"[3] Helt directed viewers to get involved by visiting Cyrus's Facebook page and donating to My Friend's Place, an organization helping homeless youth in the Los Angeles area; they raised more than $200,000 in twenty-four hours.

"[4] Cyrus was also a spokesperson for the MAC AIDS Fund in 2015, to help transgender people living with HIV in L.A. and San Francisco find medical care and housing.

[8] As a result of donations received, Gender Spectrum was able to begin hosting weekly digital support groups,[8] serving "over 1,300 transgender and gender-expansive youth and their families".

For instance, the foundation partnered with the Zebra Coalition, a network of organizations providing support for LGBTQ youth in Central Florida, to offer immediate counseling following the 2016 Orlando nightclub shooting.

[10] She released the song "Inspired" in honor of LGBT Pride Month, with her portion of any proceeds going directly to the Happy Hippie Foundation.

[13] The 2018 Converse pride collection was designed by Cyrus with the Happy Hippie logo being featured on the line and the net proceeds going to the foundation along with other pride-related charities.

[19] The foundation, Cyrus and Phantogram shared mental health facts, suicide prevention resources and crisis intervention hotline information.

In 2015, she released a new set of Backyard Sessions videos to publicize the launch of the Happy Hippie Foundation, beginning on May 6 when she performed "Different" with Joan Jett.

Some of the songs in the sessions reflected the foundation's themes: Cyrus's cover of Dido's "No Freedom" was dedicated to Leelah Alcorn,[26] and she performed "Androgynous" and "True Trans Soul Rebel" with Laura Jane Grace,[27][28] who came out as transgender in 2012.