I can weigh in on this a bit. I'm going to omit any personal details I can to avoid PL but I feel this is important to share. Back when I was in school, a certain amount of volunteer hours were required before graduation but had to be completed through school approved programs (which were limited). One of them was an LGBT youth crisis line that took phonecalls from 4 pm to midnight. There were several pages of rules that had to be read before starting as well as practice calls with staff to teach you the correct procedure for handling distraught callers. We were given name tags to fill out with our "preferred name and pronouns" which had to be worn on the call floor at all times to apparently avoid any hurt feelings. From what I can remember, this was confusing to the student volunteers in the group because every one of them went by their legal name and "assigned pronouns".
It was assumed the calls would be an equal mix of kids who were gay, lesbian, transsexual, etc but we soon learned that roughly 85% of callers identified as transgender and used alternate names and pronouns. Saying the word "transsexual" was also highly forbidden as well, even if the caller self identified as such because it was considered offensive. Nearly every transgender person who called was in constant "crisis" and continually would either threaten suicide or romanticize the idea of it. No one kept track of who spoke to each caller so they would often speak with a rep for a long time and then hang up and call again to get connected with a different volunteer. It wasn't uncommon for certain callers to do this for hours because they loved the attention. If they were connected to the same person who already helped them, they would hangup and call again. This was extremely grating on the nerves because there was typically a wait when calling and a lot of individuals truly did need help and/or resources. There were many teens we spoke to who were kicked out of their home for coming out as gay or because a parent caught them having sex with someone of the same gender. A few kids even lived out of their car and were simply calling for information on local shelters.
Nothing that could be viewed as negative was allowed to be said, everything had to be very affirming and positive even if the caller asked for honesty or said something ridiculous or vile. The call center was intended for youth age 21 and under but we got a LOT of adult male tranny's calling just to pant into our ears and moan our names while beating off. Once again, we HAD to be polite and affirming so we couldn't say anything "mean" or hangup on these degenerates. One of the most common questions received from these grown ass men were them asking us, minors by the way, if we would date or sleep with older trans women. The answer "no" wasn't acceptable and we were expected to repeat the line "I'm an open minded person when it comes to dating and sex".
One of the most annoying parts of all of this was the directors of the program were extremely negligent when it came to filling out time sheets showing how many volunteer hours were completed for each student. Many kids never had this issue resolved before the deadline and those that did were often majorly shorted. Students began quitting, parents started complaining (rightfully so) and pulling their kids out of the program themselves but not before being called a bigot or transphobic for doing so. The call center was eventually removed as an option for student volunteer work and they shut down after three years in operation. I have no idea why this crap was even legal in the first place but it was an awful experience that added nothing of value to the highschool experience.