by Dr Timothy Willem Jones, Associate Professor of History at La Trobe University, and the author of Sexual Politics in the Church of England, 1857-1957 (Oxford, 2013). He leads a multidisciplinary research project, Improving Spiritual Health Care for LGBTQA+ Australians, funded by the Australian Research Council and the Victorian Government.

LGBTQA+ people of faith are at high risk of spiritual and psychological injury in the context of pastoral care. They may experience over 8 times higher risk of suicidality than the wider LGBTQA+ population. Simultaneously, pastoral workers frequently lack confidence in their ability to provide appropriate pastoral care related to gender and sexuality, more than any other issue in pastoral care. There is currently limited research into safety in LGBTQA+ spiritual health care, and no research that considers safety across multiple faiths, irrespective of their theological and pastoral positions related to sexual orientation and gender identity. This article introduces some guidelines for improving safety in pastoral care with lesbian, gay, bisexual, transgender, queer/questioning, asexual and other people with diverse sexual and gender identities (LGBTQA+). The full guide is available here.
The guidelines are based on our research with LGBTQA+ people about their experiences of pastoral care, reported in Healing Spiritual Harms. Our research showed that significant religious and psychological trauma can result from pastoral practices that make a person’s sexuality and gender identity incompatible with belonging to their faith, family and community. Being told that unchangeable parts of yourself are incompatible with your faith can create a condition of existential crisis: the feeling that it is impossible to live at peace with the core parts of who you are. Such experiences can feel like a threat to someone’s very existence, and can lead to complex post-traumatic stress disorders, suicidality as well as a host of other symptoms of mental ill health.
Best practice pastoral care with LGBTQA+ people will support them to accept who they are, and not try to change or suppress their identity. It will support an LGBTQA+ person of faith to explore the possibilities for safety, connection, belonging and self-expression within and consistent with the rules, traditions, and practices of their faith community. If their faith community has mixed views about LGBTQA+ people, it may also involve supporting them to find additional or alternative communities of belonging where their various parts can be valued and affirmed. It will also involve referral to appropriate mental health professionals when that is needed.
The following guidelines provide principles and ethics of pastoral practice that will help you improve your care of LGBTQA+ people in your community. They frame the principles of safe LGBTQA+ pastoral care in generic terms, not specific to any particular religious tradition. As you read them, consider the best ways that these principles could be applied in your own faith community.
- Recognise: In the diversity of human experience, some people are same-sex attracted or have a gender that is different to what people assumed when they were born. We know from decades of medical research that attempts to change a person’s sexual orientation or gender identity, in fact, only suppress that part of a person. When key parts of a person, such as their faith and their sexuality or gender identity, are put in conflict and suppressed, extreme psychological distress can result.
- Protect: As a pastoral worker, you have a role to play as an advocate. If your community is telling LGBTQA+ people that to be a member they are required to suppress their sexuality or gender identity, that requirement will be harmful and unsafe for LGBTQA+ people in your community. LGBTQA+ people should be protected from such unsafe policies and practices.
- Accept: Safe pastoral care for LGBTQA+ people involves supporting them to find a path where they can accept and hold in harmony their faith, their inner sense of sexuality and gender, and their relationship with their religious community, and also to explore how they might safely express those aspects of themselves in relation to the rules and traditions of their faith and community.
- Explore: Sometimes people have uncertain feelings about their gender or sexual attractions. Safe pastoral practice with such people involves supporting their exploration without predetermining any particular outcome for who they are. While your religious tradition will have rules about sexual and gender expression and behaviour, it most likely also has space for a person to explore and accept their sexual orientation and gender identity, who they are inside.
- Support: There are many aspects of being LGBTQA+ in your community about which a person might seek support. Some of these might be: experiences of trauma and discrimination, perhaps even in your community; the social implications of affirming an LGBTQA+ identity on their significant relationships; and their personal safety as they explore and reconcile the different components of their identity.
- Refer: Know what your expertise is and be prepared to refer people to others when they need support outside of that expertise. This could include referral to pastoral workers with more experience in your tradition, or appropriately qualified mental health professionals.
- Reflect: Pastoral care with LGBTQA+ people provides you with a valuable opportunity to reflect on your, and your community’s, pastoral practice. Do you listen carefully to LGBTQA+ people’s experiences in your community? What are the range of attitudes towards LGBTQA+ people that your community holds? What are the different ways that gender and sexual expression have been valued at different times and places in your faith tradition? Do your current pastoral responses to LGBTQA+ people reflect the core values of your faith?






