Search results for ‘Subject term:"lgbt people"’ Sort:
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How do community-dwelling LGBT people perceive sexuality in residential aged care? A systematic literature review
- Authors:
- MAHIEU Lieslot, CAVOLO Alice, GASTMANS Chris
- Journal article citation:
- Aging and Mental Health, 23(5), 2019, pp.529-540.
- Publisher:
- Taylor and Francis
Objectives: To investigate what empirical studies report on the perceptions of community-dwelling LGBT adults regarding sexuality and sexual expression in residential aged care (RAC), and how their sexuality should be addressed in RAC. Methods: Relevant papers were identified through electronic searches in databases; and by reference tracking and citation tracking. Data were extracted using a standardised data extraction form and were compared, related, and synthesised using thematic analyses. The methodological quality of the studies were evaluated. Results: Eighteen articles were identified. Three major topics emerged regarding sexuality in RAC: (1) factors affecting LGBT people's perceptions, subdivided into (a) discrimination, (b) loss of sexual identity, (c) failure to acknowledge the same-sex partner, and (d) lack of privacy; (2) LGBT-specific RAC facilities; and (3) characteristics of LGBT friendly RAC facilities and caregivers. Conclusions: LGBT people have clear perceptions about how sexuality and sexual expression is or should be managed in RAC. Despite the general increase in acceptance of sexual minorities, many community-dwelling LGBT people believe older LGBT residents are discriminated against because of their sexual orientation or gender identity. Taking into account these opinions is crucial for increasing accessibility of RAC to LGBT people and to ensure the quality of the provided care. (Edited publisher abstract)
Gay-friendly elderly care: creating space for sexual diversity in residential care by challenging the hetero norm
- Authors:
- LEYERZAPF H., et al
- Journal article citation:
- Ageing and Society, 38(2), 2018, pp.352-377.
- Publisher:
- Cambridge University Press
Studies on older lesbian, gay, bisexual and transgender (LGBT) adults in residential care point to their discrimination, invisibility and the taboo on LGBT lifestyles, and call for development of ‘gay-friendly’ care. Yet, the literature is short on how to create inclusive residential care for older LGBT people. This study aimed to acquire in-depth understanding of experiences and needs of LGBT older people concerning their inclusion and participation in care settings to contribute to development of inclusive and responsive care that structurally enhances visibility, ‘voice’ and wellbeing of LGBT residents. Responsive, multi-stakeholder research using interviews, participant observations and focus groups was conducted within three elderly care homes in the Netherlands. Thematic, interpretative analysis was performed. LGBT respondents reported social exclusion and the need to feel safe and at home and be yourself. Exclusive activities for LGBT people foster personal and relational empowerment. However, heterogenous activities seem crucial in dealing with stereotypical imaging, heteronormativity and an equality-as-sameness discourse that influenced culture and daily practice in the homes and negatively affected the position of LGBT older adults. For development of gay-friendly elderly care exclusionary social norms need to be addressed. Dialogical sharing of narratives can help to empower LGBT older adults and stimulate understanding and shared responsibility between LGBT and heterosexual older people, as well as professionals. (Publisher abstract)
Redefining residential: ensuring competent residential interventions for youth with diverse gender and sexual identities and expressions
- Authors:
- GLICK Douglas A., et al
- Journal article citation:
- Residential Treatment for Children and Youth, 33(2), 2016, pp.107-117.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Association of Children's Residential Centers (ACRC) recognises that all children and adolescents are complex human beings, who may bring to their care with the residential treatment centres many forms of diversity, including diversity of sexual orientation (SO) and gender identity (GI). It is incumbent upon residential treatment centres to ensure that these diversity issues are treated with linguistic and cultural competence in all aspects of these client's treatment from admission through discharge planning. Crucial to delivering high-quality care requires focusing on the intentional creation of safe space, staff training, affirming policies and procedures, and increasing family acceptance. (Edited publisher abstract)
As long as they keep away from me: attitudes toward non-heterosexual sexual orientation among residents living in Spanish residential aged care facilities
- Authors:
- VILLAR Feliciano, et al
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.1006-1014.
- Publisher:
- Oxford University Press
Purpose: The purpose of this article is to shed light on the attitudes of older people living in residential aged care facilities (RACFs) toward non-heterosexual sexual orientation. Design and Methods: Forty-seven residents living in five RACFs located in Catalonia (Spain) were interviewed in relation to the way they would think and react if another resident told them he/she felt sexually attracted to people of the same gender and that he/she had maintained sexual relationships with another man/woman in the home, and whether they would have any problem in sharing common spaces or a room with this resident. Results: Most residents expressed some kind of negative reaction ranging from staying away from the resident in question to extreme rejection, although positive and neutral reactions also emerged. Participants were far more reluctant to share a room with that resident than to share common spaces. Implications: The prevalence of homophobic attitudes among older people living in RACFs seems to be high. This may be a barrier for LGB residents, making the expression of their sexual identity more difficult and leading to discriminatory practices. (Publisher abstract)
Substance use and mental health severity among LGBTQ individuals attending Minnesota model-based residential treatment
- Authors:
- KLEIN Audrey A., ROSS Buster L.
