Intersection of Trauma and Gender Diversity In Youth

This training will discuss the intersection of trauma and gender diversity. Individuals who identify as LGBTQ+ are at greater risk for exposure to trauma and adversity than their peers. This training defines these terms and provides some basic introductory tips for how to work with youth who identify at this intersection.

This training was created through Project ATTAIN, a SAMHSA funded five year grant. See this website for more details: https://www.dartmouth-hitchcock.org/psychiatry/project-attain 

Presenters

Kelly Smith, MSW, LICSW
Training Director, Project ATTAIN, Dartmouth Trauma Interventions Research Center

Kelly Smith, LICSW, has spent her 30+ year career working with children/families who have experienced abuse and neglect. Kelly has traveled the world working with children in orphanages and foster care, preparing them to be adopted by parents in the US. She has also worked in NH for 30 years as a therapist and consultant working with individuals and families with neurodevelopmental disabilities as a result of issues related to trauma, attachment, and loss. Kelly is the Director of Training for NH CASA (Court Appointed Special Advocates); Kelly works for the Dartmouth Trauma Interventions Research Center, training clinicians and staff across NH to work with individuals with a trauma history, neurodevelopmental disabilities, and/or gender diversity. Kelly has been with her spouse since 2000. They have six young adults that they have birthed, fostered, and supported through guardianship and/or have been a safe refuge to. Kelly absolutely loves the work she has had the privilege of doing for 30+ years.

Micah Peace Urquilla, BA
Consultant, Project ATTAIN, Dartmouth Trauma Interventions Research Center

Micah Peace Urquilla, BA, is a multiply Disabled community organizer, researcher, and educator from Louisville, KY. Micah is nearing a decade of service in the Disability community and has experience working with other Disabled folks across the lifespan in a wide variety of roles and settings at the local, state, and national levels, from the classroom to the community to the Hill. They are a founding member of the Kentuckiana Autistic Spectrum Alliance (KASA), a peer support and social group by and for Neurodivergent Adults serving Central Kentucky and Southern Indiana. Today, they work at the National Center for START Services, where they serve as Co-Investigator of a PCORI-funded Telehealth study and contribute to NCSS training & programming to uplift self-advocate voices & experiences. Micah's professional interests include participatory research, peer mentoring, and other forms of popular education, and the intersections between I/DD, systemic experiences of oppression or marginalization, and trauma. Micah holds a B.A. in Integrative Studies with concentrations in Organizational Leadership, Social Justice, and Psychology from Northern Kentucky University (NKU.)

1. Define gender diversity, transgender specific terms, and intersectionality.
2. Describe the impact of trauma on youth with gender diversity.
3. Promote more inclusive, affirming, and trauma-informed practices to support LGBTQ+ youth.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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Bibliographic Sources

• Visit our ATTAIN website for the most up to date resource list.
  https://www.dartmouth-hitchcock.org/psychiatry/project-attain-resources 
  
  
• Crenshaw, K. (1991). Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color. Stanford Law Review, 43(6), pp. 1241-1299.
  
  
• Corbett, B. A., Muscatello, R. A., Klemencic, M. E., West, M., Kim, A., & Strang, J. F. (2023). Greater gender diversity among autistic children by self-report and parent-report. Autism: The International Journal of Research and Practice, 27(1), 158–172.
  
  
• Felitti, V.J., & Anda, R.F. (2014). The Lifelong Effects of Adverse Childhood Experiences. In Chadwick’s Child Maltreatment: Sexual Abuse and Psychological Maltreatment, (Vol. 2, pp. 203-216). St. Louis, MO: STM Learning, Inc. 
  
  
• Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14, 245-258.
  
  
• Hawke, L. D., Hayes, E., Darnay, K., & Henderson, J. (2021). Mental health among transgender and gender diverse youth: An exploration of effects during the COVID-19 pandemic. Psychology of Sexual Orientation and Gender Diversity, 8(2), 180–187. 
  
  
• Substance Abuse and Mental Health Services Administration (2023). Practical Guide for Implementing a Trauma-Informed Approach. SAMHSA Publication No. PEP23-06-05-005. Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration.
  
  
• Strang, J. F., Chen, D., Nelson, E., Leibowitz, S. F., Nahata, L., Anthony, L. G., Song, A., et al. (2022). Transgender Youth Executive Functioning: Relationships with Anxiety Symptoms, Autism Spectrum Disorder, and Gender-Affirming Medical Treatment Status. Child Psychiatry and Human Development, 53(6), 1252–1265. 
  
  
• Strang, J.F., Knauss, M., van der Miesen, A., McGuire, J.K., Kenworthy, L., Caplan, R,. Freeman, A., et al. (2021). A Clinical Program for Transgender and Gender-Diverse Neurodiverse/Autistic Adolescents Developed through Community-Based Participatory Design. J Clin Child Adolesc Psychol, 50(6), 730-745. 
  
  
• APA Journal: Psychology of Sexual Orientation and Gender Diversity 
  2021, Volume 8, Issue 2 (Jun). Impact of COVID-19 on Sexual and Gender Minorities
  https://psycnet.apa.org/PsycARTICLES/journal/sgd/8/2 
  
  
• Ellie Krug (activist and speaker referenced)
  https://elliekrug.com/
  
  
• LGBTQ Family Acceptance Project 
  https://lgbtqfamilyacceptance.org/
  
  
• National Child Traumatic Stress Network
  https://www.nctsn.org/ 
  
  
• National SOGIE Center (Sexual Orientation and Gender Identity and Expression)
  https://www.sogiecenter.org/   
  
  
• Trevor Project 2023 National Survey on LGBTQ Youth Mental Health
  https://www.thetrevorproject.org/survey-2023/
  
  

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CE Office
Dartmouth Health
[email protected]

Mitigation of Relevant Financial Relationships

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