Administration on Aging

Transcription

DR. RAPHAEL BOSTICK. [ APPLAUSE ] >> THANK YOU, MENA. GOOD MORNING, EVERYONE. IT'S VERY GOOD TO FINALLY BE HERE. AS SHE SAID, I'VE LOGGED MANY MILES AROUND THE COUNTRY TALKING ABOUT A NUMBER OF ISSUES, AND ONE THING THAT'S COME UP REPEATEDLY IS THE ISSUE OF LGBT ELDERS AND THE CHALLENGES THEY FACE, AND HEARING IT AGAIN AND AGAIN AND AGAIN, SOMETIMES IT ACTUALLY STARTS TO GET THROUGH TO THE BRAIN THAT WE NEED TO TALK ABOUT THIS AND CONVENE, AND REALLY GET A LOT OF PEOPLE FRO ABOUT THIS STUFF IN ONE PLACE AND IN A UNIFIED WAY, AND MY HOPE IS THAT THROUGH TODAY, THE COMMUNITY THAT WE HAVE BEEN VIRTUALLY BECOMES A COMMUNITY THAT WE GET ACCUSTOMED TO SEEING IN PERSON ON A DAY-TO-DAY BASIS, YOU KNOW, JUST LISTENING TO THE DIN BEFORE WE ACTUALLY STARTED, MADE CLEAR THERE'S A LOT TO COVER, A LOT TO TALK ABOUT, AND I DEFINITELY WANT TO MAKE SURE WE GET TO ALL OF THAT. I WANT TO THANK YOU ALL FOR COMING HERE AND BEING THE FIRST-EVER NATIONAL CONVENING ON LGBT ELDER HOUSING AND LONG-TERM CARE ISSUES. WE ARE -- >> WHOO! [ APPLAUSE ] >> THANKS AGAIN. WE ARE SO PROUD AND SO EXCITED TO HAVE THIS HERE, AND TRULY HISTORIC. LGBT ELDERS HAVE VULNERABILITIES THAT CAN PUT THEM AND THEIR ACCESS TO QUALITY HOUSING AND TO LONG-TERM CARE AT SIGNIFICANT RISK. THE REPORT, IMPROVING THE LIVES OF LGBT OLDER ADULTS, HAS THAT LGBT ELDERS ARE TWICE AS LIKELY TO BE SINGLE AND THREE TO FOUR TIMES MORE LIKELY TO AGE WITHOUT THE BENEFITS OF A PARTNER AND/OR CHILDREN, AND OTHER FAMILY SUPPORTS AS COMPARED TO OTHERS. THEN THERE'S ALSO THE EVER-PRESENT ISSUE OF PERCEIVED. LGBT ELDERS CAN IN SOME CASES BE DENIED HOUSING, INCLUDING RETIREMENT AND OTHER LONG-TERM CARE HOUSING SETTINGS BASED SIMPLY ON THEIR SEXUAL ORIENTATION OR GENDER IDENTITY. AND EVEN WHERE NOT OVERT, LGBT ELDERS CAN STILL FEEL UNWELCOME IN THEIR COMMUNITY AND IN BOTH CASES, THEY CAN BE FORCED INTO HOSTILE LIVING ENVIRONMENTS OR EVEN HOMELESSNESS. AND THIS IS WHITE'S SO IMPORTANT THAT -- WHY IT'S SO IMPORTANT DISCUSS EXISTING CHALLENGES AS WELL AS EXPLORE FUTURE POLICIES FOR PROMOTING CURRENT EFFORTS TO SUPPORT HOUSING AND LONG-TERM CARE DESIGNED FOR LGBT ELDERS. AND WE HAVE A FULL DAY'S WORTH OF PROGRAMMING HERE. WE'RE GOING TO START PANEL THAT COVERS THE FACTS. SO WE ALL HAVE A SHARED UNDERSTANDING ABOUT THE STATE OF PLAY IN THIS AREA. THEN WE HAVE A PANEL THAT WILL COVER EXISTING SERVICESES THAT ARE AVAILABLE -- SERVICES THAT ARE AVAILABLE FOR THIS POPULATION AND AFTER THAT WE'LL ACTUALLY, THAT WILL COVER SOME OF THE CHALLENGES AND BARRIERS THAT WE FACE AND WE SEE TODAY IN TERMS OF SERVING THATS FOR LAITION. WE'LL FINISH UP THE DAY BY TURNING TO HOUSING SPECIFICALLY AND WE'LL HAVE A COUPLE OF PANELS FOCUSED ON THE POTENTIAL FOR VAR HOUSING AND SOME OF THE SUCCESSES AND ACTUALLY CAUTIONARY TALES AS WELL, THE STUFF THAT'S HARD TO DO AND IT'S IMPORTANT THAT WE ANSWER INTO THIS -- ENTER INTO THIS WITH OUR EYES WIDE OPEN. THEN WE HAVE A GREAT PRIVILEGE THAT WE HAVE A TODAY OVER LUNCH. MY COLLEAGUE AND FRIEND, MR. JOHN TRAZENIA. HE IS THE ASSISTANT SECRETARY FOR FAIR HOUSING AND EQUAL OPPORTUNITY HERE IN THE DEPARTMENT, AND IF YOU'VE NOT HEARD JOHN TALK ON THESE ISSUES, HE IS A CHAMPION. HE IS OUT FRONT BELIEF THAT IT IS IMPORTANT THAT WE HAVE A SOCIETY IN AMERICA THAT'S OPEN AND AVAILABLE AND PRODUCTIVE FOR ALL AMERICANS, AND LGBT POPULATIONS ARE QUITE IMPORTANT FOR THAT. SO IT WILL BE A TREAT TO HAVE HIM TALK AT LUNCH, HOPEFUL THAT YOU WILL ENJOY HIM AS MUCH AS I ALWAYS DO. SO IT'S A GOOD PROGRAM. IT'S A REALLY GOOD PROGRAM, AND I WANT TO THANK EVERYONE WHO'S BEEN INVOLVED IN PUTTING THIS TOGETHER. THIS IS A JOINT EFFORT. WE'VE BEEN WORKING WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN AGING, AND THE NATIONAL CENTER FOR LESBIAN RIGHTS. I WANT TO SPECIFICALLY CALL OUT ASSISTANT SECRETARY KATHY GREENLEY WHO YOU WILL HEAR FROM LATER TODAY AND GREG CASE FROM OAO. MOST OF YOU KNOW GREG, HE IS EASY FOR US TO PUT THIS TOGETHER AND I WANT TO AGAIN THANK YOU PERSONALLY. [ APPLAUSE ] I ALWAYS WANT TO THANK MIA MIA RUPERT FROM SHE HAS BEEN TRULY WONDERFUL AS WELL. AS SOON AS THERE WAS A HINT WE WERE GOING TO HAVE THIS, SHE WAS SENDING US EMAILS AND MAKING CALLS AND MAKING SURE WE HAD THE RIGHT PEOPLE IN THE MIX, SO MIA, THANK YOU ALSO FOR YOUR THE SUMMIT COULDN'T BE HELD WITHOUT YOU EITHER, AND WE'RE AT HUD, SO I DEFINITELY HAVE TO CALL OUT MY OWN FOLKS AND I WANT TO IN PARTICULAR THANK ROCHELLE, CLARA AND MICHELLE, ALL THE STUFF YOU SEE TODAY ON THE MATERIALS AND PANEL MANY AND ALL THAT, THEY DO THIS AND IN THE TIME I'VE BEEN HERE, WE'VE SEEN A TREMENDOUS UPGRADE BOTH IN THE TERMS OF QUALITY OF OUR PROGRAMS, BOTH IN TERMS OF CONTENT AND HOW THEY DELIVER AND HOW THEY FLOW AND IT'S TO MY STAFF THERE, SO THANK YOU. AND THE PERSON WHO DESERVES THE MOST THANKS FROM MY SIDE IS MENA BOVAN. WHEN I CAME TO HER AND SAID WE'RE GOING TO HAVE A SUM MI, SHE GAVE ME -- SUMMIT, SHE GAVE ME A LOOK AND THEN SAID, ORK LET' AND HAS REALLY DROPPED EVERYTHING TO MAKE THIS HAPPEN AND REALLY MAKE THIS THE DAY THAT IT'S GOING TO BE, WHICH IS GOING TO BE OUTSTANDING, SO MENA, THANK YOU VERY MUCH. JUST WONDERFUL. [ APPLAUSE ] AND LAST BUT NOT LEAST, I WANT TO THANK I WANT TO THANK ALL OF YOU FOR BEING HERE TO HELP US MAKE HISTORY BECAUSE WHEN WE LOOK BACK ON THIS 10 YEARS FROM NOW, 15 YEARS FROM NOW, THERE ARE GOING TO BE A BUNCH OF THINGS THAT HAVE HAPPENED IN THIS AREA AND IT WILL HAVE STARTED TODAY AND THAT IS A HUGE RECOGNITION AND IT'S SO SHOULD CARRY WITH US AS WE MOVE FORWARD. THIS IS TRULY, TRULY EXCITING. THERE'S A LOT THAT WE CAN ACCOMPLISH, BUT WITH IT COMES A LOT OF RESPONSIBILITY, SO I GET NERVOUS ALSO WHEN WE GET