Supporting LGBTQ+ Foster Teens: Development of a Relationship-Focused,Self-Guided Curriculum for Foster Families
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LGBTQ+ youth are over-represented in the foster care system. Child welfare systems across the country have been struggling with how to make their systems work better for the LGBTQ+ youth they serve. One strategy is developing foster caregiver trainings that bolster caregivers’ knowledge and support of LGBTQ+ youth in their care. This study has three aims: (1) to provide an overview of a module designed to support relationship building between LGBTQ+ youth in foster care and their caregivers, (2) to describe the theater testing procedure used to assess usability of the developed module with foster caregivers and adults, and (3) to share the results of the theater test. Overall, participants provided positive usability feedback about the module activities, as well as a wide variety of recommendations for strengthening the content for widespread use. Participants felt the module should be directed specifically toward caregiver skill development rather than toward both caregiver and youth support. This module represents one example of how materials focused on building foster caregivers’ knowledge and support have the potential to help LGBTQ+ teens who are over-represented in the foster care system.
KeywordsFoster care Foster parent training Intervention development LGBTQ youth Parenting intervention Usability testing SOGI
This work was supported by the National Institute on Drug Abuse (grant no. 3R01DA038095-02S1).
Compliance with Ethical Standards
The content of this paper is solely the responsibility of the authors and does not necessarily represent the official views of the funding agency. The National Institute on Drug Abuse played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; nor in the decision to submit the article for publication.
Conflict of Interest
The authors declare that they have no conflict of interest.
Research Involving Human Participants: Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Abbott, C., Crow Shoe, J., Hiniker, K., Holger-Ambrose, B., & Staudenmaier, S. (n.d.). Working with lesbian, gay, bisexual, transgender and questioning/queer youth. St. Paul, MN: Minnesota Department of Human Services.Google Scholar
- American Psychological Association. (2002). Developing adolescents: A reference for professionals. Available from https://www.apa.org/pi/families/resources/develop.pdf.
- Baams, L., Wilson, B. D., & Russell, S. T. (2019). LGBTQ youth in unstable housing and foster care. Pediatrics, e20174211. https://doi.org/10.1542/peds.2017-4211.
- Barkan, S. E., Salazar, A. M., Estep, K., Mattos, L. M., Eichenlaub, C., & Haggerty, K. P. (2014). Adapting an evidence based parenting program for child welfare involved teens and their caregivers. Children and Youth Services Review, 41, 53–61. https://doi.org/10.1016/j.childyouth.2014.03.006.CrossRefPubMedPubMedCentralGoogle Scholar
- Bauermeister, J. A., Johns, M. M., Sandfort, T. G. M., Eisenberg, A., Grossman, A. H., & D’Augelli, A. R. (2010). Relationship trajectories and psychological well-being among sexual minority youth. Journal of Youth and Adolescence, 39, 1148–1163. https://doi.org/10.1007/s10964-010-9557-y.CrossRefPubMedPubMedCentralGoogle Scholar
- Bergen, S., Chiu, L., Curry, T., Gilbert, C., Reyes, C., & Wilber, S. (2015). Toward equity: A training curriculum for understanding sexual orientation, gender identity, and gender expression, and developing competency to serve lesbian, gay, bisexual, and transgender youth in the juvenile justice system. The Equity Project. Retrieved from http://www.equityprojects.org/wp-content/uploads/2015/01/Equity_Curriculum_Complete.pdf.
- Bouris, A., Guilamo-Ramos, V., Pickard, A., Shiu, C., Loosier, P. S., Dittus, P., Gloppen, K., & Michael Waldmiller, J. (2010). A systematic review of parental influences on the health and well-being of lesbian, gay, and bisexual youth: Time for a new public health research and practice agenda. The Journal of Primary Prevention, 31, 273–309. https://doi.org/10.1007/s10935-010-0229-1.CrossRefPubMedGoogle Scholar
- Case Western Reserve University Lesbian Gay Bisexual Transgender Center. (2018). Sexual orientation myths & facts. Retrieved from https://case.edu/lgbt/safe-zone/sexual-orientation-myths-facts.
- Child Welfare Information Gateway. (2013). Supporting your LGBTQ youth: A guide for foster parents. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.Google Scholar
- City of New York. (2018). Initiatives: For families. Retrieved from: https://www1.nyc.gov/site/acs/about/for-families.page.
