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New SAMHSA Publication: Moving Beyond Change Efforts: Evidence and Action to Support and Affirm LGBTQI+ Youth

April 2, 2023

Just released, Moving Beyond Change Efforts: Evidence and Action to Support and Affirm LGBTQI+ Youth provides a comprehensive research overview of effective and ineffective therapeutic practices related to youth of diverse sexual orientation and gender identity.

SAMHSA’s new report:

  • Provides an updated evidence-based roadmap for supporting and affirming LGBTQI+ youth.
  • Comprehensively reviews key scientific studies, guidelines from major medical and other professional associations, and implications for clinical care.
  • Offers guidance and highlights resources for health care providers, educators, families, community leaders, and others — to reduce behavioral health inequities facing LGBTQI+ youth and their families.
  • Explores policy levers and future research areas that can improve the behavioral health of LGBTQI+ youth.


Significant research over the past several years lays to rest any questions about sexual orientation and gender identity (SOGI, pronounced “SO-gee”) change efforts — commonly known as “conversion therapy.” It is harmful, ineffective, inappropriate, and should never be provided to youth.

Furthermore, new research supports gender-affirming care for youth.

In 2022, SAMHSA explored the themes of this report at several educational events, including presentations at the Midwest LGBTQ+ Health Symposium, the GLMA Annual Conference on LGBTQ Health, and:

Moving Beyond Change Efforts cover image
Contributing Center(s):