Residents Staff and across Aging Services A product of SAGEs National Resource Center on LGBT Aging SAGE National Resource Center on LGBT Aging 2017 Sherrill Wayland SAGEs Manager on National Projects ID: 696194
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Respected and Whole
Preventing Anti-LGBT Bias between Residents, Staff, and across Aging Services
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2017Slide2
Sherrill Wayland
SAGE’s Manager on National Projects
Over 20 years in disability, aging and LGBT
advocacy Slide3
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.orgSlide4
We are the voice of LGBT older adults receiving care.
Annual in-person or web-based training credentials
www.sageusa.careSlide5
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? S
uggestions to promote inclusionA product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging,
2017Slide6
The voice of LGBT EldersSlide7
Why LGBT Training Matters To Your
Residents and Patientsfile:///Users/MacbookPro/Desktop/Cultural-Competence_9_18.webmsd.webmSlide8
A father
and son are in a serious car accident that knocks the father unconscious. The son is rushed to the hospital; just as he’s about to go under the knife, the surgeon says, “I can’t operate—that boy is my son!”
Solve This Riddle:Slide9
Bias
Intentional Bias
Implicit or
Unintentional Bias
Other terms
you might hear:
-
Microaggressions
- “
isms
”
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide10
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?Slide11
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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide12
Confronting Bias
Civil Rights
Women’s Rights Immigration Class Disability
LGBT Rights
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide13
Why is this important?
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide14
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 2010Negative interactions and isolation harm mental and physical health.
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.
http://www.eurekalert.org/pub_releases/2014-02/cums-lil021414.php
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide15
Improving Health
Healthy interactions can lead to:
Decreased isolationA sense of communityCognitive longevityA sense of well-being
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide16
Benefits to Staff
A healthy and respectful workplace can:
Increase staff moraleIncrease staff retentionImprove job performanceReduce absenteeism
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide17
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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide18
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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide19
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?Slide20
Respected and Whole
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide21
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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide22
Foundation: Resident Rights & Responsibilities
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide23
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?Slide24Slide25Slide26Slide27Slide28Slide29
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?Slide30
Foundation: Cueing
Decorate common spaces with:Vision StatementResident rights and expectations
Diverse images and iconsMotivational postersThis is an especially important way to communicate that your organization is LGBT inclusive
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide31
Education: Train to Empower
Training is an important way to:Recognize and enhance concrete professional skills
Encourage teamworkTrainings 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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide32
Education: Link to Existing Knowledge
Highlight common values:Everyone is created equal
Walk a mile in another person’s shoesDraw connections between familiar and unfamiliar struggles for acceptance over bias. Immigration ExperienceEconomic ClassDisabilityRace of Ethnicity
Religion
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide33
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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide34
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 incidentA product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging,
2016Slide35
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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide36
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 skillsAssertiveness trainingConflict resolutionListening and communication skillsForeign language skills
LGBT cultural competency trainings
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide37
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?”Slide38
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, I’d 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 women’s bathroom on the way. Later that day you were making your weekly ombudsperson visit. George came to you, to complain that “Esther’s granddaughter looked like a man but was using the women’s 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 SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2017Slide39Slide40
Respected and Whole
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014Slide41
Don’t 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 itBe humble – we are human, accidents happen!Slide42
National Resources
For resources on LGBT older adults visit:
www.lgbtagingcenter.orgwww.sageusa.orgFor more information on training visit:
www.sageusa.careFor our National LGBT Older Adults housing portal visit:http://sageusa.org/lgbthousingresources/
LGBT Older Adult Hotline number: 1-888-234-SAGEMore info on the hotline: http://www.sageusa.org/programs/hotline.cfmSlide43
Final Discussion, Conclusion, Questions
A product of SAGE’s National Resource Center on LGBT Aging. © SAGE, National Resource Center on LGBT Aging, 2014