Vanderbilt Medical Center opening ‘transgender health’ clinic

The Vanderbilt University Medical Center (VUMC) will open a new clinic this month that caters exclusively to “transgender health.”

“The multispecialty clinic provides comprehensive health care services for transgender patients age 18 and older allowing them to receive their care in one location, including primary care and subspecialty consultations with endocrinologists, mental health experts, and surgeons,” VUMC announced Tuesday, noting that services offered at the clinic will include “hormone therapy, lab monitoring, and pre- and post-operative guidance.”

The clinic also “plans to add a mental health provider” to supplement those services, but will not have one at the time of its opening.

When it opens on August 24, the clinic will reside in VUMC’s established walk-in clinic in Tennessee and operate primarily by appointment on Friday afternoons from 1:00-5:00 p.m. However, Focus Middle Tennessee reports that the center plans to move to its own location in early 2019, which will allow it to expand its hours.

Friday afternoon clinics “will be reserved specifically for transgender health care,” but VUMC notes that medical director Shayne Sebold Taylor, MD will “provide comprehensive primary care to LGBT patients during regular clinic hours, Monday through Friday, offering preventive medicine such as immunizations, HIV prevention, and cancer screening with special attention given to nutrition, healthy lifestyle, and chronic disease management. “

A federal judge has ruled that an Indiana school district must allow a transgender student to use the bathroom that corresponds with his gender identity.

Judge William Lawrence in Indianapolis issued a preliminary injunction on Friday requiring the Evansville Banderburgh School Corp. (EVSC) to allow a transgender high school student to use male bathrooms, The Courier & Press reported on Monday.

The student, identified by his initials, J.A.W., filed a lawsuit through the American Civil Liberties Union (ACLU) in February.

J.A.W. argued that the school district was violating his rights under the Equal Protection Clause of the 14th Amendment and Title IX when he was told he had to use either the women’s restrooms or a private bathroom near the nurse’s office.

The student, who was born female, was diagnosed with gender dysphoria and prescribed hormone medications, according to the newspaper.

He testified in a July 20 hearing that the school was very accommodating when he approached them with other requests, including how he would be addressed.

The high school student, however, was allegedly told he could be disciplined for using male restrooms.

EVSC attorney Pat Shoulders said during last month's hearing that a child’s birth certificate is used to determine bathroom usage, something he called “an objective standard.”

Changing that policy “would result in chaos,” Shoulders said at the hearing, adding that the student could use the male bathrooms if his legal documentation was changed from female to male.

The student was born outside Indiana in a state that will not change the gender identification on a birth certificate without documented surgery, the newspaper noted.

The ACLU argued that transgender students can face increased bullying if they are denied access to the bathroom that corresponds with their gender identity. Some students may avoid using the restroom entirely throughout the school day, the group said.

The judge agreed and found that J.A.W.’s claims of discrimination were “likely to prevail.”

“The likely negative emotional consequences of being denied access to the boys’ restrooms at school would constitute irreparable harm to J.A.W.,” Lawrence wrote in his ruling.

The student is slated to graduate in December.

Shoulders told the newspaper that he will appeal the temporary injunction.

“This ruling pertains to one student and one student only out of the 2,300 who will begin the school year on Wednesday,” Shoulders said. “The EVSC will continue as it has in the past to comply with Indiana law and Indiana Department of Education regulations."

"All federal statutes as interpreted by the U.S. Justice Department and the U.S. Department of Education. All of which seem to suggest that sex is determined biologically not psychologically," he added.

The Trump administration announced last year that it was rolling back protections extended under the Obama administration that allowed children to use school bathrooms and other facilities that correspond to their gender identities.

Lawrence’s ruling came days after a federal judge in Oregon ruled that transgender students have the right to use restrooms based on their gender identity.

A Warren County judge is being sued over allegations he's not granting name changes to kids who are transgender.

The plaintiffs in a new federal lawsuit claim Judge Joseph Kirby is violating the constitutional rights of their transgender children by not granting name changes.

 

For people who are transgender, a legal name change is the first step in changing things like a driver's license, passport or college application. The attorneys involved in the suit claim this is usually a "rubber stamp" process, but it has become more complicated for transgender teens.

"Quite simply, this is a violation of the constitutional rights of the plaintiffs in this case, by treating their children differently because of their transgender status," said attorney Josh Langdon.

The Shaul family found themselves pulled into the fight in order to protect their child. They have filed for a name change, but their hearing has not taken place yet.

"By the denial of this, it's another step of the struggle that he deals with every single day," said Jennifer Shaul.

The Whitaker family had a hearing in front of Judge Kirby, and their request for a name change was denied.

"This should have been a private family matter. Instead, we feel our rights were violated," said Kylen Whitaker.

Both families, along with a third, unnamed family, are part of a federal lawsuit filed against Judge Kirby.

"The process for me is not just defending our child, but to raise awareness for other families and children that might be going through this," Whitaker said.

What has been a private journey of learning and acceptance for these parents and their children is now posed to become a legal journey through federal court.

"I'm very proud of my child, and I'll do anything in the world for them to succeed as long as they feel they're doing the right thing," Whitaker said.

The lawsuit specifically points out the higher risk of victimization, anxiety, depression and suicide for transgender teens.

Members of both families say they and their children have not come to this decision easily. It has involved therapy and working with doctors. Both said they are sure it's not a phase their children are going through.

