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Preparing to Engage with In-Home Aging Services: Tips for LGBTQ+ People

As we age, there may be times when we need to invite home and community based service providers into our homes. The fact sheet provides you with things to consider before, during and after the services are provided in your home.

August 2024 | Madeleine Thompson

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Long-Term Care Services and Supports: LGBTQ+ Equity

SAGE, the National Center on Elder Abuse (NCEA), the Consumer Financial Protection Bureau (CFPB), and the Federal Trade Commission (FTC) present this webinar on LGBTQ+ Equity and Elder Justice within the long-term care services and supports network.

September 2023 | SAGE, CFPB, FTC, NCEA

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Cuidados centrados en la persona y atención informada sobre el trauma para adultos mayores transgénero

La presente guía tiene como objeto explicar por qué y de qué manera brindar
Atención Informada sobre el Trauma a los adultos mayores transgénero en términos prácticos

January 2023 | FORGE and SAGE National Resource Center on LGBTQ+ Aging

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Person-centered, Trauma-informed Care of Transgender Older Adults

This guide aims to explain the why and how of providing person-centered and trauma-informed care to transgender older adults in practical language. The concepts shared in this
guide are useful for anyone working in health and aging services where a focus on
individualized support is optimal for overall health and well-being.

January 2023 | FORGE and SAGE National Resource Center on LGBTQ+ Aging

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Webinar Resources – Finding an LGBTQ+ Inclusive Long-term Care Community

Resources provided during the webinar, Finding LGBTQ+ Inclusive Long-term Care Communities. View the webinar here:

November 2022

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Finding an LGBTQ+ Inclusive Long-term Care Community Webinar

On November 18, 2022, SAGE joined the HRC Foundation and AARP to present an informational webinar on finding an LGBTQ-inclusive long-term care community.

November 2022 | AARP, Human Rights Campaign Foundation, and SAGE

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Rural Aging for LGBTQ+ Older Adults

This fact sheet explores LGBTQ+ Aging in rural communities, an often-overlooked segment within LGBTQ+ communities.

April 2022 | National Resource Center on LGBTQ+ Aging

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En busca de cuidados a largo plazo inclusivos para mayores LGBTQ+

La decisión de ir a vivir a una comunidad de cuidados a largo plazo representa un cambio significativo de vida y requiere considerar varios factores a la hora de elegir el lugar adecuado. Llegados a la etapa en que se hace necesario buscar apoyo adicional, todos merecemos sentirnos
bienvenidos y plenamente confiados de estar accediendo a una comunidad que se adapte a nuestras necesidades personales.

December 2021 | SAGE and Human Rights Campaign Foundation

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Finding an LGBTQ+ Inclusive Long-term Care Community

Moving into a long-term care community is a significant life change and requires someone to consider several factors when deciding where to live. When the time comes for extra support while aging, everyone deserves to feel welcome and safe accessing long-term care.

December 2021 | SAGE and Human Rights Campaign Foundation

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Q&A with Katie Fasullo: Needs of LGBTQ Older Adults and Long-Term Care

This Q&A explores current research completed by Katie Fasullo, Registered Nurse and doctoral student at Rush University, in the Advanced Public Health Nurse, Doctor of Nursing Practice. Katie’s research article is titled, LGBTQ Older Adults in Long-Term Care Settings: An Integrative Review to Inform Best Practices.

September 2021 | Katherine Fasullo

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Consejos De Autodefensa Para Viviendas De Acogida LGBT

La siguiente serie de tres hojas informativas está diseñada para proporcionarle educación, consejos de autodefensa y recursos.

July 2021 | SAGE National Housing Initiative

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LGBT Welcoming Housing Self-Advocacy Tips

The following series of three fact sheet is designed to provide you with education, self-advocacy tips and resources.

June 2021 | SAGE National Housing Initiative

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Welcoming LGBT Residents: A Practical Guide for Senior Living Staff – Q & A with Author, Dr. Tim R Johnston

Join us for a Q&A with Dr. Tim R. Johnston as he talks about his book, Welcoming LGBT Residents: A Practical Guide for Senior Living Staff.