HERE BECAUSE THERE'S A LOT TO DO, AND I'M LOOKING FORWARD TO WORKING WITH YOU TO AND I ALSO FINALLY WANT TO THANK THOSE OF YOU WHO ARE TUNINGNY VIA THE WEBCAST. -- TUNING IN VIA THE WEBCAST. IF YOU HAVE EVER SEEN ME TALK, I DON'T DO TECHNOLOGY VERY WELL. I HAVE SOMETHING CALLED THE CURSE. COMPUTERS BREAK DOWN ALL THE TIME AND YOU SEE I'M NOT DOING SLIDES, ANY OF THAT KIND OF STUFF, BUT I HAVE STAFF, FORTUNATELY, WHO CAN CAPITALIZE ON OUR EXISTING TECHNOLOGY, SO WE'RE LIVE STREAMING THIS, OUT IN THE WORLD IN THE VIRTUAL SPACE AND I WANT TO WELCOME EVERYONE WHO IS PARTICIPATING THAT WAY. IF YOU'RE ON THE WEB AND YOU TO PARTICIPATE BY EMAILING YOUR QUESTIONS OR COMMENTS THAT YOU MIGHT HAVE TO LGBTELDERHOUSING AT HUD.GOV. THAT'S LGBTELDERHOUSING AT CONVERSATION AT TWITTER AND I DON'T KNOW HOW TO TWEET. THERE ARE PEOPLE HERE WHO DO THIS FOR ME, AT HASHTAG LGBT HOUSING. SO WE'RE TRYING TO MAKE THIS A WORLDWIDE EVENT AND CERTAINLY THE ISSUES ARE REAL IN ALL PARTS AND I WANT TO MAKE SURE THAT EVERYONE HAS ACCESS TO THIS AS MUCH AS POSSIBLE. SO I WANT TO THANK YOU ALL FOR COMING. I'M GOING TO STOP TALKING AND GET US TO THE PROGRAM ITSELF. THE PROGRAM IS REALLY EXCITING, AND WHAT I'M HOPEFUL FOR IS THAT THIS ISN'T JUST A HEADS, BUT RATHER, A DAY OF CONVERSATION AND DISCUSSION. SO, YOU KNOW, WE HAVE THE MICS SET UP OUT THERE IN THE AUDIENCE. I AM TRUSTING THAT THIS CROWD WILL NOT HESITATE TO GET UP AND SPEAK AND WEIGH IN. SO THIS IS REALLY GREAT. IT'S SO WONDERFUL TO SEE EVERYONE, AND LET'S GET THE DAY GOING. SO TO START, I'M GOING TO ASK JANE LINCOLN FOR COME UP AND GET US STARTED WITH OUR FACTS. JANE? [ APPLAUSE ] >> THANKS. THANK YOU AND GOOD MORNING, EVERYONE. I'M JANE LINCOLN. I WORK IN THE NATIONAL OFFICE AT AARP. I'M A HEALTH EDUCATOR BY DAY AND A SUBVERSIVE LESBIAN BY EVERY I AM SO PLEASED TO BE HERE. THOSE OF US WHO WORK IN STRAIGHT WORLD JUST FEEL LIKE WE'RE ON A PICNIC OR SOMETHING WHEN WE GET TO HANG OUT WITH OUR PEOPLE. I WANT TO INTRODUCE TWO PEOPLE WHO DO NOT NEED AN INTRODUCTION, BUT IT ALWAYS BEARS TO REPEAT THEIR AND I'M GOING TO START WITH MICHAEL ADAMS WHO'S ON HIS WAY UP. MICHAEL ADAMS IS THE EXECUTIVE DIRECTOR OF STAGE, SERVICES AND ADD VO CASE FOR GLBT ELDERS. LOCATED IN NEW YORK, SAGE OLDEST AND LARGEST ORGANIZATION IN THE COUNTRY PROVIDING SERVICES AND ADVOCACY FOR LGBT SENIORS. SAGE'S PROGRAMS DIRECTLY SERVE THOUSANDS OF LGBT OLDER PEOPLE EACH MONTH AND ENGAGES IN ADVOCACY AROUND LGBT AGING ISSUES IN THE COUNTRY. IN 2005, SAGE BECAME THE FIRST OFFICIAL LGBT DELEGATE TO THE DIANE HILL WITNESS WHITE HOUSE CONFERENCE ON AGING. IN 2008, SAGE WILL CELEBRATE ITS FOURTH NATIONAL CONFERENCE ON LGBT AGING. IF YOU CAN GET TO LGBT, EVERYTHING ELSE IS GRAVY, RIGHT? OKAY. PRIOR TO JOINING SAGE, MICHAEL WAS THE DIRECTOR OF EDUCATION AND PUBLIC AFFAIRS FOR LEGAL, OVERSEEING ALL THEIR EDUCATION, OUTREACH PROGRAMS NATIONALLY. TRAINED AS AN ATTORNEY, MICHAEL SPENT A DECADE LEADING CUTTING-EDGE LITIGATION THAT ESTABLISHED NEW RIGHTS FOR TEAM, FIRST AS A SOCIAL DIRECTOR OF THE CLU -- ACLU'S GAY RIGHTS PROJECT AND THEN AS DEPUTY LEGAL DIRECTOR AT LANDELL LEGAL. MICHAEL HAS AUTHORED NUMEROUS PUBLICATIONS ON AN ISSUES. HE HAS TAUGHT SEMINARS ON SEXUAL ORIENTATION IN THE LAW AND SERVES ON ADVISORY COUNCILS FOR AARP, AMERICAN SOCIETY ON AGING AND THE NEW YORK CITY DEPARTMENT FOR THE AGING. MICHAEL HAS DISCUSSED AND DEBATED LGBT ISSUES ON HUNDREDS OF LARRY KING LIVE, HANNITY AND COMBS AND NPR'S MORNING EDITION. HE WAS NAMED ONE OF THE 100 MOST INFLUENTIAL GAY MEN AND LEBZANS BY OUT MAGAZINE. PLEASE WELCOME MICHAEL ADAMS. [ APPLAUSE ] AND THEN THERE'S MYRA KEESLING. SHE'S THE FOUNDING EXECUTIVE DIRECTOR FOR THE NATIONAL ASSOCIATION OF TRANSGENDER EQUALITY. SHE'S A WOMAN AND A PARENT. AS ONE OF THE NATION'S LEADING VOICES FOR TRANSGENDER EQUALITY, SHE HAS APPEARED TO NEWS OUTLETS SUCH AS CNN AND C-SPAN AND IS REGULARLY QUOTED ON THE POST AND HUNDREDS OF NATIONAL PRINT AND ELECTRONIC MEDIA. SINCE THE NATIONAL CENTER FOR TRANSGENDER EQUALITY WAS FOUNDED IN 2003, THE ORGANIZATION WAS PART OF COALITION EFFORTSES THAT HAVE WON SIGNIFICANT ADVANCES IN TRANS-QUALITY SUCH AS THE PASSAGE OF THE FIRST-EVER TRANSGENDER INCLUSIVE FEDERAL LEGISLATION, MODIFICATION OF THE STATE DEPARTMENT RULES FOR PASSPO PASSPORTS, AND THE HISTORIC FIRST CONGRESSIONAL HEARING ON TRANSGENDER ISSUES. SHE IS A GRADUATE OF PENN STATE UNIVERSITY AND DID HER GRADUATE WORK AT HARVARD UNIVERSITY IN AMERICAN GOVERNMENT. SHE'S A FOUNDING BOARD MEMBE HAS SERVE ON THE BOARD OF DIRECTORS OF COMMON ROADS, A LG LGBTQ YOUTH GROUP AND ON THE STEERING COMMITTEE OF THE PENNSYLVANIA STATE RIGHTS COALITION. OF -- ALMOST 25 YEARS OF SOCIAL NETWORKING AND WRITING ON OPINION RESEARCH. PLEASE WELCOME MOIRA. >> THANK YOU, JANE. I AM GOING TO START. IT'S A PLEASURE TO BE HERE, A PLEASURE TO BE CHAIRING THIS PANEL WITH MOIRA. AND SO WE THOUGHT IT WAS IMPORTANT TO PROVIDE A CONTEXT FOR THIS CONVERSATION ABOUT LGBT OLDER ADULTS AND HOUSING, SO THAT WE HAVE A UNDERSTANDING OF THE CIRCUMSTANCES THAT SHAPE THE PARTICULARIZED NEEDS OF LGBT OLDER ADULTS WITH REGARD TO HOUSING AND SUPPORTIVE SERVICES AND HOUSING. WE KNOW THAT HOUSING IS A CHALLENGE FOR OLDER ADULTS IN EXPERIENCE, IT IS A PARTICULARLY ACUTE CHALLENGE FOR LGBT OLDER ADULTS. SO WE WANT TO TALK A LITTLE BIT ABOUT WHY THAT IS. SEE IF I CAN MAKE THIS -- YEAH, THAT'S THAT ONE, RIGHTSOME. >> YOU SHOULD GET ASSISTANT SECRETARY BOSTICK TO RUN IT. HE'S GOOD WITH TECHNOLOGY, I UNDERSTAND. >> OH, IT HAPPENED. OKAY, GREAT. SO JUST INFORMATION I THINK IS QUITE FAMILIAR TO MANY FOLKS, PERHAPS LESS FAMILIAR TO OTHEROLKS ASASSISTANT CRETARY BOSTI HILITED, WE KNOW THAT GENERAL, BT OLR FOLK FACE