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Trends, Implications, and Future Directions for Policy, Practice, and Research on LGBT Elders

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Abstract

LGBT elders remain nearly invisible to advocates, researchers, educators, practitioners, administrators, and policy makers. The topics of sexual orientation and gender identity are rarely addressed in health and human service delivery or educational degree programs, and their relevance to LGBT elders is further marginalized or omitted from these venues. In this chapter, we identify trends and anticipate future directions and implications for policy practice and research on LGBT elders. This chapter serves simultaneously as a capstone of the previous 34 chapters and as a roadmap for advancing a research and service delivery agenda to address the challenges of LGBT elders.

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References

  • Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W., & Kilpatrick, D. G. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health, 100, 292–297. doi: 10.2105/ajph.2009.163089.

    Google Scholar 

  • Abercrombie, J., & Johnson, S. (2007, June 17). Aging in the LGBT community: Preparing for the future—Report on the 2nd Town Hall meeting. Retrieved February 24, 2015 from www.Sageatl.org/doc/TownHallreport-AgingLGBTCommunity.pdf.

  • Ard, K. L., & Makadon, H. J. (2012). Improving the health care of lesbian, gay, bisexual and transgender (LGBT) people: Understanding and eliminating health disparities. Boston, MA: The Fenway Institute. Retrieved January 3, 2015 from www.lgbthealtheducation.org/wp-content/uploads/12-054_LGBTHealtharticle_v3_07-09-12.pdf.

  • Auldridge, A., & Espinoza, R. (2013). Health equity and LGBT elders of color: Recommendations for policy and practice. New York, NY: SAGE.

    Google Scholar 

  • Badgett, M. V. L. (2011). Social inclusion and the value of marriage equality in Massachusetts and the Netherlands. Journal of Social Issues, 67(2), 316–334.

    Article  Google Scholar 

  • Brennan-Ing, M., & Karpalk, S. (2011, September). HIV & aging research: A roadmap for the future. Retrieved January 5, 2015 from http://www.lgbtagingcenter.org/resources/print.cfm?=324.

  • Centers for Disease Control. (2013, November). HIV among older Americans. Retrieved February 25, 2015 from www.cdc.gov/hiv/pdf/library_factsheet_HIV_AmongOlderAmericans.pdf.

  • Chance, T. F. (2013). “Going to pieces” over LGBT health disparities: How an amended Affordable Care Act could cure the discrimination that ails the LGBT community. Journal of Health Care Law and Policy, 16(2), 375–402.

    Google Scholar 

  • Deber, R., & Baumann, A. (2005). Barriers and facilitators to enhancing interdisciplinary collaboration in primary health care. Ottawa, ON: EICP. Retrieved February 25, 2015 from www.eicp.ca/en/resources/pdf/Barriers-and-Facilitators-to-Enhancing-Interdisciplinary-Collaboration-in-Primary-Health-Care.pdf.

  • Espinoza, R. (2013). Friendship a pillar of survival for LGBT elders. Aging Today, 34(3), 1–3.

    Google Scholar 

  • Espinoza, R. (2014). Out & visible: The experiences and attitudes of lesbian, gay, bisexual and transgender older adults, ages (pp. 45–75). New York, NY: SAGE.

    Google Scholar 

  • Feldman, J. L., & Goldberg, J. M. (2007). Transgender primary medical care. International Journal of Transgenderism, 9(3–4), 3–34.

    Google Scholar 

  • Fredriksen-Goldsen, K. I., Hoy-Ellis, C. P., Goldsen, J., Emlet, C. A., & Hooyman, N. R. (2014). Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian, gay, bisexual, and transgender (LGBT) older adults in the health and human services. Journal of Gerontological Social Work, 57, 80–107.

    Article  Google Scholar 

  • Fredriksen-Goldsen, K. I., Kim, H. J., Let, C. A., Muraco, A., Erosheva, E. A., Hoy-Ellis, C. P., et al. (2011). The aging and health report: Disparities and resilience among lesbian, gay, bisexual, and transgender older adults. Seattle: Institute for Multigenerational Health.

    Google Scholar 

  • Gehlert, S., Murray, A., Sohmer, D., McClinton, M., Conzen, S., & Olopade, O. (2010). The importance of transdisciplinary collaborations for understanding and resolving health disparities. Social Work in Public Health, 25, 408–422.

