Transgender Youth Health and Joy: A Model of Evidence-Based School District Policy Change to Support Transgender and Nonbinary Youth Health

There are 1000 antitransgender bills across the United States, more than one quarter of which target educational settings. School districts are an increasingly critical policy domain through which transgender and nonbinary youth health is harmed and can be protected. Trans-led resistance, including activism and advocacy, has been found to lead to improved health. This case study describes one California school district's policy advocacy process as a model for building transgender youth health through a participatory process that, in itself, has supported transgender joy. (<i>Am J Public Health</i>. 2026;116(2):210-213. https://doi.org/10.2105/AJPH.2025.308264).