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.
Linsenmeyer et al. (Sun,) studied this question.