QUEER PRISON WALLS
chalk art by Margie Diddams
Photography by Margaret Jean Plews
Phoenix City Hall (02/26/2103)
From Lambda Legal:
Are government institutions properly protecting and serving LGBT people
and people living with HIV? Lambda Legal conducted a national study of
the experiences individuals have with police, courts, prisons and school
security. A total of 2,376 people completed the survey, the results of
which are reported below...
"I was 14 years old when my adoptive sisters and I
were in a severe accident. The damages and injuries were extensive. My
older sister was asked who our parents were, and she told them the names
of our two moms. The officer gave my sister a puzzled look and asked,
'Who is your father?' My sister responded with, 'We have lesbian
parents.' The officer without hesitation told her, 'We don't recognize
that in this state.' This incident only added to the horror of the
terrible accident we were in. Our moms reported the incident, but
nothing was done about it." —Michael, Menomonie, WI
"I was arrested and charged with prostitution at a
local casino. While the case was subsequently dismissed without going to
court, during my arrest, I was physically and verbally assaulted by the
arresting officers and others. I was put in handcuffs so tight that my
wrists swelled up and turned purple. My face was shoved into a wall
while I was handcuffed. The officers threatened, mocked and demeaned me
for being transsexual." —Natalie, Las Vegas, NV
As part of the Protected and Served? survey,
Lambda Legal asked respondents to share their personal stories of
mistreatment by police, in courts, in prisons and by school security
toward LGBT and HIV-positive people. See other stories or contribute
your own here.
Police officers are charged with serving and protecting the public—all of the public. Yet
lesbian, gay, bisexual and transgender (LGBT) people and people living
with HIV have often been given good reason to be wary of whether that
responsibility includes them. Police have targeted LGBT people and the
places they congregate and socialize, including certain bars and parks,
for unwarranted searches, arrests and raids. Some police officers have
also demonstrated prejudice and hostility based on actual or perceived
sexual orientation, gender identity or HIV status.

In 2012, Lambda Legal—a national organization committed to achieving
full recognition of the civil rights of LGBT people and people living
with HIV through impact litigation, education and public policy
work—conducted a national study exploring the issue of government
misconduct by the police, courts, prisons and school security against
LGBT people as well as people living with HIV in the United States.
(Note that in our findings, one of the categories we use, based on
self-definitions, is “transgender or gender-nonconforming [TGNC]”).
A total of 2,376 people completed the individual survey. Respondents
were also given the opportunity to share their own accounts of their
experiences with government misconduct and some of those stories are
also incorporated into this report.
Among the survey respondents, 1682 (73% of those responding to this
question) said they had face-to-face contact with the police within the
past five years. Many LGBT people and people with HIV reported that they
felt discriminated against when dealing with police department officers
and personnel.
In recent years Lambda Legal has filed discrimination lawsuits
against police on behalf of LGBT people who have experienced harassment
and unfair treatment. Defendants in these cases have included:
- Westchester County Police
in New York for releasing sealed information—including names, photos,
towns of residence, and original arrest charges—about more than a dozen
men whose charges had been dropped, as part of "Operation Overexposed," a
police sting targeting gay men.
- the Atlanta Police Department
for aggressively and illegally raiding a gay bar called the Atlanta
Eagle. During the raid, police detained and searched the bar’s patrons,
forced them to lie face-down on the floor, and subjected them to verbal
abuse. Not a single patron was charged with any crime as a result of
that raid.
- the Johnson City Police Department (JCPD)
in Tennessee for issuing a press release that included photos of 40 men
arrested in a public sex sting. Lambda Legal reviewed hundreds of news
releases issued by the JCPD and found that no other release about
arrests included photos. Lambda Legal client, Kenneth Giles said he lost
his job because of the publicity about his arrest.
"I was called a faggot and beaten up by police
officers right here in the nation’s capital, then charged with
assaulting them and forced to plead guilty to being under the influence
of my HIV meds." —Andrew, Washington, DC
Our survey responses included many aspects of interactions
with police, which broadly can be described by the following two
categories: 1) Misconduct and 2) Unsatisfactory Response.
