Case: Kosilek v. Nelson

1:92-cv-12820 | U.S. District Court for the District of Massachusetts

Filed Date: Nov. 11, 1992

Closed Date: 2002

Clearinghouse coding complete

Case Summary

On November 11, 1992, a transgender inmate at the Bristol County Jail, serving a life sentence, filed a pro se lawsuit in the U.S. District Court for the District of Massachusetts against the Sheriff of the Bristol County and others under 42 U.S.C. 1983. The plaintiff asked the court for both an injunction ordering that she be provided with a sex reassignment surgery and damages, alleging that she was provided inadequate medical care for her serious medical need in violation of her constitution…

On November 11, 1992, a transgender inmate at the Bristol County Jail, serving a life sentence, filed a pro se lawsuit in the U.S. District Court for the District of Massachusetts against the Sheriff of the Bristol County and others under 42 U.S.C. 1983. The plaintiff asked the court for both an injunction ordering that she be provided with a sex reassignment surgery and damages, alleging that she was provided inadequate medical care for her serious medical need in violation of her constitutional rights. The medical need in question was severe Gender Dysphoria (GD), causing mental anguish to the plaintiff.

The plaintiff was later transferred to the Massachusetts Department of Corrections at Norfolk, MA. She filed a motion to amend her complaint to seek the same relief from DOC on February 8, 1993, which was granted on June 7, 1994. The case then proceeded for a long time on pre-trial discovery and motion practices.

On February 23, 1999, the plaintiff filed a motion to further amend to include the Commissioner of the DOC as a defendant, which was granted on March 4, 1999.

On September 12, 2000, the Court (Judge Mark Wolf) issued an order dismissing claims of damages against the Commissioner in his individual capacity, based on the doctrine of qualified immunity. The Court also issued a summary judgment for the Sheriff, as one of the defendants in the present case, dismissing all claims against him both in individual and official capacity. The Court cited qualified immunity of the Sheriff and lack of evidence to make out a claim of constitutional violation against him. Kosilek v. Nelson, 2000 U.S. Dist. LEXIS 13355 (D. Mass. 2000). On October 4, 2000, the plaintiff filed an appeal to the First Circuit Court of Appeals against the summary judgment.

On February 27, 2001, the First Circuit Court of Appeals issued an order, retaining jurisdiction over the case, but remanding it to the District Court to give statement of reasons for its order on September 12, 2000.

On September 14, 2001, the Court (Judge Mark Wolf) issued an order denying the plaintiff's motion for summary judgment. The non-jury trial finally commenced on February 4, 2002.

At trial, counsel for the plaintiff represented that she was seeking an injunction requiring that she be provided with treatment in prison for GD consistent with the Harry Benjamin Standards of Care. More specifically, the plaintiff requested an order that the defendant retain a doctor who specializes in treating GD to evaluate the plaintiff, authorize that doctor to prescribe any treatment deemed appropriate, and provide the treatment prescribed by that doctor. That treatment could require hormone treatment therapy and sex reassignment surgery.

On March 22, 2002, the First Circuit Court of Appeals issued a per curiam order affirming the summary judgment of the District Court (Judge Mark Wolf) on September 12, 2000 for the reasons stated in that judgment. Kosilek v. Nelson, 29 Fed. Appx. 621 (1st Cir. Mass. 2002).

Following the trial, the Court (Judge Mark Wolf) issued its judgment for the defendant on August 28, 2002. The Court did not find any violations of the Eighth Amendment by the Commissioner of the DOC. The Court found that the plaintiff's severe GD constitutes a serious medical need, for which she has not received adequate medical treatment. However, the Court found that the defendant was not deliberately indifferent to the substantial risk of serious harm to the plaintiff, as he did not appreciate the substantial risk posed to the plaintiff due to lack of medical qualifications and failing to make the inference necessary from the facts of the case, and also had legitimate security concerns, as well as concerns about political controversy. The Court did not issue an injunction or otherwise order the DOC to do something, but it expressed its expectations that the Commissioner would be put on notice of the plaintiff's serious medical need and provide adequate medical care for it. Kosilek v. Maloney, 221 F. Supp. 2d 156 (D. Mass. 2002).

The plaintiff filed her motion for attorney's fees on October 30, 2002, which was denied by the Court (Judge Mark Wolf) on September 11, 2003. This effectively ended the present case.