March 2021 | Dr. Tim Johnston

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The Lodge Documentary: A Q&A with filmmaker Pam Walton

This Q&A with fimmaker Pam Walton explores the inspiration for making the documentary, The Lodge.

December 2020 | Pam Walton

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LGBTQ Aging: The Case for Inclusive Long-term Care Communities

This brief produced the SAGE and the Human Rights Campaign Foundation explores the need for inclusive long-term care residential communities and how the Long-term Care Equality Index supports these efforts.

October 2020 | SAGE and HRC Foundation

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Developing LGBT-inclusive Long-term Care Services and Supports

This article provides practical tips and resources for developing LGBT-inclusive long-term care services and supports.

June 2020 | Sherrill Wayland SAGE

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FAQ: Housing Right for LGBT Seniors

This FAQ provided Lambda Legal provides updated information on housing rights and LGBT seniors.

January 2020 | Lambda Legal

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Why the LEI?

The Long-term Care Equality Index (LEI) is a new program of SAGE and the HRC Foundation designed to recognize leaders providing LGBT inclusive and welcoming long-term care residential care.

November 2019 | SAGE and HRC Foundation

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Partnership by Design: new project aims to improve LGBTQ elders’ lives

San Francisco’s Openhouse (www.openhouse-sf.org) and On Lok (www.onlok.org) are partnering to help the city’s LGBTQ older adults age with dignity, independence and pride. The two nonprofits are co-designing a program that addresses two critical issues in this community: accessing much needed aging services, and ameliorating the LGBTQ elders’ fears that life in a nursing home would drive them back into the closet.

May 2019 | American Society on Aging interview by Tim Johnston (SAGE)

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Pushing for equality: LGBT elders need discrimination-free access to care in community

This article describes the need for LGBT equity in and access to care in aging services.

May 2019 | American Society on Aging by Michael Adams (SAGE)

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Tennessee LGBT+ Affirming Resources: a snapshot of TN affirming programs, services, providers & activities

See this resource guide for a listing of LGBT+ friendly programs and services in Tennessee.

May 2019 | Vicki Stanley SAGECare Trainer

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SAGE National LGBT Housing Initiative: Increasing LGBT Cultural Competence

This fact sheet explores ways to increase LGBT cultural competence in housing and long-term care.

November 2018 | SAGE

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Residents’ Rights and the LGBT Community: Know YOUR Rights as a Nursing Home Resident Updated 2018

The rights of all residents should be honored and respected, regardless
of sexual orientation or gender identity or expression.

October 2018 | The National Long Term Care Ombudsman Resource Center

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Enhancing health, wellness and community for older LGBT adults

This article provides a look at the unique needs of older LGBT people and how communities are responding to these needs.

September 2018 | Marilynn Larkin M.A. in the Journal of Active Aging

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My Persoanl Directions (fillable download)

Use this form to provide paid and unpaid caregivers with your personal directions that will help ensure your quality of living in long-term care and health settings. This form is fillable for completing and printing from your computer.

August 2018

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My Personal Directions for Quality Living

Use this form to provide paid and unpaid caregivers with your personal directions that will help ensure your quality of living in long-term care and health settings.

August 2018 | The National Consumer Voice and SAGE

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FAQ: Housing Rights of LGBT Seniors

This blog prepared by Lambda Legal answer questions regarding the housing rights of LGBT older adults.

June 2018 | Lambda Legal, original blog posted by Lambda Legal on July 26, 2016

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Maintaining Dignity: Understanding & Responding to the Needs of Older LGBT Americans Infographic

New AARP national survey finds most LGBT adults want but don’t have access to LGBT-sensitive care and services.

March 2018 | AARP Angela Houghton

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Dignity Denied: Religious Exemptions and LGBT Elder Services

Ever-growing religious exemption laws put LGBT elders at increased risk for discrimination.

December 2017 | The Movement Advancement Project and SAGE & Public Rights/Private Conscience Project (PRPCP) at Columbia Law School

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Understanding the Affordable Housing Development Process: A Primer for LGBT Aging Providers

This guide to help readers understand the overall development process of LGBT-welcoming housing developments.

