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Senators to Rachel Levine: Issue guidance on mental health for trans youth

New instructions sought as more than half of trans youth contemplate suicide

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Sen. Chris Murphy (left) is leading the call on Assistant Secretary of Health Rachel Levine to offer guidance on trans health care.

Sen. Chris Murphy (D-Conn.) is leading a group of senators who are urging Assistant Health Secretary Rachel Levine, the first openly transgender person to win Senate confirmation as a presidential appointee, to issue new guidance on mental health care needs for trans youth.

In a letter dated Sept. 30 and obtained Tuesday by the Washington Blade, the senators make the case current standards are insufficient for trans and gender expansive, or TGE, adolescents, including exploring, non-binary, agender, genderfluid and queer youth.

“Our goal is to help mental health providers offer the best care they can to the nationā€™s TGE youth without a delay in treatment,” the letter says. “The focus of this request is for the pressing needs of hospital or residential care even as we recognize the need for guidance across all settings of mental health care.”

Specifically, the senators call on the Behavioral Health Coordinating Council, or BHCC, and experts in the field of adolescent trans care to offer guidance on best practices for inpatient mental health care among these youth.

The senators address the letter to Levine, who in addition to being trans has a background in care for adolescent youth, and Miriam Delphin-Rittmon, assistant secretary for mental health and substance use.

Cited in the letter are findings from the Trevor Project, an organization that supports LGBTQ youth, which determined more than half of trans and non-binary youth seriously contemplated killing themselves in 2020.

“While behavioral health and pediatric organizations have published resources regarding TGE health care, we have heard from hospital providers they are seeking guidance on best practices for serving gender diverse youth in community residential and inpatient mental health settings,” the letter says.

The seven senators who signed the letter along with Murphy are Jeff Merkley (D-Ore.), Ben Ray Lujan (D-N.M.), Sherrod Brown (D-Ohio), Tammy Baldwin (D-Wis.), Tina Smith (D-Minn.) and Richard Blumenthal (D-Conn.).

An HHS spokesperson for Levine’s office, in response to the letter, told the Blade: “We have received the letter and will be reviewing it.”

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South America

Argentine authorities charge 10 police officers with murdering transgender woman

Sofia FernƔndez brutally killed on April 11, 2023

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Mabel Valdez demands justice for her sister, Sofia FernƔndez (Courtesy photo)

Argentine authorities have arrested 10 police officers and charged them with murdering a transgender woman in 2023.

In the historic development in the fight for LGBTQ justice in the country, the officers who were arrested on May 1 face murder and hate crime charges in connection with Sofia FernĆ”ndez’s brutal death on April 11, 2023. The case has uncovered not only entrenched institutional violence, but also the ongoing struggle against impunity for hate crimes.

The initial investigation, which began last September, faced numerous obstacles, with only three points of expertise completed out of the 16 required for a formal indictment. Ignacio Fernandez, a lawyer who represents Sofia FernĆ”ndez’s family, told the Washington Blade “the lack of confidence in the initial prosecutor and the need to recuse him marked the beginning of an arduous but vital legal battle.”

Ignacio FernƔndez described the long process to unravel the truth behind the brutal murder.

The legal and forensic teams faced numerous challenges that included coordination with gender-specialized prosecutors to the meticulous analysis of thousands of pieces of data on seized cell phones.

“The forensic report revealed the gruesome nature of the crime; Sofia was killed by asphyxiation with a piece of mattress and her own underwear, in addition to suffering beatings and physical torture,” Ignacio FernĆ”ndez told the Blade. “The investigation also highlighted the alleged involvement of police officers in the crime, which triggered intense scrutiny of the conduct of law enforcement.” 

The indictment, according to Ignacio Fernandez, “not only covers the triple homicide, but also the cover-up and falsification of documents by seven other police officers.” 

“The application of a gender perspective in the judicial process has been crucial, underlining the importance of recognizing and addressing violence directed towards transgender people,” he added.