PARTICULAR CHALLENGE AND WE CAMPTHOSE CHALLEES INTO THREE GENERAL AREAS IN TERMSF STIGMA, INTERMS OF BEI DISCONNECT FROM TRADITIONA FAMILY STRUCRES,AN IN TMS OF UA TREAENTNDER THE LAW. WOULD A O THOSE-WHAT ALL OF THOSEFAORS BUILD TOWA IN MANY CASES, PAULARLY HEIGHTENED SENTENCE O AN EXPEENCE ISOLATI AMG LGBT OLD PEOPLE WHICH HEIGHTENS THE IMPORTANCE COMMUNITY D PCE SO FOR LGBT ELDERS, 'S FAIR TO Y THAT WELCOMG A SUPPORTIVE ING IS JUST A LUXURY. IT'S IN FACT AESSITY, AND IT GOESBEYOND THE PARTICARS OF HO ROOF OVER ONE'S AD IO WHAT'S IMRTANT IN TERMS OF PRIDING COUNITY FOR MANY PEOPLEW,S THEY AGE, ARE ALLY - FIND THAT IN VERY SHORT SUPPLY. >UEED TO BE AIMI AT SOMETHING. >> OH, IT'S JUST SLOW, HINK. IT'SSLOWERN I M. OKAY. SO WE WHAT WEKNOW,IF WE RILL LILE MOREDEEPLY, WHAT KNOW IS THAT FINANCIAL INSECURITYG LGBT OLDER PELE MAKES HOUSING HALLS, IN FACT, MORE DIFFICT TO RESOLVE FOR LGBT OLDERPEOPLE, AND JUST A LEF EXAMESF THAT ARE, YOU KNOW, IF OW POVERTY LEVELS ARE IN FACTT HHER ONG LT OER PEOPLE, THE DATA THAT ISAVAILAES TO COUPL, WHWE SEE IS CIFIC ATOLDER GAY COUES OLDER AL COUPS ARE IGHT RE LIKE TO BEVING INPORTY OLDE LESAN COUPLE IN FACT, ARE SSTANTIA MORE LIK TWI AS LIKELY TO BE LIVING IN POVERTY OER COUPLESN GENEL. HAS SIGNICANT PLICATIONS TERMS OE RESOURCES TT AR AILABL F LGBT OLDER PEOP TALYTO ADS HOINGES WE AL SEE ER VY SIMILAR TREND WHEN IT COMES TOTHE AVAILABILITY DISPOSABLE INCOME AMONGGBT OLDER PEOE. HE AGAIN WESEEHAT,S THE SLIDE INDATES, TT T ANNUAL SOCIAL SECURITY INCOME, THE AVERAGE FOR AN OLDER $17,000 A YEA THAT'S SMALL ENOH AS IT IS, BUT IFO LOOK AT THAT FIGU R OLDE GAY CPLES I DROPS OWN TO ST OVER 4,000 A Y AND Y LOOK AT ITFOR OLDER SBIA COUPLES, IT DROP DOWN TO LESS AN 1200 A . SO WE'RE LKING ABOU DIMISHED ASSETS ANDMINISHED DISPABLE INCOM TO APPLYO DETERM- TDETERMINE HOUSINNEEDS. FINANCIAL SPARITIESTHAT PREVT AL- PRESENT CHALLENGES FO LGBT OLDER PEOPLE INCLUDING PROBLEMSWI NG-TERM RE THROUGH MEDICAID AND SPOUSAL PROVEER RISHME, HICH WE FORTUNATE ARE MANG PROGRESS ON THAN TO ARENT BAK-TGH WITHHE ENTER ON DICAID SERCES. RETIREHEALTHNSUE BENEFITS A DISCRIMINATION THOSE BENEF UNEQUAL TREATMENND TAX ALIFIED RETIREMENT PLANS AND PENSIONS, AND VETERANSENEFITS, AND UNEQUAL TRATMENT IN INTAN LAWS, ALL OF THESE TOGETH CONTBU TO A RLLY SERIOUS LEVEL OF FINANCL INSERITY MO LG OLDER PEOPL BUT IT'S NO LIMITED. THE CHALLENGES A NOT LIMITED TO FINANCIAL INSECURITY. THEYEXISTS WELL WITH REGA -- WITH REGARD HEALTH AND HEALTH CURITY. AND NOW I DON'KNOW HOW TO -- IT WAS WORKING. THERE IT GOES. OK. THE-- THIS IS PARTLY BECAUSE OF HEALTHDISPARITIE THAT LGBT OLDER PEOPLE FACE,HI INCREASETHE NEE FOR HOUSING MODSATINCORPORATE HEALTH-RELATED SS, AND IT'SFOR A RIETY OF HER REASS AS WELL. WHAT NOWN RE D IN THE AVAIE RESRCH, FOEXALE, I AT BECAUSEOF FEARS OF DISCRINATION AND FEARS OF CULTURALLY INCOMPENT TREATMT, AT LGBTLDER DELAY CESNG HEALTHCARE OR NOT SEEK HETHCARSERVIC AT ALL. WE AL KNOW THAT THE -- TT NEGLEC ON THEARTF CAREGIVE IS ASIGNICANT CHALLENGE WITH REGARD FOR LG DER PEOPLE, WHICHMAKES BOTH OF THESE MAKEHE AVAILABILITY OF HEALTH RVICES AND CARE THAT CLOSE TO HOMENDEALL THAT'S ACALLY LINKED TO HOME AN LINKED TO HOUSIN AN IMPORTANT -- AN IMRTAN OPTION SHLD BE AVAILABLE TO LGBT DER PPLE. IFE LOOKT THE -- SUPPORVE SERVICES AND THE LACK THERF, SUPPORVESERVICES IN HOUSING ARE PARTICULARLY IMPORTANT FOR LGBT OLDER PEOPLE BECAUSE THEY HAVE SUCH A HARD TIME ACCESSING THEM IN GENERAL. AND WHAT WE SEE IN OUR EXPERIENCE IS THAT VE OFTEN BT OLDERADULTS FIND THAEY E NOT LCOME IN -CALLED MAINSTREAM AGING PGRAMS. TH CANNOT FIND THER ERVIS THAT THEY NEED, T ARE TAILORED TO EI PARTICUL CIRCSTANCES. THEY CANNOT FD WELCOME SOCIAL ENVINMENT, AND SO THEY DON'T VE THESENS COUNITY THAT OFTEN COMESH GROUP-SED SIAL SERVIES. WE AL OW, UNFORTUNALY, AT EV WIINHE LGBT UNITYITSELF,LDER PEOE OFTENEEL ISOLAD DOT FIND THE SENSEF COMMUNTHAT THEY NE, WHI HERE AGA, OPENS U IMPORTANT QUESONS A EMES ABOUT THE IMPORTAN OF HOUSG A T NATURE O FOR LGBT OLDER FOS TO PROVIDE BOTH SVICES AND A SENSE OF - THISIS, BROADLY SAKING, THESE ARE SOME OF THE OVERARCHING IS OVERARCHING CIRCUMSTANCES THAT ARE IMPORTANT TO UNDERSTAND AS WE THINK AND TALK OVER THE COURSE OF THE DAY ABOUT LGBT OLDER ADULTS AND HOUSING. >> THANK YOU SO MUCH, MICHAEL. HELLO, EVERYONE. I'M MOIRA KEESLING AND I'M A S THAT'S OOK. WHAT I AM NOT IS A POWER POINT PERSON. >> YOU'RE LUCKY. >> I KNOW. WELL, I'LL TELL YOU, YOUR -- OOPS. YOUR POWER POINT PRESENTATION MAKES WE WANT TO BE A POWER POINT PERSON BECAUSE IT WAS REALLY PRETTY COOL. THANK NOT TO BE A POWER POINT PERSON, SO THANK YOU AND I THINK MICHAEL SUMMED IT UP REALLY WELL AND TALKED A LOT ABOUT WHAT IS FACED BY GAY, LESBIAN, BISEXUAL AND TRANSGENDER SENIORS IN HOUSING CONTEXT. WHAT I'M HERE TO DO IS REALLY TO TALK ABOUT THE TRENCHED INNER PART OF THAT AND HOW THERE ARE SOME DIFFERENCES. I THINK EVERYTHING THAT MICHAEL SAID APPLIES VERY WELL TO TRANSGENDER PEOPLE, BUT THERE ARE SOME TRICKS THAT WE JUST WANTED TO MAKE SURE WE COVERED. SO, YES, WE STILL FACE THE STIGMAIZATION, FACE THE DISCRIMINATION. WE HAVE OFTEN DIFFERENT SUSPEND STRUCTURES THAN NON-LGBT PEOPLE, BUT IT'S REALLY IMPORTANT TO UNDERSTAND THAT ALWAYS RK FOR TR PEOPLE ENOUH, SO WE WA TO TALK A LITTLE BIT ABO THE TRANCE PART OF -- TRANS PART OF THATND HOW WE'RE A LITTLE BIT DIFRENT. SO UNL VERY RECEN 63. OF ALLSTATISTICS ABOUT ANSGENDER PEOPLE WERE MADE UP. [ LAUGHTER ] INCLUDING THAT ONE. BUT THERE HAVE BEEN MORE AND MORE STUDIES OVER THE LAST COUPLE YEARS, AND WE'RE NOW REALLY STARTING TO DATA AND YOU SAW MICHAEL HAD GOOD DATA ON TRANSGENDER PEOPLE AND YOU'RE GOING TO HEAR FROM MARIE COOK DANIELS LATER ON SOME GOOD DATA, BUT THE