However, with the present case still ongoing, the plaintiff filed another pro se lawsuit against the Massachusetts Department of Corrections and its medical officers on December 12, 2000. The case is included in the database as Kosilek v. Spencer. The allegations in that case were substantially similar to the present one, where the plaintiff argues that the DOC violated her constitutional rights by not providing her adequate medical care for her serious medical need. The present case's outcome bears substantial influence on the proceedings of the second case. The Kosilek v. Spencer case is still ongoing.

 

Summary Authors

Zhandos Kuderin (4/3/2014)

Related Cases

Kosilek v. Spencer, District of Massachusetts (2000)

People

For PACER's information on parties and their attorneys, see: https://www.courtlistener.com/docket/11321954/parties/kosilek-v-nelson/


Judge(s)
Attorney for Plaintiff

Brody, David I. (Massachusetts)

Chan, Christina Y. (Massachusetts)

Attorney for Defendant

Beauregard, Philip N. (Massachusetts)

Brighton, Anthony R. (Massachusetts)

Expert/Monitor/Master/Other

Alexander, Christine M. (Massachusetts)

Documents in the Clearinghouse

Documents in this case

1:92-cv-12820

Docket (PACER)

Kosilek v Nelson

Aug. 5, 2004

Aug. 5, 2004

Docket
189

1:92-cv-12820

Memorandum and Order

Sept. 12, 2000

Sept. 12, 2000

Order/Opinion

2000 U.S.Dist.LEXIS 13355

01-01185

Opinion

U.S. Court of Appeals for the First Circuit

March 22, 2002

March 22, 2002

Order/Opinion

29 Fed.Appx. 621

307

1:92-cv-12820

Memorandum and Order

Kosilek v. Maloney

Aug. 28, 2002

Aug. 28, 2002

Order/Opinion

221 F.Supp.2d 156

321

1:92-cv-12820

Memorandum and Order

Kosilek v. Maloney

Sept. 11, 2003

Sept. 11, 2003

Order/Opinion

Docket

See docket on RECAP: https://www.courtlistener.com/docket/11321954/kosilek-v-nelson/

Last updated April 8, 2025, 11:43 a.m.

Docket for: Kosilek v. Nelson
ECF Number Date Description Link
Nov. 24, 1992

Filing Fee Paid. Receipt #: 251391 Amount: $120.00. (fmr) (Entered: 11/30/1992)

PACER
Nov. 24, 1992

Summons(es) issued for David R. Nelson, Glenn Sturgeon, Edwin Roderiques, Joanne Carrol−Connor, Michael Murray, Matthew Pittman, Dean Royer, Bettina Borders, Scott Harshbarger (fmr) (Entered: 11/30/1992)

PACER
1 Nov. 24, 1992

Complaint filed (fmr) (Entered: 11/30/1992)

RECAP
Nov. 24, 1992

Filing Fee/Payment Received

Nov. 24, 1992

Filing Fee Paid. Receipt #: 251391 Amount: $120.00. (fmr)

Nov. 24, 1992

Summons Issued

Nov. 24, 1992

Summons(es) issued for David R. Nelson, Glenn Sturgeon, Edwin Roderiques, Joanne Carrol-Connor, Michael Murray, Matthew Pittman, Dean Royer, Bettina Borders, Scott Harshbarger (fmr)

2 Nov. 30, 1992

Motion by Michelle Kosilek for appointment of counsel (jdj) (Entered: 11/30/1992)

RECAP
3 Nov. 30, 1992

Motion by Michelle Kosilek to proceed in forma pauperis (jdj) (Entered: 11/30/1992)

RECAP
4 Nov. 30, 1992

Plaintiffs explanation of attachments. (jdj) (Entered: 11/30/1992)

RECAP
5 Dec. 30, 1992

Letter to the court from plaintiff requesting emergency relief w/attachments. (jdj) (Entered: 12/30/1992)

RECAP
6 Jan. 19, 1993

Motion by David R. Nelson, Glenn Sturgeon, Edwin Roderiques, Joanne Carrol-Connor, Michael Murray, Matthew Pittman to dismiss for failure to state claim (jdj) (Entered: 01/19/1993)

RECAP
7 Jan. 19, 1993

Memorandum by David R. Nelson, Glenn Sturgeon, Edwin Roderiques, Dean Royer, Joanne Carrol-Connor, Michael Murray, Matthew Pittman in support of [6-1] motion to dismiss for failure to state claim. c/s. (jdj) (Entered: 01/19/1993)