Sometimes police officers themselves harass and assault LGBT people
and people living with HIV. These serious forms of police misconduct are
damaging and illegal. Police harassment and assault are destructive to
the lives of victims, obviously, and they are also destructive to the
prospect for the police of building trust within LGBT communities and
people living with HIV.
Many respondents reported that police officers’ attitudes toward them had been hostile. Among
the 1682 respondents who reported having face-to-face contact with
police in the past five years, the percentages who reported hostile
attitudes from officers included:
- 21% of all relevant survey respondents
- 31% of respondents age 30 and under
- 32% of respondents of color (including 26% of Native American, 27% of African American and 40% of Latina/o respondents)
- 32% of TGNC respondents (30% of transgender)
- 35% of low-income respondents
- 38% of respondents of color under 30
Harassment and assault by police are far too common occurrences in LGBT and HIV-affected communities. More
than one in eight respondents (14%) who had police contact in the past
five years reported verbal harassment by police, while 3% reported
sexual harassment and 2% reported physical assault.
People of color, low-income people,
and people living with HIV reported harassment and assault by police
more frequently than survey respondents as a whole. The percentage of
respondents with police contact in the past five years who reported
harassment or assault by police included:
Physically assaulted by police:
- 2% of all respondents
- 4% of respondents of color
- 4% of TGNC respondents
- 5% of low-income respondents
- 6% of HIV-positive respondents
Sexually harassed by police:
- 3% of all respondents
- 5% of respondents of color
- 5% of HIV-positive respondents
- 7% of low-income respondents
- 7% of TGNC respondents
Verbally assaulted by police:
- 14% of all relevant respondents
- 21% of relevant HIV-positive respondents
- 22% of relevant TGNC respondents
- 24% of relevant respondents of color
- 25% of relevant low-income respondents
Only 1% of survey respondents with police contact in the past
five years who reported their race as white said that police asked them
to prove their immigration status. In contrast, certain groups of respondents were more likely to be asked for proof of their immigration status, including:
- 2% of all respondents with police contact in the past five years
- 2% of TGNC respondents
- 5% of Native American respondents
- 6% of black respondents
- 8% of Latina/o respondents
(A statistically insignificant number of respondents identified as immigrants).
Black and Latina/o respondents were also much more likely than LGBT
or HIV-positive people of other races to be physically searched during
their police contact within the past five years, including:
- 10% of all respondents with police contact in the past five years
- 18% of TGNC respondents
- 21% of black respondents
- 21% of Latina/o respondents
- 22% of similar Native American respondents
It is important to note that our survey’s responses are
self-reported incidents of false accusation and false arrest, and that
those responses have not been verified by Lambda Legal. Still,
these numbers indicate troubling disparities in police treatment of
people who are LGBT and people with HIV according to race/ethnicity,
income level and gender identity.
Those who say they were falsely accused during police contact within the past five years include:
- 20% of all respondents with police contact in the past five years
- 28% of respondents of color
- 30% of low-income respondents
- 34% of TGNC respondents
Those who say they were falsely arrested during police contact within the past five years include:
- 4% of all respondents with police contact in the past five years
- 8% of respondents of color
- 8% of low-income respondents
- 6% of TGNC respondents
When LGBT and HIV-affected people experience police
misconduct, many file complaints about their negative experiences,
either with other police officers or police monitoring boards. However,
among the 205 (out of 2,376 total) respondents who complained about
police misconduct in the last five years, 71% said that their complaint
was not fully addressed by those they reported it to.
Low-income and TGNC respondents reported higher levels of neglect of a
police misconduct complaint: 84% of low-income complainants and 83% of
TGNC complainants reported that at least one police misconduct complaint
in the last five years was not fully addressed.