CARING WITH AGING AND PRIDE SURVEY GIVE US SOME GOOD MEANINGFUL DEMOGRAPHIC DATA FOR TRANS PEOPLE FOR THE FIRST TIME AND 174 TRANS PEOPLE AGE 50 AND OVER. WHAT WE SEE IN IT IS TRANS PEOPLE ARE VERY DIVERSE AND THAT'S IMPORTANT TO KEEP IN MIND. WE'RE DIVERSE DEMOGRAPHICALLY, DIVRS ECONOMICALLY AND VERY IMPORTANT, WE HAVE DIVERSE SEXUAL ORIENT. S PIM SOME IDENTIFY AS GAY, SOME STRAIGHT, SOME BISEXUAL AND SOME QUEER AND THAT PLAYS INTO IT WHEN PROGRAMS ARE BEING DEVELOPED FOR LGBT PEOPLE BECAUSE SOMETIMES TRANSGENDER PEOPLE MAY IDENTIFY AS STRAIGHT AND MAY IN OR MAY NOT FIT IN. AND THEN THERE'S LOTS OF DIFFERENT TYPES OF TRANSGENDER PEOPLE. THERE ARE PEOPLE WHO ARE TRANSSEXUALS AND A PEOPLE WHO ARE JUST VERY GENDER NONCONFORMING. THERE ARE PEOPLE WHO ARE JUST CROSS -- I DON'T MEAN JUST IN A DEROGATORY WAY. WHO ARE IN A NARROW SENSE DEFINED AS TRANSSEXUAL OR CROSS-DRESSER OR GENDER NONCONFORMING, AND THE LENGTH OF OUTNESS. RIGHT NOW WE'RE G SOCIETAL THING WHERE A LOT OF FOLKS LIKE ME, MIDDLE-AGED PEOPLE HAVE COME OUT AS TRANSGENDER AND HAVE TRANSITIONED, BUT A LOT OF TRANSGERND PEOPLE HAVE TRANSITIONED VERY, VERY YOUNG IN LIFE AND THAT WILL BE MORE AND MORE TRUE. A LOT OF TRAND GENDER SENIOR -- TRANSGENDER SENIORS HAVE TRANSITION AND WILL BE TRANSITIONING IN EXISTING HOUSING OR PROGRAMS. SO IT'S VERY IMPORTANT TO UNDERSTAND HOW DIVERSE WE ARE. A REALLY IMPORTANT PART OF THIS, AS MICHAEL TOUCHED ON, ARE THE STRUCTURAL BARRIERS TO FACE AND THERE'S SOME PARTICULAR ONES THAT TRANSGENDER PEOPLE FACE. ONE, IT HAS HERE TO FOREBEEN VERY HARD TO TRNZ PEOPLE -- TRANS PEOPLE TO ACCESS NONEMPLOYER-PROVIDED HEALTH INSURANCE. SO TRANSGENDER PEOPLE WHO ARE PRE-MEDICARE QUALIFIED VERY OFTEN ARE UNABLE TO BE INSURED. AND THAT'S AN IMPORTANT THING TO KEEP IN MIND. SECOND, WHEN CURRENTLY THERE IS A VERY, VERY GOOD CHANCE THAT TRANSITION-RELATED HEALTHCARE, THE HEALTH TREATMENTS AND SUCH THAT THEY WOULD NEED TO ACCESS FOR TRANSITION ARE GENERALLY DENIED BY HEALTH INSURANCE CARRIERS. INCLUDING MEDICAID -- OR I'M SORRY, MEDICARE, WHICH EXCLUDES SURGERY, BUT OTHER TYPES OF TRANSITION-RELATED CARE ARE COVERED BY MEDICARE. AND AS MICHAEL POINTED OUT, WHICH IS REALLY, REALLY IMPORTANT, DELAY OF CARE. TRANS PEOPLE TEND TO DELAY CARE CARE, BUT ACUTE CARE AS WELL, AND WE HAVE NO REASON TO THINK THAT'S NOT TRUE OF TRANSGENDER SENIORS. ONE OF THE OVERALL CONTEXTUAL THINGS FOR TRANS PEOPLE IS WHO DERPS OUR GENDER WHEN WE'RE IN AN INSTITUTIONAL CONTEXT AND BECAUSE A LARGE PART OF BEING TRANSGENDER IS YOUR GENDER AND YOUR SELF IDENTITY OF YOUR GERND AND THAT'S A REALLY CORE PART OF YOUR SELF IDENTITY. AND IF YOU'RE IN AN INSTITUTIONAL SETTING WHERE OTHER PEOPLE ARE MAKING THOSE CHOICES FOR YOU, THAT CAN BE REALLY, REALLY DIFFICULT. IT WANT TO POINT OUT, IT ISN'T JUST WHAT GETS MARKED DOWN ON YOUR RECORD. THOUGH THAT'S REALLY IMPORTANT, IT'S HOW YOU'RE TREATED. WHICH PROGRAMS YOU'RE INVITED OR ALLOWED TO PARTICIPATE IN. HOW PEOPLE WELCOME YOU FRONT DESK. WHAT HAPPENS WHEN YOU FILL OUT THE FORMS TO GET HOUSING OR TO GET TYPES OF PROGRAMS. SO HOW PEOPLE ARE INTERPRETING YOUR GENDER AND POLICING YOUR GENDER IS REALLY, REALLY IMPORTANT. AND THAT GOES THROUGH THE WHOLE RANGE OF THINGS IN CONTEXTS, WHICH FACILITIES YOU'RE ALLOWED TO USE, WHO ARE YOUR ROOMMATES GOING TO BE IF IT'S A ROOMMATE CONTEXT. WHO ARE YOU PERMITTED TO HAVE RELATIONSHIPS WITH. AND THEN ONE OF THE MOST INSIPID PROBLEMS WE FACE CALL VICARIOUS DISRESPECT AND THAT IS A LO OF TRANS PEOPLE ARE TOLD IT'S OKAY WITH ME, BUT IT WON'T BE OKAY WITH THEM, YOU WILL MAKE THEM UNCOMFORTABLE, YOU WILL MAKE THEM NERVOUS, SO THEREFORE, WE WON'T LET YOU IN THAT PROGRAM, WE WON'T LET YOU IN THAT FACILITY AND THAT KIND OF VICARIOUS REALLY HURTFUL. PORLY ITIFICATI CUENTS THAT' REALLY A DIFFULTTHG FOR S PEOPL IT'S BECOMG EASIER AND EASIER TO G THEM BUTTHE'TILL DIFFICULTIES AND IS IMPACT EMPLMENT, WHICH VIOUSLY IMPACTS ECONOMICS AND EVERYING ELSE, BUT AO LV HARASS AT SSA OFFIC, HARASSMENTT ARMACIES WHENYOU HAVE TO SHOW YOURMEDIRE CARD WHIC H YOUR GENDE MARKER SMACK BIG THE DDLE OF IT A WE HO THAT CM CHANGES AT OON, BUT IT, WHEN YOU DISCRIMINATE-- OR EN YOU GO TOGET HSING, WHETHER IT'S IN AN ASSISD LIVING CONTEXT OR AN APRTMENT, IN THE PRIVE MAET, YOU'RE GOINGO VEO SHOW UR .D. GENERALLY AND MY COLLGUE HARP JEAN TOBIN LIKE KENS IT WN U HAVE THE WRO GENDER MARK O YOUR I.D., TO IF YOU HAD TO GO IN AND SHOW YO DRIVS LICENSE AND I HAD "GA STAMD IT. 'S A TROUBLING THING R TRANS PEOPLE ANTHE I.D. PROBLEM OVALL MEYOU DON'GET TO DE WHE AND HO TCOME OUT TO WHOMND THAT'S A REAY PORTTHING. THEN LASTLY, THERE'S JUS A LOT OF HEIGHTENED BIAS AND CTIMIZION OF TNS PEOPL ACCORDING TO THE CARING AND AGING WITH PRIDE SURVEY, AND I QUOTE, TRANS GENDER ADULTS ARE A CRITICAL UNDERSERVED POPULATION AT AND MENTAL HEALTH DISPARITIES, OFTEN COMBINED WITH LESS SOCIAL AND COMMUNITY SUPPORT. TRANS PEOPLE TEND TO BE AT HIGH RISK OF POVERTY, DISABILITY, DEPRESSION, LONELINESS, SUICIDE IDEATION, AND GENERAL POOR HEALTH. AND TRANS PEOPLE, IT SEEMS AND WE FEEL, ARE EXPERIENCING BOTH HIGHER POVERTY AND VICTIMIZATION AS AGE GOES ON. SO AGAIN, WE JUST WANTED TO PEOPLE ARE DIFFERENT THAN GAY PEOPLE, A LOT OF OVERLAP WITH THE ISSUES AND THAT'S REALLY IMPORTANT TOO, BUT THERE'S SOME EXTRA CONSIDERATIONS WE'D LIKE PEOPLE TO KEEP IN MIND. SO THANK YOU VERY MUCH. OH, AND MICHAEL -- I'M SORRY, JANE OR MICHAEL, WE WERE GOING TO OPEN FOR >> YES. >> THIS IS A GREAT TIME. WE HAVE SEVEN MINUTES FOR QUESTIONS. SO PLEASE COME TO THE MIC SO THAT EVERYONE CAN HEAR YOUR QUESTION. [ LAUGHTER ] >> NOW YOU'RE ALL IN TROUBLE. THANK YOU FOR YOUR PRESENTATIONS AND ALSO, ONE OF THE THINGS I THINK IS IMPORTANT AND I'M -- OH, MIME