Creating Inclusive Services for Older LGBTI people
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Paper presented at the Australian Association of Gerontology and Aged and Community Services rural conference in Dubbo
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Creating Inclusive Services for Older LGBTI people
- 1. Count Me in – Creating Inclusive Services for Older LGBTI people 6 April 2016 1 Carrie Hayter ACS & AAG Rural Conference 7 April 2016 Dubbo Nothing about me without me www.carriehayter.com
- 2. Introduction • History – LGBTI rights movement in Australia • Research – Older LGBTI people • Policy developments – Older LGBTI people • Implications for practice – Creating inclusive LGBTI organisations and communities 2 Nothing about me without me www.carriehayter.com
- 3. About Carrie Hayter Consulting 6 April 2016 Transforming Social Care – Public Speaking – Research & Evaluation – Education & Training – Writing 3 Nothing about me without me www.carriehayter.com
- 4. AAG LGBTI Ageing Special Interest Group • Work with the LGBTI community to improve the lives of older LGBTI people. – Connecting Older LGBTI People, Researchers, Practitioners, Policy Makers and Advocates • Raising the profile of issues for older LGBTI people – Workshops & Seminars – Networking 4 Nothing about me without me www.carriehayter.com
- 5. 5 AAG LGBTI Ageing Special Interest Group Nothing about me without me www.carriehayter.com http://onlinelibrary.wiley.com/doi/10.1111/ajag.2015.34.issue-s2/issuetoc
- 6. Timeline of LGBTI Rights 1978 1984 1997 2008 2013 June, 24th first gay rights (CAMP) March in Sydney France and New Zealand legalise same sex marriage Law Reform by Australian Government NSW Government Legalised male homosexuality Source: Gay and Lesbian Rights lobby NSW, downloaded from http://glrl.org.au/ Sydney Gay and Lesbian Mardi Gras (2013) downloaded from http://www.mardigras.org.au/about/history/ Decriminalisat ion of homosexuality Tasmania ACT legislative Assembly legalises same sex marriage
- 7. History of 78ers 7 Source: Downloaded from gaynewsnetwork.com.au Nothing about me without me www.carriehayter.com
- 8. Public Opinion 8 Nothing about me without me www.carriehayter.com
- 9. Experiences of older LGBTI people • Discrimination – Fear of discrimination of faith based organisations (Barrett, 2012) • Differences within the LGBTI community – Older lesbians (Waite, 2015) – People who are transgender (Ansara, 2015) – Gay men (Hughes, 2008, Neville et al 2015) 9 Nothing about me without me www.carriehayter.com
- 10. Experiences of older LGBTI people • Diversity within LG community (Hughes, 2008) • Awareness of LGBT people living with dementia (Barrett & Crameri & Lambourne, & Latham (2015). 10 Nothing about me without me www.carriehayter.com
- 11. Sex, gender and sexuality Sex Gender Sexuality / Sexual Orientation The biological and physical characteristics associated with ‘female’ and ‘male’. Characteristics that often believed to be innately or biologically determined but include roles, behaviour, activities and attributes that a particular society considers appropriate for men and women. The feelings of self- concept, direction of interest, or emotional, romantic, sexual or affection – related attraction towards others Source: Australian Government (2012) National Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) Ageing and Aged Care Strategy, pg 20-21 11 Nothing about me without me www.carriehayter.com
- 12. 1990’s 2000 2008 2011 2012 2013 First LGBTI ageing strategy. LGBTI older special needs group Productivity Commission Report Law Reform by Australian Government (including aged care) Source: Gay and Lesbian Rights lobby NSW, downloaded from http://glrl.org.au/ Sydney Gay and Lesbian Mardi Gras (2013) downloaded from http://www.mardigras.org.au/about/history/ LBGTI ageing policy developments Australia LGBTI Community Activism Research and community activism of older LGBTI people Sex Discrimination Amendment (Sexual Orientation, Gender Identity and Intersex Act) 2013
- 13. National LGBTI Ageing and Aged Care Strategy (2012) 1. Inclusion of LGBTI people in the development of aged care policies and programs 2. Empowerment of LGBTI people to access the aged care system 3. Access and Equity – supporting LGBTI inclusive services 4. Quality – meeting the needs of older LGBTI people 5. Capacity building – LGBTI individuals and communities Nothing about me without me www.carriehayter.com
- 14. Inclusive Safe Environment Practices Inclusive Communicati on Education and Training Source: GRAI GLBTI Retirement Association. Best practice guidelines Accommodating older gay, lesbian, bisexual trans and intersex (GLBTI) people. Western Australia. Policies and Procedures Creating Inclusive Services
- 15. Creating Inclusive Services • Education and awareness – LGBTI Health Alliance – http://lgbtihealth.org.au/national-lgbti-aged-care- awareness-training-project-an-overview – Ageing and Sexuality training – www.carriehayter.com 15 Nothing about me without me www.carriehayter.com