December 2017 | SAGE

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Key Considerations in Home Safety and Modifications

This webinar will provide LGBT consumers and providers basic understanding of home safety tips and lower-cost home modifications to assist LGBT older adults to safely age in place.

December 2017 | SAGE

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Key Considerations in Developing LGBT Friendly Service Enhriched Affordable Houisng

This webinar walks LGBT providers through the affordable housing development process.

December 2017

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Key Considerations in LGBT Aging-in-Place and Care Coordination

This webinar will provide LGBT consumers and providers key considerations for aging-in-place strategies for LGBT older adults and how to link those strategies with additional community care resources.

December 2017 | SAGE

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10 Tips on Finding LGBT-Affirming Services
Nervous about paid care services? Here’s what you can do to hire the supportive, friendly care provider who’s right for you.

April 2017 | SAGE

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The Big Hush! Same-Sex Relationships in Long-term Care

For those who have dementia that affects memory, communication and other cognitive function, they often show their need for intimate connections through their actions. Unfortunately, it is common for their expressions of intimacy to be misinterpreted as inappropriate behavior.

June 2016 | Zoe Dearing, Alzheimer's Educator

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Equal Access for Transgender People Supporting Inclusive Housing and Shelters

This guide produced by the U.S. Department of Housing and Urban Development (HUD) provides guidance on the HUD Equal Access Rule and supporting the inclusion of Transgender people in housing and shelters.

March 2016 | U.S. Department of Housing and Urban Development

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STL Village an LGBT Inclusive Model for Aging in Place Q&A

STL Village is an LGBT inclusive model for aging in place.

December 2015 | Madeline Franklin Executive Director and Jennifer Kovar Board Co-Chair of STL Village

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Lesbian, Gay, Bisexual, and Transgender Aging Concerns

Abstract

Lesbian, gay, bisexual, and transgender (LGBT) elders and long-term couples have become more visible and their special concerns about aging are being recognized by gerontologists. LGBT elders are a diverse group with regard to all characteristics. This article focuses on the characteristics, research needs and barriers, service needs and barriers, clinical implications, and suggestions for appropriate treatment to increase awareness of clinical gerontologists who may not be familiar with LGBT seniors or who wish to improve their services to this population. Gerontologists working in long-term care facilities and those working in social and home care services may be especially interested in the special concerns of transgender elders and the recent changes in public policy regarding all LGBT elders.

October 2015 | Lesbian, Gay, Bisexual, and Transgender Aging Concerns Douglas Kimmel Clinical Gerontologist Vol. 37, Iss. 1, 2014

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Welcome Home: Improving Housing Security for LGBT Older Adults

This brief offers a policy road map with detailed recommendations to make this vision a reality. Through this policy brief and our National LGBT Elder Housing Initiative, SAGE is committed to ensuring that millions of LGBT older people are able to access welcoming LGBT housing in all its forms, regardless of where they live.

February 2015 | SAGE

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LBGT-Inclusive Older Adult Affordable Housing

Throughout the United States, several agencies have created or is in the process of developing valuable services for the LGBT senior community. This document lists these organization and give a description of the work they do in serving this population.

April 2014 | SAGE

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LGBT-Specific Affordable Housing Opens in Philadelphia

This article highlights the need for the John C. Anderson Senior Affordable Apartments that opened in Philadelphia, Pennsylvania in early 2014.

April 2014 | Mark Segal

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The Need for LGBT-Inclusive Housing

Though LGBT-specific housing exist for older adults, there are not nearly enough for all the seniors who need them. This article discusses the needs for safe and inclusive housing for LGBT older adults.

April 2014 | SAGE

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Q&A with Britta Larson, Senior Services Director, Center on Halsted

The Center on Halsted is the first Homesharing program in the nation that supports LGBT older adults. Homesharing allows LGBT older adults to keep their homes through the supplemental income they receive through renters. Britta Larson, the director of the program, sits down to talk about the project.

April 2014 | Britta Larson, Senior Services Director, Center on Halsted

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Is LGBT Housing Right for You? Pros and Cons of LGBT Housing for Older Adults

In recent years, several housing developments and retirement communities targeted to LGBT older adults have opened around the country, gaining quite a bit of attention. For LGBT older adult considering one of these communities, this article discusses some pros and cons.