JOY SILVER, SORRY. JOY PROPERTIES INC. AND ARDENT SENIOR LIVING. ONE OF THE QUESTIONS I HAVE THAT I THINK MAYBE WE NEED TO START TO TALK ABOUT AND PARTICULARLY MICHAEL, BECAUSE YOU BROUGHT UP THE WHOLE CONCEPT OF THE HEALTHCARE SERVICES AND THIS HAS BEEN A BIG CONCERN OF MINE IN ADDITION TO THE NEED FOR HEALTHCARE SERVICES IS ONLY GOING TO RISE, AND ONE OF THE THINGS IS ARE THERE ANY PLANS FOR DEALING WITH THE ONSLAUGHT AND THE EPIDEMIC PROPORTIONS OF WHAT WE'RE FACING AND GOING TO FACE REGARDING ALWAYS HIERMS AND >> WELL, I THINK THAT TO AT LEAST FROM MY KNOWLEDGE, TO SAY THAT WE HAVE GOOD PLANS FOR THAT WOULD BE AN OVERSTATEMENT. WE ARE ARE STARTING TO HAVE CONVERSATIONS ABOUT THE AFFORDABLE CARE ACT AND HOW WE HOPE THAT IT IS GOING TO TRANSFORM THE DELIVERY OF HEALTHCARE AND HRK SERVICES IN THIS -- HEALTHCARE SERVICES IN THIS MEAN AND WHAT OPPORTUNITIES IT MAY OPEN UP FOR CURRENT AND FUTURE SERVICE ORGANIZATIONS IN THE COUNTRY, INCLUDING THE INCREASING OUR CAPACITY, ACTUALLY, TO FOCUS IN ON THOSE KINDS OF CHALLENGES THAT, AS YOU SAY, JOY, ARE BECOME EXPONENTIALLY, YOU KNOW, EXPONENTIALLY GREATER. WE ALSO -- BUT REALLY, I THINK DON'T AND YOU KNOW THIS AS WELL AS ANYBODY IN THIS ROOM. IN TERMS OF THE LGBT AGING FIELD, OUR RESOURCES AND OUR BAND WIDTH IS SO STRETCH RELATIVE TO THE CHALLENGES THAT WE FACE, THAT OFTEN WE -- WE'RE ATTEMPTING TO TACKLE HUGE GLOBAL ISSUES VERY MUCH IN A LOCALIZED WAY. NOW, THERE IS SOME BENEFIT TO THAT IN TERMS OF CREATING PROGRAM MODE LOCAL MODELS FOR LABORATORIES, BUT THERE ARE SERIOUS LIMITATIONS TO IT IN TERMS OF HOW YOU TRANSLATE THAT KIND OF LOCAL ACTIVITY INTO MORE IMPLOEBL SOLUTIONS, AND I -- GLOBAL SOLUTIONS AND I THINK ABOUT THAT IN PARTICULAR WITH REGARD TO ALZHEIMER'S BECAUSE I KNOW IN A COUPLE PROGRAMS IN OUR DIFFERENT ORGANIZATIONS HERE DEVELOPING AROUND THE COUNTRY, WE'RE BUILDING PARTNERSHIPS, FOR EXAMPLE, WITH THE ALZHEIMER'S ASSOCIATION THAT CAN LEAD TO TAILORED PROGRAMS THAT WOULD BE USEFUL FOR LGBT OLDER FOLKS, BUT THE CHALLENGES IS HOW DO YOU TAKE THOSE REAL LOCALIZE ON A NATIONAL LEVEL, AND WE DON'T HAVE AN ANSWER TO THAT YET. AND I HOPE THAT THERE ARE OTHER FOLKS THAT DO, BUT I THINK THAT'S A BIG PROBLEM FOR US. >> HI. I'M THE CEO OF WHICH HAS BEEN PROVIDING HOUSING TO PEOPLE LIVING WITH HIV AND AIDS FOR -- SINCE 1984. I'VE BEEN THE CEO SINCE '91 AND I GUESS IT'S KIND OF A QUESTION FOR THE TWO OF YOU AND KIND OF A STATEMENT FOR THE REST OF US, IS THAT, YOU KNOW, WALKING IN HERE, I REALIZED IT'S GOI LOT OF IT DID TOS BECAUSE, YOU KNOW -- DITTOS, IN AIDS WE TALK ALL ABOUT STRUCTURAL DRIVERS NOW AND EVERYTHING WE'RE GOING TO END UP TALKING ABOUT TODAY IS GOING TO BE ABOUT STRUCTURAL DRIVERS, WHICH KEEP PEOPLE FROM STAYING HOME, FROM LIVING IN HOUSING. AND THERE'S SO MANY SIMILARITIES AND THE WE DON'T NEED TO REINVENS THE WHEEL, AND I GUESS WHAT I WANT TO SAY TO EVERYBODY HERE IS, YOU KNOW, ONE OF THE WONDERFUL THINGS ABOUT BEING GAY, LGBT FOR ALL THESE YEARS, HAS BEEN TO REALLY PUSH THE ENVELOPE AND TO REALLY LOOK BEYOND WHAT'S ALREADY AVAILABLE AND ABOUT REALLY NEW INNOVATION. I THINK THERE'S SOME OPPORTUNITIES WITH THE AFFORDABLE CARE ACT, BUT I THINK AS A COMMUNITY, IT WOULD BE GREAT IF WE CAN THINK BEYOND WHAT WE HAVE NOW. WE'VE GOT SUPPORTIVE HOUSING, AND NOT JUST FOR NECESSARILY, BUT THE PROGRAMS ARE ALL THE SAME. WE CAN LINK MEDICAID FOR CASE MANAGEMENT WITH HOUSING UNITS. YOU KNOW WHAT? WE'VE BEEN DOING THAT FOR A LONG TIME IN DIFFERENT WAYS. SO I GUESS I WANT TO -- AND I'M ON A PANEL LATER AND I WANT TO ABOUT, YOU KNOW, SOMETHING ELSE SO ANY IDEAS ABOUT THAT? >> WELL, I DON'T WANT TO STEAL THE THUNDER OF A LATER PANEL, BUT I WOULD SAY, I KNOW THAT LATER ON IN THE DAY, THERE'S GOING TO BE A PANEL THAT INCLUDE A DISCUSSION OF SAGE'S NORC PROGRAM IN HARLEM AND IT STANDS FOR NATIONALLY OCCUR RETIREMENT COMMUNITY AND I RAISE IT AS AN EXAMPLE BECAUSE AS YOU WILL HEAR LATER TODAY, IN'S A EXISTING MODEL AND REALLY BLOWING THE WALLS OUT FROM IT IN TERMS OF APPLYING IT TO A LGBT CONTEXT AND THE PEOPLE OF COLOR COMMUNITY, AND THEY ARE NUMEROUS OTHER EXAMPLES IN THIS ROOM OF HOW WE CAN AND NEED TO BE CREATIVE AND EXPANDING ON EXISTING MODELS, SO I THINK WE'RE GOING TO HEAR A FAIR AMOUNT ABOUT THAT OVER THE COURSE OF THE DAY. I DON'T KNOW IF YOU WANT TO -- >> DITTO. [ LAUGHTER ] BUT YOU KNOW, STICK TOK MY THEME AN TO MAKE SURE THAT AS THESE ARE BEING DEVELOPED, THE TRANSGENDER PART OF IT IS EITHER INCLUDED OR IT ISN'T. >> RIGHT, RIGHT. >> I'M NOT ADVOCATING THAT IT NOT BE, BUT IF WE BUILD THESE STRUCTURES AND PROCESSES AND PROGRAMS THAT ARE GAY-PERFECT AND THEY DON'T WORK FOR TRANS PEOPLE, BUT THEY'RE PRESUMED TO WORK FOR TRANS PEOPLE, THAT'S DIFFERENT THAN IF -- WE HAVE TO START FIGURING THAT OUT AND HOW TRANS PEOPLE FIT INTO THAT THEY FIT INTO THAT. >> RIGHT, RIGHT. OKAY, THANKS. >> HELLO. I'M KAREN FRED DER RICKS ON THE AGING AND HEALTH REPORT, CARING AND AGING WITH PRIDE. [ APPLAUSE ]. >> THANK YOU. AND I JUST HAVE EXECUTIVE SUMMARIES ON I'LL DISTRIBUTE THOSE AND I THINK ONE THING THAT IS VERY IMPORTANT AND MY QUESTION TO ALL OF YOU -- WELL, ONE THING WE FOUND IS THAT HOUSING WAS THE ACROSS LGBT OLDER ADULTS. WE ALSO FOUND SIGNIFICANT DISPARITIES, BUT WE ALSO FOUND KEY DIFFERENCES AND DIVERSITY IN TERMS OF WHAT THE HOUSING NEEDS ARE AND THEY DIFFER IN TERMS BY THE OLDEST NEEDING IN-HOME SUPPORT SO THAT TH PLACE. WE ALSO FOUND, AMONG DIFFERENT RACIAL AND ETHNIC GROUPS, DIFFERENT TYPES OF HOUSING OPTIONS, AND WE ALSO FOUND THAT SOME PEOPLE REALLY NEED -- THEY WOULD LIKE TO MOVE INTO HOUSING -- DIFFERENT TYPES HOUSING, BUT ALSO THAT OTHERS NEED -- THAT WE REALLY PREFER, AGAIN, AS I SAID, TO AGE IN PLACE. SO I JUST WANT TO