Mental Health Service Delivery to Sexual Minority and Gender Non-Conforming Students in Schools: A Winnicottian Approach

Current research highlights the increased risk factors that sexual minority (lesbian, gay, bisexual) and gender minority (transgender/gender non-conforming) students face as compared to their heterosexual and cisgender peers. These risk factors include higher rates of depression, suicide, substance use, school dropout, sexually transmitted infections, experiences with bullying on school campuses and increased risk of homelessness. Although this research has aided our understanding of the needs and risks of this population of youth, few articles have emerged from these data which offer a comprehensive theoretical approach to work clinically with these adolescents in school-based settings. This article explores how school mental health staff can address the behavioural health needs of sexual and gender minority students through the adoption of a Winnicottian theoretical approach. With an intensive focus on academic achievement, schools have historically been limited in their usage of evidence-based data to create programs which adequately address the mental health needs of student populations on their campuses. Yet, sexual and gender minority students are likely to be present in almost every school in the country. Schools can serve as gateways to mental health access and can offer innovative and culturally responsive practices across racial, ethnic, class, and geographic lines. As the single largest holders of the student population in the United States, schools have the ability to play a significant role in mental health service provision for sexual and gender minority youth.     

Assessing School Climate Among Sexual Minority High School Students

ABSTRACT

Gay, lesbian, bisexual, transgender, questioning, and intersex (i.e., sexual minority) youth are often targets of aggression because of their sexual identity, both in and out of schools. Literature on school-related aggression toward sexual minority youth often relies on quantitative surveys or retrospective studies. Little non-retrospective research has been done with this population investigating the nature of bullying, school climate, and the effects of being a sexual minority youth in schools. Sixteen sexual minority high school youth participated in face-to-face, in-depth interviews. Results for the themes from these interviews are presented in four categories: Sexual minorities' overall perspective on their school climate, the nature of aggression in schools against sexual minorities when present, the characteristics of the victims and bullies, and the consequences of being a sexual minority in schools. These youth's perspectives provide support for existing literature on the nature of bullying while providing additional insights into the nature and deficiencies of the resources available to them at schools. Ideas for future research with sexual minority youth in school-based settings also are included.     

School and Community Service Providers' Perspectives on Gay,Lesbian and Questioning Bullying

ABSTRACT

Existing literature details many forms of harassment against sexual minority youth, including those behaviors that are present in schools. School and community service providers, such as counselors and psychologists, often witness first-hand the bullying that occurs in schools. Through their direct contact with sexual minority youth, they remain knowledgeable of current school environments facing these youth. Their perspectives on bullying of this population, however, are lacking. Sixteen school and community service providers participated in face-to-face, in-depth interviews regarding their perceptions and observations of general bullying and specific bullying of GLBTQI youth. The principles of grounded theory are used to analyze the data, which resulted in themes on bullying of GLQ youth. Results on these themes are presented in six main categories: Types and Locations of Bullying, Characteristics of Victims, Characteristics of Bullies, Effects of Bullying, Victim Response, and “Non-Targets.” The perspectives of the service providers give support for existing literature on the nature of bullying of sexual minority youth, and provide anecdotal information on victim approaches seen to be effective at combating or preventing sexual minority bullying.     

Taking Over the School: Student Gangs as a Strategy for Dealing with Homophobic Bullying in an Urban Public School District

SUMMARY

This article discusses the African American lesbian gang, DTO (Dykes Taking Over), as an example of a student-initiated strategy for dealing with homophobic bullying in an urban American school district. A series of alleged incidents of same-sex sexual harassment by gang members on heterosexual students illustrate how lesbian/bisexual threat was used by these women to re-establish a power differential after they experienced bullying based on their sexuality and gender expression. A series of alleged incidents of same-sex sexual harassment by gang members on female heterosexual students illustrate how gay/bisexual threat was used by these women to re-establish a power differential after they experienced bullying based on their sexuality and gender expression. This article considers how these students were reacting, perhaps preemptively and in retaliation, to homophobia in their schools, particularly from their peers, forming gangs and using same sex sexual harassment of other students as a weapon against homophobia and a means by which they could assert themselves in their masculinities, not unlike their male peers who experience same sex bullying and/or harassment and use anti-female sexual harassment to assert their masculinity. Intersections of gender, race, ethnicity, class, and sexuality frame several major questions that arise from these considerations, including: Might their masculinities be uniquely related to their performances of bullying? (How) could homophobic bullying be framed with sexual harassment in both policy and practice? Would this framing benefit or harm students who are bullied? How would/does that change the way we can handle it in schools (i.e., school policies), if at all? Implications for school-based practitioners are discussed with regard to how these students' behavior might be the result of a lack of programs and services available for LGBTQ and same gender loving youth both in and after school.     