    Article  Google Scholar 

  • Gratwick, S., Jihanian, L. J., Holloway, I. W., Sanchez, M., & Sullivan, K. (2014). Social work practice with LGBT seniors. Journal of Gerontological Social Work, 57, 889–907.

    Article  Google Scholar 

  • Heinz, M., & Choi, J. K. (2014, April 15). Enhancing health care protections for LGBT individuals. Retrieved January 5, 2015 from http://www.hhs.gov/healthcare/facts/blog/2014/04/health-care-protections-for-lgbt-individuals.html.

  • Hillman, J. (2012). Sexuality and aging with LGBT populations. In Sexuality and aging: Clinical perspectives. New York, NY: Springer.

    Google Scholar 

  • Hudson, R. (2011). Study highlights gaps in policy and research on LGBT older adults. The Gerontological Society of America. Retrieved January 7, 2015 from http://www.news-medical.net/news/20111117/Study-highlights-gaps-in-policy-and-research-on-LGBT-older0adults.aspx.

  • Institute of Medicine. (2003). Key capabilities of an electronic health record system. Washington, DC: Author. Retrieved February 25, 2015 from www.nap.edu/catalog/10781/key-capabilities-of-an-electronic-health-record-system-letter-report.

  • Jha, A. K., DesRoches, C. M., Campbell, E. G., Donelan, K., Rao, S. R., Ferris, T. G., et al. (2009). Use of electronic records in US hospitals. New England Journal of Medicine, 360, 1628–1638.

    Article  Google Scholar 

  • Kim, H. J., & Fredriksen-Goldsen, K. I. (2014). Living arrangement and loneliness among lesbian, gay, and bisexual older adults. The Gerontologist, doi:10.1093/geront/gnu083.

    Google Scholar 

  • Knochel, K. A., Croghan, C. F., Moone, R. P., & Quam, J. K. (2012). Training, geography, and provision of aging services to lesbian, gay, bisexual, and transgender older adults. Journal of Gerontological Social Work, 55, 426–443.

    Article  Google Scholar 

  • Lipscomb, C., & LaTosch, K. (2012, July). Exploring the needs of lesbian, gay, bisexual, and transgender elder in metro Detroit. Retrieved February 22, 2015 from http://e-kick.org/exploring-the-needs-of-lesbian-gay-bisexual-and-transgender-elders-in-metro-detroit/.

  • Makadon, H. J., & Cahill, S. (2012, April 30). Aging in LGBT communities: Improving servicesand eliminating barriers to care. Health Care and Aging National Primary Care Conference on Aging. Boston, MA: The Fenway Institute. Retrieved February 25, 2015 from www.healthandtheaging.org/wp-content/uploads/2012/05/Aging-Conference-FINAL-JW-3-13.pdf.

  • MAP, SAGE, & CAP. (2010). LGBT older adults: Facts s a glance. Retrieved February 25, 2015 from www.lgbtagingcenter.org/resourdes/resource.cfm?r=22.

  • MetLife Mature Market Institute & The Lesbian and Gay Aging Issues Network of the American Society of Aging. (2010). Out and aging: The MetLife study of lesbian and gay baby boomers. Journal of GLBT Family Studies, 6, 40–57.

    Google Scholar 

  • National Institute on Aging. (2009, March). Age page: HIV, AIDS, and older people. Retrieved February 25, 2015 from www.nia.nih.gov/sites/default/files/hiv_aids_and_older_people_0.pdf.

  • Pratt, G., Gascoyne, K., Cunningham, K., & Turnbridge, A. (2010). Human immunodeficiency virus (HIV) in older people. Age and Ageing, 39(3), 289–294.

    Article  Google Scholar 

  • Pugh, S. (2005). Assessing the cultural needs of older lesbians and gay men: Implications for practice. Practice: Social Work in Action, 17, 207–218.

    Article  Google Scholar 

  • Russell, G. M. (2012). When the political and the personal collide: Lesbian, gay, bisexual, and transgender people as political targets. In S. H. Dworkin & M. Pope (Eds.), Casebook for counseling lesbian, gay, bisexual, and transgender persons and their families (pp. 329–339). Alexandria, VA: American Counseling Association.

    Google Scholar 

  • SAGE & MAP. (2010, March). Improving the lives of LGBT older persons. New York, NY: Author.

