Overview
Our advocacy efforts within the aging services network promote the need for greater LGBT cultural competence within aging services. We work with senior centers, politicians, Area Agencies on Aging (AAAs), and service providers to provide resources and education that will improve the services available to LGBT older adult populations.
All of these efforts are designed to strengthen LGBT older adult communities, empower seniors with information and resources, and improve the quality of services available to LGBT people as they age. Through this work, we strive to meet the unique needs facing our communities and to ensure that LGBT elders have every opportunity to age successfully at every age.
Policy Positions
DATA COLLECTION
Older LGBT individuals confront serious, additional barriers to successful aging that their non-LGBT counterparts do not. Unfortunately, the needs of LGBT elders frequently go unacknowledged because older LGBT individuals are largely invisible to the rest of society, despite their significant numbers. Improving data collection on LGBT older adults is critical to increasing their visibility and to addressing their unique needs. For example, better data collection would translate into information for policymakers to effectively allocate funding for aging programs and services and for providers to better understand and serve their older LGBT clients. To that end, policymakers at both the federal and state levels should include language in aging laws and policies requiring data collection about this vulnerable constituency. Additionally, service providers should incorporate questions about sexual orientation and gender identity into their daily practice, by integrating them into the demographics section of all forms and surveys, for instance.
INCLUSION IN AGING PLANNING
Though aging services and programs are available to all individuals ages 60 or older, LGBT older adults are less likely than their cohorts to engage them due to past and present discrimination and to a lack of outreach specific to them. At the same time, they are more likely to be socially isolated, have poor health and healthcare access, live in poverty, and lack traditional sources of support and caregiving, such as children, sibling, or other relatives. Specifically including LGBT elders in state and aging agency plans on aging would serve to ameliorate these disparities and help to ensure that LGBT older adults are receiving services for which they are eligible. It would also facilitate the identification and service of needs specific to LGBT older adults, improve data collection, and increase technical assistance and training to service providers.
IMPROVING CULTURAL COMPETENCE
“Cultural competence” is the ability of providers and organizations to effectively deliver services that meet the social, cultural, and linguistic needs of the clients they serve. Improving cultural competence is important for LGBTQ older adults because they confront serious disparities that hinder their ability to age successfully but are less likely than others to seek public assistance, available mainstream services, and healthcare due to fear of discrimination. If providers and organizations expanded their awareness of this population and their unique needs, and then adapted their services to this understanding, it would help LGBTQ elders feel more comfortable accessing necessary services. For example, providers should increase their understanding of the legacy of discrimination LGBTQ older adults have faced and work mindfully to build their client’s trust. This includes not making assumptions about their client’s sexual orientation and/or gender identity and being aware of misconceptions, bias, stereotypes, and other communication barriers. They should also let their client know that they are in a safe space by displaying pro-LGBTQ materials, such as signs, stickers, or handouts. On a larger level, the incorporation of these kinds of culturally competent practices can help to improve outcomes and quality of care, as well as, contribute to the elimination of disparities faced by LGBTQ older adults.
SUPPORTING THE PASSAGE OF LGBTQ INCLUSIVE NONDISCRIMINATION LAWS
Many, if not most, of the disparities LGBTQ older adults confront are the culmination of lifetime of discrimination, much of which was, and still is, sanctioned by law. For instance, many LGBTQ elders lived the majority of their working years when employment discrimination on the basis of sexual orientation and gender identity was legal and job opportunities for LGBTQ people were limited and unlikely to include health benefits and pensions. Though the legal landscape has changed significantly in the last decade, discrimination against LGBTQ people is still legal in many contexts. For instance, while the City of Philadelphia offers many protections to LGBTQ individuals, the Commonwealth of Pennsylvania does not. In fact, Pennsylvania is the only Northeastern state where it is legal to discriminate against LGBTQ people in areas of employment, public accommodations, and housing. Moreover, no state law protects LGBTQ Pennsylvanians from violence against them based on their actual or perceived sexual orientation and/or gender identity. This lack of protection not only leaves LGBTQ people vulnerable in a number of circumstances but also implicitly sanctions and reinforces negative views that fuel discrimination, misconceptions, and stigma. The adverse effects of actual discrimination, such as being fired or denied housing, are fairly obvious. Less obvious is the psychological toll of the cumulative effect of the stigma and the fear, felt most acutely, perhaps, by those who have endured it the longest, LGBTQ older adults. In light of all of this, and the fact that the population of older LGBTQ individuals continues to grow, it is imperative to support the passage of LGBTQ inclusive nondiscrimination laws at the local, state, and federal levels.