- 16. Creating LGBTI Inclusive Services • Commitment from leaders, board and management – Creating inclusive organisations – Engage people in the process – Engage LGBTI communities • Challenge attitudes – Policies and procedures – Practices – Organisational Culture 16 Nothing about me without me www.carriehayter.com
- 17. 6 April 2016 17 Coercing Educating Informing Consulting Engaging Co-designing Co-Producing Co-delivery Co-Ownership Ladder of Participation – Participation and Engagement? Doing for Doing to Doing With Doing for themselves Adapted form Think Public, 2015
- 18. 18 Rainbow Tick http://www.glhv.org.au/lgbti-inclusive-practice Services are assessed against six key standards 1. Organisational capability 2. Cultural safety 3. Professional development 4. Consumer consultation 5. Disclosure and documentation 6. Access and intake processes Nothing about me without me www.carriehayter.com
- 19. 19 Rainbow Tick Nothing about me without me www.carriehayter.com
- 20. Resources • LGBTI Health Alliance – http://lgbtihealth.org.au/ • The love project - ACCON – http://loveproject.org.au/ • Gender Centre of NSW – http://www.gendercentre.org.au/ • Val’s Cafe – http://valscafe.org.au/ 6 April 2016 20 Nothing about me without me www.carriehayter.com
- 21. Resources • AAG LGBTI Special Interest Group http://www.aag.asn.au/community/group/lesbian- gay-bisexual-transgender-and-intersex-lgbti-ageing- special-interest-group • Gay men living in country areas http://www.countrynetwork.com.au/ • Rainbow tick http://www.glhv.org.au/lgbti-inclusive-practice 6 April 2016 21 Nothing about me without me www.carriehayter.com
- 22. Conclusion • Start a conversation – Education and training • Connect with LGBTI people – Engage and participate • Network – AAG LGBTI interest page 22 Nothing about me without me www.carriehayter.com
- 23. References Ansara, Y., G., (2015) Challenging cisgenderism in the ageing and aged care sector: Meeting the needs of older people of trans and or non-binary experience, Australasian Journal on Ageing, LGBTI Ageing and Aged Care Special Issue,, pp 14-17 Barrett, C. (2012). The CAC Pack, Sexuality, Ageing and Diversity in Community Aged Care. Victoria. Barrett, C., Whyte, C., Leonard, W., Comfort, J., (2013) There is no need to straighten up – Discrimination, Depression and Anxiety and older LGBT Australians, downloaded from http://valscafe.org.au/index.php/resources/item/114-no-need-to-straighten-up-discrimination-depression- anxiety-and-older-lgbti-australians Barrett, C. and K. Stephens (2012). Beyond: 'We treat everyone the same' A report on the 2010 – 2011 program How to create a gay, lesbian, bisexual, transgender and intersex inclusive service. Melbourne Australia. Barrett, C; Crameri, P; Lambourne, S & Latham, J (2015). We are still gay … An evidence based guide to inclusive services for LGBT people living with dementia. Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne Australia. Department of Health and Ageing (2012). National Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) Ageing and Aged Care Strategy. Department of Health and Ageing. Canberra, Australian Government 6 April 2016 23 Nothing about me without me www.carriehayter.com
- 24. References Department of Health Victoria (2011 ). Well for Life emotional wellbeing for older people at home -Help sheet 28: Sexual expression. Victoria, Department of Health Gay and Lesbian Health Victoria (2012). The Rainbow Tick GLBTI inclusive practice audit for health and human services. Victoria http://www.glhv.org.au/lgbti-inclusive-practice GRAI GLBTI Retirement Association (2008). Best practice guidelines Accommodating older gay, lesbian, bisexual, trans and intersex (GLBTI) people. Western Australia. Hughes, M. (2008). "Imagined futures and communities: older lesbian and gay people’s narratives on health and aged care." Journal of Gay and Lesbian Social Services, vol. 20, no. 1- 2, pp. 167-186. 20(1): 167-186. Neville, S., Kushner, B., Adams, J., (2015) Coming out narratives of older gay men in New Zealand, Australasian Journal on Ageing, LGBTI Ageing and Aged Care Special Issue,, pp 29 -33 Waite, H., (2015) Old lesbians: Gendered Histories and persistent challenges, Australasian Journal on Ageing, LGBTI Ageing and Aged Care Special Issue,, pp8-13 24 Nothing about me without me www.carriehayter.com
- 25. More Information www.carriehayter.com Start a conversation @carriehayter 25 Nothing about me without me www.carriehayter.com
Editor's Notes
- I would like to acknowledge the Waridjuri people of the Waridjuri Nation whose land we meet on today and pay my respects to Elders past and present. I would also like to acknowledge my Aboriginal colleagues who are at this conference today. I would like to thank AAG and ACS for the opportunity to present today I have titled this presentation Count me In – Creating Inclusive Services for older Lesbian, Gay, Bisexual, Transgender and Intersex people.
