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

Fredriksen-Goldsen, Karen I.; Hoy-Ellis, Charles P.; Goldsen, Jayn; Emlet, Charles A.; Hooyman, Nancy R.

doi:10.1080/01634372.2014.890690

Cited by 159 publications

(113 citation statements)

References 67 publications

Supporting

Mentioning

110

Contrasting

Order By: Relevance

“…Many older LGBT people have experienced a lifetime of discrimination which has left them fearful about coming out'. This has resulted in individuals being concerned about discrimination from health and social cares practitioners and agencies, alongside 6 difficulty in accessing culturally responsive services (Stein, Beckerman, & Sherman 2010;Fredriksen-Goldsen, Hoy-Ellis, Goldsen, Emlet, & Hooyman 2014).…”

Section: Facilitating Social Impact Through Researchmentioning

confidence: 99%

Meaningful dissemination produces the “long tail” that engenders community impact

Fenge

Jones

Gibson

2018

QRJ

View full text Add to dashboard Cite

Purpose Lack of understanding of the needs of older LGBT individuals is a global issue and their needs are often ignored by health and social care providers who adopt sexuality-blind approaches within their provision. As a result, public services can find it difficult to push the LGBT equalities agenda forward due to resistance to change and underlying discrimination. The aim of this paper is to discuss these issues. Design/methodology/approach This report considers how a body of participatory research concerning the needs and experiences of older LGBT people was used to create innovatory dissemination tools, which then engaged communities through public engagement to learn about the needs and experiences of older LGBT citizens. Good research has a “long tail” – (in statistics, “a large number of occurrences far from the ‘head’ or central part of the distribution”). The report considers how a film and a method deck of cards, presented to service providers in several workshops over time, offered opportunities to learn and critically reflect upon an informed practice. Findings Because of the on-going feedback from our workshops, the authors, in turn, learned the importance of having a champion within a community organisation to take forward the LGBT agenda. A report of one such outreach champion is included here. Originality/value Consideration is given to challenges involved in creating impact through research, and how participatory community processes may enhance impact to develop over time.

show abstract

Section: Facilitating Social Impact Through Researchmentioning

confidence: 99%

Meaningful dissemination produces the “long tail” that engenders community impact

Fenge

Jones

Gibson

2018

QRJ

View full text Add to dashboard Cite

show abstract

“…1,2,3,4 Trans people also access health services for nontrans-related health issues prior to, during, and following gender transition. Healthcare professionals run the risk of being fined up to £5000 and receive a criminal record if they divulge a patient's gender history when this has been obtained in an official capacity and the individual has a gender recognition certificate.…”

Section: Wwwtrendsinmenshealthcom Trends In Urology and Men's Health mentioning

confidence: 99%

Supporting trans people in clinical practice

Wylie

2016

Trends Urol & Men's Health

View full text Add to dashboard Cite

As the number of transgender people accessing healthcare/presenting within healthcare settings increases, their needs have to be considered when designing and delivering healthcare services. This article outlines current key issues surrounding trans healthcare and clinical guidelines, and signposts readers to essential resources as a step towards ensuring practitioners are equipped to respond appropriately to any health needs a trans person may present in a clinical setting.

show abstract

“…7,8 Inclusion of family or significant others in care and decisionmaking also differs between SGM and heterosexuals/cisgender persons, perhaps related to different expectations and needs of cancer care. 9 In addition, many sexual minority cancer survivors experience discrimination, gaps in care, insufficient social support, and increased social isolation. 10 Patient centeredness is a fundamental feature of quality healthcare and an important aspect of high-quality oncology care.…”

Section: Introductionmentioning

confidence: 99%

Culturally Competent Care for Sexual and Gender Minority Patients at National Cancer Institute-Designated Comprehensive Cancer Centers

et al. 2018

View full text Add to dashboard Cite

Purpose: This study sought to identify the policies and guidelines regarding culturally competent care of sexual and gender minority (SGM) cancer patients and survivors at National Cancer Institute (NCI)-Designated Comprehensive Cancer Centers. Methods: This study used an in-depth interview qualitative approach. Semistructured interviews were conducted via telephone with representatives from 21 of the 45 NCI-Designated Comprehensive Cancer Centers in 2015. Verbatim transcripts were created from the audiotapes for content analysis. Results: Two main themes were identified as follows: (1) patient-focused experiences and support and (2) organization-focused development activities. Most of the cancer centers in this study had an advisory committee to assist with SGM policies and guidelines. Despite the existence of these committees, the majority of centers did not have explicit policies, guidelines, or routine practices addressing the following issues: the collection and integration of sexual orientation and gender identity information in the medical record, gender-neutral language on patient forms, patient educational materials with SGM-specific health concerns, SGM-specific support for cancer survivors, or required SGM-specific cultural competency trainings for medical and nonmedical staff. Conclusion: In general, the cancer centers in this study lacked institutional policies, guidelines, and practices focused on patient-centered cancer care for SGM populations. Coordinated efforts are needed to systemically improve patient-centered cancer care for these populations.

show abstract

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

Cited by 159 publications

References 67 publications

Meaningful dissemination produces the “long tail” that engenders community impact

Meaningful dissemination produces the “long tail” that engenders community impact

Supporting trans people in clinical practice

Culturally Competent Care for Sexual and Gender Minority Patients at National Cancer Institute-Designated Comprehensive Cancer Centers

Contact Info

Product

Resources

About