Harassment Due to Gender Nonconformity Mediates the Association Between Sexual Minority Identity and Depressive Symptoms

The visibility of a stigmatized identity is central in determining how individuals experience that identity. Sexual minority status (e.g., identifying as gay, lesbian, or bisexual) has traditionally been identified as a concealable stigma, compared with race/ethnicity or physical disability status. This conceptualization fails to recognize, however, the strong link between sexual minority status and a visible stigma: gender nonconformity. Gender nonconformity, or the perception that an individual fails to conform to gendered norms of behavior and appearance, is strongly stigmatized, and is popularly associated with sexual minority status. The hypothesis that harassment due to gender nonconformity mediates the association between sexual minority status and depressive symptoms was tested. Heterosexual and sexual minority–identified college and university students (N = 251) completed questionnaires regarding their sexual minority identity, experiences of harassment due to gender nonconformity, harassment due to sexual minority status, and depressive symptoms. A mediational model was supported, in which the association between sexual minority identity and depressive symptoms occurred via harassment due to gender nonconformity. Findings highlight harassment due to gender nonconformity as a possible mechanism for exploring variability in depressive symptoms among sexual minorities.     

Identity, refugeeness, belonging: experiences of sexual minority refugees in Canada

This article explores the results of a qualitative community-based research project on the intersectional experiences of sexual minority refugees living in Canada. Undertaken between 2008 and 2010, this study examines sexual minority refugees' multifaceted experiences of migration, the refugee determination process, and settlement. Through an analysis of the interrelated themes of identity, refugeeness, and belonging, we hope to further investigate the ways in which Canadian refugee policies, social institutions, and dominant discourses contribute to the sociopolitical construction of sexual minority refugees. We conclude with an exploration of strategies for increasing protection of sexual minority refugees in Canada.     

Schools,Bullying, and Inequality: Intersecting Factors and Complexities with the Stratification of Youth Victimization at School

Bullying within United States (US) schools is a growing concern among parents, school officials and policymakers. In early 2011, the first‐ever White House Conference on Bullying Prevention was held in hope of addressing bullying within US schools. Although the social, political, and media attention is increasing, it is important to consider the complexities and disparities associated with school bullying. In this article, four of the wide array of influences that increase the vulnerabilities of youth to be a victim of bullying at school are reviewed: (i) race and ethnicity, (ii) being and immigrant, (iii) gender, and; (iv) sexual orientation. Understanding and acknowledging the inequalities associated with school bullying, as well as the policies implemented in response, is instrumental for the US’ efforts towards providing safe, healthy, and democratic learning environments.     

WHITE ENROLLMENT IN NONPUBLIC SCHOOLS, PUBLIC SCHOOL RACIAL COMPOSITION, AND STUDENT PERFORMANCE

This research note presents preliminary research into the relationship between the racial composition of public schools in school districts and the percentages of white students in nonpublic schools in those districts. Specifically, we ask two questions: Is the enrollment of whites in non‐public schools associated with minority predominance in public schools? Is there an association between the enrollment of whites outside of the public school system and the academic performance of students in the public school system? Using two‐ and three‐level hierarchical linear models, we find that school districts that have more whites in nonpublic schools tend to contain public schools with larger percentages of minority students. Further, at both the school and individual levels, achievement test scores tend to be lower in districts in which white students tend to be enrolled outside of the public school system. In addition, the achievement gap between white and minority students tends to be greater in districts with relatively more students in nonpublic schools. These findings are consistent with the argument that the withdrawal of white students from the public school system is negatively related to academic achievement because it tends to concentrate minority students in public schools.     

