After Texas Gov. Greg Abbott ordered state officials in February to launch child abuse investigations targeting parents who helped their transgender kids get gender-affirming health care, a 14-year-old trans girl became so anxious about the prospect of losing access to her medications that she was pulled out of school and hospitalized for days. Some doctors and pharmacies around the state stopped offering teenagers life-saving puberty blockers and hormone treatments. A mental health provider in Austin abruptly withdrew care from a suicidal trans boy, leaving his parents to sleep on his bedroom floor night after night to ensure he didn’t kill himself. Many families fled the state.
Those are just some of the stories in a legal brief submitted to a state court last week on behalf of two LGBTQ-focused nonprofits and 13 Texas families with transgender kids. The families are begging the court to make permanent a prior temporary injunction prohibiting state officials from investigating parents under Abbott’s order. Although Texas’ Department of Family and Protective Services hasn’t yet ripped any trans children in Texas from their homes and sent them to foster care, the families argue its investigations have already had tragic consequences.
Since Abbott’s directive took effect, the Transgender Education Network of Texas (TENT), one of the nonprofits cited in the brief, has received at least 60 reports from families struggling to obtain health care for trans children. Some doctors reportedly denied prescriptions for kids at the onset of puberty, hoping that it might be legally safer to offer them treatment at a later point. The nonprofit is working with 27 families in two metro areas who could not obtain puberty blockers, reversible prescriptions that give trans kids a chance to explore their gender identity as they grow older while temporarily delaying the puberty changes in their body that could make their gender dysphoria worse. Equality Texas, the other nonprofit in the brief, says kids have been turned away by doctors or denied prescriptions at pharmacies in Houston, San Antonio, Dallas, and the city of Garland.
Families say they’re also afraid to get their trans children other types of health care, worried that the kids’ gender identity and medical history might become known to the hospital and be shared with state authorities. According to the brief, when one trans kid went to a hospital for emergency psychiatric treatment, hospital staffers reported the mother to state officials, who accused her of child abuse. In another case, a trans child almost slept in a hallway at a mental health facility because the facility, citing legal risks, didn’t want to admit the kid to a ward. TENT intervened.
“As a result of losing healthcare,” the families in the brief saw their kids experience “a variety of debilitating symptoms, including anxiety, depression, and thoughts of self-harm.” The 14-year-old girl I mentioned, identified as A.P., was so “paralyzed with anxiety” that she was pulled out of eighth grade and had to finish the academic year at home. A nonbinary teen identified as C was devastated when their school cited the governor’s order as a reason to rescind approval of a learning unit about nonbinary gender identities, which the teen had hoped would help bullies at school become more understanding. A 9-year-old started crying when their parents told them to no longer talk publicly about being trans. “The child has since expressed fear of being…put up for adoption, sharing the heartbreaking worry that ‘nobody would adopt me because I am trans,'” the brief says.
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