heard a student use LGBT language in a
negative way within the past month
11% have witnessed a student physically harm an LGBT
student within the past month
 
Local Data Continued
 
In a 2014 survey of 83 from 12 different middle and high schools
in the City of Erie School District:
58% felt that bullying of perceived LGBQ students was a
problem in their school
24% felt that bullying of transgender students was a problem in
their school (only half (43) identified a trans-student at their
school)
75% have heard a student use LGBT language in a negative
way within the past month
8% have witnessed a student physically harm an LGBT student
within the past month
 
Comparison of Local Data
 
* This represents teachers from one combined middle-high school. This school asked us to conduct a training of all of their
teachers because a student recently had identified as transgender.
** This represents teachers from a total of 12 different schools. These teachers were attending sessions on bullying or
LGBT-specific bullying at a day-long training. Only 43 (52%) of the teachers indicated that there is a student that self-
identifies as transgender at their school.
 
What does this mean?
 
 
We have LGB and T/GA youth who feel unsafe,
are being verbally and physically harassed,
and don’t know what they can do about it.
 
Multiple studies have shown that this results in
higher rates of drug and alcohol abuse, poor grades,
truancy, dropping out, and suicide.
 
The bottom line…
 
Youth can’t thrive if they don’t feel safe.
 
 
This is not about 
morality
;
it’s about 
safety
.
 
3. Trauma Basics
 
What is trauma?
 
Police
Brutality
 
Being shot at
 
Assault
 
Car Crash
 
Witnessing a
traumatic event
 
Rape
 
Intimate
partner
violence
 
Bullying
 
Self-harm
 
Sexual abuse
 
Homelessness
 
Divorce
 
Terminal
illness
 
Combat
 
School
violence
 
Robbery
 
Substance
using
parents
 
Emotional
abuse
 
Bombing
 
Tornado
 
Neglect
 
Understanding Trauma
 
Universal, regardless of…
Age
Culture
Gender
Class
Sexuality
It is determined by events and ongoing situations BUT
more importantly…
It is determined by 
a person’s experience 
of the event or
ongoing situation
 
Defining Trauma
 
Psychological trauma is an occurrence which is outside the
scope of everyday human experience and which would be
notably distressing to almost anyone
Psychological trauma is the unique individual experience
of an event (acute) or enduring conditions (chronic), in
which the person:
Experienced, witnessed or was confronted with an event(s) that
involved actual or threatened deaths or serious injury, or a
threat to physical integrity of self/others
Person’s response involved intense fear, helplessness, or horror.
(DSM-5, PTSD and ASD Criteria A)
 
Trauma Results In…
 
Increased:
Fight/flight/freeze response
Hypervigilance, arousal, paranoia
Perceptual and information processing distortions
Emotional blunting
Aggression and irritability
Decreased:
Memory processing and retrieval
Reality testing
Body and emotional awareness
Pain tolerance
Immune response
 
Long-Term Effects
 
Exposure to trauma potentially impacts an individual for the
rest of their life.
Learned helplessness
Loss of “volume control”
Action not thought under stress
Inability to remember events under stress
Dissociation
Addiction to stress
Trauma-bonding
Trauma-reenactment
 
Wide-Reaching Impact
 
Trauma has a very real and significant impact on:
Individuals who experience traumatic events
People in relationship with traumatized individuals
(couples, families, friends, co-workers, etc.)
Service providers working with those individuals
Self-care!
Communities where traumatic events occur
Public health as a whole
 
4. Applying a trauma-informed
    approach to work with
    LGBQ & T/GA youth
 
 
The important question is not
“What’s wrong with you?”
 
Rather, it’s
“What happened to you?”
 
Guiding Trauma-Informed Principles
 
1.
Safety
2.
Trustworthiness
3.
Choice
4.
Collaboration
5.
Empowerment
 
Trauma-Informed Principles cont.
 
1.
Safety
Both physical and emotional
Attending to a youth’s discomfort or unease
What potential triggers are in the youth’s environment?
2.
Trustworthiness
Providing services with clarity and consistency
Maintaining healthy interpersonal boundaries
Communication/negotiation of service provision
 
Trauma-Informed Principles cont.
 
3.
Choice
Inviting youth to participate in decision-making regarding
their environment and their services
Building in small choices can make a difference
Helping youth have a sense of control
4.
Collaboration
Communicating respect for life experience and history
Communicating respect for youth being the expert on their
own experiences
Identifying tasks that can be worked on together
 
Trauma-Informed Principles cont.
 
