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CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT Project Kathleen LaTosch, Director, AAA-LGBT Collaboration Jason Maciejewski, Chief Information and Planning Officer, The Senior Alliance

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Page 1: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTSA model for Area Agencies on Aging

Presenters

Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT Project

Kathleen LaTosch, Director, AAA-LGBT Collaboration

Jason Maciejewski, Chief Information and Planning Officer, The Senior Alliance

Page 2: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Presentation Agenda

Introductions & Welcome

Learning Objectives

About the LGBT Older Adult Coalition

The Pilot ProjectProject FrameworkPolicy ChangeProcedure ChangeCommunicating the Changes

Audience Q & A

Page 3: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Introductions & Welcome

About the Presenters

Jay Kaplan, Staff Attorney, ACLU of Michigan’s LGBT ProjectCo-Chair, LGBT Older Adult [email protected]

Jason Maciejewski, Chief Information & Planning Officer, The Senior AllianceArea Agency on Aging 1-C (MI)[email protected]

Kathleen LaToschDirector, AAA-LGBT Collaboration

LGBT Older Adult CoalitionLaTosch Consulting

[email protected]

Page 4: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Primary Learning Objectives

1. Learn best practices for asking questions and documenting information about sexual orientation & gender identity.

2. Learn how to encourage agency administration to pass non-discrimination policies.

3. Learn how to avoid pitfalls and prepare for unseen challenges in doing this work.

Page 5: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

About the LGBT Older Adult CoalitionIn 2010, a number of organizations came together in Southeast Michigan – a seven county region, including the City of Detroit - to assess the needs of the lesbian, gay, bisexual and transgender older adults in the area.

Page 6: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

About the LGBT Older Adult Coalition

Our Goals:

1. Reduce isolation and increase social connection

2. Provide information, access and advocacy on health care and housing

3. Improve and increase LGBT competent care in community-based and institutional settings

4. Increase the competency of LGBT older adults to manage their own affairs

Page 7: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Atiba’s Story

Page 8: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

About the LGBT Older Adult Coalition

Fact about LGBT Older Adults:

1. 90% of LGBT older adults have no children to help care for them; compare to just 20% of heterosexual older adults.

2. 70% of LGBT older adults live alone; compared to 30% heterosexual older adults.

3. LGBT older adults are nearly 3 times as likely to live in poverty as heterosexual older adults.

Page 9: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot ProjectIt is estimated that LGBT people make up 2-5% of the population.

Based on 3% of the population, that means there are approximately 13,000 LGBT Older Adults living in the Metro Detroit Area.

Page 10: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Only 1% come to LGBT organizations for service and support,just 130 older adults.

The AAAs serving Metro Detroit receive nearly 150,000 calls collectively each year. We estimate that 4,500 of those calls involve LGBT older adults concerns – 3%.

Page 11: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Pilot Project Process Project Framework – setting up the objectives,

building a collaboration.

Changing Policies

Changing Procedures

Communicating the Changes

Page 12: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Pilot Project Framework How the collaboration model was developed

The Senior Alliance – a shared story of being invited to the table

Key Success Elements in setting up the collaboration

Page 13: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

AAA-LGBT Collaborative Pilot Project Objectives1. Expand LGBT cultural competency among all call operators with

three Area Agencies on Aging

2. Enable call operators to provide referrals for LGBT-affirming resources.

3. Provide support to adopt sexual orientation and gender identity into existing non-discrimination policies.

4. Launch a joint communications campaign to increase public awareness about the availability of referrals for LGBT elders.

5. Document process and share with other communities.

Page 14: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Pilot Project Framework How the collaboration model was developed

The Senior Alliance – a shared story of being invited to the table

Key Success Elements in setting up the collaboration

Page 15: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Pilot Project Framework How the collaboration model was developed

The Senior Alliance – a shared story of being invited to the table

Key Success Elements in setting up the collaboration

Page 16: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT
Page 17: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Pilot Project FrameworkKey Success Elements:

Framework created together by partners

Three agencies in collaboration

3rd Party Project Manager

Designed as learning model

Rotating meeting location

Food!

Page 18: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Pilot Project Process Project Framework – setting up the objectives, building a

collaboration.

Changing Policies

Changing Procedures

Communicating the Changes

Page 19: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Objective: Changing Policies Making the case - Why is policy change important?