Many respondents reported inadequate or indifferent responses
by law enforcement officials to reports of property crimes and
assaults. The rate of dissatisfaction was significantly higher
when the person reporting the crime is low-income or a person of color.
(Our survey respondents’ self-reported experiences with police are not
the equivalent of an objective evaluation of the adequacy of police
response to reported crimes).
Eleven percent of all survey respondents reported that they
were a victim of physical assault (of all types, not just those related
to their orientation, identity, or expression) in the last five years.
TGNC people (35% of all TGNC respondents) and low-income people (44% of
all low-income respondents) are much more likely to report having been
the victim of physical assault.
Of the 238 respondents who experienced physical assault:
- nearly two-thirds (62%) reported experiencing at least one
incident in which police failed to fully address their complaints about
physical assault.
- HIV-positive respondents and transfeminine respondents reported
having experienced police neglect of physical assault at higher rates:
73% of HIV-positive personal assault victims and 70% of transfeminine
respondents say they experienced police neglect of their physical
assault complaint, compared to 59% of HIV-negative physical assault
victims and 60% percent of cisgender (non-TGNC) assault victims.
One-third of our survey respondents (33%) had been the victim of property crime in the previous five years. Of
those 772 respondents, nearly half (49%) said they experienced at least
one incident in which police failed to fully address their complaints
about property crime.
Within this pool of 772 respondents, transgender and
gender-nonconforming people (TGNC) and people of color were more likely
than other respondents to report police indifference or lack of proper
response to property crime. This included:
- 58% of TGNC respondents
- 59% of African-American respondents
- 62% of Latina/o respondents
- 70% of Native American respondents
More than one out of ten respondents (11%, or 251
respondents) had been the victim of IPV (or domestic violence) in the
previous five years.
The percentages of certain respondent groups who experienced IPV are higher than the survey sample as a whole, including:
- TGNC people (28%)
- people of color (32%)
- low-income people (42%)
- and people under 30 (43%)
Of the 251 respondents who experienced IPV, 41% reported
experiencing at least one incident in which police failed to fully
address their complaints about IPV. Some respondents were even more
likely to report experiencing police neglect of IPV than others. Of
those who reported IPV to the police, an inadequate response was
reported by:
- 48% of African-American respondents
- 49% of TGNC respondents (56% of transfeminine and 46% of transmasculine respondents)
- 54% of HIV-positive respondents
More than one out of 20 respondents (6%, or 135) had been the victim of sexual assault in the previous five years. The percentages are higher for particular groups of respondents, including:
- African American respondents (8.2%)
- Latina/o respondents (8.9%)
- TGNC respondents (15.5%)
- Native Americans respondents (16%)
Of the 135 respondents who reported that they had been sexually
assaulted, 39% experienced at least one incident in which police failed
to fully address their complaint. Some groups were more likely to report
police neglect of sexual assault complaints than others, including:
- 45% of low-income respondents
- 46% of disabled respondents
- 52% of TGNC respondents
- 53% of respondents of color
- 60% of Native American respondents
- 62% of Latina/o respondents
- 65% of TGNC respondents of color
Overall, respondents in this survey reported much higher levels
of police neglect than did respondents in a 2011 national survey by the
Bureau of Justice Statistics on the general population (although the
questions were not fully comparable), which found that 18% were not
satisfied by the police response to a reported crime, disturbance, or
suspicious activity.
Police departments should:
- include sexual orientation, gender identity and expression, as
well as HIV status, sex, race and ethnicity, in nondiscrimination
policies, guidelines and resolutions. While our constitution commands
equal treatment of people without regard to these characteristics,
including an express prohibition increases the likelihood of compliance,
and makes it easier to enforce.
- ensure that Police Patrol Guides and similar guidelines explicitly
include a commitment to equal and respectful treatment of people who are
LGBT, people living with HIV, and people of all racial and ethnic
backgrounds, including explicit procedures for the respectful treatment
of transgender people. These guidelines should specifically explain that
police officers will be held accountable for failing to comply. For
examples, see the patrol guides and policy manuals of New York City, New Orleans and Los Angeles, all of which were adopted after intense, long-term community pressure.
