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5 posts from January 2017

January 19, 2017

LGBT Elders: Resilience and Inspiration

SAGEInaugurationDear Friends,

It is often said that one of the greatest measures of a society is how it treats and remembers its elders. SAGE’s commitment to an equitable world where LGBT elders are valued and have boundless opportunities is inspired by this time-honored maxim. The inauguration of our country’s 45th President is a critical moment to reiterate this message. 

Our values as a society must support and honor our elders both because their hard work and perseverance laid the foundation for all that we have today, and because we still very much need their wisdom and contributions. This is especially true for LGBT elders, whose courage in the face of danger and adversity paved the way for marked progress on LGBT equality in recent years. Our LGBT elder pioneers did not lead the movement birthed at Stonewall by being quiet and invisible. In the same vein, faced with dangerous threats on multiple fronts, LGBT elders and their advocate – SAGE – refuse to be silent and invisible now. 

We must ensure that our older generations have the support they need to age safely and with dignity and respect. Like older Americans in general, most LGBT elders rely on Social Security in order to have enough to live on during their retirement, and rely on Medicare and Medicaid for their health and long term care.  Just like other older Americans, LGBT elders rely on community services funded by the federal Older Americans Act. They rely on federal support for senior housing. They rely on the progress the federal government has encouraged through training of aging service providers and the establishment of anti-discrimination protections. These programs and protections are even more essential for elders who are LGBT, people of color and members of other diverse elder communities – all of whom are especially vulnerable due to the accumulated effects of lifetimes of discrimination and marginalization.

While our elders need and deserve our support, we need them just as much.  As we enter a threatening new era when our society’s fundamental values and commitments to each other are under attack, we need the wisdom and fortitude of our LGBT elders now more than ever. We will apply the lessons they learned through decades of hard work and struggle, using that knowledge to build a better future.  We need their creativity, their spirit, their resilience.

In the days, months and years ahead, SAGE will stand firm with our LGBT elders for a policy agenda that makes older Americans a national priority, and that ensures that LGBT elders and elders from all diverse communities are at the center of that priority. We will do everything in our power to advocate for such an agenda. We will vigorously oppose any effort to roll back progress. We will relentlessly pursue our commitment to equity for diverse elder communities.

We at SAGE are inspired and fortified by the wisdom of our elders who have lived through decades of witch hunts, brutality, criminalization, stigma, AIDS and so much more. Our elders remind us that through all of these unspeakably difficult challenges, we stood firm, spoke out, and pushed forward.  

Count on SAGE and our many supporters to continue that great tradition by standing with LGBT elders and honoring their unique voices and wisdom. This week you can find SAGE making sure LGBT elders’ voices are heard at the Women’s March in our nation’s capital, leading an elder activism institute at the national LGBT Creating Change conference in Philadelphia, and gearing up for a new initiative – SAGETable – that will connect LGBT people of every age all across the country.

Please, join us! Let’s be proud to be measured by how we treat and remember our elders.

Sincerely,

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Michael Adams

LGBT elders needing emotional support are invited to call the SAGE LGBT Elder Hotline. SAGE established the hotline to make sure that LGBT elders have support no matter where they live. Provided in partnership with the GLBT National Help Center, calls are being taken at 888-234-SAGE (7243) on Monday through Friday from 4 p.m. to midnight and from 12 p.m. to 5 p.m. Eastern Time on Saturdays.

January 18, 2017

A handful of people shouted, "You don't live here! You don't belong here!"

Story

"When I would hear these instances of egregious anti-gay harassment, I sometimes thought maybe, well this might be a little conjured up, or there may be something they're not saying."

On a conceptual level, Jim Brooks and Bob Campbell have always understood that discrimination against LGBT is a reality. And yet, they had long hard reservations about fully believing people because they hadn’t experienced it themselves. It wasn’t until Jim and Bob were confronted with homophobia through housing that they learned how pervasive, nuanced and insidious LGBT discrimination and harassment can be.

Find out how Jim and Bob battled bigotry in their Arizona neighborhood in the latest SAGE Story. Then explore resources, news and LGBT age-friendly communities with SAGE’s housing portal and interactive map.

January 17, 2017

What LGBT Seniors Stand to Lose in ACA Repeal

This post originally appeared on the Center for Consumer Engagement in Health Innovation website on January 13, 206. Read the original post here.

