In March 2025, funding for that study and others was cut by the National Institutes of Health (NIH). The Yale LGBTQ Mental Health Initiative lost all eight of its federal NIH grants and contracts totaling about $5 million.
“There was no precedent for this,” said Pachankis, the David R. Kessler, M.D. '55 Professor of Public Health, professor of psychology and professor of psychiatry. “The NIH has historically honored its contracts, even as political winds shift. This time, all of our funding was abruptly cut, solely because our work focused on LGBTQ+ people.”
Clinical trials halted midstream, leaving research participants, many of whom were receiving treatment for major depressive disorder or substance dependence, without care. Blood samples collected for a different study—one of the few longitudinal studies to analyze markers of inflammation in the blood of LGBTQ+ individuals and how they might affect mental health outcomes—could no longer be analyzed. “We had to make quick, painful decisions about what we could salvage,” Pachankis said.
He reached out to Jamie Marks, a Yale College alumnus and founder of The Constellation Project, a nonprofit focused on building family support for LGBTQ+ youth. Marks had partnered with Pachankis to recruit participants for the research on the importance of family support and empathy.
“When I told Jamie that the study had been cut, he immediately offered to support the continuation of the work,” Pachankis said. “His gift has saved this study.”
Dr. Kirsty Clark, PhD, MPH ‘16, a former student who continues to collaborate with Pachankis, said she was devastated to learn about the funding cuts. An assistant professor at Vanderbilt University, Clark also is an expert in LGBTQ+ youth mental health.