- Dank, M., Yahner, J., Madden, K., Banuelos, I., Yu, L., Ritchie, A., et al. (2015). Surviving the streets of New York: Experiences of LGBTQ youth, YMSM, and YWSW engaged in survival sex. Washington, DC: Urban Institute.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.CrossRefGoogle Scholar
- Forefront Suicide Prevention. (n.d.). LEARN™: A five-step model for suicide prevention. Retrieved from http://www.intheforefront.org/education-training/learn/.
- Gates, G. J. (2011). How many people are lesbian, gay, bisexual, and transgender? Los Angeles, CA: The Williams Institute, UCLA School of Law.Google Scholar
- Gragg, F., Petta, I., Bernstein, H., Eisen, K., & Quinn, L. (2007). New York prevalence study of commercially sexually exploited children. Rensselaer, NY: New York State Office of Children and Family Services.Google Scholar
- Haggerty, K. P., Barkan, S. E., Skinner, M., Packard, W. B., & Cole, J. J. (2016). Feasibility of Connecting, a substance-abuse prevention program for foster teens and their caregivers. Journal of the Society for Social Work and Research, 7, 639–659. https://doi.org/10.1086/686986.CrossRefPubMedPubMedCentralGoogle Scholar
- Human Rights Campaign. (2018). Sexual orientation and gender identity definitions. Retrieved from https://www.hrc.org/resources/sexual-orientation-and-gender-identity-terminology-and-definitions.
- Kann, L., Olsen, E. O., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., et al. (2016). Sexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9-12 - United States and selected sites, 2015. MMWR Surveillance Summaries, 65, 1–202. https://doi.org/10.15585/mmwr.ss6509a1.CrossRefGoogle Scholar
- Laver, M., & Khoury, A. (2008). Opening doors for LGBTQ youth in foster care: A guide for lawyers and judges. Washington, DC: ABA Center on Children and the Law.Google Scholar
- Lesbian, Gay, Bisexual,Transgender Center. (2016). Sexual orientation myths and facts. Retrieved from http://case.edu/lgbt/resources/safe-zoneresources/truth/.
- Los Angeles LGBT Center. (2018). Youth and family services. Retrieved from: https://lalgbtcenter.org/rise/about-rise/youth-and-family-services.
- Makadon, H., Mayer, K., Potter, J., & Goldhammer, H. (2015). The Fenway guide to lesbian, gay, bisexual, and transgender health (2nd ed.). Philadelphia, PA: American College of Physicians.Google Scholar
- Mallon, G. P. (2011). Permanency for LGBTQ youth. Protecting children. A Professional Publication of American Humane Association, 26, 49–57.Google Scholar
- Mayo, J. B., Jr., & Sheppard, M. (2012). New social learning from two spirit Native Americans. Journal of Social Studies Research, 36, 263–282.Google Scholar
- Phelan, M.T. (2016). LGBTQ youth in foster care focus of SSW institute grant award. University of Maryland Baltimore News. Retrieved from: http://www.umaryland.edu/news/archived-news/november-2016/newspressreleaseshottopics/lgbtq-youth-in-foster-care-focus-of-ssw-institute-grant-award.php.
- Q Card Project. (2018). The Q Card: Empowering queer youth in healthcare. Retrieved from http://www.qcardproject.com/.
- Ramaswamy, R., Phillips, S., McGovern, G., & Akiva, T. (2013). Ask, listen, encourage. Ypsilanti, MI: The Forum for Youth Investment.Google Scholar
- Rosario, M., Schrimshaw, E. W., & Hunter, J. (2011). Different patterns of sexual identity development over time: Implications for the psychological adjustment of lesbian, gay, and bisexual youths. Journal of Sex Research, 48, 3–15. https://doi.org/10.1080/00224490903331067.CrossRefPubMedPubMedCentralGoogle Scholar
- Ruth Ellis Center. (2018). Family preservation. Retrieved from: http://www.ruthelliscenter.org/what-we-do/family-preservation/.
