Webinar Seniors Aging OUT: Health & Community working

Webinar Seniors Aging OUT: Health & Community working

Webinar Seniors Aging OUT: Health & Community working together for safe communities for LGBTQ2+ With Jane Osborne and Ross Jenkins 30/05/2017 1 A few housekeeping tips All attendees will be muted during the webinar. If you are listening to this presentation via phone, remember to mute yourselves with your mute/unmute button or by pressing *6 on your keypad.

If you are experiencing issues, please let us know via the CHAT BOX or send an email to [email protected] There will be a 10-15 minute Q&A at the end of the presentation. You can send your questions via chat box or email at any time during the presentation. The presenters contact information is available on their bio slide if you have further questions. At the end of the webinar, you will be invited to take a short survey about this webinar. Please take a moment to participate. Your feedback will help us improve our next webinars. 30/05/2017

2 How to join AUDIO VIA COMPUTER Use your microphone and speakers. If you are listening via phone, remember to mute yourselves with your mute/unmute button or by pressing *6 ANY TROUBLE? - Double check the system requirements in your registration email - Ensure that your sound is turned on/up - Leave the session and start over

AUDIO VIA PHONE Long distance number from Canada: ++1 (647) 497-9355 Toll free: 1 888 350 1025 Long distance number from the US: +1 (510) 365-3231 Access Code: 447-500-422 Audio PIN: Shown after joining the training 30/05/2017 3 Tech issue/Cant stay?

You can still participate! The Powerpoint is also available at this link Send any question you may have to [email protected] 30/05/2017 4 Your presenters Jane Osborne [email protected] After a 30-year career in information technology management and organizational development (IBM, UBC and Metro Vancouver among others), Jane retired to explore the joys of working in community. Over the past 20 years, she has focused her energies on project and volunteer work provincially and locally; initially on the North

Shore of Vancouver and more recently on Central Vancouver Island, as a passionate advocate for social justice. Jane is currently Regional Mentor with the BC Association of Community Response Networks on the Central Island. In May 2016, Jane received SFU Gerontology Research Centres Elder Abuse Awareness to Action Award for her work in building community partnerships and collaborations that support positive social change, coordinated responses and improved interventions for adults experiencing abuse and neglect. 30/05/2017 5 Your presenters Ross Jenkins [email protected] Ross started working with neuro-diverse populations and those with developmental delays in the early 1990s. After several years working in the

field as a community support worker, he realized that many people he worked with hadnt received as much information about sex and sexuality as had their neuro-typical peers. In 2015, he took the Sexual Health Educator Certification course from Options for Sexual Health British Columbia with the intention of bringing sexual health information to vulnerable populations. Late in 2016, he learned of Jane Osbornes work with Seniors Aging Out and the BC Community Response Networks. Rosss experience with younger adults and perspectives on diverse populations are extremely important to the challenges of creating safe and open environments for LGBTQ2+ adults as they transition into assisted living environments or begin to experience much higher needs for home support services. 30/05/2017 6 Agenda What is the issue? Why now? 2. Where have we been? Where are we now? Where are we going?

a) IH Training Initiative Nicole Tremblay b) BCCRNs Community-based Project 3. What are the findings (selected)? 4. Why the intergenerational approach? What is the importance of intersectionality? 30/05/2017 1. 7 30/05/2017 8 What is the issue?

https://www.youtube.com/watch?v =fV3O8qz6Y5g Vera & Zaydas story 30/05/2017 9 30/05/2017 10 What does LGBTQ2+ mean? Lesbian, Gay, Bisexual, Transgender, Queer & 2-spirit (IH: LGBTQ2s) The + incorporates queer

questioning, gender fluid, asexual, pansexual, We include allies or supporters of members of these communities LGBTQ2+ seniors are diverse people from many backgrounds; not readily 30/05/2017 11 identifiable 30/05/2017 12 Where have we been? Island Town Hall in Victoria

Feb. 3, 2016 1 of 6 in province SFUs Gerontology Research Centre Gloria Gutman (Youth for Change / Quirk-e) Island Health Adult Protection BCCRNs 30/05/2017