- adopt or amend policies prohibiting discriminatory practices, such
as profiling based on race, ethnicity, HIV status, sex, sexual
orientation, and gender identity and expression — practices that
disproportionately affect people of color, low-income people, LGBT
people, and gender non-conforming people.
- hire and promote qualified police officers and leaders across all
levels of the department who demonstrate the interpersonal skills
necessary to get along with peers, instructors, supervisors, and others,
and demonstrate that they are able to interact professionally,
regardless of the social standing, ethnic background, culture, gender,
gender identity or expression, sexual orientation, or religion of other
people.
- institute “early warning systems” to flag officers who have engaged
in insensitive or abusive behavior and follow up with training,
discipline or reassignment as necessary. When hiring police chiefs and
related leadership positions, states and municipalities should ensure
that final candidates are supportive of the rights of LGBT people and
people living with HIV.
- implement mandatory cultural competency training for employees at
all levels of the department, with content specific to the duties of the
personnel being trained. The training should address issues relevant to
the LGBT community. These trainings should be led by non-police
personnel and with participation and input of community members.
- implement mandatory training about HIV for employees at all levels
of the department, with content specific to the duties of the personnel
being trained. The training should address issues like the need for
confidentiality and accurate information about how HIV is transmitted.
These trainings should be led by non-police personnel and with
participation and input of community members.
- incorporate nondiscrimination policies and disciplinary consequences
for non-compliance into union contracts to ensure consistent
implementation.
- adopt a community-based complaint mechanism where victims of police
misconduct and discrimination can report incidents in a safe, welcoming
environment, with options for anonymous reporting (For example, the Civilian Complaint Review Board,
an independent agency in charge of monitoring New York Police
Department behavior). Adopt internal complaint mechanisms that ensure
that those who report misconduct, including officers, are not retaliated
against, and that any retaliation by officers or commanders against
either community members or other officers is severely punished.
- designate personnel or an advisory board to be liaisons with the
LGBT and HIV-affected communities, whose mission includes improving
communications and relationships with those communities, and increasing
departmental awareness, training and knowledge of LGBT and HIV-related
issues.
- capture and track complaints alleging racial and other profiling
based on bias with regard to sexual orientation or gender identity or
expression. Data collected should include characteristics of the
complainants (including but not limited to sexual orientation and gender
identity or expression) as well as the outcome of investigations and
any disciplinary actions taken. Regularly report on the number of
complaints of misconduct based on sexual orientation or gender identity.
- work with LGBT community advocates and anti-violence groups to
maintain up-to-date training and to ensure that policies and procedures
are successfully implemented.
All government agencies included in the Protected and Served? survey, including police departments, courts, prisons and schools, should adopt comprehensive non-discrimination policies that:
- prohibit bias and discrimination based on sexual orientation, gender identity and expression and HIV status;
- ensure that culturally competent services and treatment are provided
to LGBT and HIV-positive detainees. Police, court, jail/prison and
school staff (including but not limited to police officers, police
clerks, attorneys, judges, guards, schools security guards, school-based
police and school safety officers) should undergo significant cultural
competency trainings about sexual orientation, gender identity and
expression, and HIV status so they will be able to treat all members of
the LGBT community in a respectful, nondiscriminatory manner. These
trainings should have a particular focus on gender identity and
expression cultural competency, to emphasize the importance of improving
the treatment of TGNC people. Additionally, these trainings should
address HIV confidentiality and transmission, to improve the treatment
of HIV-positive people;
- provide a transparent and accessible oversight process for reporting
and redressing discrimination complaints, combined with clear and
enforced disciplinary procedures;
- include employment policies that can help improve the hiring and
retention of LGBT employees as well as contribute to a more
LGBT-friendly environment.
