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Health Care Considerations for Two Spirit and LGBTQIA+ Indigenous Communities

This publication is designed to support health centers in providing affirming care and
services for Two Spirit and LGBTQIA+ American Indian/Alaska Native (AI/AN) people.

Two Spirit describes an Indigenous person who expresses their gender identity, spiritual identity, or social role in a traditional, non-Western way. The term Two Spirit was developed by LGTBQIA+ AI/AN activists in 1990 as way to unify tribal traditions that
historically embraced diversity and fluidity of gender identities and sexual orientations.

The NAMI OC Warmline is a free and confidential telephone service providing emotional support and resources to Orange County residents.

If you, a family member, or a loved one are experiencing mental health concerns, substance abuse, loneliness, or are in need of community resources, The WarmLine is for you!

Call or Text: (714) 991-6412

Start an OC Warmline Chat

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