- Ryan, C. (2009). Supportive families, healthy children: Helping families with lesbian, gay, bisexual & transgender children. San Francisco, CA: Family Acceptance Project, Marian Wright Edelman Institute, San Francisco State University.Google Scholar
- Ryan, C. (2010). Engaging families to support lesbian, gay, bisexual, and transgender youth: The Family Acceptance Project. The Prevention Researcher, 17(4), 11–13.Google Scholar
- Ryan, C., & Diaz, R. (2005, Feb). Family responses as a source of risk and resiliency for LGBT youth. Washington, DC: Paper presented at the Child Welfare League of America Preconference Institute.Google Scholar
- Salazar, A. M., McCowan, K. J., Cole, J. J., Skinner, M. L., Noell, B. R., Colito, J. M., ... Barkan, S. E. (2018). Developing relationship building tools for foster families caring for teens who are LGBTQ2S. Child Welfare, 96, 75–97.Google Scholar
- Scourfield, J., Roen, K., & McDermott, L. (2008). Lesbian, gay, bisexual and transgender young people's experiences of distress: Resilience, ambivalence and self-destructive behaviour. Health & Social Care in the Community, 16, 329–336. https://doi.org/10.1111/j.1365-2524.2008.00769.x.CrossRefGoogle Scholar
- Snapp, S. D., Watson, R. J., Russell, S. T., Diaz, R. M., & Ryan, C. (2015). Social support networks for LGBT young adults: Low cost strategies for positive adjustment. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 64, 420–430. https://doi.org/10.1111/fare.12124 <reference masked for blind review>.CrossRefGoogle Scholar
- Storer, H. L., Barkan, S. E., Sherman, E. L., Haggerty, K. P., & Mattos, L. M. (2012). Promoting relationship building and connection: Adapting an evidence-based parenting program for families involved in the child welfare system. Children and Youth Services Review, 34, 1853–1861. https://doi.org/10.1016/j.childyouth.2012.05.017.CrossRefGoogle Scholar
- Substance Abuse and Mental Health Services Administration. (2015). Ending conversion therapy: Supporting and affirming LGBTQ youth. Rockville, MD: Author. Retrieved from: https://store.samhsa.gov/shin/content/SMA15-4928/SMA15-4928.pdf.
- Sylvia Rivera Law Project. (n.d.). Fact sheet: Transgender & gender nonconforming youth in school. Available from https://srlp.org/resources/fact-sheet-transgender-gender-nonconforming-youth-school/.
- The Trevor Project. (2017). Trevor Support Center glossary key terms. Retrieved from http://www.thetrevorproject.org/pages/glossary.
- Trevor Support Center. (2017). Glossary. Retrieved from https://www.thetrevorproject.org/trvr_support_center/glossary/#sm.0000hqms1kow2dwxpv417qctc48vo.
- U.S. Centers for Disease Control and Prevention. (2016). Gay and bisexual men’s health. Retrieved from https://www.cdc.gov/msmhealth/mental-health.htm.
- University of Wisconsin-Milwaukee Lesbian, Gay, Bisexual, Transgender Resource Center. (2018). Gender pronouns. Retrieved from https://uwm.edu/lgbtrc/support/gender-pronouns/.
- Watson, R. J., Grossman, A. H., & Russell, S. T. (2016). Sources of social support and mental health among LGB youth. Youth & Society, 1–19.Google Scholar
- Wilber, S., Ryan, C., & Marksamer, J. (2006). CWLA best practice guidelines: Serving LGBT youth in out-of-home care. Washington, DC: Child Welfare League of America.Google Scholar
- Wilson, B. D. M., Cooper, K., Kastanis, A., & Nezhad, S. (2014). Sexual and gender minority youth in foster care: Assessing disproportionality and disparities in Los Angeles. Los Angeles, CA: The Williams Institute, UCLA School of Law.Google Scholar
- Woronoff, R., Estrada, R., & Sommer, S. (2006). Out of the margins: A report on regional listening forums highlighting the experiences of lesbian, gay, bisexual, transgender, and questioning youth in care. Washington, DC: Child Welfare League of America and Lambda Legal Defense & Education Fund.Google Scholar
- Y.O.U.T.H Training Project, Bay Area Academy of San Francisco State University (Center for Digital Storytelling). (2005). Breaking the silence [film series]. Available from https://vimeo.com/130559696.