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Affirming Care for Adoption and Foster Youth: A Clinician’s Guide to Essential Considerations for Working with LGBTQIA + Youth

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Abstract

In this paper, we overview the unique clinical considerations that clinical social workers must consider when engaging with LGBTQIA+ (lesbian, gay, bisexual, transgender, and gender diverse, expansive, queer, intersex, asexual, and all others to come) in foster care. First, we overview the prevalence of and challenges to LGBTQIA + youth in foster care, revealing the overrepresentation resulting from family rejection and discrimination. Next, we underscore the significance of training foster parents in delivering appropriate and affirming care, recognizing caregivers’ substantial influence over the well-being of adopted and foster youth. Lastly, we underscore the critical role undertaken by child welfare and mental health professionals in facilitating the identity development and expression of LGBTQIA + youth and their foster families.

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References

  • Atkinson, A. J., Gonet, P. A., Freundlich, M., & Riley, D. B. (2013). Adoption competent clinical practice: Defining its meaning and development. Adoption Quarterly, 16(3–4), 156–174. https://doi.org/10.1080/10926755.2013.844215.

    Article  Google Scholar 

  • Baams, L., Wilson, B. D., & Russell, S. T. (2019). LGBTQ youth in unstable housing and foster care. Pediatrics, 143(3). https://doi.org/10.1542/peds.2017-4211.

  • Boardman, M. (2023). Data experts at the School of Social Work’s National SOGIE Center take lead role in supporting justice-involved LGBTQIA + and Two-Spirit youth. UConn Todayhttps://today.uconn.edu/2023/05/data-experts-at-school-of-social-works-national-sogie-center-take-lead-role-in-supporting-justice-involved-lgbtq-and-two-spirit-youth/#.

  • Child Welfare League of America and Juvenile Law Center. (2008). Models for change information sharing toolkit. John D. and Catherine T. MacArthur Foundation.

  • Collazo, A., Austin, A., & Craig, S. L. (2013). Facilitating transition among transgender clients: Components of effective clinical practice. Clinical Social Work Journal, 41, 228–237.

    Article  Google Scholar 

  • Crenshaw, K. W. (2013). Mapping the margins: Intersectionality, identity politics, and violence against women of color. The public nature of private violence (pp. 93–118). Routledge.

  • Crisp, C., & McCave, E. L. (2007). Gay affirmative practice: A model for social work practice with gay, lesbian, and bisexual youth. Child and Adolescent Social Work Journal, 24, 403–421.

    Article  Google Scholar 

  • Dentato, M. (2022). Social Work Practice with the LGBTQIA + Community: The Intersection of History, Health. Mental Health, and Policy Factors, Second Edition https://doi.org/19361653.2019.1635062.

  • Dettlaff, A. J., & Washburn, M. (2018). Lesbian, gay, and bisexual (LGB) youth within in welfare: Prevalence, risk and outcomes. Child Abuse & Neglect, 80, 183–193. https://doi.org/10.1016/j.chiabu.2018.03.009.

    Article  Google Scholar 

  • Fish, J. N., Baams, L., Wojciak, A. S., & Russell, S. T. (2019). Are sexual minority youth overrepresented in foster care, child welfare, and out-of-home placement? Findings from nationally representative data. Child Abuse & Neglect, 89, 203–211. https://doi.org/10.1016/j.chiabu.2019.01.005.

    Article  Google Scholar 

  • Forge, N., & Hartinger-Saunders, R. (2018). Sexual and gender expansive youth in foster care. Handbook of Foster Youth (pp. 401–423). Routledge.

  • Freeman-Coppadge, D. J., & Langroudi, K. F. (2021). Beyond LGBTQ-affirmative therapy: Fostering growth and healing through intersectionality. Queer Psychology: Intersectional Perspectives, 159–179. https://doi.org/10.1007/978-3-030-74146-4_9.

