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Embracing Diversity: Enhancing Care for Older LGBTQ+ Individuals

This resource explores challenges faced by older LGBTQ+ individuals in accessing social care services, highlighting discrimination and invisibility. It discusses relevant legislative frameworks, service reforms, and key themes in service delivery to advocate for inclusivity and sensitivity. Drawing on real experiences, it emphasizes the need for positive practices in supporting LGBTQ+ elders.

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Embracing Diversity: Enhancing Care for Older LGBTQ+ Individuals

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  1. Don’t Look Back: Improving social care service delivery for older lesbian, gay and bisexual service users Elizabeth Price

  2. What do we know? • Very little! • Policy, research, guidance, practice - the heterosexual imperative • The ageing experience – mediated through disadvantage and discrimination • Why is the LGB perspective an issue?

  3. The Legislative Framework • Providing protection and strengthening equality: • The Mental Capacity Act (2005) • The Equality Act (2006),The Equality Act (2010) • The Civil Partnership Act (2004) • The Equality Act (Sexual Orientations Regulations)(2007)

  4. Service reform • The Personalisation Agenda • ‘Sexuality sensitive’ care • Recent developments: • National Carers Strategy • The End of Life Care Strategy • The National Dementia Strategy • The Dignity Agenda

  5. Key Themes • Accessing services – Discrimination and negative experiences

  6. I came out in the 50s – and that was shit – now I am dependent on carers and I am frightened… I am very frightened of them… what if they find out that I am a lesbian… what are they going to do to me… I have ‘de-gayed’ my house… this is much worse than the 50s. I want to be able to be gay in my last days – I don’t want to have to hide again and I particularly don’t want to have to hide because the home help is coming round… (Older lesbian interviewee quoted in Pugh, 2010)

  7. Key Themes • Accessing services – Discrimination and negative experiences • Service delivery – Invisibility and assumed heterosexuality

  8. My (former) GP prescribed HRT and said that “it should make my husband happy”. I was stunned by the sexist and heterosexist assumptions wrapped up in this comment. Older lesbian respondent quoted in River (forthcoming)

  9. Key Themes • Accessing services – Discrimination and negative experiences • Service delivery – Invisibility and assumed heterosexuality • LGB specific health and social care issues • Positive practice

  10. Conclusions

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