Contact Government
Keeping in touch with your legislators makes a difference!
In Philadelphia:
Find your City Council Member here.
Contact the Office of the Mayor here.
In Pennsylvania:
Find your State Senator and State Representative here.
Contact the Office of the Governor here.
In New Jersey:
Find your State Senator and State Assemblyman/Assemblywoman here.
Contact the Office of the Governor here.
In Delaware:
Find your State Senator and State Representative here.
Contact the Office of the Governor here.
Recent Advocacy Alerts
Advocacy Alert – Governor Wolf appoints new Secretary of Aging for Pennsylvania
As he moves into his second term in office, Pennsylvania Governor Tom Wolf has appointed Robert Torres to be the new Secretary of Aging. Governor Wolf made this appointment in January as one of the changes to his Cabinet for the new term. Mr. Torres will serve as the...
Advocacy Alert: New Year, New Government Representatives
The November 2018 mid-term elections resulted in groundbreaking wins for LGBT candidates and allies. In fact, over 150 LGBT individuals were elected into office nationwide, with historic gains for women and racial minority groups. While these gains are incredibly...
Advocacy Alert: BOLD Alzheimer’s Act would strengthen public health response to Alzheimer’s and Dementia
The BOLD Alzheimer’s Act was advanced out of the Senate Committee on Health, Education, Labor, and Pensions (HELP) on November 29th and will now be considered by the full U.S. Senate. The bill, whose official title is Building Our Largest Dementia (BOLD)...
Advocacy Alert! The human rights of transgender and non-binary individuals are under attack
On October 21st, the New York Times obtained a memo of the Department of Health and Human Services that detailed the intent of the federal government to redefine gender as “an immutable characteristic determined by one’s genitalia at birth.” The move could potentially...
Community HealthChoices: Info Sessions Scheduled on New Managed Care Program
Community HealthChoices (CHC) is the new managed care program starting in southeastern Pennsylvania on January 1, 2019. CHC will provide Medicaid (Medical Assistance) coverage for people enrolled in both Medicare and Medicaid, enrolled in Medicaid wavers for physical...
Advocacy Alert: Tell Congress to protect SNAP benefits in the Farm Bill
Every five years, Congress passes legislation that sets national agriculture, nutrition, conservation, and forestry policy, commonly referred to as the “Farm Bill.” Included in the Farm Bill is directives around the funding of the Supplemental Nutrition Assistance...
Advocacy Alert! Sign SAGE’s pledge to stand with LGBT elders in the face of discrimination
The Trump administration is giving businesses and medical providers a license to discriminate: to deny services to LGBT individuals based on religious or moral beliefs. In January, the Trump administration announced the formation of a Division of Conscience and...
Keep the pressure on Congress to protect Medicare
As Americans grow older and retire from the workforce, financial security and the ability to care for one’s health needs become top priorities. For many retired individuals, Medicare serves as a supplemental income and a source of health insurance. Medicare provides...
Advocacy Alert! Comments needed to oppose creation of Division of Conscience and Religious Freedom
In January, the U.S. Department of Health and Human Services (HHS) announced the formation of a new Conscience and Religious Freedom Division in the HHS Office for Civil Rights. This proposed division was heralded by the Trump administration as a way to further...