Implementing Aging-in-Place Programming for LGBTQ+ Older Adults: A Doctoral Capstone Project

Abstract

Out of the eight areas of occupation, social participation is a key pillar of health and wellbeing that can be unaddressed by healthcare professionals, such as occupational therapists (OT). Older adults are at significant risk of social isolation and loneliness due to many psychosocial factors; however, older adults who are lesbian, gay, bisexual, transgender, queer/questioning, and other identities (LGBTQ+) are at a greater risk of social isolation and loneliness at an alarming rate. Through a doctoral capstone project, the occupational therapy capstone student developed and implemented an eight-week social support group at an Indianapolis Gender Health clinic, with the purpose to facilitate increased social participation and connection amongst LGBTQ+ older adults. Additionally, aging-in-place elements were used as patient education material throughout the group. The University of California, Los Angeles (UCLA) Loneliness Scale-Revised was utilized as an outcome measure to assess loneliness prior to the support group intervention and following sessions. Qualitative data, such as field notes, were also taken during the last session accompanied by post-group feedback. Responses indicated a moderately high level of loneliness amongst LGBTQ+ older adults who participated in the support group. Additionally, the level of loneliness remained unchanged. This project overall was received positively by group members to foster a sense of identity, inclusivity, and social connection. Additionally, this project adds to the existing LGBTQ+ and gender health programming to support occupational therapy’s role in addressing the needs of LGBTQ+ older adults.