Based on their unwillingness to allow their child to go through with the treatments, which was based at least in part on their Christian beliefs, Judge Sylvia Hendon ruled to give the teen’s grandparents full custody, including the ability to make medical decisions and provide insurance (they’re accepting of her desire to identify as a male).

Although the judge seems convinced of the teen’s desire to identify as a male, she must still be evaluated by a psychologist unaffiliated with the hospital where she wants to undergo hormone replacement therapy, Cincinnati Children’s Hospital Medical Center, to determine “the issue of consistency in the child’s gender presentation and feelings of nonconformity.” If this were a key component to evaluating the importance of transitioning — and it seems to be — why wouldn’t the judge have ordered a similar evaluation before she stripped the parents of custody of their own child?