A new study shows that many LGBTI+ older Australians feel pressure to hide their gender, sexual orientation or intersex status in aged care. LGBTI+ older peoples’ experiences of aged care are often shaped by prejudice, exclusion, and a lack of respect.
The University of South Australia conducted the research. The researchers reviewed 55 studies. The studies drew on the voices of more than 3000 LGBTI+ people aged 50-94 from 11 countries. The researchers also spoke with a group of LGBTI+ older adults in South Australia to compare their experiences.
The researchers found four common issues:
Assumed heterosexuality: Heterosexism is deeply embedded in aged care. It shapes the environment, dress codes, activities and assumptions about relationships.
No one to protect us: LGBTI+ adults feel unsafe and vulnerable in aged care settings. This is because of historical discrimination and because care is provided out of public view.
Hiding who you are: While being open is ideal, many older LGBTI+ people feel forced back ‘into the closet’ to stay safe in aged care.
Good care, not different care: LGBTI+ people want inclusive, respectful care that is affirming. They don’t want special treatment that keeps them separate.
Lead researcher Sarah McMullen-Roach, has called for aged care providers to think differently about how they show that they are inclusive. This could include:
• displaying a rainbow sign at reception
• using inclusive language on intake forms
• adopting advertising materials that show the diversity of their residents.
Sarah says that staff training would help aged care services to reduce the risk of systemic homophobia. It would also increase the dignity and respect for LGBTI+ older people. She says that some of this education is happening in Australia. However, we don’t know the impact it has on LGBTI+ individuals’ experiences and willingness to access care services.
You can find more discussion of the study in the Australian Ageing Agenda and in a short video segment on SBS.