Advancing Inclusion of Transgender and Gender-Diverse Members at the St. Louis Recreation Centers: A Practice Note on the Free to Flex Initiative at Cherokee Rec

Bills to prevent transgender youth from participating in school sports have passed in many states, including Missouri Senate Bill 39. In response, past St. Louis Mayor Tishaura Jones signed an executive order (No. 77) to support and protect transgender residents in the City of St. Louis, Missouri; this executive order addressed numerous public spaces, including the city's seven recreation centers. In this Practice Note, we describe a pilot initiative, Free to Flex, with the goal of supporting the safety and inclusion of transgender members within the St. Louis recreation centers. This initiative utilized a participatory action research framework and was guided by a community advisory group. Key elements included: Gender-neutral bathrooms and locker rooms; staff training on gender-affirming communication and care; gender-inclusive signage; updated policies; and revised registration procedures. Implications for policy, practice, and next steps are discussed.

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Publication Details

Journal
Health Promotion Practice
Published
2026-03-22
DOI
https://doi.org/10.1177/15248399251415428
Primary Topic
LGBTQ Health, Identity, and Policy
Type
article
Field-Weighted Citation Impact
0.00
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article

Advancing Inclusion of Transgender and Gender-Diverse Members at the St. Louis Recreation Centers: A Practice Note on the Free to Flex Initiative at Cherokee Rec

Andrea Giedinghagen, Gretta Strand, Whitney Linsenmeyer, Melik D.H. Coffey et al.
Health Promotion Practice
LGBTQ Health, Identity, and Policy
article

Advancing Inclusion of Transgender and Gender-Diverse Members at the St. Louis Recreation Centers: A Practice Note on the Free to Flex Initiative at Cherokee Rec

Andrea Giedinghagen, Gretta Strand, Whitney Linsenmeyer, Melik D.H. Coffey, Susan Halla, Sarah Garwood, Katie Heiden-Rootes, Kyle Freels, Chris Geden, Lawrence Prograis, James Thurow, Chelsea Freels, Miles Rowe, Jordan Braxton, Rene Freels, Lisa Bergman, Sunshine Prograis
article en

Abstract

Bills to prevent transgender youth from participating in school sports have passed in many states, including Missouri Senate Bill 39. In response, past St. Louis Mayor Tishaura Jones signed an executive order (No. 77) to support and protect transgender residents in the City of St. Louis, Missouri; this executive order addressed numerous public spaces, including the city's seven recreation centers. In this Practice Note, we describe a pilot initiative, Free to Flex, with the goal of supporting the safety and inclusion of transgender members within the St. Louis recreation centers. This initiative utilized a participatory action research framework and was guided by a community advisory group. Key elements included: Gender-neutral bathrooms and locker rooms; staff training on gender-affirming communication and care; gender-inclusive signage; updated policies; and revised registration procedures. Implications for policy, practice, and next steps are discussed.

Health Promotion Practice
Transparency International (CZ), Washington University in St. Louis (US), Cherokee Nation (US), Advisory Board Company (United States) (US), Transparency Lab (Netherlands) (NL), St. Louis County Department of Parks and Recreation (US), National Association of Friendship Centres (CA), Thrive (US), Saint Louis University (US)
Reduced inequalities
Openalex Percentile: Top 18%
LGBTQ Health, Identity, and Policy
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