RECAP
8 Jan. 19, 1993

Acknowledgement of service as to Bettina Borders (jdj) (Entered: 01/19/1993)

RECAP
9 Jan. 19, 1993

Answer to Complaint by Bettina Borders; jury demand (jdj) (Entered: 01/19/1993)

RECAP
10 Jan. 27, 1993

Acknowledgement of service as to Scott Harshbarger 1/22/93 (jdj) (Entered: 01/27/1993)

RECAP
11 Feb. 5, 1993

Motion by Scott Harshbarger to dismiss (jdj) (Entered: 02/05/1993)

RECAP
12 Feb. 5, 1993

Memorandum by Scott Harshbarger in support of [11-1] motion to dismiss (jdj) (Entered: 02/05/1993)

RECAP
13 Feb. 5, 1993

Judge Mark L. Wolf . Memorandum and Order denying [3-1] motion to proceed in forma pauperis, denying [2-1] motion for appointment of counsel (jdj) (Entered: 02/05/1993)

RECAP
14 Feb. 8, 1993

Motion by Michelle Kosilek to amend [1-1] complaint (jdj) (Entered: 02/08/1993)

RECAP
15 Feb. 18, 1993

Response by Bettina Borders in opposition to [14-1] motion to amend [1-1] complaint (jdj) (Entered: 02/18/1993)

RECAP
16 April 27, 1993

Letter to the court from Phillip Beauregard requesting action on motion to dismiss. (jdj) (Entered: 04/27/1993)

RECAP
17 Aug. 23, 1993

Letter to the court regarding pending petition for writ of habeus corpus. (jdj) (Entered: 08/23/1993)

RECAP
Oct. 20, 1993

Mail sent to Mishelle Kosilek returned by Post Office "not here" (jdj) (Entered: 10/20/1993)

PACER
Oct. 20, 1993

Mail sent to Mishelle Kosilek returned by Post Office "not here" (jdj)

Oct. 20, 1993

Mail Returned

18 Nov. 16, 1993

Letter filed by Michelle Kosilek dated 11/7/93 to Judge Wolf Re: status of case (jdj) (Entered: 11/16/1993)

RECAP
19 Dec. 29, 1993

Letter filed by Beverly R. Roby dated: 12/21/93 to: Mr Johnson re: pending motion to dismiss filed. (jdj) (Entered: 12/29/1993)

RECAP
20 Jan. 31, 1994

Letter filed by Beverly R. Roby dated: 1/27/94 to: Court regarding motion to dismiss filed. (jdj) (Entered: 01/31/1994)

RECAP
21 March 2, 1994

Motion by Michelle Kosilek for partial summary judgment (jdj) (Entered: 03/02/1994)

RECAP
22 March 16, 1994

Notice of change of address by Michelle Kosilek by Michelle Kosilek (jdj) (Entered: 03/16/1994)

RECAP
23 March 22, 1994

Letter filed by Phillip Beauregard dated: 3/22/94 to: Ms Whitney re: transfer of case filed. (jdj) (Entered: 03/25/1994)

RECAP
24 March 31, 1994

Answer to Complaint by Scott Harshbarger; jury demand (jdj) (Entered: 03/31/1994)

RECAP
25 April 21, 1994

Judge Mark L. Wolf . Civil Order of Reference entered. Case referred to Mag. Judge Zachary R. Karol for R&R on all dispositive issues . (jdj) (Entered: 04/21/1994)

RECAP
26 June 7, 1994

Mag. Judge Zachary R. Karol . Order entered granting [14-1] motion to amend [1-1] complaint, Response to motion reset to 7/1/94 for [11-1] motion to dismiss, reset to 7/1/94 for [6-1] motion to dismiss for failure to state claim defts may supplement there motions to dismiss by 6/20/94 . (jdj) (Entered: 06/07/1994)

RECAP
27 June 21, 1994

Supplemental Memorandum by David R. Nelson, Glenn Sturgeon, Edwin Roderiques, Joanne Carrol-Connor, Michael Murray, Matthew Pittman, and Dean Royer in support of [11-1] motion to dismiss, filed. c/s. (jdj) (Entered: 06/21/1994)