-------------
PROTECTED AND SERVED?: Jails and Prisons
As part of the Protected and Served? survey,
Lambda Legal asked respondents to share their personal stories of
mistreatment by police, in courts, in prisons and by school security
toward LGBT and HIV-positive people. See other stories or contribute
your own here.
Lambda Legal is a national organization committed to
achieving full recognition of the civil rights of LGBT people and people
living with HIV through impact litigation, education and public policy
work.
In 2012, Lambda Legal conducted a national study,
Protected and Served?,
exploring the issue of government misconduct by the police, courts,
jails/prisons and school security against lesbian, gay, bisexual and
transgender (LGBT) people as well as people living with HIV in the
United States. A total of 2,376 people completed the individual survey.
Respondents were also given the opportunity to share their own accounts
of their experiences with government misconduct and some of those
stories are also incorporated into this report. (Note that in our
findings, one of the categories we use, based on self-definitions, is
“transgender or gender-nonconforming [TGNC]”).
Among the areas of government misconduct which Lambda Legal’s
Protected and Served?
survey sought to explore is the discrimination and misconduct
experienced by LGBT or HIV-positive people incarcerated in jails and
prisons.
Among the respondents in the
Protected and Served? survey,
5% (or 120) reported that they had been incarcerated in the past five
years. Lambda Legal’s survey did not make a distinction among different
types of institutions nor the reasons for imprisonment, so these results
almost certainly include responses from individuals who were held
before trial as well as those imprisoned after being convicted of a
crime.
While 5% of our respondents reported having been imprisoned in the
previous five years, the following subgroups of survey respondents were
significantly more likely to report having been incarcerated:
- respondents with disabilities (9%) were nearly twice as likely to have been in jail or prison than respondents overall.
- transgender and gender-nonconforming (TGNC) respondents (10%) and
Latina/o (10%) respondents were also nearly twice more likely to have
been in jail or prison than respondents overall.
- African Americans (12%), Native Americans (13%), respondents living
with HIV (11%) and low-income respondents (11%) were more than twice as
likely to have been incarcerated than respondents overall.
- TGNC respondents of color (20%) were four times more likely to have been incarcerated than survey respondents overall.
Prisons too often fail to meet general standards for fair and
humane treatment, especially of prisoners who are LGBT and people
living with HIV. According to the American Bar Association’s
Standards on Treatment of Prisoners,
correctional facilities “should protect prisoners from harm from other
prisoners and staff,” “correctional authorities should respect the human
rights and dignity of prisoners,” and “[n]o prisoner should be
subjected to cruel, inhuman, or degrading treatment or conditions.” The
standards include specific nondiscrimination provisions as to sexual
orientation, gender identity and HIV-positive status.
But in many cases these standards are simply not upheld. LGBT people,
particularly youths, who are detained and incarcerated are at high risk
for physical abuse, psychological abuse, being denied medical care and
other forms of discrimination from other prisoners as well as from
guards and prison staff.
Transgender and gender-nonconforming people have faced particularly
severe mistreatment by jails and prisons. As documented in joint
testimony to Congress by several LGBT organizations: “Nearly all
transgender inmates are placed in sex-segregated facilities based on
their sex assigned at birth and not on their gender identity.
Transgender women are frequently placed in men’s facilities, and
transgender men are frequently placed in women’s facilities. When prison
officials make these incongruous placements, inmates are singled-out
for scrutiny, harassment, and abuse by other inmates and prison staff.” A
2011 study by the National Gay and Lesbian Task Force concluded, “In
jail and prison, abuse and violence continues in situations where
transgender and gender-nonconforming inmates often have no protection or
escape.
Correctional staff are frequently cited as participating in
harassment, violence, and sexual assault — a serious abuse of
authority.” Transgender prisoners may also be subjected to abusive
physical searches to examine their genitalia and may be left unclothed
to be demeaned and put on display for guards and other staff.
