Respected and Whole - Consumer Voice

Respected and Whole - Consumer Voice

A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2017 Respected and Whole PREVENTING ANTI-LGBT BIAS BETWEEN RESIDENTS, STAFF, AND ACROSS AGING SERVICES

Sherrill Wayland SAGEs Manager on National Projects Over 20 years in disability, aging and LGBT advocacy SAGE SAGE is the country's largest and oldest

organization dedicated to improving the lives of lesbian, gay, bisexual and transgender (LGBT) older adults. www.sageusa.org We are the voice of LGBT older adults receiving care. Annual in-person or web-based training credentials

www.sageusa.ca Agenda Define bias and discuss why this is an important topic How does bias reduction improve health and morale? What do we mean when we talk about inclusive communities? Suggestions to promote inclusion

A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2017 The voice of LGBT Elders Why LGBT Training Matters To Your Residents and Patients file:///Users/MacbookPro/Desktop/Cultural-Competence_9_18.webmsd.webm Solve This Riddle:

A father and son are in a serious car accident that knocks the father unconscious. The son is rushed to the hospital; just as hes about to go under the knife, the surgeon says, I cant operatethat boy is my son! Bias Other terms you might hear:

Intentional Bias - Microaggressions - isms Implicit or Unintentional Bias A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014

Think-Pair-Share Have you ever experienced bias in the forms we discussed? Share the story with your partner. How did you feel? How did you address the issue? The LGBT experience might be new to you, but as a country we have confronted bias many times as we try to put into practice our founding

beliefs A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Confronting Bias Civil Rights Womens Rights Immigration Class Disability

LGBT Rights A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Why is this important? A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Bias and Health Disparities Loneliness can affect health the same way smoking or alcohol can. The influence of social relationships on the risk of death are comparable with

well-established risk factors for mortality such as smoking and alcohol consumption and exceed the influence of other risk factors such as physical inactivity and obesity. - Holt-Lunstad 2010 Negative interactions and isolation harm mental and physical health. o Columbia University's Mailman School of Public Health found that lesbian, gay, and bisexual (LGB) individuals who lived in communities with high levels

of anti-gay prejudice have a shorter life expectancy of 12 years on average compared with their peers in the least prejudiced communities. A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 http://www.eurekalert.org/pub_releases/2014-02/cums-lil021414.php Improving Health Healthy interactions can lead to: Decreased isolation

A sense of community Cognitive longevity A sense of well-being A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Benefits to Staff A healthy and respectful workplace can: Increase staff morale Increase staff retention

Improve job performance Reduce absenteeism A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Defining Diversity and Inclusion creating, fostering, and sustaining practices and conditions that encourage and allow each of us to be fully ourselves with our differences from and similarities to those around us.

What are some words you associate with feeling excluded? Included? A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Safe for All? Can you think of a place where you felt secure? Why? How do you create an environment that is safe for everyone? A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014

Ron and Larry Ron and Larry are a gay couple who recently moved to one of the communities you work with as an Ombudsperson. As they walk into the dining room, you hear another community member refer the men using a homophobic word were people at his table as well as Ron and Larry can hear him. You can tell it has made Ron and Larry uncomfortable, and they leave before you can speak to them. As an Ombudsperson, what actions might you take in this situation?

Respected and Whole Foundation Policies Resident Rights and Responsibilities Cueing Education

Train to Empower Link to Existing Knowledge Implementatio n Procedures Responding to Bias

Reinforcing the Culture A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Foundation: Policies Develop and Implement Employment Policies that promote inclusion and equity: A non-discrimination policy that includes sexual orientation and gender identity A Vision Statement that outlines the diversity and inclusion goals

An Employee Pledge to treat all residents and other staff members with respect, including definitions of what is considered respectful behavior. Resident Rights displayed in common areas. Copies of resident rights shared with resident and their representative(s). A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Foundation: Resident Rights & Responsibilities

A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 What decorations do you have in your home right now? What do you have on your walls? If someone were to walk in, what assumptions would they make about you based on the things you have? Resident Rights Ron and Larry have experienced biased and derogatory comments from other residents. They have expressed to the communities administrator that they do

not feel safe or welcomed. They have removed all decorations and personal belonging from their room that were expressing their relationship, culture and community. They have requested to be served meals in their room and no longer wish to participate in community events. What Resident Rights could help Ron and Larry to feel welcome and secure in their community? As an Ombudsperson what suggestions would have for the community to help ensure the rights of older adults who are experiencing bias from other residents?