5.
Empowerment
Continually ensuring that youth have some control over
their environment and their care
Involving youth in change efforts
Recognizing strengths and skills
Helping youth continue to develop additional skills
 
It’s important to keep in mind that
LGBQ & T/GA youth are highly likely to have
experienced trauma, including harassment,
bullying, assault, parental rejection, and so on.
 
This will affect their behaviors and reactions to
subsequent traumatic events.
 
How YOU Can Be An Ally
 
Ally
: Anyone (LGBTQ or not) who supports and stands up
for the rights of LGBTQ people
Safe space signage
Have LGBTQ-inclusive materials in the service
environment
Welcome transgender and gender-nonconforming youth to
use the bathroom that matches their gender identity
Routinely use LGBTQ examples (example: families with
same-sex parents)
 
How to Be an Ally cont.
 
Do not assume heterosexuality (For example, instead of
asking a girl “Do you have a boyfriend?”, ask “Are you
dating anyone?”)
Confront homophobic and heterosexist language when
others use it
With transgender or gender-nonconforming youth, ask for
and use
 their preferred names and pronouns
Remember, making mistakes is part of the learning process.
Acknowledge and apologize for mistakes, but don’t give up!
 
Thank you!
For more information, contact
Dr. William Koehler (wkoehler@edinboro.edu)
Dr. Hilary Copp (hcopp@Edinboro.edu)
Greater Erie Alliance for Equality
(greatereriealliance.com)
 
Resources
 
Local resources:
Greater Erie Alliance for Equality
greatereriealliance.com/
Northwest Pennsylvania Pride Alliance
nwpapride.org
Transfamily
Erie: Meetings every 4
th
 Saturday from 2-5 at the
MHA in downtown Erie
Find Transfamily of Erie on Facebook!
Meadville: Meetings every 2
nd
 Saturday from 2-5
on the second floor of Counseling Corner, located
at 898 Park Avenue in Meadville
Transfamily youth: Meetings every 1
st
 Sunday
from 2-5 at Lake Erie Counseling in Erie
Contact info: Char at 814-504-1507
Closed group on Facebook for youth
 
National resources:
The Trevor Project
thetrevorproject.org
LGBTQ teen suicide hotline, text, online chat
Gay Straight Alliance Network
gsanetwork.org
Gay, Lesbian & Straight Education
Network
glsen.org/nscs
National LGBT Task Force
thetaskforce.org
National Center for Transgender Equality
transequality.org
Transgender Law Center
Transgenderlawcenter.org
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Exploring the experiences of LGBQ & T/GA youth through a trauma-informed lens, this symposium delves into terminology related to sexual orientation and gender identity. It covers basics, experiences of youth, trauma fundamentals, and applying trauma-informed approaches to working with diverse youth populations.

  • LGBQ youth
  • Trauma-informed approach
  • Sexual orientation
  • Gender identity
  • LGBTQ community

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  1. Viewing LGBQ & T/GA Youth Through a Trauma Informed Lens Intersections of Equality GEAE Symposium April 30, 2016 Dr. William Koehler, LCSW (wkoehler@edinboro.edu) Dr. Hilary Copp, LSW (hcopp@edinboro.edu) Edinboro University Department of Social Work

  2. Agenda 1. LGBQ & T/GA basics 2. LGBQ & T/GA youth experiences 3. Trauma basics 4. Applying a trauma-informed approach to work with LGBQ & T/GA youth

  3. 1. LGBQ & T/GA Basics

  4. Terminology: Sexual Orientation LGBQ = lesbian, gay, bisexual, questioning/queer Lesbian: Describes a girl who is attracted to other girls. Gay: Describes a boy who is attracted to other boys. Bisexual: Describes a person who is attracted to both girls and boys (see also: demisexual). Pansexual: Describes a person who is attracted to people across the gender spectrum (beyond male and female).

  5. Sexual Orientation Terminology cont. Queer: An umbrella term that some LGBTQ people use to refer to the entire community. Note: Many people find this term offensive. This is an in-group term only. Questioning: Describes a person who is exploring their own sexual or gender identity. Asexual: Describes a person who is not sexually attracted to anyone. Sometimes referred to as ace.

  6. Terminology: Gender Identity T/GA = Transgender/gender atypical Transgender: An umbrella term for anyone who does not feel that they fit into gender norms; can also be used interchangeably with transsexual. (see also: gender atypical, genderqueer, agender, non- binary) Transsexual: Describes a person who feels like the sex they were assigned at birth does not match the gender they feel inside. Typically individuals who identify as transsexual intend to transition via hormone therapy and/or surgical procedures.

