Developing inclusive residential care for older lesbian, gay, bisexual and trans (LGBT) people: an evaluation of the Care Home Challenge action research project

Trish Hafford-Letchfield, Paul Simpson, Paul B. Willis, Kathyrn Almack

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

There have been substantial achievements in legislative and human rights for lesbian, gay, bisexual and transgender (LGBT) older people and their visibility in health and social care has equally increased. These appear to have surpassed the ability of care services to meet their needs given documented concerns about the accessibility, inclusiveness and safety of care services particularly institutionalised care. This requires systemic change not easy to operationalise. This paper describes an action research initiative where six care homes belonging to a national care provider, collaborated to assess and develop their services with the support of local LGBT “Community Advisors” and academic partners. Framed within Rogers’ (2003) change management framework and combined with a participatory leadership approach, a programme of intervention was implemented comprising structured activities around seven key areas thought to promote LGBT inclusion. A formal evaluation was conducted involving 35 pre‐ and post‐intervention qualitative interviews with 18 people (community advisors; care home managers and senior managers). The findings are presented across three key themes (1) starting points on the journey; (2) challenges encountered along the journey (organisational and interpersonal); and (3) making change happen; opportunities, initiatives and gains. We make recommendations on the value of a programme approach for achieving tangible outcomes that demonstrate increased inclusion for older LGBT people living in long‐term care settings.
LanguageEnglish
Pagese312-e320
Number of pages18
JournalHealth and Social Care in the Community
Volume26
Issue number2
DOIs
Publication statusPublished - 27 Nov 2017

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Health Services Research
Home Care Services
home care
action research
research project
evaluation
inclusion
manager
change management
qualitative interview
community
Sexual Minorities
human rights
Transgender Persons
leadership
Aptitude
ability
Long-Term Care
health
Values

Keywords

  • care homes
  • co-production
  • human rights
  • LGBT
  • inclusive environments
  • older people

Cite this

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Developing inclusive residential care for older lesbian, gay, bisexual and trans (LGBT) people : an evaluation of the Care Home Challenge action research project. / Hafford-Letchfield, Trish; Simpson, Paul ; Willis, Paul B.; Almack, Kathyrn.

In: Health and Social Care in the Community, Vol. 26, No. 2, 27.11.2017, p. e312-e320.

Research output: Contribution to journalArticle

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