13 Four primary reasons we are talking about this now 1. 2. 3. 4. Demographics Invisible in many parts of the Island we dont ask; IH doesnt collect data LGBTQ2+ more likely to age alone Older adults may return to the closet because of stigma; because they do not feel safe

30/05/2017 14 Demographics Younger Canadians are far more likely to say they are lesbian, gay, bisexual or transgender than older Canadians, with 10% of those aged 18 to 34 answering the question with a yes, compared to 2% or 3% in the four older age categories. SOURCE: FORUM Research Poll commissioned by National Post, July 2012 In 2013 a Qmunity volunteer visited all of the residential care facilities in White Rock and the surrounding area and each facility said that

none of their seniors were LGBTQ. (Mirrors the Vancouver Island experience in 2017!) 30/05/2017 SOURCE: Qmunity.ca Aging Out Project 15 Why is it important? LGBTQ2+ seniors need to feel safe to come out to health/community service providers not just tolerated but welcomed & included Voices of LGBTQ2+ seniors, supporters and allies need to inform how we provide services and supports to them as they age As the population begins to grow, we need to ensure all communities engage 30/05/2017

16 to provide needed services and Where have we been? Island Health Initiative Created LGBTQ2s Advisory Toolkit to support leaders to implement policy, practices, programs Includes curricula, brochures, lanyards Developing face to face education module

Showing Gen Silent in community 30/05/2017 17 Where are we now? Island Health Initiative Delivering presentations to groups of health professionals, e.g. Gerontological Nurses Preparing for Island Health wide inhouse training including visible, welcoming spaces with rainbow lanyards Focusing on services that support

clients where they live residential care, home and community care 30/05/2017 18 Where are we now? Island Health Initiative Prioritised residential care for initial training Piloted the education module in 4 workshops in a Victoria area residential care facility Evaluating and planning ([email protected] 30/05/2017 a)

19 30/05/2017 20 Where have we been? BCCRNs Initiative Nanaimo-centred working group Initial consultation July 2016 IG partnership: Brechin United Reaching Out & Crimson Coast Dance Society

30/05/2017 21 Where have we been? Creating the Team Most members from away social justice folk Broader team / partners: people from all generations LGBTQ2+ and allies Core team: those willing to show up (8-10 at each meeting; 15-16 regularly contribute Support every member to offer best skills librarian, sex educator, nurses, social workers, community volunteers, students, Hands on support for IG component: 30/05/2017

22 Where have we been? Setting Goals & Priorities LGBTQ2+ seniors feel safe to come out: welcomed and included, not just tolerated. 2. Isolated seniors are supported in ways that work for them. 3. LGBTQ2+ programming is readily available and supported in community. 4. Broadly available resources (print and web) support LGBTQ2+ seniors in communities large and small across the province. 5.

LGBTQ2+ seniors free from abuse and neglect. 30/05/2017 23 1. Where have we been? Creating our Workplan 30/05/2017 24 30/05/2017 25 Where are we now? Seniors Aging OUT Phase 2

Discovery (Nov 2016 June 2017) Develop community outreach teams & plans Prepare materials for initial outreach, e.g. brochures, posters, press release, presentation Develop partnerships 30/05/2017 26 (contd)?

Seniors Aging OUT Phase 2 Identify social media channels, community websites, seniors serving organization websites, community bulletin boards Do information sessions for interested organizations and individuals Complete research interviews / survey 30/05/2017

27 (contd)? Seniors Aging OUT Phase 2 Individual interviews: What has your experience been? What do you need to feel cared for? (Dec-May) Design & develop set of IG training materials (Jan-Jun)

Pilot materials (April-Jun) Nanaimo Pride Week 30/05/2017WEAAD events 28 Where are we going? Leverage (Local) Partnerships Community-based & System If someone else can do it for you, let them (project team members, SWs, Mental Health Clinicians, RJ facilitators, police,

academics, community members) value of networks Train your team especially when working with communities who have been traumatized Experiential learning in safe containers, e.g. Building the Village, grounded circle processes, RJ 30/05/2017 29 Where are we going? April to June 2017

Partnerships (selected examples): Our Cowichan Community Health Network Island Health, municipalities/regions, Divisions of Family Practice, community agencies, EPIC Seniors Connect (CI) Project (NFLA) Discovery College CSW Program Origin at Longwood (residential care) Trans Care (2-Spirit & LGBT) Nanaimo Association for Community Living Youth Advocates Network members