By Aaron Tax

This blog is part of a series to highlight the dangers of the repealing the Affordable Care Act. Multiple times a week, Community Catalyst will highlight a different constituency to draw attention to the benefits the ACA has afforded them and to outline what a loss of coverage would mean.

Lesbian, Gay, Bisexual and Transgender (LGBT) older adults face many of the same health and aging challenges other older adults face, but more pronounced. As a result, they are arguably more at risk if the incoming administration and Congress repeals the Affordable Care Act (ACA) without a replacement plan and/or makes significant and harmful changes to Medicaid and Medicare.

LGBT older adults face unique risks within the health care system due to the standard issues facing an aging population combined with their sexual orientation or gender identity, such as:

  • Aging Combined with Discrimination: Similar to the older population in general, LGBT older adults face challenges with aging: declining health, diminished income, and the loss of friends and family. LGBT older adults, however, also face the added burden of actual or feared discrimination on the basis of their sexual orientation and/or gender identity. Many choose to go back into the closet for fear that caregivers will discriminate against them. Transgender adults, however, do not even have that option. Despite federal prohibitions on discrimination based on sex stereotyping and gender identity and the prohibition of discriminatory practices toward LGBT individuals based on health status - such as being HIV positive - built into the ACA, the sex stereotyping and gender identity protections are currently under attack in the courts, and LGBT older adults remain one of the most invisible, underserved and at-risk elder populations.
  • Isolation from Society, Services and Supports: Studies show that LGBT older adults are twice as likely to live alone; half as likely to have close relatives to call for help; and more than four times less likely to have children to help them. Nearly one-in-four LGBT older adults has no one to call in case of an emergency. At the same time, studies document that LGBT older adults access essential services – including visiting nurses, food stamps, senior centers and meal programs – much less frequently than the general aging population.
  • Lack of Access to Culturally Competent Health Care: The U.S. Department of Health and Human Services has found that LGBT older adults face additional health barriers because of isolation combined with a lack of access to social services and culturally competent providers. These barriers result in increased rates of depression; higher rates of alcohol and tobacco use; and lower rates of preventive screenings. 
  • Higher Rates of Poverty: LGBT older adults reflect the diversity of our nation in terms of gender, race and ethnic identity. But there is one critical statistic where they do not reflect the norm: they have much higher poverty rates and lower average household income than their straight and cis-gender counterparts. In fact, 35 percent of SAGE clients in New York City have annual pre-tax incomes below $10,000 and rely on Medicaid – a program with looming threats of block grants or per capita caps - to provide their medical care. An additional 35 percent subsist on annual pre-tax incomes of $20,000 or less and qualify for coverage under Medicaid expansion or could utilize tax credits to purchase insurance on the Marketplace. The Medicare-eligible segment of this population benefits from the ACA having lowered Medicare Part B premiums, the closing of the “donut hole” for prescription drugs, and payment and delivery reforms aimed at improving quality and the coordination of care for individuals with complex care needs.
  • HIV: As of 2015, the CDC estimates that one in two people who are HIV positive in the United States are now over 50. Yet little attention and money is targeted towards prevention for this population. One of the free preventive services covered by the ACA is HIV screening, though recommended testing in the U.S. cuts off at age 64. As a result, older adults are much more likely to be dually diagnosed with HIV and AIDS if and when they are ultimately tested.

Because of higher rates of health disparities, un-insurance, poverty and a greater reliance on programs like Medicaid and Medicare - two programs that could be facing significant retooling and subsequent funding cuts in the coming years - the protections provided by these programs and enacted in the ACA are critical for improving the quality of life for older LGBT individuals.

As we enter an uncertain time, we believe that we must do more to honor and support the LGBT elders who fought the fight and paved the way for the recent advances we have seen on LGBT rights. The least we can do is ensure that this population still has access to the foundational supports provided by the ACA, Medicaid and Medicare.

Aaron Tax, Director of Federal Government Relations, Services and Advocacy for GLBT Elders (SAGE)

 

January 9, 2017

Make the Most of SAGE's Housing Website with These Seven Tips

In September, SAGE launched Welcome Home, the first-of-its-kind LGBT age-friendly housing website and interactive map. This comprehensive consumer resource is designed to empower LGBT elders and those who care for them with the information they need to find safe, welcoming and affordable housing nationwide. Here are some tips for making the most of this new resource:

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1. Enroll in SAGE Housing 101.

