Training, Geography, and Provision of Aging Services to Lesbian, Gay, Bisexual, and Transgender Older Adults

Knochel, K. Abel; Croghan, Catherine F.; Moone, Rajean P.; Quam, Jean K.

doi:10.1080/01634372.2012.665158

Cited by 59 publications

(32 citation statements)

References 14 publications

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“…LGBT issues, receive LGBT assistance requests, and understand the unique needs facing the community, 29 these results provide support for increasing education and training throughout the provider community. This geographic distribution may also help inform the areas that may benefit most from targeted interventions, such as California, New York, and Texas, which all have large transgender populations.…”

Section: Discussionmentioning

confidence: 99%

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Identifying the Transgender Population in the Medicare Program

et al. 2016

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Purpose: To identify and describe the transgender population in the Medicare program using administrative data. Methods: Using a combination of International Classification of Diseases ninth edition (ICD-9) codes relating to transsexualism and gender identity disorder, we analyzed 100% of the 2013 Centers for Medicare & Medicaid Services (CMS) Medicare Fee-For-Service (FFS) ''final action'' claims from both institutional and noninstitutional providers (*1 billion claims) to identify individuals who may be transgender Medicare beneficiaries. To confirm, we developed and applied a multistage validation process. Results: Four thousand ninety-eight transgender beneficiaries were identified, of which *90% had confirmatory diagnoses, billing codes, or evidence of a hormone prescription. In general, the racial, ethnic, and geographic distribution of the Medicare transgender population tends to reflect the broader Medicare population. However, age, original entitlement status, and disease burden of the transgender population appear substantially different. Conclusions: Using a variety of claims information, ranging from claims history to additional diagnoses, billing modifiers, and hormone prescriptions, we demonstrate that administrative data provide a valuable resource for identifying a lower bound of the Medicare transgender population. In addition, we provide a baseline description of the diversity and disease burden of the population and a framework for future research.

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Section: Discussionmentioning

confidence: 99%

“…This is particularly relevant, given the lack of LGBT outreach across the country, with few agencies providing LGBT-specific training or outreach. 29 Because agencies that provide LGBT-specific services are more likely to address…”

Section: Discussionmentioning

confidence: 99%

Identifying the Transgender Population in the Medicare Program

et al. 2016

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“…LGBT people from overt discrimination at the hands of service providers; similarly, programmes of 'cultural competence' and training programmes working with service providers and others may help (Clover, 2006;Knochel et al, 2012;Bauer et al, 2014). This is particularly the case for increasing understanding of trans people's lives amongst housing providers, which is especially lacking (SAGE, 2012 (Colgan and McKearney, 2012;King, 2015), such interventions are also affected by issues of the social capital of individuals within organisations; all too often such interventions rely on the emotional and symbolic labour of LGBT staff and the forms of bonding and bridging social capital that they are able to develop with others that can be applied to their work.…”

Section: Theoretical Applications and Implicationsmentioning

confidence: 99%

Bonds, bridges and ties: applying social capital theory to LGBT people’s housing concerns later in life

King

Cronin

2016

Quality in Ageing and Older Adults

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Purpose – The purpose of this paper is to contribute to debates about lesbian, gay, bisexual and transgender (LGBT) housing later in life by placing these in a theoretical context: social capital theory (SCT). Design/methodology/approach – After a discussion of SCT, emanating from the works of Robert Putnam and Pierre Bourdieu, the paper draws on existing studies of LGBT housing later in life, identifying key concerns that are identified by this body of literature. Findings – The paper then applies SCT to the themes drawn from the LGBT housing later in life literature to illustrate the usefulness of putting these in such a theoretical context. Originality/value – Hence, overall, the paper fills an important gap in how the authors think about LGBT housing later in life; as something that is framed by issues of social networks and connections and the benefits, or otherwise, that accrue from them.

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“…Against this backdrop, however, there appears to be interest in receiving cultural competency training to promote understanding of older LGBT needs from many service providers (Knochel, Croghan, Moone, & Quam 2012). The development of 'age competent and gay affirmative practice' should focus on and further develop the strengths and resiliency of older LGBT adults (Crisp, Wayland, & Gordon 2008, p. 6).…”

Section: Facilitating Social Impact Through Researchmentioning

confidence: 99%

“…Lack of preparedness and understanding of the needs of older LGBT individuals is a global issue, and studies in the US describe a lack of training and awareness of older LGBT citizens' needs in most care service providers (Knochel et al 2012).…”

Section: Facilitating Social Impact Through Researchmentioning

confidence: 99%

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

Fenge

Jones

Gibson

2018

QRJ

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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.

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Training, Geography, and Provision of Aging Services to Lesbian, Gay, Bisexual, and Transgender Older Adults

Cited by 59 publications

References 14 publications

Identifying the Transgender Population in the Medicare Program

Identifying the Transgender Population in the Medicare Program

Bonds, bridges and ties: applying social capital theory to LGBT people’s housing concerns later in life

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

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