April 2014 | SAGE

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St. Louis Gains Understanding of LGBT Retirement and Housing Needs

This article discusses LGBT housing needs in St. Louis, Missouri.

April 2014 | Sherrill Wayland, MSW

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Care Home Survey: Knowledge, Attitudes and Practices Concerning LGBT Residents

Based on a non-random survey of 189 staff in residential homes for older people in England, this three-page document provides a summary of staff’s attitudes, knowledge and practices in relation to lesbian, gay, bisexual and trans residents.

February 2014 | Dr Kathryn Almack Senior Research Fellow Sue Ryder Care Centre for the Study of Supportive Palliative and End of Life Care School of Health Sciences University of Nottingham; Dr Paul Simpson Lecturer Sociology University of Manchester

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Opening Doors: An Investigation of Barriers to Senior Housing for Same-Sex Couples

Ten-state testing investigation partnered with SAGE to show adverse treatment toward same-sex couples seeking housing in senior-living facilities.

February 2014 | Equal Rights Center

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Residents’ Rights and the LGBT Community: Know YOUR Rights as a Nursing Home Resident

In recognition of Residents’ Rights Month and National Coming Out Day, the National Long-Term Care Ombudsman Resource Center released a new consumer fact sheet titled produced by NORC in collaboration with the National Resource Center on LGBT Aging and Lambda Legal about LGBT residents rights in nursing home.

October 2013 | National Long-Term Care Ombudsman Resource Center; National Resource Center on LGBT Aging; Lambda Legal

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Affordable Housing for LGBT Older Adults

This article from the Summer 2013 issue of SAGEMatters, highlights a variety of LGBT housing projects around the country and the issues facing LGBT older adults and housing security.

September 2013 | SAGE

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Addressing the Needs of LGBT Older Adults in San Francisco: Recommendations for the Future

This report examines results of a survey of more than 600 LGBT older adults in San Francisco in 2013.

July 2013 | San Francisco Human Rights Commission and Department of Aging and Adult Services

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Be a Healthy Caregiver Blog Talk Radio

This is an episode of the Blog Talk Radio 30-minute show “Be A Healthy Caregiver” featuring guests Hilary Meyer, Director of SAGE’s National Resource Center on LGBT Aging and Tom Duffy, from Secret Garden.

May 2013 | Chris McClellan, Host of Be a Healthy Cargiver

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Gay and Gray: Welcoming LGBT Elders in Long Term Care

As long as there have been nursing homes, there have been residents living in them who are LGBT.

July 2012 | Alzheimer's Association New York City Chapter

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Health Care, Housing, and Property – Planning Lesbian, Gay, Bisexual, and Transgender Older Adults

Article from the Journal of Poverty Law and Policy describing the planning needs of LGBT older adults related to health care, housing and poverty.

April 2012 | Lambda Legal Center for Medical Advocacy William Mitchell College of Law National Center for Lesbian Rights

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Ensuring LGBT Access to HUD Housing Programs

This article discusses the new HUD regulations that aim to protect LGBT individuals and couples. In addition, the article overviews what to do if one suspects that housing discrimination is occurring.

March 2012 | American Civil Liberties Union

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Know Your Rights: Fair Housing and Transgender People

This document outlines the housing rights of transgender people and how to file complaints of housing discrimination.

March 2012 | National Center for Transgender Equality

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Hospital to Home: Plan for a Smooth Transition

This publication is designed to address the often unexpected challenges many seniors face when returning home from a hospital stay. Failure to manage medications, make follow-up doctor’s appointments, and obtain the physical assistance they need can often lead to seniors’ readmission to the hospital.

January 2012 | U.S. Administration on Aging Eldercare Locator and the National Association of Area Agencies on Aging (n4a)

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Una guía para conocer sus derechos diseñada para las personas lesbianas, gay, bisexual y transgénera

Esta publicación está diseñada para informar a los adultos mayores LGBT de los diversos servicios y beneficios disponibles, incluyendo proveedores de vivienda y servicios que simpatizan con las personas LGBT y beneficios para las personas con discapacidades.

