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dc.contributor.authorHafford-Letchfield, Trish
dc.contributor.authorSimpson, Paul
dc.contributor.authorWillis, Paul B
dc.contributor.authorAlmack, Kathryn
dc.date.accessioned2018-02-07T17:44:05Z
dc.date.available2018-02-07T17:44:05Z
dc.date.issued2018-03
dc.identifier.citationHafford-Letchfield , T , Simpson , P , Willis , P B & Almack , K 2018 , ' Developing inclusive residential care for older lesbian, gay, bisexual and trans (LGBT) people : An evaluation of the Care Home Challenge action research project ' , Health and Social Care in the Community , vol. 26 , no. 2 , pp. e312-e320 . https://doi.org/10.1111/hsc.12521
dc.identifier.issn0966-0410
dc.identifier.otherPURE: 12868454
dc.identifier.otherPURE UUID: ac1c5e7d-e802-4f15-9a36-8fb2c24a7541
dc.identifier.otherPubMed: 29181893
dc.identifier.otherScopus: 85035216193
dc.identifier.otherORCID: /0000-0002-4342-241X/work/62752097
dc.identifier.urihttp://hdl.handle.net/2299/19749
dc.descriptionThis is the peer reviewed version of the following article: Trish Hafford-Letchfield, Paul Simpson, Paul B. Willis, and Kathryn Almack, ‘Developing inclusive residential care for older lesbian, gay, bisexual and trans (LGBT) people: An evaluation of the Care Home Challenge action research project’, Health & Social Care in the Community, Vol. 26 (2): 312-320, March 2018, which has been published in final form at: https://doi.org/10.1111/hsc.12521. Under embargo until 27 November 2018. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
dc.description.abstractThere have been substantial achievements in legislative and human rights for lesbian, gay, bisexual and transgender (LGBT) older people and their visibility in health and social care has equally increased. These appear to have surpassed the ability of care services to meet their needs given documented concerns about the accessibility, inclusiveness and safety of care services particularly institutionalised care. This requires systemic change not easy to operationalise. This paper describes an action research initiative where six care homes belonging to a national care provider, collaborated to assess and develop their services with the support of local LGBT "Community Advisors" and academic partners. Framed within Rogers' (2003) change management framework and combined with a participatory leadership approach, a programme of intervention was implemented comprising structured activities around seven key areas thought to promote LGBT inclusion. A formal evaluation was conducted involving 35 pre- and post-intervention qualitative interviews with 18 people (community advisors; care home managers and senior managers). The findings are presented across three key themes (1) starting points on the journey; (2) challenges encountered along the journey (organisational and interpersonal); and (3) making change happen; opportunities, initiatives and gains. We make recommendations on the value of a programme approach for achieving tangible outcomes that demonstrate increased inclusion for older LGBT people living in long-term care settings.en
dc.format.extent9
dc.language.isoeng
dc.relation.ispartofHealth and Social Care in the Community
dc.rightsEmbargoed
dc.subjectcare homes
dc.subjectco-production
dc.subjecthuman rights
dc.subjectinclusive environments
dc.subjectLGBT
dc.subjectolder people
dc.subjectSocial Sciences (miscellaneous)
dc.subjectSociology and Political Science
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.titleDeveloping inclusive residential care for older lesbian, gay, bisexual and trans (LGBT) people : An evaluation of the Care Home Challenge action research projecten
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.date.embargoedUntil2018-11-27
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85035216193&partnerID=8YFLogxK
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2018-03
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1111/hsc.12521
rioxxterms.licenseref.startdate2018-11-27
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.date.embargo2018-11-27
herts.rights.accesstypeEmbargoed


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