scholarly journals ‘I'm going to live my life for me’: trans ageing, care, and older trans and gender non-conforming adults’ expectations of and concerns for later life

2020 ◽  
pp. 1-22
Author(s):  
Paul Willis ◽  
Michele Raithby ◽  
Christine Dobbs ◽  
Elizabeth Evans ◽  
Jenny-Anne Bishop
Keyword(s):  
United Kingdom ◽  
Gender Identity ◽  
Social Care ◽  
Later Life ◽  
Social Gerontology ◽  
Health And Wellbeing ◽  
Care Services ◽  
Care And Support ◽  
And Bisexual ◽  
And Gender

Abstract While research on the health and wellbeing of older lesbian, gay and bisexual adults is gradually expanding, research on older trans and gender non-conforming (TGNC) adults lags behind. Current scholarship about this group raises important questions about the intersection of ageing and gender identity for enhancing care and support for older TGNC adults and the lack of preparedness of health and social professionals for meeting these needs. In this paper, we examine the accounts of 22 TGNC individuals (50–74 years) on the topic of ageing and unpack their concerns for and expectations of later life. We present qualitative findings from a study of gender identity, ageing and care, based in Wales, United Kingdom. Data were generated from two-part interviews with each participant. Four key themes are identified: (a) facilitative factors for transitioning in mid- to later life; (b) growing older as a new lease of life; (c) growing older: regrets, delays and uncertainties; and (d) ambivalent expectations of social care services. We argue that growing older as TGNC can be experienced across a multitude of standpoints, ranging from a new lease of life to a time of regret and uncertainty. We critically discuss emergent notions of trans time, precarity and uncertainty running across participants’ accounts, and the implications for enhancing recognition of gender non-conformity and gender identity in social gerontology.

scholarly journals Modernising social care services for older people: scoping the United Kingdom evidence base

2009 ◽  
Vol 29 (4) ◽  
pp. 497-538 ◽  
Author(s):  
SALLY JACOBS ◽  
CHENGQIU XIE ◽  
SIOBHAN REILLY ◽  
JANE HUGHES ◽  
DAVID CHALLIS
Keyword(s):  
United Kingdom ◽  
Older People ◽  
Social Care ◽  
Developed Countries ◽  
Evidence Base ◽  
Research Literature ◽  
Care Services ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Care For Older People

ABSTRACTIn common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a systematic review of the relevant peer-reviewed UK research literature published from 1990 to 2001. Publications that reported descriptive, analytical, evaluative, quantitative and qualitative studies were identified and critically appraised under six key themes of modernisation: integration, independence, consistency, support for carers, meeting individuals' needs, and the workforce. This paper lists the principal features of each study, provides an overview of the literature, and presents substantive findings relating to three of the modernisation themes (integration, independence and individuals' needs). The account provides a systematic portrayal both of the state of social care for older people prior to the modernisation process and of the relative strengths and weaknesses of the evidence base. It suggests that, for evidence-based practice and policy to become a reality in social care for older people, there is a general need for higher quality studies in this area.

scholarly journals Experiences of older LGBT people ageing in place with care and support: A window on ordinary ageing environments, home-making practices and meeting activities

Sexualities ◽  
2020 ◽  
pp. 136346072093647 ◽  
Author(s):  
Roos Pijpers
Keyword(s):  
Life Histories ◽  
Social Care ◽  
Ageing In Place ◽  
Age In Place ◽  
Care Services ◽  
Care And Support ◽  
Health And Social Care ◽  
Lgbt Community ◽  
Care Relationships ◽  
Lgbt People

In the (near) future, a growing number of older LGBT people will ‘age in place’, receiving health and social care in their homes and wider ageing environments until a very advanced age. This article discusses the results of a survey research among 115 LGBT people aged 65 years and over who are ageing in place and who are weekly and monthly receivers of health and social care services, and follow-up interviews with 10 people. The research was situated in the Netherlands. The results show that older LGBT people’s experiences with ageing in place are related to differences in how ageing environments are able to accommodate LGBT lifestyles. The results further shed light on the meaning of receiving health and social care at home as an older LGBT person, and the ways in which LGBT life histories and identities are expressed in care relationships, both in verbal and in home-making practices. Finally, the results suggest that the links between older LGBT people and the wider LGBT community are vulnerable, and neighbourhood-based activities may not be sufficiently responsive to older LGBT people.

