‘Everyday Advocates’ for Inclusive Care? Perspectives on Enhancing the Provision of Long-Term Care Services for Older Lesbian, Gay and Bisexual Adults in Wales: Table 1

Abstract

General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms 'Everyday advocates' for inclusive care. 'Everyday advocates' for inclusive care. 2 AbstractThis paper centres on a neglected area of social work with older people-the social inclusion of older lesbian, gay and bisexual (LGB) adults in long-term care environments. The translation of equality law into the delivery of adult care services is a challenging endeavour for organisations, even more so in the morally-contested terrain of sexual wellbeing. In this paper we report findings from a mixed method study into the provision of long-term care for older adults who identify as LGB. Herein we present findings from a survey of care workers and managers (n=121) and from focus groups with equality and LGB stakeholder representatives (n=20) in Wales. Focussing on the current knowledge and understanding of staff, we suggest that affirmative beliefs and practices with sexual minorities are evident amongst care workers and managers, however the inclusion of LGB residents needs to be advanced systemically at structural, cultural and individual levels of provision. There is a need for enhancing awareness of the legacy of enduring discrimination for older LGB people, for cultural acceptance in care environments of older people's sexual desires and relationships, and for a more explicit implementation of equality legislation. Social workers in adult care can advance this agenda.

“It's a nice country but it's not mine”: Exploring the meanings attached to home, rurality and place for older lesbian, gay and bisexual adults

“…Our objective is to examine the significance of home and place for LGB adults (50+ years) through three lenses: rural places as “home”; connections to LGB communities across online and geographical communities; and anticipation of social care provision in the home. We present interview findings from a mixed‐methods study on the social inclusion of older LGB adults in Wales, which concluded in 2013 (see Willis, Maegusuku‐Hewett, Raithby, & Miles, ; Willis, Maegusuku‐Hewett, Raithby, & Miles, ). Findings indicate a contradictory relationship to rurality and geographical community, and ambivalence expressed at the prospect of receiving care services at home.…”

Lesbian, Gay, Bisexual, and Trans Aging in a U.K. Context: Critical Observations of Recent Research Literature

“…To some extent this is borne out by research with care staff which has identified good intentions but low levels of awareness amongst care home staff of the needs of LGBT residents (Hafford-Letchfield, Simpson, Willis, & Almack, 2018;Simpson, Almack, & Walthery, 2018;Willis, Hafford-Letchfield, Almack, & Simpson, 2017). Researchers have identified that to advance social inclusion of LGBT citizens in residential settings is complex and requires working at structural, cultural and individual levels of provision and for a more explicit implementation of equality legislation (Hafford-Letchfield et al, 2018;Willis, 2017;Willis, Raithby, Maegusuku-Hewett, & Miles, 2017). Such issues may be compounded at the end of life (Almack, 2018, Almack, Seymour, & Bellamy, 2010Bristowe et al, 2018).…”

Atuação da equipe de enfermagem frente à sexualidade de idosas institucionalizadas

“…Demonstrations of affection among residents calls for censorship from the staff and residents, especially when expressions of intimacy are legitimized as being part of a "couple". Homosexual expressions are often pathologized, sinful, and socially degraded with heteronormativity predominant, despite this also motivating innumerable repressions (10) . Upon the dilemmas encountered on a daily basis, it becomes necessary to consider a myriad of legal, ethical, and institutional requirements, in addition to the residents' needs (11) .…”