RECAP
28 June 21, 1994

Motion by L. Scott Harshbarger to dismiss amended complaint, filed. Referred to Mag. Judge Zachary R. Karol (jdj) (Entered: 06/21/1994)

RECAP
29 June 21, 1994

Memorandum by L. Scott Harshbarger in support of [28-1] motion to dismiss amended complaint, filed. (jdj) (Entered: 06/21/1994)

RECAP
30 June 27, 1994

Response by Michelle Kosilek in opposition to [28-1] motion to dismiss amended complaint, filed. (jdj) (Entered: 06/27/1994)

RECAP
32 June 30, 1994

Memorandum by Bettina Borders in support of [31-1] motion to dismiss, filed. (jdj) (Entered: 07/01/1994)

RECAP
33 June 30, 1994

Affidavit of Bettina Borders, re: [31-1] motion to dismiss, filed. (jdj) (Entered: 07/01/1994)

RECAP
31 July 1, 1994

Motion by Bettina Borders to dismiss, filed. (jdj) (Entered: 07/01/1994)

RECAP
Dec. 16, 1994

Motion(s) no longer referred: [28−1] motion to dismiss amended complaint, [21−1] motion for partial summary judgment, [6−1] motion to dismiss for failure to state claim . (vah) (Entered: 10/04/1995)

PACER
34 Dec. 16, 1994

Report and Recommendations by Mag. Judge Zachary R. Karol re: [28-1] motion to dismiss amended complaint, [21-1] motion for partial summary judgment, [6-1] motion to dismiss for failure to state claim entered; Magistrate's Recommendation: . Objection to R and R due by 12/26/94 . Motion no longer referred: . (jdj) (Entered: 12/16/1994)

RECAP
Dec. 16, 1994

Add and Terminate Judges

Dec. 16, 1994

Motion(s) no longer referred: [28-1] motion to dismiss amended complaint, [21-1] motion for partial summary judgment, [6-1] motion to dismiss for failure to state claim . (vah)

Dec. 27, 1994

Motion by Michelle Kosilek to further amend [1−1] complaint , filed. Referred to Mag. Judge Zachary R. Karol(jdj) (Entered: 12/27/1994)

PACER
35 Dec. 27, 1994

Objections by David R. Nelson to [34-1] report and recommendations, filed. (jdj) (Entered: 12/27/1994)

RECAP
Dec. 27, 1994

Motion by Michelle Kosilek to further amend [1-1] complaint, filed. Referred to Mag. Judge Zachary R. Karol(jdj)

Dec. 27, 1994

Description not available

38 Dec. 30, 1994

Motion by Michelle Kosilek to proceed in forma pauperis, filed. Referred to Mag. Judge Zachary R. Karol (jdj) (Entered: 12/30/1994)

RECAP
39 Dec. 30, 1994

Affidavit of Michelle Kosilek, re: [38-1] motion to proceed in forma pauperis, filed. (jdj) (Entered: 12/30/1994)

RECAP
40 Dec. 30, 1994

Financial Affidavit by Michelle Kosilek, filed. (jdj) (Entered: 12/30/1994)

RECAP
41 Dec. 30, 1994

Motion by Michelle Kosilek for appointment of counsel, filed. Referred to Mag. Judge Zachary R. Karol (jdj) (Entered: 12/30/1994)

RECAP
42 Jan. 4, 1995

Motion by Bettina Borders to extend time to file motion to dismiss, filed. Referred to Mag. Judge Zachary R. Karol (jdj) (Entered: 01/04/1995)

RECAP
43 Jan. 18, 1995

Plaintiffs response to defendant Nelsons objections to Magistrates Report of 12/16/94 (jdj) (Entered: 01/18/1995)

RECAP
Jan. 19, 1995

Per request of Magistrate Karol pleadings # 36 &37 have been retuned to plaintiff pursuant to Rule 15.1 (addition of new parties). (jdj) (Entered: 01/19/1995)

PACER
Jan. 19, 1995

Docket Annotation

Jan. 19, 1995

Per request of Magistrate Karol pleadings # 36 & 37 have been retuned to plaintiff pursuant to Rule 15.1 (addition of new parties). (jdj)

44 Feb. 3, 1995

Letter by Michelle Kosilek dated: 2/1/95 to: court re: motion to amend, filed. (jdj) (Entered: 02/03/1995)

