Origins and Purpose of the LGBTI Aged Care Strategy
The National LGBTI Aged Care Strategy was introduced to address the specific needs of older LGBTI people, who often face unique challenges due to past discrimination and fear, which can impact their willingness to access care. The strategy's five principles aim to integrate inclusive practices into aged care services, creating safe and affirming environments.
The Five Foundational Principles
These five interconnected principles provide a framework to move aged care towards a person-centered model that respects diversity.
1. Inclusion
This principle involves incorporating the needs and rights of older LGBTI people, their families, and carers into aged care policies and programs. Key aspects include involving LGBTI individuals in service development, displaying visible signs of inclusion, and ensuring non-discriminatory services regardless of disclosure.
2. Empowerment
Empowerment focuses on equipping older LGBTI people and their carers with the knowledge and confidence needed to navigate the aged care system and make informed decisions. This includes providing accessible information, supporting client-directed care that acknowledges diverse family structures, and offering advocacy support.
3. Access and Equity
This principle is about ensuring that all parts of the aged care sector provide LGBTI-inclusive services and equitable access. It involves actively combating discrimination, conducting outreach to those who may be isolated, and recognizing intersectional identities.
4. Quality
Quality ensures that aged care services meet the specific needs of older LGBTI people through culturally competent staff and inclusive policies. This includes mandatory staff training, explicit non-discrimination and confidentiality policies, and incorporating LGBTI inclusion into quality standards.
5. Capacity Building
This principle strengthens the ability of LGBTI individuals and communities to participate in aged care planning and evaluation, while also developing the aged care workforce's skills. This is achieved through community collaboration, ongoing workforce training, and research into the needs of older LGBTI people.
Comparison of Traditional vs. Inclusive Aged Care
| Feature | Traditional Aged Care | Inclusive LGBTI Aged Care |
|---|---|---|
| Resident Intake | Assumes heteronormative family structures; forms may lack gender identity and sexual orientation options. | Uses inclusive language and forms; asks for preferred names and pronouns; recognizes “families of choice”. |
| Staff Training | Often lacks specific training on LGBTI issues, leading to unconscious bias or discomfort. | Provides mandatory, ongoing training on LGBTI cultural competency, history, and communication. |
| Facility Environment | May lack visible signs of welcome for LGBTI people, creating an atmosphere of fear or exclusion. | Displays visible signs of welcome (e.g., rainbow stickers) and promotes an open, affirming culture for all residents. |
| Confidentiality | May inadvertently out residents to other staff or family due to lack of policy. | Has clear, reinforced confidentiality policies protecting residents' sexual orientation and gender identity. |
| Social Programming | Activities may focus on traditional milestones (e.g., married life), potentially isolating LGBTI residents. | Offers inclusive social activities and support groups; partners with LGBTI community centers. |
The Broader Impact
Implementing the principles of the LGBTI aged care strategy not only benefits older LGBTI individuals but also improves the entire aged care sector. It promotes respect for diversity, fosters a person-centered approach, and encourages continuous improvement in quality and equity for all residents. These principles help create safer, more welcoming, and more effective care environments. For more resources on creating LGBTQ+ inclusive care, consider exploring SAGECare.
Conclusion
Understanding what are the five principles of the LGBTI aged care strategy—inclusion, empowerment, access and equity, quality, and capacity building—is essential for aged care providers committed to genuine inclusivity. These principles lay a foundation of respect and understanding, helping to operationalize strategies that honor the dignity of older LGBTI people, address past injustices, and create a more compassionate and equitable future for all seniors.
