Family mental health services, specifically group services emerged out of a tradition of family therapy aimed at prompting youth well-being by intervening on the systemic level. For example, families may reject gender expansiveness or enforce the rigidity of gender norms rather than alter the family system. When a child transitions, the entire family and system is impacted and must change as well (Malpas & Glaeser, 2018; Malpas, Pellicane & Glaeser,...