KEEP IN MIND AND ASK ALL OF YOU, HOW DO YOU THINK WE MOVE FORWARD IN TERMS OF DEVELOPING HOUSING OPTIONS ACROSS THESE VERY OF PEOPLE, BOTH LGBT AND BISWALS ARE ALSO IN -- BISEXUALS ARE ALSO IN NEED OF HOUSING OPTIONS, BUT ONE OF THE MOST, ALSO -- ONE OF THE GROUPS WITH THE MOST UNMET NEED. SO MY QUESTION TO YOU IS HOW DO WE RESPOND TO THE NEEDS? >> DO YOU WANT TO START OR YOU WANT ME TO START IT? >> I N' S DIOF ITART BU- LGHR YOKNW,ITHK WEAVTOTR LO ODIERT THGSND IN WTWEE IN FI ISTH TNG WO WLOR SO PPL DOT LLOR OTREOE,ND TT'WH THE'A DIRSY CHCE W DENE KPTH MI, AT ERS OBBL N ONSOTI A WEAV MUIP OTIS, TNKTH WI B MOAPICLEO DIFENTTYS PL >> INHASON T REGT O OTH EA DA-- RETH OTH AND TOY THERHEOUEF E AY TRELLEN POUNY OK AAVARIY DIERT DE A APOAES B WTWODAY ISTHTH POTH YOUE RASI, REN I PNTOT JTWIRERDOOUNG A ASU OWEL ISTH GATO POGMSAN SEIC LGAGG D GI I GERA OFN WEANFI RSVE TTG UGPN 60 A U PE NVSAIO 50 D UP WN,OFOUE,HE A ST DFENS HO,ND TH'SUSITRERDTOAG N,NER MDITRERDO FEEERNC WH DIFENCSEON RE,BAD GEER TCER D TH I A TME TT W EDTOCOTALYE SHG ANNO ST I OUNGUTN OU SVISND OGMSAS WE,HA I WEHITH WEE STTAIN OUON OU BEUS PPL A OLD, WEEEAYOMETY SSG E BOAT SOPPCIEOUE MANG TH PNT >>RE,THK Y. 'R OUT OF TIME FOR QUESTIONS. I WANT TO MENTION TWO QUICK THINGS BEFORE WE GO TO A LITTLE BREAK. ONE IS THAT I'M JUST A PROJECT THAT AMANI WOODY IS WORKING ON WITH OTHERS. THE D.C. AARP OFFICE IS PART OF A COALITION OF THE WASHINGTON LGBT AGING COALITION THAT'S WORKING ON A SEAL OF APPROVAL FOR LGBT FRIENDLY CARE ACROSS VENUES, AND IT'S GOING TO BE PRESENTED AT THE ASA CONFERENCE IN MARCH, SO IF ANY OF YOU AGING FREAKS ARE GOING THERE, CHECK THAT OUT. ALSO, I WOULD BE -- I'M GOING TO GET SPANKED IF I DON'T MENTION AARP.ORG/PRIDE IS OUR PORTAL. WE ALSO WON AN AWARD FOR OUR STO STONEWALL COVERAGE 40 YEARS LATER AT AARP.ORG/STONEWALL. WE ARE MANY, WE ARE AGING, BUT FABULOUSLY AND LETS HEAR A ROUND OF APPLAUSE FOR OUR FABULOUS PANELISTS. THANK YOU. >> AND THANK YOU, JANE. THANK YOU. >> 15 MINUTES. <u><i>00</i></u> I'M GOING TO INTRODUCE ALL OF THEM AND THEY'RE FORTUNATELY SITTING IN ORDER OF HOW THEY'RE GOING TO SPEAK TO YOU. MAIA CHAMBERLAIN AT DIRECTOR OF HOMELESS FAMILIES AT FRIENDLY HOUSE IN PORTLAND, OREGON. AMONG HER RESPONSIBILITIES THERE IS OVERSIGHT FOR GAY AND GRAY, A PROGRAM SERVING LGBT ELDERS IN THE PORTLAND METRO AREA AND I BELIEVE A PENDING OR SOON TO BE SAGE AFFILIATE. >> WEEK, SAGE METRO PORTLAND. >> THERE WE GO, THERE WE GO. [ APPLAUSE ] AND WE HAVE WITH US SPEAKING NEXT, KATHLEEN SULLIVAN WHO WAS FORKED FOR 20 YEARS AS A -- WORKED FOR 20 YEARS AS A CAMPAIGN MANAGER AND CONSULTANT BEFORE DECI GRADUATE SCHOOL TO STUDY HOUSING FOR LGBT SENIORS. SHE HAS A Ph.D. IN GERONTOLOGY AND SERVES AS DIRECTOR OF SENIOR SERVICES OF THE L.A. GAY AND LESBIAN CENTER AND SHE'S GOING TO DESCRIBE SOME OF THE CENTER'S SERVICES FOR LGBT SENIORS. AND WHO IS CURRENTLY SENIOR DIRECTOR OF PUBLIC PROGRAMS AT THE CENTER ON HULL STEAD WHERE SHE PROVIDES LEADERSHIP AND DREK FOR ALL ASPECTS OF THE ORGANIZATIONS PUBLIC PROGRAMS FOR OLDER ADULTS, AND AGAIN, ANOTHER SAGE AFFILIATE IN YOU TODAY THE KINDS OF SERVICES THAT THEY PROVIDE AT THE CENTER ON HALLSTEAD THAT REALLY ENABLE OUR COMMUNITY TO AGE IN PLACE. WE KNOW THAT AS WE AGE, MOST PEOPLE WANT TO STAY IN THEIR HOME AND MAN GEARED TO PROVIDING THE KIND OF SUPPORT SERVICES, AND ESPECIALLY IF YOU'RE AFRAID TO GO INTO SOME KIND OF AN ASSISTED LIVING OR NURSING CARE, THE COMMUNITY-BASED SERVICES ARE CRITICAL TO HELP PEOPLE MEET THEIR NEEDS, SO WE'RE GOING START WITH MAIA AND WE'LL HAVE TIME FOR QUESTIONS AND ANSWERS AS WE WRAP UP. THANK YOU. >> THANKS, LAURIE. [ APPLAUSE ] I WAS JUST TALKING TO KATHLEEN ABOUT HOW EARLIER THIS SUMMER, I WAS PRIVILEGE OF HEARING ASSISTANT SECRETARY BOSTICK SPEAK AND IT WAS AT THAT MEETING, HE SAID MAYBE WE NEED TO DO A SUMMIT ON THIS ISSUE, AND I'M THINKING ABOUT THE PACE WITH WHICH THE FEDERAL GOVERNMENT SOMETIMES MOVES AND IN NO PART IMAGINATION DID I THINK THAT WE WOULD BE HERE SIX MONTHS LATER DOING THIS. AND I FEEL JUST SO PRIVILEGED TO BE A PART OF IT, AND SO -- AND ALSO, I WANT TO APOLOGIZE AHEAD OF TIME. I HAD SO MUCH TO SAY AND SO LITTLE TIME TO SAY IT, THAT I REGRETTABLE, I'M NOT AS QUICK AS SOME PEOPLE, SO I'LL BE READING THEM, BUT FEEL FREE TO STOP ME OR ASK QUESTIONS. >> I WILL. NOT TO WORRY. >> THANK YOU. >> I'M GOING TO KEEP YOU IN LINE. >> THANKS. SOMEONE NEEDS TO. FRIENDLY HOUSE IS A NONPROFIT SOCIAL SERVICE NEIGHBORHOOD CE OREGON. IN ADDITION TO BEING A COMMUNITY CENTER AND GATHERING PLACE FOR PEOPLE FROM ALL WALKS OF LIFE, WE OFFER THREE CORE SERVICE AREAS. ADULT RECREATION AND EDUCATION, CHILDREN'S PROGRAMING, AND THEN THE PROGRAM THAT I OVERSEE, WHICH IS SERVICES FOR SENIORS SINCE 1978, FRIENDLY HOUSE HAS CARRIED A CONTRACT WITH OUR LOCAL AREA TRIP FELL-A TO PROVIDE OLDER AMERICANS ACT PROGRAMS AND SERVICES TO SUPPORT SENIORS IN STAYING INDEPENDENT AND IN THEIR OWN HOMES, TO AVOID TRANSITIONING TO A HIGHER LEVEL OF CARE. IT'S ALWAYS BEEN A MANDATE OF ENHANCED OUTREACH TO VULNERABLE ELDER POPULATIONS, DEFINED AS LOW INCOME, RACIAL AND ETHNIC MINORITIES, FRAIL INDIVIDUALS, LIMITED ENGLISH PROFICIENCY AND SO ON, WITH NO MENTION OF LGBT TRIPLE-A LEADERSHIP, ELDERS IN OUR COMMUNITY, FRIENDLY HOUSE STAFF, AND MEMBERS OF THE COMMUNITY AT LARGE CONVENED TO DISCUSS WAYS OF BRINGING NEEDED SERVICES AND OPPORTUNITIES TO THIS POPULATION IN A WAY THAT WAS RESPECTFUL OF THE CONCERNS THAT THEY WERE RIGHTFULLY EXPERIENCING. THUS, GAY AND GRAY WAS BORN. IN ITS EARLY DAYS, GAY AND GRAY FOCUSED ON DEVELOPING A RICH ARRAY OF ACTIVITIES THAT OFFERED RECREATION AND SOCIALIZATION OPPORTUNITIES IN AN EFFORT TO REDUCE THE ISOLATION AND DEPRESSION