RECAP
45 Feb. 3, 1995

Motion by Michelle Kosilek for appointment of counsel, filed. Referred to Mag. Judge Zachary R. Karol (jdj) (Entered: 02/03/1995)

RECAP
Feb. 7, 1995

Motion(s) no longer referred: [31−1] motion to dismiss . (vah) (Entered: 10/04/1995)

PACER
46 Feb. 7, 1995

Report and Recommendations by Mag. Judge Zachary R. Karol re: [31-1] motion to dismiss entered; Magistrate's Recommendation: granted . Objection to R and R due by 2/17/95 . Motion no longer referred: . (jdj) (Entered: 02/07/1995)

RECAP
Feb. 7, 1995

Motion(s) no longer referred: [31-1] motion to dismiss . (vah)

Feb. 7, 1995

CASE NO LONGER REFERRED TO Mag. Judge Zachary R. Karol . (vah)

Feb. 7, 1995

Add and Terminate Judges

47 Feb. 13, 1995

Objections by Michelle Kosilek to [46-1] report and recommendations, filed. (jdj) (Entered: 02/13/1995)

RECAP
48 March 10, 1995

Motion by Bettina Borders for summary judgment, filed. (cmg) (Entered: 03/10/1995)

RECAP
Sept. 29, 1995

Terminated document mooting [38−1] motion to proceed in forma pauperis Requested by Thomas Quinn. filing fee having been paid (vah) (Entered: 10/04/1995)

PACER
Sept. 29, 1995

Terminated document mooting [38-1] motion to proceed in forma pauperis Requested by Thomas Quinn. filing fee having been paid (vah)

Sept. 29, 1995

Terminate Documents

49 Jan. 4, 1996

Judge Mark L. Wolf . Order entered granting [31-1] motion to dismiss of Glenn Sturgeon, Edwin Rodriques, Joanne Carrol-Connor, Michael Murray, Matthew Pittman and Dean Royer, denying [21-1] motion for partial summary judgment, granting [11-1] motion to dismiss, denying [6-1] motion to dismiss for failure to state claim, set amended pleadings due for 2/16/96 . Parties shall file consent to magistrate trial in a timely manner, if no party informs it will be deemed consented to and transferred. cc/cl. (cjn) (Entered: 01/05/1996)

RECAP
Jan. 10, 1996

Terminated document terminating [48−1] motion for summary judgment, terminating [45−1] motion for appointment of counsel, terminating [42−1] motion to extend time to file motion to dismiss, terminating [41−1] motion for appointment of counsel, terminating [28−1] motion to dismiss amended complaint.. See 1−4−96 Memo. Requested by Zita Lovett. (cjn) (Entered: 01/10/1996)

PACER
Jan. 10, 1996

Terminated document terminating [48-1] motion for summary judgment, terminating [45-1] motion for appointment of counsel, terminating [42-1] motion to extend time to file motion to dismiss, terminating [41-1] motion for appointment of counsel, terminating [28-1] motion to dismiss amended complaint.. See 1-4-96 Memo. Requested by Zita Lovett. (cjn)

Jan. 10, 1996

Terminate Documents

50 Feb. 5, 1996

Answer by David R. Nelson to complaint; jury demand, filed. c/s. (cjn) (Entered: 02/06/1996)

RECAP
51 Feb. 5, 1996

Consent to trial by Magistrate by David R. Nelson, filed. c/s. (cjn) (Entered: 02/06/1996)

RECAP
52 Feb. 20, 1996

Consent to trial by Magistrate by Michelle Kosilek, filed. (cjn) (Entered: 02/23/1996)

RECAP
53 Feb. 20, 1996

Letter by Michelle Kosilek dated: 2/14/96 to: Clerk re: pending motions filed. c/s. (cjn) (Entered: 02/23/1996)

RECAP
Feb. 26, 1996

Case reassigned from Judge Wolf to Mag. Judge Zachary R. Karol for all purposes, including trial and entry of final judgment. Notice sent to counsel. (cjn) (Entered: 02/26/1996)

PACER
Feb. 26, 1996

Case reassigned from Judge Wolf to Mag. Judge Zachary R. Karol for all purposes, including trial and entry of final judgment. Notice sent to counsel. (cjn)

Feb. 26, 1996

Order case reassigned to Magistrate Judge for Trial

54 Sept. 24, 1996

Letter by Michelle Kosilek dated: 9/24/96 to: Clerk re: pending filed. (cjn) (Entered: 09/25/1996)

