Ban SOGI change efforts
Recommendation
Congress should end harmful and ineffective sexual orientation and gender identity (SOGI) change efforts by passing legislation that bans SOGI change efforts or provides supportive resources. Additionally, licensed mental health and substance use disorder (MH/SUD) providers should be banned from engaging in SOGI change efforts, federal funds should be restricted, and SOGI change efforts should be defined as consumer fraud.[1]
Background/summary
According to the Substance Abuse and Mental Health Services Administration, “SOGI change efforts, commonly referred to as ‘conversion therapy’ or ‘reparative therapy,’ are practices that aim to suppress or alter an individual’s sexual orientation or gender to align with heterosexual orientation, cisgender identity, and/or stereotypical gender expression.”[1] SOGI change efforts have been linked to increased risk for psychological distress, suicidality, and depression.[1] About 698,000 LGBTQ+ adults have been subject to SOGI change efforts, with about half subject to the efforts in adolescence.[2] SOGI change efforts have been performed by licensed mental health providers as well as unlicensed providers and faith leaders.[3]
The Biden Administration has called on the Department of Health and Human Services (HHS) to ensure that federally funded health services are not used for SOGI change efforts.[4] The Therapeutic Fraud Prevention Act, as introduced in the 118th Congress, would ban SOGI change efforts and identify it as a fraudulent practice.[5][6] While several states have banned SOGI change efforts, federal legislation should be passed to ban the harmful practice, restrict federal funding, and define the efforts as consumer fraud.[1][3]
citations
1. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. Moving Beyond Change Efforts: Evidence and Action to Support and Affirm LGBTQI+ Youth. Last Updated 2023.
2. Mallory, Christy, Taylor N.T. Brown and Kerith J. Conron. “Conversion Therapy and LGBT Youth.” UCLA: School of Law, WIlliams Institute. Last Updated June 2019.
3. Fish, Jessica N., and Stephen T. Russell. “Sexual Orientation and Gender Identity Change Efforts are Unethical and Harmful.” American Journal of Public Health, 110(8), 1113–1114. Last Updated August 2020.
4. Advancing Equality for Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Individuals. Exec. Order No. 14075, 3 C.F.R. Page. Last Updated June 15, 2022.
5. Therapeutic Fraud Prevention Act. S. 2176 (Murray-Booker) and H.R. 4340 (Lieu-Casten), 118th Congress (2023-2024). Last Accessed July 28, 2023.
6. “Rep Lieu, Sen Murray And Sen Booker Re-Introduce Federal Conversion Therapy Ban.” 2023. Congressman Ted W. Lieu. Last Accessed June 26, 2023.