THAT OFTEN BOLD -- BEFALLS OLDER LGBT ADULTS. IT WAS ALSO THE INTENTION THAT THE ACTIVITIES WOULD WARM PEOPLE TO FRIENDLY HOUSE, AN OPPORTUNITY FOR THIS COHORT TO SEE FOR THEMSELVES THAT WHILE OUR ORGANIZATION DOES NOT EXCLUSIVELY SERVE LGBT PEOPLE, WE WERE COMMITTED TO PROVIDING OPPORT THEM AND THAT WE ARE A WELCOMING SAFE PLACE FOR THEM TO SEEK SERVICES WITHOUT FEAR OF DISCRIMINATION. FOR TEN YEARS, WE'VE BEEN POUNDING AWAY AT LEADERSHIP TO IMPRESS UPON THEM THAT LGBT ELDERS ARE IN FACT A VULNERABLE SENIOR FOCUSED ATTENTION AND FUNDING TO BE APPROPRIATELY SERVED. I'M THRILLED TO REPORT THAT JUST WEEKS AGO, WE LEARNED THAT OUR LOCAL TRIPLE-A WILL BE BROAD DENYING THE DEFINITION OF VULNERABLE LAITIONS TO INCLUDE LGBT ELDERS AND HAVE ASKED TO PROVI CULTURALLY SPECIFIC PROGRAMMING TO THIS COHORT. IF IT'S SUCCESSFUL, IT WILL BE THE FIRST GOVERNMENT FUNDING WE'VE RECEIVED FOR THIS PROGRAM. OVER THE YEARS, WE'VE HEARD MURMURING THAT THIS SHOULD HAVE BEEN DEVELOPED IN AN ORGANIZATION THAT EXCLUSIVELY SERVES THE LGBT COMMUNITY, BUT OVERWHELMINGLY THE FEEDBACK FROM OUR SENIORS IS BECAUSE WE OFFER PROGRAMS TO PEOPLE OF ALL AGES, BACKGROUNDS, IN FACT, THAT WALKING INTO OUR DOORS OFFERS THEM SOME AND NONE NIM IT IN THAT WE DON'T TRADITIONAL LGBT SETTING. IN 2001, WE LAUNCHED OUR DIVERSITY TRAININGS WHICH WON ACCLAIM BOTH LOCALLY AND NATIONALLY. THE HEART OF OUR TRAINING IS THE ELDER PANEL, A GROUP OF GAY, LESBIAN, BISEXUAL, AND TRANSGENDER ELDERS W TO SHARE THEIR DEEPLY HARD-FELT -- HEART-FELT STORIES. WE HAVE A SPEAKERS BUREAU OF OVER 15 PANELISTS THAT WE CALL ON TO SPEAK TO DIFFERENT AUDIENCES ON DIFFERENT ISSUES. TO THE SENTENCE WE'RE ABLE, WE SELECT SPEAKERS WHO'S STORIES REFLECT THE EDUCATION NEEDS OF THE AUDIENCE WE'RE ONE EXAMPLE WOULD BE WHEN WE'RE SPEAKING TO NURSING STUDENTS ARE OUR PANELISTS FOCUS ON ISSUES THAT THEY HAVE HAD IN THE MEDICAL COMMUNITY. SPEAKING TO HOUSING PROVIDERS, THEY'RE ADDRESSING HOUSING RELATED EXPERIENCES. SEVERAL COLLEGES AND UNIVERSITIES HAVE BUILT THE DIVERSITY TRAINING INTO THEIR CURRICULUM FOR NURSING AND PARTICULAR. WE WERE PLEDGED BY THE CHAIR OF THE BEHAVORIAL SCIENCES DEPARTMENT AT THE UNIVERSITY OF PORTLAND, THAT HAS BEEN HOSTING THE TRAINING FOR OVER TEN YEARS. DR. ROGERS WAS INTERESTED IN DOING A RESEARCH PROJECT BASED ON THE DATA COLLECTING FROM TRAINING PARTICIPANT SURVEYS SINCE 2007. HER TEAM HAS COMPILED AND ANALYZED THE DATA AND PRELIMINARY RESULTS SHOW THAT OF THE 600-PLUS RESPONDENTS, OVER 93% FOUND THE TRAINING EXCELLENT OR VERY GOOD AND 91% SAID THE PANEL WAS A COMPELLING COMPONENT THAT WILL CHANGE HOW THEY WORK WITH LGBT PEOPLE IN THEIR FUTURE CAREERS. THE FULL RESULTS HER FILEDINGS ARE GOING TO BE SHARED AT A NATIONAL SOCIAL WORK CONFERENCE HAPPENING HERE IN WASHINGTON, D.C., IN DR. ROGERS ALSO SHARED WITH US THAT SINCE SHE'S BEEN OFFERING THE TRAINING FOR HER STUDENTS, A HANDFUL HAVE CHANGED THE THE COURSE OF THEIR STUDIES TO FOCUS ON THE MENTAL HEALTH NEEDS OF THIS COMPLNT. FROM ROGERS HERSELF SOLD -- DR. ROGERS HER SELF THOLE US THE OTHER DAY THAT SHE'S TAKING SABBATICAL NEXT SUMMER TO GO TO THE KINSEY INSTITUTE TO RESEARCH LGBT ELDERS HAS A RESULT OF HER EXPOSURE TO THE PANEL. WE'VE FACILITATED ABOUT 25 TRAININGS A YEAR AND REACH THOUSANDS OF STUDENTS AND PROFESSIONALS. IN THE LAST TWO YEARS, WE REFOCUSED OUR EF THE TRAININGS MORE TOWARDS HOUSING PROVIDERS. PROVIDENCE ELDER PLACE HAS BEEN A REALLY IMPORTANT PARTNER IN THIS EFFORT. PROVIDENCE ELDER PLACE EMPLOYS THE PACE MODEL OF SERVICE DELIVERY AND HAS FIVE COMNTS LOCALLY THAT SUPPORT BOTH PRIVATE PAY AND MEDICAID ELDERS BY PROVIDING MEDICAL CARE, SOCIAL ENGAGEMENT, AND ELDER PLACE HAS HAD ALL OF THEIR STAFF RECEIVING THE TRAINING FROM THEIR HIGH REST LEVEL ADMINISTRATION STAFF TO THEIR DOCTORS, NURSES, CARE GIVING STAFF, AND MORE RECENTLY ARE HAVING THE RESIDENTS OF THE TRAINING. THE RESIDENT TRAININGS ARE A CRITICAL COMPONENT OF CREATING A WELCOMING ENVIRONMENT FOR LGBT OLDER ADULTS, AND WE'RE DOING MORE OF THE RESIDENT TRAININGS THROUGH OUR HOUSING ASSESSMENT PROGRAM WHICH I'LL BE SPEAKING MORE TO LATER. AS A RESULT OF OUR AFFILIATION WITH SAGE, FORMALIZED, I THINK THIS LAST WEEK, WE WERE ABLE TO HAVE OUR GAY AND GRAY COORDINATOR TRAINED IN THEIR AMAZING CURRICULUM, WHICH GIVES US A WHOLE ANOTHER TOOL TO USE IN EDUCATING OUR COMMUNITY ON THE STRENGTHS AND CHALLENGES OF THIS VULNERABLE POPULATION. IN 2010, GAY AND GRAY ADOPTED A FELLOW NONPROFIT IN OUR AREA CALLED SHARE, AND IT'S AN ACRONYM, SENIOR HOUSING AND RETIREMENT ENTERPRISES. SHARE STARTED AT ABOUT THE SAME TIME AS GAY AND GRAY BACK IN EARLY 2000 AND WE WERE FOCUSING ON EDUCATION, IN-HOME SERVICES, CASE MANAGEMENT, AND ACTIVITIES, SHARE WAS FOCUSED ON THE MISSION OF BUILDING LGBT HOUSING. THEY LATER MODIFIED THEIR MISSION TO INCLUDE IDENTIFYING GAY FRIENDLY WHEN THEY APPROACHED US TO ASK IF WE WOULD BE WILLING TO CARRY ON THEIR MISSION THROUGH GAY AND GRAY, WE ENTHUSIASTICALLY AGREED. TWO MINUTES? OH, MY GOODNESS. TIME GOES. OKAY. I'M SKIPPING STUFF. ABOUT THE HOUSING ASSESSMENT -- WE HAVE AN ADVISORY TEAM THAT FOCUSES SPECIFICALLY ON ISSUES OF HOUSING, AND THEY HAVE DEVELOPED THIS HOUSING WORKING WITH LONG-TERM CARE PROVIDERS, ASSISTED LIVING, ADULT CARE HOMES, HOSPICE, TO HELP GET THEM READY TO EMBRACE THIS POPULATION IN THEIR COMMUNITIES. CREATING THE CHALLENGING AND RATHER THAN LOOKING AT AMENITIES OR COST OR LOCATION, WE WERE DEVELOPING AN ASSESSMENT TOOL TO EVALUATE A FEELING AND SENSE ABOUT AN ENVIRONMENT WHILE MAKING THE ASSESSMENT AS OBJECTIVE AS POSSIBLE. LET'S SEE HERE. THE EVALUATING MORE THAN JUST THESE OBJECTIVE FACTORS. THEY'RE NONDISCRIMINATION POLICIES, DOES THEIR SHURCHES COVERAGE, DOMESTIC