December 2011 | National Center for Lesbian Rights; Lavender Seniors of the East Bay; Transgender Law Center; Openhouse; Planning for Elders

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Navigating the System: A Know-Your-Rights Guide for Lesbian, Gay, Bisexual, and Transgender Elders in California

This publication is designed to inform LGBT older adults of various available services and benefits, including LGBT-friendly housing and service providers and benefits for people with disabilities. It also overviews California’s anti-discrimination laws and how to address discrimination or mistreatment.

December 2011 | National Center for Lesbian Rights; Lavender Seniors of the East Bay; Transgender Law Center; Openhouse; Planning for Elders

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SAGE Harlem: A Naturally Occurring Retirement Community (NORC)

Services & Advocacy for GLBT Elders (SAGE) started the SAGE Harlem Program in early 2004 at the request of LGBT older people of color living in Harlem for culturally and linguistically competent services close to home. This article discusses the program’s impact.

November 2011 | Tom Weber, Director Community Services, SAGE

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Key Legal Issues Faced by Older LGBT Adults

The legal issues discussed in this article are exclusive to the LGBT population and are issues that their heterosexual, non-transgender counterparts do not have to face. (Note: some of these issues may have been impacted by the US Supreme Court decision overturning Section 3 of DOMA in June 2013.)

November 2011 | David Godfrey

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Housing and Services: A Critical Combination – Provisions in LGBT-specific Housing

Openhouse is opening their first senior housing facility. In order to ensure that LGBT older adults in San Francisco area remain independent and not go back into the “closet,” it is important to create housing options for them. However, with providing shelter it is important to also have supportive services for them so that they continue to engage within the community. This article explores these issues.

October 2011 | Seth Kilbourn, Executive Director, Openhouse

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The Equal Rights Center: Protect Your Rights – Fair Housing

This document serves to inform LGBT people on how to protect themselves against housing discrimination.

October 2011 | The Equal Rights Center

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Standing Up To Stigma: Challenging HIV Discrimination in Long Term Care

A video by The Graying of AIDS Project, produced for AARP, about a man forced out of his assisted living facility because he has HIV.

September 2011 | AARP, Graying of AIDS

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In My Own Words: Franke v. Parkstone Living Center, Inc.

Dr. Robert Franke, a 75-year-old retired university provost and minister, relocated to Little Rock while still living independently to be closer to his daughter, Sara Bowling Franke. The next day, Fox Ridge of?cials abruptly ejected Dr. Franke from the facility because he has HIV. Here, both Dr. Franke and his daughter Sara tell their story.

September 2011 | Dr. Robert Franke and Sara Bowling Franke

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HIV/AIDS and Your Rights: A Fact Sheet

People living with HIV/AIDS are entitled to certain protections under federal law. Learn more about your rights.

September 2011 | SAGE

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Injustice at Every Turn: A Look at Black Respondents in the National Transgender Discrimination Survey

Through a partnership with several organizations, the purpose of the National Transgender Discrimination Survey was to measure the experiences of discrimination within the transgender community. The results show that transgender people faced bias that affects all areas of life.

September 2011 | National Black Justice Coalition National Center for Transgender Equality and National Gay and Lesbian Task Force

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LGBT Long-Term Care Issues

LGBT elders in long-term care facilities (along with their families and friends) need to know their rights and the red flags of mistreatment. The aim of this article is to give the current state of affairs, outline some forms of discrimination that LGBT elders face in nursing homes, and discuss some ways we can fight this mistreatment.

June 2011 | Daniel Redman

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Asuntos del Cuidado a Largo Plazo Para Personas LGBT

Las personas lesbianas, gay, bisexuales y transgénero (LGBT) de más edad que viven en centros de cuidado a largo plazo (y sus familiares y amigos) deben conocer sus derechos y las señales del maltrato. Este artículo delinea los tipos de discriminación a los que pueden estar sujetos las personas LGBT de más edad en centros de envejecientes, como también varias maneras de atacar el problema.

June 2011 | Daniel Redman

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LGBT Older Adults in Long-Term Care Facilities: Stories from the Field

This publication highlights that many LGBT older adults experience regular discrimination in long-term care facilities.