Bullied and Punished: Exploring the Links between Bullying and Discipline for Sexual and Gender Minority Youth

This study investigated connections between sexual and gender minority youths’ (SGMY) experiences with bullying victimization and their experiences with punishment. We interviewed 20 diverse adolescents (X = 18.45) about their experiences with bullying and school discipline. Using a qualitative mapping technique, we analyzed the pathways between victimization and punishment that emerged from our participants’ narratives. Our analyses revealed that among the adolescents who had experienced victimization related to their sexual orientation and/or gender identity (or expression) (n = 17), most of them (n = 15) had also experienced punishment connected to their victimization. We identified five pathways linking victimization and bullying. Further, we found that the majority of participants were navigating school contexts rife with pervasive and ongoing harassment and that adults ineffectively intervened and often compounded the harm experienced.     

Schools,Their Spatial Distribution and Characteristics,and Fertility Limitation*

This article investigates the complex relationship between various dimensions of women's educational context and their contraceptive use later in life. Using data from rural Nepal on all the schools that ever existed in one community, I create geographically weighted measures of school characteristics—specifically teacher and student characteristics—that capture exposure to the complete array of schools and investigate the direct relationship between these dimensions of school characteristics and contraceptive use. These analyses provide new information on the broader issue of how social context influences the adoption of innovative behaviors by exploring the wide-reaching effects of school characteristics on individuals. Findings show that the gender of teachers, the gender of other students, and the level of teacher education are all related to women's use of contraception; that increased exposure to these school characteristics throughout the study area, but not necessarily at the closest school, is related to higher rates of contraceptive use; and that school characteristics early in the life course can have long-term consequences for individual behavior.     

Attainment gap and responsible factors: a quantitative study in secondary schools in Cyprus

The population in Cyprus, a recent European Union member, has become much more heterogeneous during the past decade. Here, we examine the attainment patterns of minority and native students enrolled in six secondary schools from different cities in Cyprus, and identify factors responsible for these patterns. The combination of examined factors has not, to our knowledge, taken place in previous studies. Findings confirm that ethnic minority groups perform significantly lower than native students. In terms of aetiology, we show that ethnic background, gender, parental education, parental occupation, generation status, absenteeism and school minority concentration have a significant effect on student attainment.     

Minority faith schools as claims for cultural recognition? Two examples from England

This paper presents two cases of minority faith school claim-making in England and considers what supporters of the claims say about their hopes and intentions for the schools. The paper redresses a gap in the literature on minority faith school claims and on minority claim-making more generally, which has tended to present minority claims as expressions of specific religious group identities, whilst it has had little to say about what motivates individual claimants to mobilise in the name of such identities. From an in-depth study of individual positions in favour of the two faith schools, it is concluded that depicting these claims as primarily claims for identity recognition fails to attend to the multilayered ways in which these claimants discuss their orientations to the claims and the root causes they identify for making them.     

School connectedness in community and residential treatment schools: The influence of gender, grades, and engagement in treatment

This study compared perceptions of school connectedness to traditional community schools and residential treatment center (RTC) schools for youths between the ages of 12 and 18 receiving treatment within two RTCs. The influence of gender, report card grades, and engagement in treatment were also examined in relation to school connectedness in the RTC schools. Findings indicated that youths reported greater connectedness to the residential schools and that engagement in treatment led to higher levels of school connectedness while in residence. Results are discussed in the context of practices that may increase school connectedness in community and RTC schools.     

Teen Dating Violence,Sexual Harassment,and Bullying Among Middle School Youth: Examining Measurement Invariance by Gender

This study investigated measurement invariance by gender among commonly used teen dating violence (TDV), sexual harassment, and bullying measures. Data were collected from one cohort of seventh‐grade middle school students (N = 754) from four schools. Using structural equation modeling, exploratory and confirmatory factor analyses assessed measurement models and tested measurement invariance by gender for aggression measures. Analyses invoked baseline data only. Physical and psychological TDV perpetration measures achieved strict measurement invariance, while bullying perpetration demonstrated partial strict invariance. Electronic TDV and sexual harassment perpetration achieved metric/scalar invariance. Study findings lend validation to prior and future studies using these measures with similar populations. Future research should increase attention to measurement development, refinement, and testing among study measures.     

