1 BRIEF - SAMHSA

Purpose of This BriefThis Practice BRIEF is for policymakers,administrators, and providers seeking to learnmore about (1) youth who are lesbian, gay,bisexual, transgender, questioning, intersex, ortwo-spirit (LGBTQI2-S) and (2) how to developculturally and linguistically competent programsand services to meet their needs and of Youth Who Are LGBTQI2-SAn estimated million adolescents who arelesbian, gay, or bisexual live in the United youth identify themselves as transgender,intersex, two-spirit, or questioning, or use otherterms (see Box 1).1 These youth frequentlyencounter numerous challenges and may feelisolated, alienated, depressed, and fearful as theyattempt to navigate their emerging awareness oftheir sexual and/or gender indicate that youth who are LGBTQI2-Sare at risk for a number of negative experiencesand outcomes associated with how others react totheir sexual orientation and/or gender ,3 Compared with other youth, youth who areLGBTQI2-S are two to three times more likely to attempt are more likely thantheir peers to suffer from depression and use orabuse who are LGBTQI2-S may also be morelikely to experience harassment from other youthand significant adults in their lives, and to be subjected to verbal, sexual, and physical abuse and other forms of trauma.

linguistic competence by administrators and providers is especially important because this population of youth is frequently misunderstood and underserved. Cultural and linguistic competency for this population of youth and their families requires inclusion of appropriate values, principles, policies, structures, behaviors, and attitudes ...

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