    Google Scholar 

  • San Francisco LGBT Aging Policy Task Force. (2014, March). LGBT aging at the golden gate: San Francisco policy issues & recommendations. Retrieved February 23, 2015 from www.sf-hrc.org/sites/sf-hrc.org/files/LGBTAPTF_FinalReport_FINALWMAFINAL.pdf.

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Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pamela B. Teaster .

Editor information

Editors and Affiliations

Appendices

Resources

Center for Population Research in LGBT Health: www.lgbtpopulationcenter.org

LGBT Aging Project: www.lgbtagingproject.org

Movement Advancement Project (MAP): www.lgbtmap.org

Public Policy & Aging Report: www.agingsociety.org

Services & Advocacy for Gay, Lesbian, Bisexual & Transgender Elders (SAGE): www.sageusa.org

The Fenway Institute: www.thefenwayinstitute.org

The National Gay and Lesbian Task Force: http://thetaskforce.or13

Learning Exercises

Self-Check Questions

  1. 1.

    What are some of the commonalities and difference across age cohorts of LGBT persons?

  2. 2.

    What is one of the major challenges across disciplines to an interdisciplinary approach to addressing issues relevant to LGBT elders?

  3. 3.

    How can the Affordable Care Act be improved to address broader LGBT healthcare discrimination?

  4. 4.

    What are the major contributing factors to limited research on LGBT elders?

  5. 5.

    What concerns have LGBT elders identified as the most important?

Experiential Exercises

  1. 1.

    Imagine that you have the ability to develop or influence policy pertaining to LGBT elders. Select a specific area (e.g., health care, housing, employment) and outline issues that need to be addressed, specify potential policy/solutions, and how you would implement them.

  2. 2.

    Research an LGBT elder who has influenced policy on older LGBT adults. How has he or she been able to establish or change current policies?

Multiple-Choice Questions

  1. 1.

    Which type of approach to collaboration occurs when experts or practitioners operate outside their disciplines or specialty?

    1. (a)

      Interdisciplinary

    2. (b)

      Transdisciplinary

    3. (c)

      Multidisciplinary

    4. (d)

      Intradisciplinary

  2. 2.

    The Affordable Care Act has been criticized for failure to do which of the following for LGBT persons?

    1. (a)

      Ensure access to health care

    2. (b)

      Promote life care planning

    3. (c)

      Ensure quality of care

    4. (d)

      Promote a full spectrum of services

  3. 3.

    In addition to health disparities, which of the following may be a reason for disparities between LGBT and non-LGBT elders?

    1. (a)

      LGBT elders place high value on self-sufficiency

    2. (b)

      Non-LGBT elders are able to better handle criticism from family members

    3. (c)

      LGBT elders are able to use their domestic partners’ health insurance

    4. (d)

      Unmarried non-LGBT elders are able to use their domestic partners’ health insurance

  4. 4.

    Which of the following legislation prohibits discrimination bases on sex, sex stereotyping, and gender identity?

    1. (a)

      Americans with Disabilities Act

    2. (b)

      Civil Rights Act

    3. (c)

      Affordable Care Act

    4. (d)

      Medicare

  5. 5.

    Which of the following is a logical reason to gather data on sexual orientation and sexual identity?

    1. (a)

      Increases ability to screen, detect, and prevent conditions more common in LGBT persons

    2. (b)

      Helps develop a better understanding of patients’ lives

    3. (c)

      Allows comparison of patient outcomes with national survey samples of LGBT person

    4. (d)

      All of the above

    5. (e)

      None of the above

  6. 6.

    Which of the following is the intended purpose of electronic health records?

    1. (a)

      Reduce duplication

    2. (b)

      Allow clinician to share information

    3. (c)

      Improve quality of care

    4. (d)

      All of the above

    5. (e)

      None of the above

Key

  • 1-b

  • 2-c

  • 3-a

  • 4-c

  • 5-d

  • 6-d

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Teaster, P.B., Harley, D.A. (2016). Trends, Implications, and Future Directions for Policy, Practice, and Research on LGBT Elders. In: Harley, D., Teaster, P. (eds) Handbook of LGBT Elders. Springer, Cham. https://doi.org/10.1007/978-3-319-03623-6_35

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  • DOI: https://doi.org/10.1007/978-3-319-03623-6_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-03622-9

  • Online ISBN: 978-3-319-03623-6

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