To address the crisis of sexual abuse in prison, Congress unanimously passed the Prison Rape Elimination Act (
PREA)
in 2003. In 2013, standards written by the U.S. Department of Justice
to implement PREA finally took effect. These standards apply to federal,
state and local prisons and jails; states risk forfeiting federal funds
for noncompliance. However, several LGBT organizations have noted that
the standards fall short of the measures needed to protect the safety of
rape survivors.
Assault and Harassment
Survey respondents reported harassment and abuse by jail or prison staff. Of all respondents who spent time in jail or prison in the five years before the survey:
- 7% reported sexual assault;
- 12% reported physical assault (beat up, hit, attacked with a weapon);
- 27% reported sexual harassment;
- 57% reported verbal assault or harassment (shouted at, taunted, called names) by prison or jail staff.
Of the survey respondents who had spent time in jail or prison
in the five years prior to the survey, respondents who were TGNC, had
physical or mental disabilities, or were living with HIV were much more
likely than respondents overall to report harassment and/or assault by
jail or prison staff. Among TGNC respondents, people of color reported
harassment and assault more often than TGNC respondents overall.
Experienced physical assault:
- overall respondents: 12%
- respondents with HIV: 18%
- respondents with physical or mental disabilities (may include HIV): 21%
- TGNC respondents: 22%
- TGNC respondents of color: 28%
- TGNC feminine respondents: 33%
Experienced sexualharassment:
- overall respondents: 27%
- TGNC respondents: 34%
- TGNC respondents of color: 37%
- low-income respondents: 38%
- respondents with disabilities: 38%
- respondents with physical or mental disabilities (may include HIV): 39%
- transgender respondents: 44%
Experienced verbal assault:
- overall respondents: 57%
- respondents of color: 65%
- TGNC respondents: 66%
- respondents with physical or mental disabilities (may include HIV): 67%
- respondents with HIV: 71%
Nearly one-third (30%) of survey respondents who experienced
harassment or assault by jail or prison staff reported their negative
experiences to other jail or prison staff or to a prison monitoring
board. Only 2% of the respondents who reported misconduct felt that the
staff or monitoring board fully addressed their complaint.
Transgender prisoners face unique dangers, in no small part
because most jails and prisons incarcerate people according to the sex
assigned at birth as opposed to their gender identity.
Transgender prisoners may also be subjected to abusive physical searches
to examine their genitalia and may be left unclothed to be demeaned and
put on display for guards and other staff.
- one out of three (33%) Protected and Served?
respondents who were in jail or prison in the last five years identified
as transgender, genderqueer, gender-nonconforming, two-spirit, or
“other” gender identity (abbreviated TGNC).
- the majority (60%) of TGNC respondents who had been in jail or
prison reported being placed in a single-gender section of that jail or
prison that did not match their gender identity.
TGNC respondents with feminine identities reported being wrongly
placed far more often than TGNC respondents with masculine identities:
- 70% of TGNC-feminine respondents reported being wrongly placed.
- 47% of TGNC-masculine respondents reported being wrongly placed.
Correctional departments and prisons specifically should:
- respect the rights of TGNC people to identify their gender
identity and be placed in facilities according to their
self-identification. Jails and prisons should adopt policies in
accordance with the Prison Rape Elimination Act (PREA) (and similar to
those of the United Kingdom) in which the preference is to place
individuals according to their gender identity, with exceptions made on a
case-by-case basis at the preference of the individuals being held. The
PREA standards state:
“Decisions about where a
transgender person, or a person with an intersex condition, is housed
must be made on a case-by-case basis; they cannot be made solely on the
basis of a person’s anatomy or gender assigned at birth. This means
that, for example, every transgender woman must be assessed individually
to determine whether she would be best housed with other women instead
of in a men’s facility. An individual’s views regarding their personal
safety must be seriously considered.
“These decisions must be reassessed at least twice per
year to consider changed circumstances such as incidents of abuse or
changes in an individual’s appearance or medical treatment.
“All transgender people and people with intersex
conditions must be given the opportunity to shower separately from other
inmates if they wish, regardless of where they are housed.”