April 2011 | National Senior Citizens Law Center in collaboration with Lambda Legal National Center for Lesbian Rights National Center for Transgender Equality National Gay and Lesbian Task Force and Services & Advocacy for GLBT Elders (SAGE)

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Long-Term Care Facts

What caregivers need to know about long-term care, from who provides it to how much it costs.

April 2011

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Four Conversations Caregivers Need to Have. Now.

Do you know your loved one’s health care and financial wishes? Talk about it now, so you can protect those decisions.

April 2011

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Fear, Discrimination and Abuse: Transgender Elders and the Perils of Long-Term Care

This is a short, basic article on scenarios transgender older adults may face in assisted living or long-term care facilities. It cites FORGE and Loree Cook-Daniels, as well as Improving the Lives and Injustice at Every Turn.

March 2011 | Daniel Redman, AgingToday

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Injustice at Every Turn: Report of the National Transgender Discrimination Survey

Study released by the National Gay and Lesbian Task Force and National Center for Transgender Equality (NCTE) about the level of discrimination against the transgender population.

February 2011 | The National Gay and Lesbian Task Force; National Center for Transgender Equality (NCTE)

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LGBT San Diego’s Trailblazing Generation: Housing Related Needs of LGBT Seniors

During the past two years a group of concerned San Diego LGBT community members began meeting regularly at San Diego’s LGBT Community Center (The Center). These individuals shared a common concern regarding the lack of LGBT-affirmative senior housing in San Diego County, particularly affordable housing. This publication describes their process.

February 2011 | The San Diego Lesbian Gay Bisexual & Transgender Community Center

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LGBT Older Adults and Long-Term Care Under Medicaid

This brief focuses on Medicaid—the largest payer of long-term care in the US—and how spousal impoverishment protections and spend-down exemptions exclude LGBT couples or families of choice, often leaving the partner of the Medicaid recipient financially bereft. Note: This publication was created before the June 2013 US Supreme Court decision overturning Section 3 of DOMA, so some information contained herein may no longer be applicable.

September 2010 | Services & Advocacy for GLBT Elders (SAGE) Movement Advancement Project (MAP)

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LGBT Older Adults and Inhospitable Health Care Environments

This brief details the hostility or discrimination LGBT older adults might face in professional care settings, and the uneven knowledge and enforcement of Non-Discrimination Acts in public accommodations and housing.

September 2010 | Services & Advocacy for GLBT Elders (SAGE) Movement Advancement Project (MAP)

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LGBT Older Adults: Know Your Rights in New York State Nursing Homes

Lesbian, gay, bisexual and transgender (LGBT) older adults have many legal rights while in the care of a nursing home in New York State, including the right to be free from discrimination, neglect and emotional and physical abuse.

July 2010 | Lamda Legal and SAGE

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LGBT Health and Human Services Needs and New York State

This assessment of LGBT Health and Human Service Needs in New York State was designed to examine existing data sources, identify gaps in data and collect original data in order to establish the most pressing needs and gaps for lesbian, gay, bisexual and transgender (LGBT) non-HIV health and human services in New York State.

January 2009 | Report prepared by Somjen Frazer for the Empire State Pride Agenda Foundation and the New York State Lesbian Gay Bisexual and Transgender Health and Human Services Network

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Looking Ahead: Philadelphia’s Aging Population in 2015

This publication discusses Philadelphia’s aging population by the year 2015 and beyond, drawn from comprehensive data analysis and research commissioned by Philadelphia Corporation for Aging. The picture that emerges is of an increasingly diverse older population – ethnically, racially, economically and in terms of lifestyle, health and well-being.

January 2006 | Philadelphia Corporation on Aging

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Transitioning Our Shelters: A Guide to Making Homeless Shelters Safe for Transgender People

Homelessness is a crisis in the United States. With this challenge, it can be hard for shelters to figure out how to make their shelters safe for transgender people. This publication is for shelters that wish to make their shelters safe for all people by making a few minor but important policy adjustments.

January 2003 | National Gay and Lesbian Task Force and the National Coalition for the Homeless

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