- The purpose of this paper is to reflect on the history and lived experience of older LGBTI people. As part of this I will reflect on some of the research about the emerging issues for lived experiences of older LGBTI people. As part of this I would like to emphasis of older As part of this I will talk about practical steps that organisations can take to work toc create inclusive LGBTI organisations or services.
- I am the Managing Director of Carrie Hayter Consulting that works will all actors in the social care system to put people at the centre of their supports and funding. I work in research, evaluation, education and training and design ways of supporting people to implement what they learn in my workshops into practice
- I am also the co-convenor of the LGBTI ageing special interest group of the Australia Association of the Gerontology that was created in 2012. Our purpose is to work with the LGBTI community to improve the lives of older people through connecting researchers, practitioners, advocates and the LGBTI community. We also work to raise the profile of LGBTI people through workshops, seminars, network.
- In 2015 we completed a number of projects. We launched the first ever LGBTI Ageing and Aged Care Special Edition of the Australasian Journal on Ageing. This is a wonderful compilation of research articles ranging from experiences of older lesbians, the journey of people who are trans or non-binary, the experiences of an aged care provider Uniting on their journey to become a LGBTI inclusive organisation, the experiences of older gay men, to experiences of LGBT people’s of end of life decision making and advanced care planning. The journal is open access which means that anyone can download it and use it. I have included the link above. At the National conference in 2015 in Alice Springs we also held a Rainbow World Café which explored the research and Research with older LGBTI people and future priorities – service delivery models of inclusive LGBTI aged care practices the current and future policy directions in LGBTI ageing; and Engaging the LGBTI community in some of the initiatives. A paper will be released as well as further work undertaken to implement some of these suggestions.
- I think it is important to understand the history of rights of LGBTI people in Australia to understand what this mean for LGBTI older people. For example many older people who identify as gay or lesbian grew up when homosexuality was illegal. The fear of being arrested by the Police was real and occurred. For example, in Sydney gay male friends of mine tell stories of having to know codes on doors to enter but there was a constant fear of being arrested by the Police. Many older gay men have criminal records because they were harassed and arrested by the Police.
- In February of this year the NSW Government and the Police apologised to the first ever protesters in Mardi Gras or the Campaign against Moral Persecution. They are called the 78ers and I want to honour their bravery for speaking out. They were arrested and many were savagely beaten by Police. People’s names were also published in the paper at a time where being homosexual was an illegal act. The over reaction of the Police actually worked in favour of the Gay and Lesbian movement in Sydney. Leading to many people coming out in the support of the decriminalisation of homosexuality.
- During the same week the Safe Schools program was under attack a program which supports schools and students to talk about sexual diversity, Intersex and gender diversity in schools. What heartened me was the fierce debate that occurred by people who supported the program that was played out in the media. It does show however there are still some deeply entrenched attitudes about LGBTI people in Australia that if allowed to have a voice will be expressed.
- I think we also need to understand the difference between sex, gender and sexuality. Sometimes these questions can get confused. I think it is important to understand that someone’s gender identity is different from their sexuality. For example for a person who identifies as intersex they have biological characteristics associated with being female or male. Their gender and sexual orientation can evolve throughout their life. How we understand our gender and gender identity and our sexual orientation may change over time.
- There has been over a decade of activism by older LGBTI people and by representative groups including the National LGBTI Health Alliance. The National LGBTI Health Alliance is the national peak health organisation in Australia for organisations and individuals that provide health-related programs, services and research focused on lesbian, gay, bisexual, transgender, and intersex people (LGBTI) and other sexuality, gender, and bodily diverse people and communities. First ever LGBTI Ageing and Aged Care Strategy was released by the federal labor government in 2012. In 2013 the Sex Discrimination Amendment ( Sexual Orientation, Gender Identity and Intersex Status) Act 2013 was implemented. From 23 June 2013 it is unlawful to discriminate against a person on the basis of sexual orientation, gender identity and intersex status under federal law. All aged care providers are required to comply with this legislation. Religious organisations that provide Australian Government funded aged care are not exempt from this legislation.
- If we think about voice as participation then we can conceptualise the mechanisms that promote the voices of older people on a ladder of participation. But perhaps they can also promote the choice of older people. Historically, the aged care system in Australia was based on ‘doing to’ older people. Older people and their allies were coerced into accepting whatever the system offered them includin g the limited option of primarily residential care rather than community care. In the mid 1990s the government introduced the principles of user rights for older people which meant that providers were forced to engage and consult and inform older people about who they work with older people. In 2013 we saw the introduction of Consumer Directed Care in Community Aged Care which is supposedly shifting the way that providers are thinking and engaging with older people. The degree to which this is happening is contested because of the skills and abilities and knowledge of older people. We are also seeing the emergence of co –ownership and co-delivery with older people setting up their own organisations ( for example the Waverton Hub) to promote self –help between older people.
- Promote my workshops.