1. What You Need to Know About Transgender People in Custody

2. Basic etiquette and vocabulary tips “Transgender” most basic definition is people who wish to transition from one gender to another or have already done so (clinical term "transsexual") “Gender Identity Disorder” (GID) is the medical diagnosis. Offensive terms to avoid: “tranny” “he-she” “it” “shemale”

3. Medical treatment in custody Hormone therapy Mental health counseling Surgery

4. Hormone therapy Emerging area of law: if a medical professional has diagnosed the hormone therapy as medically necessary, then inmate will win right to prescription hormones. Lynch v. Lewis, 2015 WL 1296235 (D. Md. 2015) Same legal test as any other medical issue: The 8 th Amendment requires treatment if it is a serious medical need to which the prison is being deliberately indifferent.

5. Mental health counseling American Psychiatric Association American Psychological Association recommend individualized ongoing counseling for individuals diagnosed with Gender Identity Disorder. Same legal test as any other mental health issue: The 8 th Amendment requires treatment if there is a serious mental health need to which the prison is being deliberately indifferent.

6. Surgery Emerging area of law. California federal court ruled earlier this year that surgery CAN be required following medical diagnosis. Issue mooted by Governor granting inmate parole. Norsworthy v. Beard, 2015 WL 1500971 (N.D. Cal. 2015). Prior cases have rejected surgery requests.

7. Housing and PREA Concerns US Department of Justice regulations require case-by-case housing determination for transgender inmates. Need to balance Prison Rape Elimination Act vs 8 th Amendment claim for restrictive segregation Courts so far much more likely to defer to prison’s housing assignment decision.

8. Next Steps: Review US Department of Justice publication “Lesbian, Gay, Bisexual, Transgender and Intersex Persons in Custodial Settings” (2013) Review discrimination / harassment policies Review screening protocols with medical and mental health staff Learn more about transgender Nebraskans: www.aclunebraska.org/transvoices

9. 9 For more information, contact: Presenter Name: amiller@aclunebraska.org or read more on our website at: www.aclunebraska.org CLOSING EXAMPLE

10. Because Freedom Can’t Protect Itself aclunebraska.org facebook.com/aclunebraska @ACLUofNE