School Racial Composition Effects on Avoidance,Separatism, and Integrationist Attitudes of Adolescents*

Support for integration versus separatism and approach versus avoldance reactions among junior and senior high school students was examined in integrated and segregated schools. Two surveys of a panel of black and white students in selected Milwaukee public schools were conducted in the spring of 1974 and the spring of 1975. The approach-avoidance and integration-separatism dimensions emerged from a factor analysis of racial attitude items. Black students in all-black schools scored more on the avoidance end of the approach-avoidance dimension while the black students in the integrated schools scored more on the approach end. The black students in the all-black schools, however, tended to score on the integration end of the integration-separatism dimension while the black students in the integrated schools tended to score on the separatism end. The attitudes of the students in the all-black schools changed towards those in the integrated school during the year between interviews. Reasons for the changes are suggested and partially tested with additional analysis. White students in essentially all-white schools scored on the avoidance and separatism end of the two dimensions. White students in mixed Latin schools were more acceptant of the minority students than the white students in the mixed black schools.     

The push for transgender inclusion: Exploring boundary spanning in the gay–straight alliance

Gay–straight alliance (or gender‐sexuality alliance; GSA) is a high‐school based club aimed at providing a safer environment for sexual and gender minority youth as well as their straight allies. Yet, as a club historically rooted in addressing sexual orientation‐related concerns, less attention has been given to understanding the changing relational dynamics of internal GSA activities aimed at expanding membership boundaries through the promotion of transgender inclusivity. I address this by bridging existing scholarship on GSAs, social movements, and the sociology of culture to showcase the impact boundary‐spanning strategies are having on GSA mobilization, in‐group solidarity, and external political and social activism. My findings reveal that membership boundary negotiations around gender diversity issues are shifting the social landscape of these clubs. Emerging barriers that impede boundary‐spanning efforts are also highlighted and discussed. More broadly, I generate new theoretical insights into how boundary spanning can shape political and social activism as well as offer promising future research directions in this area.     

A Social Ecology of Bias-Based Bullying of Sexual and Gender Minority Youth: Toward a Conceptualization of Conversion Bullying

Homophobic bullying is pervasive and deleterious, and a source of extensive health and mental health disparities affecting sexual and gender minority youth (SGMY). Investigations conducted over the past two decades across the social ecology of SGMY indicate individual (e.g., gender), microsystem (e.g., schools), and exosystem level (e.g., community norms) factors associated with homophobic bullying. Emerging evidence at the macrosystem level demonstrates the powerful influence of laws, policies, and ideologies on the population health of sexual minority adults. Based on social ecological theory and emerging evidence at the macrosystem level, we advance a conceptualization of the religious social ecology of homophobic bullying and articulate the construct of conversion bullying, a form of bias-based bullying that may be unique to SGMY. Conversion bullying is manifested in the invocation of religious rhetoric and rationalizations in repeated acts of peer aggression against SGMY that cause harm, based on the premise that same-sex attractions and behaviors are immoral or unnatural and with implicit or explicit communication that one should change one's sexuality to conform to heteronormative ideals. We describe implications of conversion bullying for social work practice, education, social policy, and research.     

Male-to-Female Transgender Individuals Building Social Support and Capital From Within a Gender-Focused Network

ABSTRACT

The literature on male-to-female transgender myriad problems such individuals face in their day-to-day lives, including high rates of HIV/AIDS, addiction to drugs, violence, and lack of health care. These problems are exacerbated for ethnic and racial minority MTFs. Support available from their social networks can help MTFs alleviate these problems. This article explores how minority MTFs, specifically in an urban environment, develop supportive social networks defined by their gender and sexual identities. Using principles of community-based participatory research (CBPR), 20 African American and Latina MTFs were recruited at a community-based health care clinic. Their ages ranged from 18 to 53. Data were coded and analyzed following standard procedure for content analysis. The qualitative interviews revealed that participants formed their gender and sexual identities over time, developed gender-focused social networks based in the clinic from which they receive services, and engaged in social capital building and political action. Implications for using CBPR in research with MTFs are discussed.