Lesbian, gay, bisexual, transgender and queer youths in Nebraska and across the country are exposed to a steady stream of news about anti-LGBTQ policies and legislation, and many say it's affecting their wellbeing.

Nearly one-third of the 28,000 who responded to the latest Trevor Project survey of LGBTQ young people reported having poor mental health "most or all of the time" because of anti-LGBTQ proposals and actions.

Alison DeLizza, a clinical psychologist and assistant professor at the University of Nebraska Medical Center who specializes in working with these young people, said it's no surprise that they are affected by all the negative policy coverage.

"Whether they are a young person or an adult, those are news stories about a group to which they belong, and have a direct and true impact on them," she said. "These things impact how they can move through the world."

This year alone, more than 200 anti-trans bills and more than 500 anti-LGBTQ bills were introduced in state legislatures - including Nebraska's controversial LB 574, banning gender-affirming medical care to minors. Also, Gov. Jim Pillen signed an executive order "declaring the biological definition of male and female" - only the second such order in the country.

Stressing the cumulative effect these reports can have, DeLizza encouraged parents to teach their LGBTQ loved ones to "step away from the news cycle" and keep a close eye on their wellbeing.

Also in the Trevor Project survey, a majority said they'd been bullied at school because of their orientation. DeLizza pointed out that social media can make troubling stories and comments hard to ignore.

"It's not just that, 'Hey, I saw the story in the [Omaha] World Herald' - but then also, my friends were tweeting about it," she said. "And then another person posted this thing on Instagram, and another person made a TikTok about it. It's everywhere."

DeLizza said she sometimes tells young people she works with to avoid content they find upsetting on particular platforms, especially since algorithms will keep sending them more and more about those topics.

"So," she said, "I'll say, 'You know what? On your TikTok, you don't need to follow stuff about what's going on in the news. If your TikTok needs to be make-up videos and puppy dogs, go for it.'"

In the survey, 56% who wanted mental-health care in the previous year said they were unable to get it, and 41% said they'd seriously considered suicide. DeLizza said loss of interest in things they enjoy and feeling depressed and anxious all can be signs a young person may need professional help. She said the family doctor is a good place to start. The National Suicide and Crisis Lifeline is 9-8-8.

Rural LGBTQ+ youth in Indiana face greater mental health challenges, but have found ways to build community online, according to a new report. 48% of the state's LGBTQ-plus youth live in a small city or town, according to the 2024 Survey on the Mental Health of LGBTQ+ Young People in Indiana study. The next largest region is the suburbs.

Michael Parent, principal researcher with HopeLab, said the demographic has difficulty finding support in their communities, compared to their urban peers, but noted that there are some positive trends too.

"They had a lot of sense of internal pride in their identity," he said. "So despite being in some more challenging circumstances, they also had really positive internal feelings about themselves."

Parent added that, while young LGBTQ+ people in rural areas struggle to connect in person, they often find friends online. Those communities can be based around a shared LGBTQ+ identity but can also involve a shared passion for gaming or art. 53% of this demographic in Indiana are aged 18-to-24, while 47% are between 13 and 17.

Data from the survey found that family and community are seen as places of affirmation - an environment of validation through a sense of belonging, safety, and respect. Parent agrees community plays an important role, but pointed to a lack of in-person support for rural LGBTQ+ youth.

"Rural LGBTQ+ young people are having a lot of challenges in their circumstances and environments," he added. "But finding that they had a lot of internal sense of pride in their identity is really positive and was surprising, because we didn't really think that would show up."

Other ways to show support for the community include not supporting politicians that advocate for anti-LGBTQ+ legislation, accepting their partner, and doing research about gender identities.


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Advocacy groups are speaking out about how they believe congressional cuts to Medicaid will disproportionately affect caregiver LGBTQ+ communities in Illinois.

Jaimie Worker, senior director of policy and research for the advocacy group Caring Across Generations, said Medicaid can be a lifeline for LGBTQ+ people who are aging or living with disabilities, especially those without traditional family support. She explained for many, care is provided by "chosen family" or friends, with support from Medicaid largely making that possible.

"LGBTQ+ communities are impacted in a unique way when it comes to self-directed care: being able to choose who your care provider is as an older adult or person with a disability," Worker pointed out. "Many of these programs are heavily supported by Medicaid."

She noted as people already face barriers to receiving the care they need, Medicaid cuts would unnecessarily force some into institutional settings like nursing homes, where they would never have chosen to receive care.

An estimated 700,000 people nationwide are on waiting lists to receive home- and community-based care through Medicaid. Last year, more than 15,000 were in Illinois. No matter how dire their need, Worker stressed people can wait years to access these services and LGBTQ+ individuals face additional barriers.

"Those are the folks who already know about the services; not everyone is aware about the services that are available. LGBTQ folks are also more likely to experience discrimination while trying to access care needs."

Currently, people who make less than $22,000 a year in Illinois could qualify for Medicaid. Worker predicts new federal qualifications will make it more difficult for people to qualify, even with extremely limited resources.

"And make it harder for people to live and age with dignity, and largely in their own homes and communities where most people would prefer to live and age," Worker underscored.

She reported starting July 24, Caring Across Generations will host a 60-hour vigil for Medicaid in Washington, D.C., to amplify the stories of caregivers, people with disabilities, older adults and families from across the country.

This week, the law guaranteeing same-sex marriage equality turned 10. But advocates are concerned about the growing number of threats it now faces.

A decade after the Supreme Court's historic Obergefell v. Hodges decision, most Americans are onboard with gay marriage. While President Donald Trump has never stated outright opposition, members of his conservative base do. And with a conservative Supreme Court majority, Justices Samuel Alito and Clarence Thomas have also signaled they'd like to revisit the issue.

Despite pressure from the far right, said Jenny Pizer, chief legal officer at Lambda Legal, ending same-sex marriage isn't something that has public support.

"I think what is key for people to have in mind is, there's no case in front of the Supreme Court pending for a court review at this moment," she said, "and the Supreme Court can't review a case and consider a case without there being a case -- and there is none at this point."

She reminded folks that Congress passed the Respect for Marriage Act in 2022, which codified marriage protections for same-sex and interracial couples. It also repealed the Defense of Marriage Act, a 1996 law that exclusively recognized marriage between one man and one woman.

In 2020, Nevada became the first state to enshrine gay couples' right to marry in its state Constitution.

Even if the law were overturned and certain states were what she called "hostile" to same-sex couples who want to marry, Pizer said, states would have to continue to respect and honor same-sex marriages. She added that folks should not be panicking, but should be paying attention.

"The bottom line is that we have to keep our eye on this," she said. "We know that there are those on the far right who want to raise money on this issue, want to gin up fears on this issue, use it for organizing."

Since the Supreme Court's decision in June 2015, almost 600,000 same-sex couples have married legally. In the United States alone, there are about 823,000 married gay couples, according to the Williams Institute at the UCLA School of Law.