Which policies need to be changed?

The Senior Alliance – a shared story of policy change

Key Success Elements for policy changes

Page 20: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Objective: Changing Policies Making the case - Why is policy change important? Which

policies need to be changed?

The Senior Alliance – a shared story of policy change

Key Success Elements for policy changes

Page 21: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Objective: Changing Policies Making the case - Why is policy change important? Which

policies need to be changed?

The Senior Alliance – a shared story of policy change

Key Success Elements for policy changes

Page 22: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Objective: Changing PoliciesKey Success Elements:

Early Executive support

Three agencies – provided support, shared language and strategies for change with each other.

Consultant provided best practices and examples of standard policy language.

Page 23: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Page 24: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Objective: Changing Procedures Summary of procedural changes - asking about sexual

orientation and gender identity

IT & database changes

The Senior Alliance – an example best practice.

Page 25: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Page 26: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Page 27: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Page 28: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Page 29: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

A Word About Training… National Resource Center on LGBT Aging - Best Practice

documents

Adapting training with practice sessions and role playing

Learning along the way

Page 30: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Objective: Changing Procedures Summary of procedural changes - asking about sexual

orientation and gender identity

IT & database changes

The Senior Alliance – an example best practice.

Page 31: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

The Senior Alliance – audio recording

Page 32: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Communicating the Changes

YouTube content: Stories from Al, Atiba, Faith

Website promotion – films shared by:

AAAs: AAA1-B, D-AAA, The Senior Alliance

AARP-Michigan

Michigan Office of Services to the Aging

LGBT orgs: LGBT Older Adult Coalition, ACLU of Michigan, Affirmations, Equality Michigan, KICK

Page 33: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

www.LGBTOlderAdults.com

Communicating the Changes

YouTube content: Stories from Al, Atiba, Faith

Website promotion

News Coverage

Page 34: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

www.LGBTOlderAdults.com

Communicating the Changes

YouTube content: Stories from Al, Atiba, Faith

Website promotion

News Coverage

Page 35: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

www.aaa1c.org

Communicating the Changes

YouTube content: Stories from Al, Atiba, Faith

Website promotion

News Coverage

Page 36: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT
Page 37: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

www.LGBTOlderAdults.com

Page 38: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

The Pilot Project

Communicating the Changes

YouTube content: Stories from Al, Atiba, Faith

Website promotion – films shared by:

PR Firm – News coverage

Page 39: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Primary Learning Objectives

1. Learn best practices for asking questions and documenting information about sexual orientation & gender identity.

2. Learn best practices for encouraging agency administration to pass non-discrimination policies.

3. Learn how to avoid pitfalls and prepare for unseen challenges in doing this work.

Page 40: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Primary Learning Objectives

1. Learn best practices for asking questions and documenting information about sexual orientation & gender identity.

• National Resource Center on LGBT Aging guide for asking questions

• Employ an automated message to improve comfort

• Practice with community words and language, staff discomfort is biggest blockade to asking.

• Practice asking routinely, you won’t offend

Page 41: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Primary Learning Objectives

2. Learn best practices for encouraging agency administration to pass non-discrimination policies.

• Gain leadership support before engaging in project.

• Provide leadership with language alternatives.

• Triple collaboration provides opportunity to learn from one another and share strategies.

Page 42: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Primary Learning Objectives

3. Learn how to avoid pitfalls and prepare for unseen challenges.

• Be flexible – accommodate collaboration partner comfort levels, then test them and report back.

• Monthly Collaboration meetings – allowed project partners to stay on top of the project, monitor progress and share information.

Page 43: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

Resources

LGBT Older Adult Coalition of Michigan http://lgbtolderadults.com/

The National Resource Center on LGBT Aging http://www.lgbtagingcenter.org/index.cfm?dontshow695=1

The Senior Alliance http://www.aaa1c.org/

Services and Advocacy for GLBT Elders (SAGE) http://www.sageusa.org/

Questions?

Page 44: CREATING SYSTEMIC IMPROVEMENTS FOR LGBT OLDER ADULTS A model for Area Agencies on Aging Presenters Jay Kaplan, Staff Attorney, ACLU of Michigan – LGBT

THANK YOU!Jay Kaplan | [email protected]

Kathleen LaTosch | [email protected]

Jason Maciejewski | [email protected]

www.LGBTOlderAdults.com