Ignacio FernĆ”ndez represents Sofia FernĆ”ndez’s family (Photo courtesy of Ignacio FernĆ”ndez)

The road to justice, however, has been far from smooth. 

Despite the arrests, defense lawyers have requested the dismissal of certain charges, arguing the lack of hearings with the victim and rulings that could be questionable in their gender-specific perspective.

Sofia FernĆ”ndez’s family, fearful for her safety, hopes the defendants will remain in pre-trial detention during the judicial process. They also yearn for a speedy and fair trial, aware that prolonged time may undermine the search for truth and justice.

Ignacio FernĆ”ndez indicated “the inaction of the Ministry of Women of the province of Buenos Aires” is serious because “with Estela Diaz at the head, it is added that the defense lawyers of all the police officers charged and with a very clear conflict of interest are from the Directorate of Police Legal Counsel of the Ministry of Security of the province of Buenos Aires.”

Although the judicial investigation could take between two and four months, with possible delays due to legal appeals, it is estimated the trial could be delayed at least another year. The fight for justice, in the meantime, continues with the hope that Sofia Fernandez’s case will set a precedent in the fight against transphobic violence and impunity in Argentina.

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Politics

HRC invests $15 million in six battleground states ahead of November elections

Group made announcement on Monday

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Human Rights Campaign President Kelley Robinson (Washington Blade photo by Michael Key)

The Human Rights Campaign will target a record-high 75 million pro-LGBTQ voters nationwide with a public education and mobilization campaign ahead of the 2024 elections, which includes a $15 million investment in six key battleground states, the group announced on Monday.

The initiative will focus on voters in states like Pennsylvania, Arizona, Michigan, Wisconsin, Georgia, and Nevada with “hired staff, field efforts, events, paid advertising, mobilization, and grassroots engagement,” HRC wrote in a press release announcing the campaign, which is titled “We Show Up: Equality Wins.”

HRC defines Equality Voters as constituents who are “united by the advancement of LGBTQ+ equality, and are younger, more racially diverse, and more female than the general electorate.”

Among those who would vote for third-party candidates if the election were held today ā€” 22 percent, or 16.5 million people ā€” survey results show half would support President Joe Biden if they reach the understanding that their third-party vote would support Donald Trump’s bid for the White House.

Along with re-electing Biden and Vice President Kamala Harris, HRC’s campaign will work “to defeat escalating anti-trans attacks” and “electing historic LGBTQ+ and pro-equality candidates down-the-ballot,” the group wrote.

HRC will support LGBTQ candidates in California, Texas, New York, and Delaware with the aim of helping to elect a pro-equality majority in the U.S. House of Representatives. Ā 

ā€œTrump and his MAGA allies are promising a hate-filled agenda that hurts everyone who doesnā€™t look and live like them,” HRC President Kelley Robinson said. “They think they can bully and scare us and take away our fundamental freedoms. But the LGBTQ+ community has won these hard fights before ā€” and we refuse to go back.”

HRC noted “Trump has promised to not just undo all the progress made by the Biden-Harris administration; but to erase LGTBQ+ people from federal law, further dismantle access to health care for transgender people, and dictate curriculum for school children.”Ā 

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U.S. Supreme Court

Supreme Court declines to hear lawsuit against Montgomery County schools gender guidelines

4th Circuit last August dismissed parents’ case

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U.S. Supreme Court (Washington Blade photo by Michael Key)

The U.S. Supreme Court on Monday declined to hear a lawsuit against Montgomery County Public Schools guidelines that allow schools to create plans in support of transgender or gender nonconfirming students without their parents’ knowledge or consent.

Three parents of students in the school district ā€” none of whom have trans or gender nonconfirming children ā€” filed the lawsuit. 

A judge on the 4th U.S. Circuit Court of Appeals last August dismissed the case. The plaintiffs appealed the decision to the Supreme Court.

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