  • González-Álvarez, R., Parra, L. A., Ten Brummelaar, M., Avraamidou, L., & López, M. L. (2022). Resilience among LGBTQIA + youth in out-of-home care: A scoping review. Child Abuse & Neglect, 129. https://doi.org/10.1016/j.chiabu.2022.105660.

  • Grooms, J. (2020). No home and no acceptance: Exploring the intersectionality of sexual/gender identities (LGBTQ) and race in the foster care system. The Review of Black Political Economy, 47(2), 177–193. https://doi.org/10.1177/0034644620911381.

    Article  Google Scholar 

  • Higa, D., Hoppe, M. J., Lindhorst, T., Mincer, S., Beadnell, B., Morrison, D. M., & Mountz, S. (2014). Negative and positive factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth. Youth & Society, 46(5), 663–687. https://doi.org/10.1177/0044118X12449630.

    Article  Google Scholar 

  • Iacono, G. (2019). An affirmative mindfulness approach for lesbian, gay, bisexual, transgender, and queer youth mental health. Clinical Social Work Journal, 47, 156–166. https://doi.org/10.1007/s10615-018-0656-7.

    Article  Google Scholar 

  • LaSala, M. C., & Goldblatt Hyatt, E. D. (2019). A bioethics approach to social work practice with transgender clients. Journal of Gay & Lesbian Social Services, 31(4), 501–520. https://doi.org/10.1080/10538720.2019.1653804.

    Article  Google Scholar 

  • Mallon, G. P. (2011). The home study assessment process for gay, lesbian, bisexual, and transgender prospective foster and adoptive families. Journal of GLBT Family Studies, 7(1–2), 9–29. https://doi-org.ezproxy.lib.ou.edu/10.1080/1550428X.2011.537229

  • Mallon, G. P. (2019). Black and brown children’s and families’ lives matter: Addressing racial bias and oppressive policies and practices in the U.S. child welfare system. Child Welfare, 98(3), v+. https://link.gale.com/apps/doc/A656271078/AONE?u=anon~f35f3fd3&sid=googleScholar&xid=02049baf

  • Mallon, G. P., & DeCrescenzo, T. (2009). Social work practice with transgender and gender variant children and youth. In Social work practice with transgender and gender variant youth (pp. 79–100). Routledge.Mallon, G.P. (2019). LGBTQ youth issues: A practical guide for youth workers serving Lesbian, Gay, Bisexual, transgender, and questioning youth. Child Welfare League of America.

  • Mallon, G. P., Paul, J. C., & López, M. L. (2022). Protecting LGBTQ + children and youth. Handbook of child maltreatment (pp. 575–591). Springer International Publishing.

  • McCormick, A., Scheyd, K., & Terrazas, S. (2018). Trauma-informed care and LGBTQ youth: Considerations for advancing practice with youth with trauma experiences. Families in Society: The Journal of Contemporary Social Services, 99(2), 160–169. https://doi.org/10.1177/1044389418768550.

    Article  Google Scholar 

  • Painter, K. R., Scannapieco, M., Blau, G., Andre, A., & Kohn, K. (2018). Improving the mental health outcomes of LGBTQ youth and young adults: A longitudinal study. Journal of Social Service Research, 44(2), 223–235. https://doi.org/10.1080/01488376.2018.1441097.

    Article  Google Scholar 

  • Paul, J. (2023). LGBTQIA + foster-care-leavers: Creating equitable and affirming systems of care. In Living on the Edge (pp. 71–90). Policy Press. https://bristoluniversitypressdigital.com/display/book/9781447366317/ch004.xml.

  • Petrowski, N., Cappa, C., & Gross, P. (2017). Estimating the number of children in formal alternative care: Challenges and results. Child Abuse & Neglect, 70, 388–398. https://doi.org/10.1016/j.chiabu.2016.11.026.

