@article{ref1,
title=""Fear runs deep:" the anticipated needs of LGBT older adults in long-term care",
journal="Journal of gerontological social work",
year="2018",
author="Putney, Jennifer M. and Keary, Sara and Hebert, Nicholas and Krinsky, Lisa and Halmo, Rebekah",
volume="61",
number="8",
pages="887-907",
abstract="OBJECTIVES: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults' anticipated needs and fears related to nursing homes and assisted living. <br><br>METHODS: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. <br><br>RESULTS: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. <br><br>DISCUSSION: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training.<p /> <p>Language: en</p>",
language="en",
issn="0163-4372",
doi="10.1080/01634372.2018.1508109",
url="http://dx.doi.org/10.1080/01634372.2018.1508109"
}