Housing 101 isn’t an actual course but a state of mind. Want to know where LGBT age-friendly housing is being built? Curious about new options for retirement living but not sure where to start? Want to hear stories from others just like you from around the country? Need help filing a housing discrimination complaint? Watch the video below, then go to the Housing 101 page for more.

2. Know your rights.

Knowledge is power. Housing discrimination is on the rise, and it’s important for LGBT elders and those who care for them to be prepared for discrimination before it happens. See the Know Your Rights page for helpful consumer guides, including Lambda Legal’s housing FAQ for LGBT elders, then browse LGBT housing news and anti-discrimination cases across the country.

3. Keep up with the latest research.

According to SAGE’s Out and Visible report, when searching for housing, 1 in 8 LGBT older people report they have been discriminated against on the basis of their sexual orientations, and 1 in 4 transgender older people report discrimination on the basis of their gender identities. Opening Doors, a report published by the Equal Rights Center, revealed that nearly half of older same-sex couples experienced at least one form of adverse differential treatment (as compared to heterosexual couples) when inquiring about housing in a senior living facility. Follow the Reports and Presentations page for research published by the nation’s leading LGBT organizations.

4. Subscribe to the SAGE blog.

Want to be the first to know about housing news, website improvements and new features? Follow the SAGE blog. Be sure to leave your comments and questions, and share on social media!

5. Read SAGE news as it happens.

Last summer, SAGE, HELP USA and BFC Partners announced the development of New York City’s first senior housing with services specifically designed for the LGBT community. Read about these developments and other SAGE housing news and see SAGE press releases for official statements.

6. Watch and share SAGE’s housing videos.

SAGE produced a series of housing videos in partnership with Citi, and features them regularly on the housing website's main page. Watch the whole series and look for new videos here.

7. Get interactive.

Now it’s easier than ever to know what’s happening in LGBT age-friendly housing with SAGE’s interactive housing map. Click a state to view housing policies and news, access culturally competent providers, and connect with organizations that can help, including SAGENet affiliates.

Still can’t find what you’re looking for? Want to suggest a new feature or submit a housing resource? Email SAGE at engagement@sageusa.org.

January 2, 2017

New Year, New SAGECare Train the Trainer


TJohnston1By Tim R. Johnston

This year I’m resolving to double my efforts to train service providers on LGBT cultural competency. From housing providers to nurses to service coordinators, it’s my job to make sure that more people know the "ins and outs" of providing services and care that are welcoming to our community. 

That’s why SAGE is growing its roster of SAGECare Certified Trainers. Beginning with in-person training and expanding to webinars and on-demand content, SAGE and SAGECare Certified Trainers have trained more than 13,000 providers in all 50 states. A series of rigorous evaluations reveals that SAGE trainings create positive changes in participants’ knowledge and attitudes about LGBT older adults and aging. SAGECare offers trained agencies the chance to earn a SAGECare-branded credential that demonstrates their commitment to LGBT older adults.

SAGECare Trainers are certified to conduct one- and four-hour in-person trainings. Trainings employ several different teaching methods to help participants develop empathy for LGBT older adults, learn about LGBT cultures, and gain the skills needed to provide culturally competent care to LGBT people. Trainings are challenging, fun, impactful and often emotional. SAGECare is a national program and SAGE invites applicants from all regions, with a special emphasis on New York City, Washington, D.C., Chicago and Los Angeles.

Our next Train the Trainer will be in Chicago from May 23-25, 2017 – do you want to apply? More information, including information on travel costs, how much trainers are paid, and more can be found on the application.

If you can’t make the next Train the Trainer event but still want to get involved, another great option is SAGE’s National Resource Center on LGBT Aging’s Volunteer Education Ambassador program. Once approved, Volunteer Education Ambassadors are given a presentation they can use to help raise awareness about LGBT older adults and LGBT aging. Ambassadors all across the country have presented to local community groups, churches, universities and conferences.

When I conduct a training people often say, "LGBT aging—I’ve never thought about that!" Join me and help SAGE make 2017 the year that makes LGBT aging and LGBT older adults a top priority. Say it with me: "LGBT aging, yes I care about that!"

Click here to apply for SAGECare's next Train the Trainer event.

Click to explore housing resources, news and LGBT age-friendly communities with SAGE’s housing portal and interactive map.