30/05/2017 30 Origin at Longwood: Campus of Care Independent / Assisted / Long Term Living 30/05/2017 31 Origin at Longwood: April 4th Meeting Results Campus of care independent living through long term care (incl. couples care)

Willing to partner in an experiment to make Origin a community leader in welcoming and inclusion Immediate action: Policies: 30/05/2017 Transgender (LGBTQ2+) policy for staff and residents

(Medical marijuana and assisted dying on list of needs) 32 Where are we going? April - June 2017 (contd) Partnerships (selected) contd: Robert Beringer Royal Roads PhD Dissertation: An exploration of the nonmetropolitan rewards and challenges of aging among older gay men Victoria Lesbian Senior Care Society Nanaimo Association of Family Living NFLA: Seniors Connect

Community Health Services - South Nanaimo Team (under development) Restorative Justice RJ Victoria, Ladysmith 30/05/2017CJP 33 Where are we going? April - June 2017 (contd) Outreach Activities Screenings of Gen Silent (selected)

Private residential care & home care providers Reaching Out (May 3) Film Societies Cowichan, Nanaimo Origin at Longwood residents Staff training Origin, NACL, Nurse Next Door, Events 30/05/2017

WEAAD events centred on LGBTQ2+ INR presentations Nanaimo PRIDE 34 30/05/2017 35 The Story of HawkOwl

90-years old, lesbian (she thinks) PhD in theatre trained at three different universities, worked in the Philippines, Japan, US and Canada Retired from UBC after 16 years as a student and then a professor Studied Physiotherapy in Cold Mountain, Esslen and Oregon. Worked as a therapist for 12 years and retired at age 70. Artist who creates ceramic sculptures of ancient goddesses, animals, owls, 30/05/2017 36 The Story of HawkOwl

Calls herself a discreet lesbian Out with her doctor when in relationship; otherwise, Why would I be? (different for gay males) The Academy hasnt always been welcoming of women her story one of gender-based abuse framed by patriarchy and capitalism Her lifes direction largely a reaction to being told what she couldnt do as well as a man

My brother was expected to get an education and have a career. I was expected to do something more traditional for women, like become a kindergarten teacher. 30/05/2017 37 INR for LGBTQ2+ Older Adults: Need to make Queer-friendly 30/05/2017 38 LGBTQ2+ INR: Creating culturally safe workshops

Debrief of LGBTQ2+ INR Presenters The Professor scenario most suitable since not quite so obviously heteronormative Add Doctor and/or Family Table scenarios (woman supported by a woman & man by a man); Framing Add slide or two at beginning that defines LGBTQ2+

30/05/2017 Recognize full range on the gender & sexuality axes Add self-care slide re: triggers 39 LGBTQ2+ INR: Creating culturally safe workshops Debrief of LGBTQ2+ INR Presenters contd Welcome & Introduction

Create a safe space with guidelines, e.g. gender neutral pronouns / preferred pronouns Nametags with preferred name and pronouns Discussion 30/05/2017 Written scenarios based on the permitted scenarios with genders/names that fit LGBTQ2+ Emphasize the additional risk of social isolation for LGBTQ2+ people

40 30/05/2017 41 Some Selected Findings LGBTQ2+ Community Needs Healing Older gay males hugely impacted by homophobia, criminalization, the AIDs crisis; many perceive their plight as worse than other LGBTQ2+ (examples)

Stereotypes/labels used by some groups of LGBTQ2+ trigger others very diverse community Goal: LGBTQ2+ Welcoming & Inclusive Communities Safety the dominant need expressed early in the process must address this need before moving to bigger goals Privilege a barrier between many LGBTQ2+ members in their full diversity 30/05/2017 42 Cultural Safety in TwoSpirit and LBGT Context

Multifactored complexity beyond anything I imagined Layers of trauma from residential school experience combined with the LGBTQ2+ experience Divisions between indigenous identities and First Nations (naming is very important) Other cultural factors at play: Strength of connection to culture

