204 Guidelines on Working With Transgender, Gender Diverse, and Intersex Youth

Pervasive rejection and discrimination contribute to the overrepresentation of transgender, gender diverse, and intersex youth in youth confinement facilities. These youth are extremely vulnerable and experience higher levels of sexual abuse, harassment, and mistreatment, particularly when guidance on how to protect them is lacking. Youth who do not receive gender-affirming support or are forced to hide their gender identities face elevated mental health risks. Providing gender affirming care is critical.