"Honestly, I know this sounds kind of sad, but it's a saying that helps me – I'd rather have an alive son than a dead daughter," Shaul said.

The next step is for a federal judge to set a hearing date. The plaintiffs have asked for an expedited hearing.

Ohio’s children and youth who are transgender, gender diverse or questioning their gender identities should be able to go to school to learn, just like every other student.

Decades of research teaches us that all students need understanding, support and acceptance in order to thrive and grow into healthy and productive adults. Legislation introduced in the Ohio House, House Bill 658, would limit the ability of school teachers and school-based mental health professionals, such as counselors, social workers and school psychologists, to do what is in the best interests of their students, specifically those students who identify as transgender or gender diverse or who are still questioning their gender identities.

Due to the stigma, discrimination and prejudice that these students face in their families, schools and other community settings, research has shown that transgender and gender-diverse children and youth are more likely to consider suicide and experience anxiety and depressive symptoms than their non-transgender peers. The proposed legislation would likely introduce additional harm to a population of young people who are already at heightened risk for adverse outcomes. It also would limit the ability of school personnel to provide supportive school environments where transgender and gender-diverse students can succeed academically and socially.

HB 658 would make it more difficult for transgender, gender-diverse and questioning youth to get the support they need in schools and from mental health professionals, medical professionals and other social service providers. As the bill states, any “government agent or entity” (e.g., public school teacher, counselor, social worker) who provides “treatment” to a child or adolescent who exhibits gender dysphoria (i.e., discomfort with their sex assigned at birth), without the notification and consent of parents or guardians, can be charged with a felony. As noted in the text of the bill, “treatment” includes education, such as providing a student with information about what it means to be transgender or where to find help.

The text of the bill referencing “treatment for gender dysphoria” may lead people to conflate medical interventions with psychosocial support. Indeed, for many transgender, gender-diverse, and questioning youth, treatment under the age of 18 involves social transitioning (for example, use of preferred pronouns and name) or reversible medical interventions (e.g., prescriptions that delay puberty). Research has revealed that these types of reversible interventions help transgender youth thrive; indeed, when provided with these treatments, most of the differences previously documented between transgender and cisgender (those not transgender) youth disappear (for example, depression, suicide risk). Ohio parental consent is already required by law for a minor to receive gender-affirming medical and mental health treatment. Therefore, this bill is not necessary and instead would likely further the isolation and stigma experienced by transgender and gender-diverse youth.

I believe that most Ohioans would not support a law that would keep a school-based mental health professional from talking to a child or adolescent about possible gender-related distress that student might be experiencing. Beyond public disagreement, the ethical principles of school counselors, school psychologists and social workers, among others would be compromised by this potential law.

Karla Anhalt, a licensed psychologist, noted that the National Association of School Psychologists’ Principles for Professional Ethics specifically states that ”[School psychologists] do not share information about the sexual orientation, gender identity, or transgender status of a student (including minors) ... without that individual’s permission.” Acceptance and support play a critical role in reducing negative health outcomes for transgender and gender-diverse youth. HB 658 would make it more difficult for public school employees to do their jobs, and indeed, threatens them with criminal prosecution for doing so.

This past May, the Michigan Civil Rights Commission decided that the state’s ban on discrimination on the basis of sex allowed them to investigate discrimination against LGBTQ people.

Now the Republican attorney general of the state issued a legal opinion declaring the Commission’s decision “invalid.”

Attorney General Bill Schuette’s opinion said that the Commission overstepped its authority in May.

The Commission is allowed to interpret state law, but its interpretation is “invalid because it conflicts with the original intent of the Legislature as expressed in the plain language.”

He said that the Commission’s authority “cannot be used to change the statute or to enforce the statute in a way that conflicts with the law’s plain meaning.”

A spokesperson for Schuette said that his opinion is binding on state agencies, but some LGBTQ advocates disagree.

“Once again LGBT Michiganders are going to be the only people in our state who don’t have access to civil rights laws,” said Stephanie White of Equality Michigan. “And that, of course, will be a tragedy.”

White said that Equality Michigan disagrees with his opinion, “and so do the top legal minds in the state who had looked at this.”

The Commission’s interpretation of state law falls in line with several federal court decisions that interpret anti-LGBTQ discrimination as a form of sex discrimination.

Federal law has banned many forms of discrimination on the basis of sex for decades, and courts have already interpreted these bans to include discrimination on the basis of sex stereotypes. Firing someone just because they’re a woman is illegal, and so is firing her if she’s a woman who doesn’t present as feminine enough.

The argument then goes that firing a woman who is in a relationship with woman is discrimination if the employer would not have fired a man who is in a relationship with a woman.

Jay Kaplan of the ACLU of Michigan said accused Schuette of cherry-picking federal cases to cite in his opinion and ignoring a key decision from the 6th U.S. Circuit Court of Appeals, which covers Michigan.

In March, that court ruled that a man who fired a transgender woman had engaged in sex discrimination under Title VII, not because he fired the worker for being a woman, but because he fired her for failing to live up to sex stereotypes.

“He wanted to reach the conclusion he reached,” Kaplan said.

Schuette cited the legislature’s refusal to pass bills that would have added sexual orientation and gender identity to the state’s laws.

“This is about an unelected commission making law when the Constitution expressly gives that ability only to the Legislature,” said a spokesperson for Schuette.

Kaplan said that it’s “questionable” whether Schuette’s opinion is binding on the Commission.

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