  7. Gender Identity Terminology cont. Genderfluid: Describes a person whose gender identity varies, sometimes from day to day. Increasingly common among youth. Intersex: Describes a person whose genitals are a combination of male and female. Previously known as hermaphrodite, though this term is now considered offensive. Crossdresser/transvestite: Describes a person who wears clothing of the opposite gender for performance or sexual gratification, rather than as an expression of identity. Cisgender: Describes a person whose gender identity matches the gender they were assigned at birth.

  8. 2. LGB & T/GA Youth Experiences

  9. Sexual & Gender Identity in Adolescence As of 2010, the average coming-out age was 16 (typically well after coming out to self). Upon coming out to their parents, up to 50% of LGBT teens report a negative reaction, and 26% report being kicked out of their homes. LGBT youth feel unsafe at school because of their sexual orientation (55%) or their gender expression (38%). Three quarters of LGBT students are verbally harassed for their sexual orientation, and approximately half are verbally harassed for their gender expression.

  10. Adolescent Sexual & Gender Identity cont. Approximately half of LGBT students experience cyberbullying (Facebook, text messages, Yik Yak, etc.) based on their sexual orientation and/or gender expression. Two thirds of LGBT students are physically harassed (pushed or shoved) because of their sexual orientation, and a quarter are physically harassed because of their gender expression. Nationally, 16.5% of LGBT students are physically assaulted (punched, kicked, injured with a weapon) because of their sexual orientation, and 11% because of their gender expression.

  11. GLSEN National Survey (2013) Percentages of respondents who heard the following language at school frequently or often Gay used in a negative way: 71% Homophobic remarks like dyke or faggot : 64.5% Gender policing remarks like not masculine/feminine enough : 56% Anti-transgender remarks like tranny or he/she : 33% Teachers or staff making homophobic remarks: 51% Teachers or staff making negative remarks about gender expression: 55.5%

  12. GLSEN Pennsylvania Survey (2011) 8 in 10 LGBT students reported verbal harassment based on their sexual orientation 6 in 10 reported verbal harassment based on their gender expression 2 in 10 reported physical harassment (pushed or shoved) based on gender expression 1 in 10 reported physical assault (punched, kicked, or injured with a weapon) based on sexual orientation

  13. GLSEN Pennsylvania Survey cont. 27% regularly heard staff make negative comments about someone s gender expression; 18% heard staff regularly make homophobic remarks 60% of students who were harassed or assaulted in school never reported it to school staff Of those who did report incidents to school authorities, only 36% said reporting resulted in effective intervention by staff

  14. Local Data In a 2015 survey of 59 teachers from the one middle/high school in the Corry School District: 68% felt that bullying of perceived LGBQ students was a problem in their school 80% felt that bullying of transgender students was a problem in their school 67% have heard a student use LGBT language in a negative way within the past month 11% have witnessed a student physically harm an LGBT student within the past month

  15. Local Data Continued In a 2014 survey of 83 from 12 different middle and high schools in the City of Erie School District: 58% felt that bullying of perceived LGBQ students was a problem in their school 24% felt that bullying of transgender students was a problem in their school (only half (43) identified a trans-student at their school) 75% have heard a student use LGBT language in a negative way within the past month 8% have witnessed a student physically harm an LGBT student within the past month

  16. Comparison of Local Data Corry Teachers (N = 59 ) Erie School District Teachers (N = 83) Bullying of students perceived to be LGBT is a problem at my school 68% 58% Bullying of transgender students is a problem at my school 80%* 24%** I have heard negative LGBT language used at least once in the last month at my school 67% 75% I have seen a student physically harm an LGBT student at least once in the last month at my school 11% 8% * This represents teachers from one combined middle-high school. This school asked us to conduct a training of all of their teachers because a student recently had identified as transgender. ** This represents teachers from a total of 12 different schools. These teachers were attending sessions on bullying or LGBT-specific bullying at a day-long training. Only 43 (52%) of the teachers indicated that there is a student that self- identifies as transgender at their school.

  17. What does this mean? We have LGB and T/GA youth who feel unsafe, are being verbally and physically harassed, and don t know what they can do about it. Multiple studies have shown that this results in higher rates of drug and alcohol abuse, poor grades, truancy, dropping out, and suicide.