From the service user association's perspective

2020 ◽  
Vol 28 (2) ◽  
pp. 53-63
Author(s):  
Charlotte Klinga ◽  
Johan Hansson ◽  
Henna Hasson ◽  
Magna Andreen Sachs ◽  
Carolina Wannheden
Keyword(s):  
Mental Health ◽  
Service User ◽  
Social Care ◽  
Service Users ◽  
Content Type ◽  
Care Services ◽  
Care And Support ◽  
Health And Social Care ◽  
The Individual ◽  
Integrated Mental Health

PurposeThe aim of this study was to identify key components of integrated mental health and social care services that contribute to value for service users in Sweden.Design/methodology/approachAn explorative research study design was used, based on data from four group interviews conducted in June and August 2017 with service user representatives.FindingsThe analysis resulted in eight subcategories reflecting components that were reported to contribute to value for service users. These subcategories were grouped into three main categories: (1) professionals who see and support the whole person, (2) organizational commitment to holistic care and (3) support for equal opportunities and active participation in society.Research limitations/implicationsThe findings are primarily transferable to integrated mental health and social care services, as they emphasize key components that contribute to value for service users in these specific settings.Practical implicationsThe complexity of integrated mental health and social care services requires coordination across the individual and organizational levels as well as ongoing dialogue and partnerships between service users, service user associations and health and social care organizations. In this integration, it is important that service users and service user associations not only are invited but also keen to participate in the design of care and support efforts.Originality/valueService User Associations (SUAs) can act as a bridge between county and municipal services through their participation in the development of local activities; at the regional and national levels, SUAs can help achieve more equitable integrated services. It is important that SUAs are not only invited but encouraged to actively participate in the design of such care and support efforts.

Contracts and commissioning: what’s happening to social care services for black and minority ethnic older people

2015 ◽  
Vol 19 (2) ◽  
pp. 85-93 ◽  
Author(s):  
Valerie Lipman
Keyword(s):  
Older People ◽  
Social Care ◽  
Service Providers ◽  
Research Literature ◽  
Structured Interviews ◽  
Voluntary Service ◽  
Content Type ◽  
Care Services ◽  
Care And Support ◽  
Minority Ethnic

Purpose – The purpose of this paper is to explore current provision of targeted social care services for the growing populations of Black and Minority Ethnic (BAME) older people in England and Wales. Design/methodology/approach – This was a mixed study. Following a review of the policy and research literature, 12 semi-structured interviews were undertaken in 2013/2014. Most participants were recruited from BAME policy and service provider organisations and organisations focusing on older people. Findings – There is some evidence that BAME voluntary organisations are experiencing disproportionately greater funding cuts than mainstream voluntary service providers: moreover some mainstream providers reported reducing services targeted at BAME older people, while others expressed the view that choices for BAME older people are likely to become more limited following recent health and equalities policy changes. Practical implications – Practitioners should contribute to data collection about protected characteristics, such as race/ethnicity to establish if BAME older people’s needs are being assessed equitably, whether access to care and support is easy; and how market-shaping at local levels can ensure a range of providers. Originality/value – This study provides an overview of voluntary sector provision for the growing numbers of BAME older people in need of care and support that should be useful to practitioners and service commissioners.

Understanding lesbian, gay, and bisexual worker stigmatization: a review of the literature

2014 ◽  
Vol 34 (5/6) ◽  
pp. 359-374 ◽  
Author(s):  
Trevor G. Gates ◽  
Pamela A. Viggiani
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Design Methodology ◽  
Social Classes ◽  
Sex And Gender ◽  
Content Type ◽  
Sexual Orientation Identity ◽  
Conceptual Paper ◽  
And Bisexual ◽  
And Gender

Purpose – Stigmatization of lesbian, gay, and bisexual (LGB) people at work is an enduring social problem, yet little is known about how those experiences differ. The purpose of this paper is to discuss the above issue. Design/methodology/approach – Using a framework of modified labeling, this conceptual paper addresses that gap by reviewing the literature on differences in LGB worker stigmatization by type of sexual orientation identity, outness, sex and gender identity, and education and social class. Findings – Findings in the literature were that LGB workers are labeled as outsiders, and treated differently in many workplaces. However, there are other distinctions, based upon type of sexual orientation identity (i.e. whether someone is lesbian, gay, or bisexual), sex and gender identity, outness at work, and education and social classes. Originality/value – Moreover, the paper proposes additional aspects of LGB worker stigmatization needing further empirical study.

Consumption and Identity in Later Life: Toward a Cultural Gerontology

1996 ◽  
Vol 16 (4) ◽  
pp. 489-498 ◽  
Author(s):  
Chris Gilleard
Keyword(s):  
Older People ◽  
Personal Identity ◽  
Consumer Culture ◽  
Later Life ◽  
Social Gerontology ◽  
Goods And Services ◽  
Age Class ◽  
And Gender ◽  
Modern Mass