- prohibit the use of solitary confinement, which is harmful and meant
as a severe punishment, as an option for routine placement of people
who are LGBT or people with HIV.
“Facilities too often
respond to the problem of abuse by placing survivors and those most at
risk in isolation. When prolonged, this isolation can amount to torture.
The Standards restrict such uses of “protective custody” by requiring
that all available alternatives be assessed before placing an inmate
involuntarily in segregated housing. Alternatives might include
relocating a perpetrator of abuse, providing heightened supervision,
changing housing placement or cellmates, placement in a single-occupancy
cell within the general population, or transfer from a men’s to a
women’s facility or vice versa.
“In cases where inmates must be placed in segregation or
isolation, access to programs, education, and other opportunities must
continue to the greatest extent possible. Moreover, segregation—when it
must be used—should not last for longer than 30 days. Agencies must
document the reasons for any restrictions on programs or other
opportunities and any use of segregation beyond 30 days.”
- eliminate policies and procedures that provide for differential
treatment or enhanced disciplinary measures based solely on an inmate’s
HIV-positive status. Inmates should not, for instance, be excluded from
particular jobs or refused placement into certain programs based on
their HIV status. Furthermore, it is inappropriate to subject any
individual to more severe disciplinary or corrective measures, such as
placement in administrative segregation or reassignment to a higher
level of security, simply because that person is living with HIV. The
policies and procedures that require such differential treatment are
based on inaccurate, outdated information about HIV and its transmission
and/or misguided conceptions regarding the scientifically-based
approach to preventing HIV transmission that is supported by medical
professionals and public health officials.
- follow PREA standards regarding searches, and train staff in
conducting professional and respectful searches. PREA prohibits all
cross-gender strip searches and cavity searches except in emergencies,
or those conducted by a medical professional. Any cross-gender searches
that occur must be documented. Transgender individuals should be allowed
to make a choice at admission as to whether they will be searched by
male or female officers for purposes of these requirements. No search or
physical exam may be conducted when the only purpose is to determine
the inmate’s genital status.
- put measures in place to ensure that transgender people and people
with HIV have access to all medically necessary health care. Transgender
people and people with HIV have serious medical needs that must not be
denied during their incarceration. For transgender people, possible
medically necessary treatments include hormone therapy and
transition-related care. Jails and prisons should adopt affirmative
policies and procedures to ensure that transgender prisoners have access
to evaluation by a doctor and any medically necessary treatments
related to gender transition, including hormone treatment and surgeries.
Jails and prisons should ensure that prisoners with HIV have
uninterrupted access to the medication and the range of care they need.
- implement transparent complaint review processes, so victims of misconduct have a form of recourse.
- require correctional staff to undergo cultural competency trainings
about sexual orientation, gender identity and expression and HIV so they
will treat all people who are LGBT or who have HIV in a manner that
respects their rights and needs in a nondiscriminatory manner. Training
should include a particular focus cultural competency concerning gender
identity and expression to address unfounded and incorrect assumptions
about the needs of TGNC people and people with HIV.
All government agencies included in the Protected and Served? survey, including police departments, courts, prisons and schools, should adopt comprehensive non-discrimination policies that:
- prohibit bias and discrimination based on sexual orientation, gender identity and expression and HIV status;
- ensure that culturally competent services and treatment are provided
to LGBT and HIV-positive detainees. Police, court, jail/prison and
school staff (including but not limited to police officers, police
clerks, attorneys, judges, guards, schools security guards, school-based
police and school safety officers) should undergo significant cultural
competency trainings about sexual orientation, gender identity and
expression, and HIV status so they will be able to treat all members of
the LGBT community in a respectful, nondiscriminatory manner. These
trainings should have a particular focus on gender identity and
expression cultural competency, to emphasize the importance of improving
the treatment of TGNC people. Additionally, these trainings should
address HIV confidentiality and transmission, to improve the treatment
of HIV-positive people;
- provide a transparent and accessible oversight process for reporting
and redressing discrimination complaints, combined with clear and
enforced disciplinary procedures;
- include employment policies that can help improve the hiring and
retention of LGBT employees as well as contribute to a more
LGBT-friendly environment.