  18. The bottom line Youth can t thrive if they don t feel safe. This is not about morality; it s about safety.

  19. 3. Trauma Basics

  20. Intimate partner violence Police Brutality Sexual abuse Robbery Self-harm Being shot at Witnessing a traumatic event Emotional abuse What is trauma? Bullying Divorce Neglect Tornado Assault Terminal illness Substance using parents Car Crash Rape Bombing Homelessness School violence Combat

  21. Understanding Trauma Universal, regardless of Age Culture Gender Class Sexuality It is determined by events and ongoing situations BUT more importantly It is determined by a person s experience of the event or ongoing situation

  22. Defining Trauma Psychological trauma is an occurrence which is outside the scope of everyday human experience and which would be notably distressing to almost anyone Psychological trauma is the unique individual experience of an event (acute) or enduring conditions (chronic), in which the person: Experienced, witnessed or was confronted with an event(s) that involved actual or threatened deaths or serious injury, or a threat to physical integrity of self/others Person s response involved intense fear, helplessness, or horror. (DSM-5, PTSD and ASD Criteria A)

  23. Trauma Results In Increased: Fight/flight/freeze response Hypervigilance, arousal, paranoia Perceptual and information processing distortions Emotional blunting Aggression and irritability Decreased: Memory processing and retrieval Reality testing Body and emotional awareness Pain tolerance Immune response

  24. Long-Term Effects Exposure to trauma potentially impacts an individual for the rest of their life. Learned helplessness Loss of volume control Action not thought under stress Inability to remember events under stress Dissociation Addiction to stress Trauma-bonding Trauma-reenactment

  25. Wide-Reaching Impact Trauma has a very real and significant impact on: Individuals who experience traumatic events People in relationship with traumatized individuals (couples, families, friends, co-workers, etc.) Service providers working with those individuals Self-care! Communities where traumatic events occur Public health as a whole

  26. 4. Applying a trauma-informed approach to work with LGBQ & T/GA youth

  27. The important question is not What s wrong with you? Rather, it s What happened to you?

  28. Guiding Trauma-Informed Principles 1. Safety 2. Trustworthiness 3. Choice 4. Collaboration 5. Empowerment

  29. Trauma-Informed Principles cont. 1. Safety Both physical and emotional Attending to a youth s discomfort or unease What potential triggers are in the youth s environment? 2. Trustworthiness Providing services with clarity and consistency Maintaining healthy interpersonal boundaries Communication/negotiation of service provision

  30. Trauma-Informed Principles cont. 3. Choice Inviting youth to participate in decision-making regarding their environment and their services Building in small choices can make a difference Helping youth have a sense of control 4. Collaboration Communicating respect for life experience and history Communicating respect for youth being the expert on their own experiences Identifying tasks that can be worked on together

  31. Trauma-Informed Principles cont. 5. Empowerment Continually ensuring that youth have some control over their environment and their care Involving youth in change efforts Recognizing strengths and skills Helping youth continue to develop additional skills

  32. Its important to keep in mind that LGBQ & T/GA youth are highly likely to have experienced trauma, including harassment, bullying, assault, parental rejection, and so on. This will affect their behaviors and reactions to subsequent traumatic events.

  33. How YOU Can Be An Ally Ally: Anyone (LGBTQ or not) who supports and stands up for the rights of LGBTQ people Safe space signage Have LGBTQ-inclusive materials in the service environment Welcome transgender and gender-nonconforming youth to use the bathroom that matches their gender identity Routinely use LGBTQ examples (example: families with same-sex parents)

  34. How to Be an Ally cont. Do not assume heterosexuality (For example, instead of asking a girl Do you have a boyfriend? , ask Are you dating anyone? ) Confront homophobic and heterosexist language when others use it With transgender or gender-nonconforming youth, ask for and use their preferred names and pronouns Remember, making mistakes is part of the learning process. Acknowledge and apologize for mistakes, but don t give up!

  35. Thank you! For more information, contact Dr. William Koehler (wkoehler@edinboro.edu) Dr. Hilary Copp (hcopp@Edinboro.edu) Greater Erie Alliance for Equality (greatereriealliance.com)

  36. Resources Local resources: Greater Erie Alliance for Equality greatereriealliance.com/ Northwest Pennsylvania Pride Alliance nwpapride.org Transfamily Erie: Meetings every 4th Saturday from 2-5 at the MHA in downtown Erie Find Transfamily of Erie on Facebook! Meadville: Meetings every 2nd Saturday from 2-5 on the second floor of Counseling Corner, located at 898 Park Avenue in Meadville Transfamily youth: Meetings every 1st Sunday from 2-5 at Lake Erie Counseling in Erie Contact info: Char at 814-504-1507 Closed group on Facebook for youth National resources: The Trevor Project thetrevorproject.org LGBTQ teen suicide hotline, text, online chat Gay Straight Alliance Network gsanetwork.org Gay, Lesbian & Straight Education Network glsen.org/nscs National LGBT Task Force thetaskforce.org National Center for Transgender Equality transequality.org Transgender Law Center Transgenderlawcenter.org

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