Inclusivity of community based social care for older LGBT+ adults:Early findings from my PhD study

Introduction This research aimed to understand experiences of social care inclusivity and identify actions of services to improve inclusivity for older LGBT+ people. Recognising the importance of LGBT+ identity, markers of representation and inclusive conversations were identified as key areas for service development. Aim & Objectives This study aimed to understand experiences of older LGBT+ people who use (or may use in the future) community based social care, and attitudes and actions of service providers in delivering culturally competent care. The overall objective was to produce an evidence-based, simple inclusivity guide for informal services. Methods A qualitative study including interviews with older LGBT+ people and service providers, and focus groups with providers to discuss findings and implications from interviews. All data then fed directly into contents of the inclusion guide. Findings/Outcomes Findings included the importance of, and recognition of LGBT+ identity, the simplicity of actions perceived as inclusive and an overarching desire to be valued as individuals with life stories and networks influenced by sexual identity. The main outcome is a free, simple to use guide to help organisations and services consider inclusivity for older LGBT+ people. Discussion/Conclusion Interviews demonstrated the importance of recognising and validating individual identity (within both marketing and delivery). Simple adjustments to language, representation and signposting indicated perceived inclusivity. Service providers were mostly motivated to make adjustments, although not all felt it necessary. Further opportunities for staff to build awareness of the presence and needs of the LGBT+ population and responsibilities around inclusive care are needed, while maintaining understanding that LGBT+ people needing to advocate for themselves can be considered a burden. Implication(s) for Practice The implications for practice include: consideration of staff awareness and training assessment/’getting to know’ service users including opportunities to talk about LGBT+ lives, networks, relationships and lifestyle simple measures (often perceived as inclusive practices) are easily adopted