Lambda Legal Fighting Discrimination in Jails and Prisons
Lambda Legal has been at the forefront of work to protect the rights of LGBT and HIV-positive people in prisons and jails. Recent cases include:
- a 2011 win in the U.S. Court of Appeals for the Seventh Circuit, affirming a judgment for Lambda Legal’s clients in Fields v. Smith,
a federal lawsuit on behalf of transgender women incarcerated in a
men’s prison in Wisconsin. The suit challenged a law (with the hostile
title “The Inmate Sex Change Prevention Act”) that barred medically
necessary transition-related health care for transgender prisoners in
state custody, in violation of the federal Constitution’s guarantee
against cruel and unusual punishment.
- In Melody Rose v. Steven M. Cahee, M.D., Fond du Lac Regional Clinic, S.C., and Agnesian Healthcare, Inc.,
a 2009 lawsuit, Lambda Legal sued the off-site healthcare providers for
a Wisconsin correctional institution on behalf of inmate Melody Rose,
who needed to have her gallbladder removed. When the defendant doctor to
whom she was referred found out she was living with HIV, he refused to
perform the procedure, stating in his notes that he was concerned about
exposing the surgical team to HIV. The case was resolved to Ms. Rose’s
satisfaction in 2010.
- a 2012 friend-of-the-court brief in the U.S. Supreme Court on behalf of inmate Kim Millbrook,
who was sexually assaulted twice by prison staff members at two
different prisons. After the second attack, prison guards threatened to
kill him if he told anyone about the assault. Lambda Legal argued that
Millbrook had a valid claim to sue the U.S. government. In March 2013,
the U.S. Supreme Court agreed, reversing the lower courts’ determination
that the officials were immune from suit and remanding the case for
further proceedings.
Because of the high risk for violence, many prisons have
segregated LGBT prisoners by putting them in LGBT sections, “solitary
confinement” or “protective custody,” which the PREA standards now
disallow. Such segregation does not provide real protection and
creates other forms of abuse by limiting access to privileges,
stigmatizing prisoners, and causing psychological damage because of
long-term isolation.
Until recently, some prisons had similarly sought to isolate
prisoners with HIV into separate wings, or sometimes entirely separate
facilities—often claiming that such action is needed to “protect” the
rest of the prison population from alleged risk of infection. The U.S.
Centers for Disease Control and Prevention has opposed segregation of
HIV-positive prisoners as irrational and counterproductive. In 2013,
after succesful litigation by the ACLU, South Carolina became the last
of a series of states, mainly in the South, that abolished their
policies of segregating HIV-positive prisoners from others.
While Lambda Legal’s Protected and Served? survey
did not ask about the denial of health care, transgender people and
people with HIV are particularly vulnerable when it comes to accessing
appropriate health care while in prison. A 2011 national
survey by the National Gay and Lesbian Task Force of transgender people
found that 12% of people who had been in jails or prisons reported
denial of routine health care and 17% (and 30% of Black respondents)
reported denial of hormones.
Prison authorities’ failure to understand the medical necessity of
transition-related health care such as hormone therapy and surgeries has
led to unnecessary suffering. As the National Center for Transgender
Equality and the National Gay and Lesbian Task Force have noted, “denial
of hormone treatment to transgender inmates … has serious health
consequences. Interruptions in hormone therapy can be physically painful
and damaging to a person’s physical and mental health, and the
initiation of hormone therapy for those who need it is highly
important.”
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Founded in 1973, Lambda Legal is the oldest and largest national
legal organization whose mission is to achieve full recognition of the
civil rights of lesbians, gay men, bisexuals, transgender people and those with HIV through impact litigation, education and public policy work.
As a nonprofit organization, we do not charge our clients for legal
representation or advocacy, and we receive no government funding. We
depend on contributions from supporters around the country.