Coastal vs interior, urban vs rural Education, employment, income 30/05/2017level 43 Gender, Sexual Orientatio n & 2Spirit Each unique First Nation, aboriginal or indigenous community in different phase of development

around the concept of Two-Spirit and LGBTQ Meet the community where it is and honour that place Work together 30/05/2017 towards healing 44 Collective vs Individual Trauma and Safety Individual risks for abuse and trauma:

Gender, sexuality, age, religion, race, education, income level, place Privilege conferred by membership difficult to understand what is invisible to you Collective (whole tribe) risks for abuse & trauma, e.g.: Gay males criminalized and persecuted Residential schools / cultural genocide 30/05/2017

45 Why Intergenerational? Intersectional lens many variations even in older adult population (next section) Western cultures separate and silo and that impedes cross-generational learning; First Nations and many eastern cultures different Intergenerational = older & younger adults, youth We have learned so much from younger LGBTQ2+ (Crimson Dance, Youth Advocates

Network, VIU students, high school students, Transcare) 30/05/2017 46 Intersectional Lens Intersectionality promotes an understanding of human beings as shaped by the interaction of different social locations (e.g., race/ethnicity, Indigeneity, gender, class, sexuality, geography, age, disability/ability, migration status, religion). These interactions occur within a context of connected systems and structures of power (e.g., laws, policies, state governments and other political and economic unions, religious institutions, media). Through such processes, interdependent forms of privilege and oppression shaped by colonialism, imperialism, racism,

homophobia, ableism and patriarchy are created. 30/05/2017 47 30/05/2017 CRIAW, 2009, p. 5 48 Intersectional Lens Required (Olena Hankivsky, Intersectionality 101, 2014) Peoples lives are multi-dimensional and complex. Lived realities are shaped by different factors and social dynamics operating together. Relationships and power dynamics between social locations and processes (e.g., racism, classism, heterosexism, ableism, ageism,

sexism) are linked. People can experience privilege and oppression simultaneously. Intersectionality is explicitly oriented towards transformation, building coalitions among 30/05/2017 different groups, and working towards social49 Needed Refinements for Implementation Toolkit Build models to understand LGBTQ2+ experience through an intersectional lens Develop tools to heal LGBTQ2+ community

Cultural safety training (similar to IH FN training) More scales, e.g. add gender / homophobic violence exercise to place yourself, explore Genderbread Model Need intergenerational approach older adults learn from younger, more fluid youth/adults and vice versa Address the gap between BC coastal First Nations & urban aboriginal/indigenous 30/05/2017 50 Where are we going? Implementation

2017/18 IH Geography 2 & 3 (Nanaimo/Cowichan) and Geography 4 (Victoria) Expand program Island wide to all sectors of our communities public and private BC Wide Launch materials and programs through CRNs across the province Support communities that want to move ahead with creating queer-friendly 51 30/05/2017

What Will Be in the Base Toolkit? In place & modifiable (see samples) Gen Silent Screenings

Seniors Aging OUT & IH LGBTQ2s brochures Senior Gay Men & Senior Lesbians posters Add other LGBTQ2+ posters Movie available, discussion guideline to follow PowerPoint Presentation & Discussion Guideline (under development) INR Training Presentation (in discussion) 30/05/2017 52 What Will Be in the Augmented Toolkit? Research (survey/interview) Findings

LGBTQ2+ Training Outlines (in process): Seniors Aging OUT & Robert Beringer research Island Health: LGBTQ2s Training Outline Seniors Aging OUT: Community Agency Staff & Volunteers Training Outline Cultural Safety Training Outline (early 2018) Partnership between IH, Cultural Safety 30/05/2017trainers (IH & MCFD) and Seniors Aging OUT

53 30/05/2017 54 Questions / Discussion ? Where is your region or community in relation to this issue? What are the gaps? The challenges? How can we work together and support each other as CRN-connected people? 30/05/2017 55

Thank you! Please take a minute to answer a few quick questions about your experience of this webinar. Click on this link or copy/paste it in your browser: https://goo.gl/forms/5VWv7c7I7gbKPqG02 Deadline: June 14, 2017 Stay in touch with us Twitter: @cnpea Facebook: www.facebook.com/cnpea Questions/Comments: [email protected] And dont forget to tag #IGDayCa and #WEAAD2017! 30/05/2017 56

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