    Article  Google Scholar 

  • Pharris, A. B., Lepper-Pappan, H., Maher, E., & Natale, A. P. (2023). The caseworker as an external locus of hope for LGB youth in foster care. Journal of Public Child Welfare. https://doi.org/10.1080/155548732.2023.2193141.

    Article  Google Scholar 

  • Ream, G., & Peters, A. (2021). Working with suicidal and homeless LGBTQIA + youth in the context of family rejection. Journal of Health Service Psychology, 47, 41–50. https://doi.org/10.1007/s42843-021-00029-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Remlin, C. W., Cook, M. C., Erney, R., Cherepon, H., & Gentile, K. (2017). Safe havens: Closing the gap between recommended practice and reality for transgender and gender-expansive youth in out-of-home care. Lambda Legal with Children’s Rights and the Center for the Study of Social Policy.

  • Ryan, C. (2003). LGBT Youth: Health concerns, services and care. Clinical Research and Regulatory Affairs, 20(2), 137–158.

    Article  Google Scholar 

  • Salazar, A., McCowan, M., Cole, K. J., Skinner, J. J., Noell, M. L., Colito, B. R., Haggerty, J. M., K.P., & Barkan, S. E. (2018). Developing relationship-building tools for foster families caring for teens who are LGBTQ2S. Child Welfare, 96(2), 75–97.

    PubMed  PubMed Central  Google Scholar 

  • Silliman Cohen, R. I., & Bosk, E. A. (2020). Vulnerable youth and the COVID-19 pandemic. Pediatrics, 146(1).

  • Washburn, M., Yu, M., LaBrenz, C., & Palmer, A. N. (2022). The impacts of COVID-19 on LGBTQ + foster youth alumni. Child Abuse & Neglect, 133, 1058.

    Article  Google Scholar 

  • White, J., Sepúlveda, M. J., & Patterson, C. J. (Eds.). (2021). Understanding the well-being of LGBTQIA + populations. National Academies.

  • Wilber, S. (2013). Guidelines for managing information related to the sexual orientation and gender identity and expression of children in child welfare systems. Putting Pride Into Practice Project, Family Builders by Adoption, Oakland, CA. https://ccwip.berkeley.edu/cwscmsreports/documents/Information%20Guidelines%20P4.pdf.

  • Wilber, S., Ryan, C., & Marksamer, J. (2006). CWLA best practice guidelines: Serving LGBT youth in out-of-home care. Child Welfare League of America.

  • Wilson, B. D., & Kastanis, A. A. (2018). Sexual and gender minority disproportionality and disparities in child welfare: A population-based study. In LGBTQ Youth in Foster Care (pp. 104–130). Routledge. https://doi.org/10.1016/j.childyouth.2015.08.016.

  • Witt, H., & Medina-Martinez, K. (2022). Transgender rights & the urgent need for social work advocacy. Social Work in Public Health, 37(1), 28–32. https://doi.org/10.1080/19371918.2021.1970685.

    Article  PubMed  Google Scholar 

  • Wright, E. R., & Perry, B. L. (2013). Sexual identity distress, social support, and the health of gay, lesbian, and bisexual youth. In Current Issues in Lesbian, Gay, Bisexual, and Transgender Health (pp. 81–110). Routledge. https://doi.org/10.1300/J082v51n01_05.

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Authors and Affiliations

  1. Anne & Henry Zarrow School of Social Work, University of Oklahoma, 700 Elm Ave. Zarrow Hall, Norman, OK, 73019, USA

    Bonni Goodwin, Angela B. Pharris & Anthony P. Natale

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  1. Bonni Goodwin
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  2. Angela B. Pharris
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  3. Anthony P. Natale
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Correspondence to Bonni Goodwin.

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Goodwin, B., Pharris, A.B. & Natale, A.P. Affirming Care for Adoption and Foster Youth: A Clinician’s Guide to Essential Considerations for Working with LGBTQIA + Youth. Clin Soc Work J (2024). https://doi.org/10.1007/s10615-024-00937-y

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