Foundation: Cueing Decorate common spaces with: Vision Statement Resident rights and expectations Diverse images and icons

Motivational posters This is an especially important way to communicate that your organization is LGBT inclusive A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Education: Train to Empower Training is an important way to: Recognize and enhance concrete professional skills Encourage teamwork

Trainings may include: Role plays Case studies or videos Individualized follow-up and coaching Creating a safe and affirming environment for LGBT constituents and staff requires LGBT cultural competency training. A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Education: Link to Existing Knowledge

Highlight common values: Everyone is created equal Walk a mile in another persons shoes Draw connections between familiar and unfamiliar struggles for acceptance over bias. Immigration Experience Economic Class Disability Race of Ethnicity Religion

A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Implementation: Procedures Clearly communicate what is and is not considered respectful behavior, as well as any disciplinary policies. LGBT people may be in the closet, and not feel comfortable reporting abuse because they fear it will out them, or they may fear retaliation To encourage reporting:

Make reporting clear and easy. Give the option to report anonymously. A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Implementation: Responding to Bias

Model respect and inclusion when working with those who are biased Move the focus from individual responsibility to creating an environment in which everyone feels respected Emphasize the behavior, not the person Both initiator and target should receive individual attention soon after the incident A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2016

Implementation: Reinforcing the Culture Give everyone useful work that contributes to an inclusive environment. Notice and acknowledge positive actions. Reward groups, not individuals. Implement graduated discipline.

Remind people of community standards. Use a grievance form. A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Reinforce the Culture (cont.) Create events that promote inclusion:

How-To or demonstration days. Take a bite of my culture shared meals. Create a sharing wall or group scrapbook. Allow everyone to take turns decorating shared spaces. Celebrate LGBT Pride month (June). Continually upgrade staff skills

Assertiveness training Conflict resolution Listening and communication skills Foreign language skills

LGBT cultural competency trainings A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014 Responding to Bias Moving the focus: You said something homophobic or When you said that, it made Ron and Larry uncomfortable

Following up: All parties should have a private follow-up call or meeting. Inclusive environments: How could you have acted differently? Group Activity

Case Study: George is a resident in your community. While reading the paper in the lobby yesterday, George saw that his friend and fellow resident, Esther, received a visitor who George had never seen. Esther introduced George by saying: George, Id like you to meet my granddaughter Jennifer. She traveled all the way out to visit me from 2 hours away! As Esther and Jennifer walked toward the dining room, they both stopped to use the womens bathroom on the way. Later that day you were making your weekly ombudsperson visit. George came to you, to complain that Esthers granddaughter looked like a man but was using the womens bathroom and George wanted you to do something about it. Discuss the Resident Right(s) that applies to Esther, her granddaughter and George. What type

of changes and education my might you recommend would be put in place to ensure communities would be able to handle each of these situations confidently with sensitivity and respect. A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2017 Respected and Whole Foundation Policies Resident Rights and

Responsibilities Cueing Education Train to Empower Link to Existing Knowledge

Implementatio n Procedures Responding to Bias Reinforcing the Culture A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014

Dont Be Afraid There is no such thing as a clean slate, bias is a part of everything we do Be aware of bias, and work actively against it Be humble we are human, accidents happen! National Resources For resources on LGBT older adults visit: www.lgbtagingcenter.org www.sageusa.org

For more information on training visit: www.sageusa.care For our National LGBT Older Adults housing portal visit: http://sageusa.org/lgbthousingresources/ LGBT Older Adult Hotline number: 1-888-234-SAGE More info on the hotline:

http://www.sageusa.org/programs/hotline.cfm Final Discussion, Conclusion, Questions A product of SAGEs National Resource Center on LGBT Aging. SAGE, National Resource Center on LGBT Aging, 2014

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