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 26(3), 2014, pp.303-317.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This administrative data analysis examined substance use and mental health severity among a sample of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals receiving residential treatment for an alcohol or drug use disorder. LGBTQ were statistically compared to heterosexual patients on a number of variables, including frequency and amount of pretreatment alcohol use, frequency of pretreatment illicit drug use, co-occurring Axis I mental health diagnoses, and past history of physical or sexual abuse. LGBTQ patients exhibited significantly greater severity on nearly all variables, suggesting a strong relationship between clinical severity and being a sexual minority. This study also found a relationship between patient gender and the pattern of differences between LGBTQ and heterosexual patients. These results replicate and extend those of studies examining LGBTQ in the general population and suggest opportunities for development of alcohol/drug treatment approaches that address the unique needs of LGBTQ. (Publisher abstract)
- video
LGBTQI+ video stories
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2017
- Place of publication:
- London
This resource presents five accounts of LGBTQI+ people and their care and support experiences. The stories focus on people with physical disabilities; people with mental health needs; people with learning disabilities; partners in adoption services; and older people and residential care. (Edited publisher abstract)
Working with lesbian, gay, bisexual and transgender people: older people and residential care: Roger's story
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
In this video we meet Roger who talks about his experiences of care provided to a friend in residential care and hospice care provided for his partner. When David, a friend and former partner, was diagnosed with presenile dementia, Roger was happy to disclose information about David and his relationship but he felt that the staff at the home lacked empathy. The home learnt from their experience of working with Roger and David, making improvements so that the resident and those connected to them, felt safe, and comfortable to ‘come out’.
In 2002 Roger’s partner Michael was diagnosed with cancer which saw him enter a hospice. Both decided from the outset to be ‘out’ to the carers and health professionals working with them. The staff made the effort to understand the needs of the couple so they could provide appropriate support. Roger felt involved in Michael’s care provision and that their relationship was honoured and respected.
Developing an LGB T&I inclusive environment for older people living in care homes: Community Advisors' assessment and development tool
- Authors:
- HAFFORD-LETCHFIELD Trish, et al
- Publisher:
- Middlesex University
- Publication year:
- 2017
- Pagination:
- 13
- Place of publication:
- London
An assessment and development tool which can be used to develop a more inclusive environment for lesbian, gay, bisexual and transgender and intersex (LGB T&I) older people living in care homes. The tool is divided into 7 sections: policies and procedures; environment; consultation; risk management; issues specific to gender - Trans support and care; cultural safety; and end of life care planning and bereavement. Based on research and evidence, the tool was developed for use in residential care settings by academic partners at Middlesex, Nottingham, Bristol and Edge Hill University, UK and sponsored by the Comic Relief Care Home Challenge fund. It was used in a project in which a national care home provider was piloting an approach to developing and enhancing a more inclusive environment for lesbian, gay, bisexual and transgender and intersex (LGB T&I) older people, their families and support networks. Following a training programme, the tool was piloted with care homes. The pilot was successfully evaluated and this tool is now being made available to provide the inspiration for learning how to increase LGB T&I inclusivity in all of the care home services. (Edited publisher abstract)
“Fear Runs Deep:” the anticipated needs of LGBT older adults in long-term care
- Authors:
- PUTNEY Jennifer M., et al
- Journal article citation:
- Journal of Gerontological Social Work, 61(8), 2018, pp.887-907.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training. (Edited publisher abstract)
‘We treat them all the same’: the attitudes, knowledge and practices of staff concerning old/er lesbian, gay, bisexual and trans residents in care homes
- Authors:
- SIMPSON Paul, ALMACK Kathryn, WALTHERY Pierre
- Journal article citation:
- Ageing and Society, 38(5), 2018, pp.869-899.
- Publisher:
- Cambridge University Press
The distinct needs of lesbian, gay, bisexual and trans (LGBT) residents in care homes accommodating older people have been neglected in scholarship. On the basis of a survey of 187 individuals, including service managers and direct care staff, we propose three related arguments. First, whilst employees’ attitudes generally indicate a positive disposition towards LGBT residents, this appears unmatched by the ability to recognise such individuals and knowledge of the issues and policies affecting LGBT people. Statements such as, ‘We don't have any [LGBT residents] at the moment’ and ‘I/we treat them all the same’ were common refrains in responses to open-ended questions. They suggest the working of heteronormativity which could deny sexual and identity difference. Second, failure to recognise the distinct health and social care needs of LGBT residents means that they could be subject to a uniform service, which presumes a heterosexual past and cisgender status (compliance with ascribed gender), which risks compounding inequality and invisibility. Third, LGBT residents could be obliged to depend largely on the goodwill, knowledge and reflexivity of individual staff (including people of faith) to meet care and personal needs, though such qualities were necessary but not sufficient conditions for inclusion and no substitute for collective practices (involving commitment to learn about LGBT issues) that become integral to care homes’ everyday functioning. A collective approach is key to advancing inclusion, implementation of legal rights to self-expression and securing equality through differentiated provision. (Edited publisher abstract)