Addressing the Challenges Faced by LGBTI+ Older Adults in Aged Care

Many older LGBTI+ individuals experience significant pressures to conform to heterosexual norms and suppress their identities within aged care environments. This often results in these individuals feeling compelled to hide who they are, fearing discrimination, prejudice, and lack of respect. Recent research conducted by the University of South Australia, published in The Gerontologist journal, sheds light on the pervasive issues faced by this demographic.

The study synthesizes findings from 55 studies involving over 3,000 LGBTI+ adults aged between 50 and 94 across 11 countries. It identifies four core issues: firstly, that aged care environments are heavily influenced by heteronormative assumptions, affecting everything from dress codes to relationship recognition; secondly, the system fails to adequately protect LGBTI+ residents, leaving them vulnerable due to historical discrimination and the private nature of care settings; thirdly, many feel forced to conceal their identities to stay safe; and finally, while they seek respectful, inclusive care, they do not want separate or special treatment that isolates them further.

As Australia's aging population grows, so does the number of LGBTI+ seniors, emphasizing the urgent need for reforms to ensure inclusive, respectful care. The Royal Commission into Aged Care Quality and Safety highlighted systemic neglect and abuse within the sector, particularly targeting LGBTI+ individuals, underscoring the need for substantial improvements.

Lead researcher Sarah McMullen-Roach advocates for simple yet effective measures to foster inclusivity—such as displaying rainbow symbols, using inclusive language, training staff, and showcasing diversity in advertising. Education initiatives are crucial to reducing systemic homophobia and respecting the unique needs of older LGBTI+ adults. Her ongoing research aims to explore the lived experiences of these individuals further, seeking to understand whether progress has been made or if discrimination persists.

This study's findings are especially relevant ahead of the International Day Against LGBTQIA+ Discrimination (IDAHOBIT) on May 17, serving as a reminder of the importance of creating safe, affirming environments for all aging individuals.