AbstractThis paper considers the role of contemporary consumer culture in helping older people re-fashion their own identity in later life. As a result of the expanding role played by consumption in modern mass societies, adult identities now are being denned as much by how people spend their time and money as by the goods and services they can produce. An increasing number of retired people are able to participate in this consumer culture, and in doing so are creating new possibilities of being ‘old’. The contemporary period, whether deemed ‘late’ or ‘post’ modernity, seems to present a growing challenge to the dominance of structures of age, class and gender in defining the nature of our personal identity. There is more emphasis upon the exercise of choice and agency across all periods of the lifespan. The means by which this process is enacted in the lives of pre- and post-retired people should become central to a new, culturally focused social gerontology.

scholarly journals Evaluating the Use of a Two-Step Gender Identity Measure in the 2018 General Social Survey

Demography ◽  
2021 ◽  
Author(s):  
Danya Lagos ◽  
D'Lane Compton
Keyword(s):  
Gender Identity ◽  
General Social Survey ◽  
The United States ◽  
Self Report ◽  
Sex And Gender ◽  
Social Survey ◽  
Gender Nonconforming ◽  
And Bisexual ◽  
And Gender ◽  
Bisexual People

Abstract In 2018, the General Social Survey (GSS) asked some respondents for their sex assigned at birth and current gender identity, in addition to the ongoing practice of having survey interviewers code respondent sex. Between 0.44% and 0.93% of the respondents who were surveyed identified as transgender, identified with a gender that does not conventionally correspond to the sex they were assigned at birth, or identified the sex they were assigned at birth inconsistently with the interviewer's assessment of respondent sex. These results corroborate previous estimates of the transgender population size in the United States. Furthermore, the implementation of these new questions mirrors the successful inclusion of other small populations represented in the GSS, such as lesbian, gay, and bisexual people, as well as Muslims, Buddhists, and Hindus. Data on transgender and gender-nonconforming populations can be pooled together over time to assess these populations' attitudes, beliefs, behaviors, and social inequality patterns. We identified inconsistencies between interviewer-coded sex, self-reported sex, and gender identity. As with the coding of race in the GSS, interviewer-coded assessments can mismatch respondents' self-reported identification. Our findings underscore the importance of continuing to ask respondents to self-report gender identity separately from sex assigned at birth in the GSS and other surveys.

scholarly journals Health and Wellbeing Boards: The new system stewards?

2016 ◽  
Author(s):  
Anna Coleman ◽  
Surindar Dhesi ◽  
Stephen Peckham
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Care ◽  
Local Level ◽  
Local Health ◽  
Health And Wellbeing ◽  
Care Services ◽  
Health And Social Care ◽  
Care Systems ◽  
New System

Health and Wellbeing Boards (HWBs) emerged from debates about the Health and Social Care Bill (2011) as a key coordinating mechanism or steward for local health and social care systems. For many this is yet a further attempt to improve coordination between health and social care services which historically has been a mixed experience. The rationale for HWBs, however, includes a broader coordinating function across local authority services with a role in addressing the wider social determinants of health such as housing, education and planning, as well as social care. This chapter examines the development of HWBs and draws on the findings of studies conducted by the authors and considers whether or not HWBs are emerging as system stewards. By this the authors mean HWBs acting at a strategic level to coordinate and set the direction of health and social care developments at the local level, as well as encouraging integrated working.

Attitudes towards ageing and their impact on health and wellbeing in later life: an agenda for further analysis

2016 ◽  
Vol 20 (4) ◽  
pp. 214-218 ◽  
Author(s):  
Guy Robertson
Keyword(s):  
Social Care ◽  
Interdisciplinary Approach ◽  
Psychosocial Interventions ◽  
Later Life ◽  
Service Development ◽  
Negative Stereotypes ◽  
Content Type ◽  
Health And Wellbeing ◽  
Health And Social Care ◽  
The Impact

Purpose The purpose of this paper is to provide a high-level overview of a substantial body of research on the impact that negative attitudes towards ageing have on the health and wellbeing outcomes of people in later life and to highlight the need for a more interdisciplinary approach towards older people’s wellbeing. Design/methodology/approach The paper draws from an initial analysis of over 70 peers reviewed and published studies on the psychosocial impact of negative stereotypes about ageing. Findings There is overwhelming evidence that the way in which people think about ageing can have a very significant adverse impact on a wide array of health and wellbeing outcomes. This research evidence is largely unknown, nor operationalised, within the field of health and social care policy or service development. Practical implications The fact that beliefs and attitudes can have such a profound impact on health and wellbeing outcomes suggests the possibility of psychosocial interventions to address them in order to improve older people’s experience of later life. There is a need for a much more interdisciplinary research agenda to take these findings forward. Social implications The evidence suggests the need for a much more rigorous and comprehensive approach to addressing the effects of socially constructed ageist attitudes. Originality/value Whilst the research itself is not new, the originality of this paper is its attempt to bring data from a different discipline into the health and social care ambit and thereby extend the knowledge base and create the possible conditions for the development and application of new psychosocial interventions to improve the lives of older people.

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