RECAP
55 Feb. 13, 1997

Letter dated: 2/13/97 to: Ms. Kosilek re: assignment of case filed. (sad) (Entered: 02/20/1997)

RECAP
56 Feb. 6, 1998

Notice of dismissal for want of prosecution wihout further notice after 30 days, filed. cc/cl (sad) (Entered: 02/09/1998)

RECAP
57 Feb. 18, 1998

Letter by Michelle Kosilek dated: 2/14/98 to: the Court re: Explanation pursuant to Local Rule 41.1(a)(3), filed. (tmc) (Entered: 02/24/1998)

RECAP
58 Feb. 23, 1998

Response by David R. Nelson in opposition to [57-1] remark filed. c/s (tmc) (Entered: 03/04/1998)

RECAP
59 Dec. 28, 1998

Motion by Michelle Kosilek for Hearing, filed. (lau) (Entered: 02/04/1999)

RECAP
60 Jan. 7, 1999

Response by David R. Nelson in opposition to [59-1] motion for Hearing, filed. (lau) (Entered: 02/04/1999)

RECAP
61 Feb. 5, 1999

Mag. Judge Zachary R. Karol . Order entered, set status conference for reset to 10:30 3/3/99 . Entered (lau) Modified on 04/15/1999 (Entered: 02/08/1999)

RECAP
62 Feb. 22, 1999

Response by David R. Nelson in opposition to plaintiff's motion to amend and motion for injunctive relief, filed. (lau) (Entered: 02/23/1999)

RECAP
63 Feb. 22, 1999

Motion by David R. Nelson to dismiss for lack of prosecution, filed. (lau) (Entered: 02/23/1999)

RECAP
64 Feb. 22, 1999

Certificate of Consultation re: [63-1] motion to dismiss for lack of prosecution, filed. (lau) (Entered: 02/23/1999)

RECAP
65 Feb. 23, 1999

Motion by Michelle Kosilek to further amend, filed. (lau) (Entered: 02/23/1999)

RECAP
66 Feb. 23, 1999

Motion by Michelle Kosilek for injunctive relief, filed. (lau) (Entered: 02/23/1999)

RECAP
67 Feb. 23, 1999

Motion by Michelle Kosilek for appointment of counsel, filed. (lau) (Entered: 02/23/1999)

RECAP
68 Feb. 23, 1999

Certificate of service by Michelle Kosilek re: [67-1] motion for appointment of counsel, [66-1] motion for injunctive relief, [65-1] motion to further amend, filed. (lau) (Entered: 02/23/1999)

RECAP
March 3, 1999

Status conference held . (lau) (Entered: 03/05/1999)

PACER
March 3, 1999

Status conference held . (lau)

March 3, 1999

Status Conference

Case Details

State / Territory:

Massachusetts

Case Type(s):

Prison Conditions

Healthcare Access and Reproductive Issues

Special Collection(s):

Transgender Healthcare Access Cases

Key Dates

Filing Date: Nov. 11, 1992

Closing Date: 2002

Case Ongoing: No

Plaintiffs

Plaintiff Description:

prevailing party in another lawsuit

Plaintiff Type(s):

Private Plaintiff

Public Interest Lawyer: Unknown

Filed Pro Se: Yes

Class Action Sought: No

Class Action Outcome: Not sought

Defendants

Federal

Massachusetts Department of Corrections

Defendant Type(s):

Jurisdiction-wide

Facility Type(s):

Government-run

Case Details

Causes of Action:

42 U.S.C. § 1983

Constitutional Clause(s):

Cruel and Unusual Punishment

Other Dockets:

District of Massachusetts 1:92-cv-12820

U.S. Court of Appeals for the First Circuit 01-01185

District of Massachusetts 1:00-cv-12455

Available Documents:

Any published opinion

Trial Court Docket

Outcome

Prevailing Party: Defendant

Relief Granted:

None

Source of Relief:

None

Content of Injunction:

Goals (e.g., for hiring, admissions)

Issues

General/Misc.:

Personal injury

Discrimination Basis:

Gender identity

LGBTQ+:

LGBTQ+

Medical/Mental Health Care:

Mental health care, general

Self-injurious behaviors

Suicide prevention

Recommended Citation