affirming care | Campus Safe Words

TERM: affirming care
RISK LEVEL: High

Why It’s Risky

The term “affirming care” is frequently associated with gender-affirming medical practices, a primary focus of recent legislation in states such as Florida, Tennessee, and Texas. These laws restrict the use of public funds for services perceived as promoting gender transition, particularly for minors. In this context, using “affirming care” in course descriptions, training programs, or institutional communications may be interpreted as endorsing contested treatments. Public universities are under increased pressure to avoid terminology viewed as advancing ideologically driven or medically disputed practices.

Common Critiques

Conservative policymakers argue that “affirming care” frames a specific approach to gender identity as the only valid medical or ethical stance, which they see as incompatible with the principle of academic neutrality. Critics also claim that the term bypasses medical debate and parental rights by implying that affirmation is the only responsible form of care. Some contend that the phrase is used to signal ideological compliance with progressive social values rather than promote open inquiry or evidence-based practice.

When It’s Still Appropriate

“Affirming care” may be appropriate in clinical training or social work programs when discussing current best practices recognized by professional associations such as the American Psychological Association or WPATH. When used, it should be presented as one model of care among others, with acknowledgment of legal and policy variation across states. Faculty should clarify that use of the term reflects academic coverage, not institutional endorsement.

Suggested Substitutes

1. Patient-centered care (for general medical or counseling contexts)

2. Trauma-informed care (when applicable)

3. Inclusive clinical practices (used cautiously)

4. Supportive services (for general reference to student or patient support)

5. Evidence-based approaches (when emphasizing medical grounding)

Notes:
Avoid using “affirming care” in program titles, promotional materials, or policy statements unless essential to professional accreditation or clinical instruction. When necessary, clearly situate the term within a neutral academic context and acknowledge regulatory differences by state. Consider consulting legal counsel or institutional compliance officers before using the term in externally facing documents.