There is fear among LGBT aging adults that moving into an assisted living community will require them to hide their sexual orientation or gender identity.LGBT aging adults fear assisted living communities will not offer an inclusive environment that would make them feel safe and accepted. Research literature suggests several factors that have the potential to increase safe and welcoming environments for LGBT aging adults. Of those factors, creating cultural competency through education and training within an assisted living community was paramount.However, there is a knowledge gap of what best practices an assisted living community could implement in order to increase inclusiveness of LGBT aging adults. Using a multiple case study approach, this study examined three assisted living communities, including one LGBT-specific community to identify best practices.The results presented in this study revealed that the non-LGBT specific traditional assisted living communities were less prepared to care for the LGBT aging population. This claim is evident through four main themes that emerged from the interviews with staff of these two assisted living communities. The themes identified suggested a lack of awareness of LGBT challenges and a lack of knowledge in methods to increase understanding of cultural competency. Also demonstrated was an absence of understanding of the protection of LGBT aging adults and participants were unable to articulate the factors that create inclusiveness. TheLGBT-specific community was more prepared to care for the LGBT aging population and staff displayed an awareness of challenges faced by LGBT aging adults. While the community was able to articulate factors that increase understanding, there was a lack of formalized education and training programs to achieve this. Staff reported their community was inclusive due to their status of being an LGBT-specific community.
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