Discrimination, harassment, and violence against Black trans, intersex, queer, and gender nonconforming (LGBTQ+) people pervade virtually every institution and setting, including schools, workplaces, systems of policing, prisons, parole and probation, immigration, health care, and family and juvenile courts. As a result, Black LGBTQ+ people experience high levels of poverty, criminalization, health disparities, and exclusion in the U.S. Black trans women and gender nonconforming people in particular experience some of the highest levels of killings, violence, poverty, policing, criminalization, and incarceration of any group in the U.S.