PARTNERS, HOW DO THEY HANDLE PEER CONFLICT AND DISCRIMINATION, DO THEY RECEIVE CULTURAL COMPETENCY TRAINING, ARE SOME OF THE THINGS THAT WE'RE LOOKING AT IN OUR ASSEME TOO WEEJU GUPIOTG IS PRRAANHEINIA SPSE S ENOSTDI. HE OTR- ANUER O LOL NGERCA CITI OAR ADTO ARWOIN WI AN AHEIN UN FINGOU PRES EL IG EOCS I PE TRSPEN NETILE A FLEXIB. DETA TT AL MMITS VE FFEN CUUR,BAIE A TRUT,UTSNGS WEE L WORNG WASHE AL SHEDESCTLOMMUTI, WEE MANGROES WE HOO CRTE LG-STG PATNSHSN ECOUNY WI ES BUNSE ATRE VEEDN SEINHIS POPULIO AE ARE ITSNOINND BE PUTI CE, AT DIS FACILITIES FOR NONCOMPLIANCE. INSTEAD, WE WANT TO BE A RESOURCE TO THESE COMMUNITIES SO THAT THEY CAN SEE THE THEIR SETTINGS. >> THAT IS A RCT MMY STEMENT [ UGTE] IWIEDI Y CTALYID AN Y UC M AH AN-IAAN NO THEN IS GOGOKO U AUT T PRRA ILOANLE NES THEN SLIAN AGN'MHE NTCT NI RVICEST E A.AY ANLEBITE TH NT ST LEAT 40ANNERRY HE ROGRAM F OU, A IN, LTRA ARTS, HIV PREVENTION, AND SE WE'RE SORT OF THE UP AND COMING DEPARTMENT WITHIN THIS MUCH LARGER ORGANIZATION, AND WE'RE SUPPORTED A COUPLE OF YEARS AGO BY THE ADMINISTRATION ON AGING AND HAIR COMMUNITY INNOVATIONS AND AGING IN PLACE GRANT. AND IS REALLY DIVIDED INTO THREE LARGE CHUNKS. WE HAVE ENRICHMENT PROGRAMMING, WE OFFER ABOUT 80 DIFFERENT ACTIVITIES FOR SENIORS EACH MONTH. MOST OF THEM AT ONE OF OUR WHICH IS KIND OF -- IT HAS A CAMPUS FEEL TO IT. AND I DID LEAVE OUTSIDE WHERE THE POSTERS ARE, THERE'S SOME EXAMPLES AND PLEASE FEEL FREE TO TAKE ONE, OF OUR SENIOR NEWSLETTER THAT MONTH. THE ENRICHMENT PROGRAMMING IS REALLY TO BOLSTER THE SOCIAL SUPPORT NETWORKS OF LGBT SENIORS IN THE GREATER LOS ANGELES AREA AS WELL AS TO REDUCE THEIR ISOLATION. ONE THING THAT WE MO IN LOS ANGELES IS ANGELES IS THAT BETWEEN 64 TO 75% OF SENIORS LIVE ALONE AND THAT TYPE OF ISOLATION CAN BE RATHER DETRIMENT TAL TO THEM, BOTH FOR THEIR MENTAL HEALTH, BUT ALSO FOR THEIR PHYSICAL HEALTH SO OFFERING AN CONFIRMING, SUPPORTIVE ENVIRONMENT FOR PEOPLE TO ACTUALLY BE ENGAGED AND CONTINUE TO LEARN AND GROW IS IMPORTANT TO US. THE OTHER ASPECT THAT IS PART OF OUR PROGRAM IS ACTUALLY TRAINING PROVIDERS, SO SIMILAR TO WHAT MAIA WA LKGAU AI TULYAV GE ROH T INW AINGYES AWH IAS APOLASINT AIT ISFAASCO VEHE PEL RA BH SML OVER ORODE IHOAR BU AL STARTED TRAINING WORKERS AS WELL, WE JUST TRAINED AGING PROTECTIVE SUSPENDS OF SERVICES OF OERGEG COUNTY WHICH WAS A GREAT OPPORTUNITY AND TRAINING NEXT MONTH THE AGING DISABILITY SERVICES OF ORANGE COUNTY AS WELL, BUT ALSO WORK WITHIN THE CITY OF LOS ANGELES AND THE IDEA IS THAT WE CAN'T OBVIOUSLY PROVIDE THE SERVICES FOR EVERY SENIOR IN LOS ANGELES, BUT YOU KNOW, DEPENDING ON WHAT SIDE YOU COME DOWN ON IN TERMS OF THE SIZE OF THE POPULATION OF LGBT SENIORS IN L.A., IT'S BETWEEN 19,000 AND 89,000 LGBT SENIORS WITHIN THE COUNTY OF LOS ANGELES. CLEARLY, WE DO NOT H CAPACITY TO PROVIDE SERVICES FOR ALL OF THOSE PEOPLE, SO WE SIMILAR TO WHAT MAIA IS DOING IN PORTLAND AND PROBABLY WHAT HOPE IS DOING TOO, WHAT MANY OF US ARE DOING IS TO WORK WITH PEOPLE WHO ARE ALREADY PROVIDING SERVICES SO THAT THEY CAN LEARN HO COMMUNITIES, AND WE JUST TRAINED OUR 800th PERSON AT A SMALL BOARD AND CARE FACILITY, ACTUALLY, IN SHERMAN OAKS LAST WEEK. AND THEN THE THIRD PART OF THE PROGRAM IN OUR I'VE BEEN ASKED TO TALK A LITTLE BIT MORE ABOUT, IS OUR CASE MANAGEMENT -- OH, THANK YOU. YOU'RE RIGHT. LET'S SEE. I MIGHT HAVE TO CALL MICHAEL. OH, MY GOSH. >> VERY GOOD, IT WORKS. >> OKAY. THE THIRD PART OF THIS PROGRAM IS OUR CASE MANAGEMENT PROGRAM, SO WE HAVE TWO CASE MANAGERS WHO STAFF THAT ARE PROVIDING WHAT WE CALL SHORT-TERM CASE MANAGEMENT SERVICES, AND -- I CAN'T REMEMBER WHO IT WAS. I THINK I WAS KAREN WHO SAID THE NUMBER ONE THING THAT PEOPLE SAID IN THE SURVEY WAS THAT THEY NEED HOUSING. WELL, THAT'S DEFINITELY TRUE OF WHAT WE FIND WITHIN OUR CASE MANAGEMENT SERVICES AS WELL. HOUSING IS THE NUMBER ONE NEED FOR SENIORS THAT COME PROGRAM. I ALSO ALWAYS PUT THIS OUT, THAT IN CALIFORNIA, THE OTHER GREAT NEED IS FOOD INSECURITY BECAUSE SENIORS ON SSI, THESE ARE OUR POOREST SENIORS IN CALIFORNIA, ARE NOT ELIGIBLE FOR FOOD STAMPS BECAUSE EACH MONTH, THE CALIFORNIA GIVES THEM $24 AS PART OF THEIR FOOD ALOUNS. SO -- ALLOWANCE, SO WE HAVE A GREAT NEED FOR SUPPORT IN TERMS OF GETTING PEOPLE ENOUGH FOOD, QUALITY FOOD TO EAT EACH MONTH. CASE MANAGEMENT, LIKE I SAID, WE ALSO ARE ABLE TO REFER PEOPLE OUT. BOTH TO SERVICES WITHIN OUR OWN ORGANIZATION, WHICH IS INCREDIBLY HELPFUL, AND ONCE PEOPLE COME IN TO THE CASE MANAGEMENT MEETING OR OFFICE, GETTING REFERRED WITHIN THE ORGANIZATION FEELS VERY EASY TO THEM AND WE KNOW THE SIMPLER WE MAKE ACCESS TO CARE FOR PEOPLE, THE QUICKER THEY CAN GET INTO CARE, THE MORE LIKELY THEY ARE TO ACTUALLY ACCESS IT, SO THAT PROGRAMMING, JUST THE INTERNAL REFERRALS WE CAN MAKE TO OUR MENTAL MELT DEPARTMENT AND -- HEALTH DEPARTMENT AND HOW OUR CLINICING ACTUALLY STARTING TO OFF OFFER AND WE STILL HAVE TO FIGURE THIS OUT WITH THE CHANGE TO THE AFFORDLEHETHRECT ANTH ROMEITN MECA A TCHGE TODU NECIY,UTE' ARNG FEHELTARS LL T SEOR THEXRN FEALOMOM TH RK TT W WI AING WEPRID - WOTON GOUT AN DOHERAINUTWEAV A ET EXNSE INRVW D QUTINAEROSSNDEN FOOWP AT YOHO NTTOTAYON RFEAL LI,AV NIS RERR T EMFOSVIS,NES T BAICLYETA FSH CUR EA YRND I TNK TT E TNG TTEWODBEFI O SI' ITEESD N ALNGOOU A OERS JUHEONIN TING HEPVIRSANHE ONIN Y NO UKEPI I TOHIT EMO ME SU ATTH A NTUI T PRID TREN OPINAN WECONGOMNI. 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WE TRY TO PROVIDE SERVICES THAT HIT ALL OF THOSE AREAS. WE CURRENTLY OFFER WHAT I WOULD SAY ARE CORE PROGRAMS. WE ALSO DO REFERRALS TO OUTSIDE SOURCES AS WELL. BUT OUR CORE PROGRAMS INCLUDE A CONGREGATE MAIN PROGRAM. WE PROVIDE A BOXED LUNCH. IT'S VERY, VERY AMAZING. I GIVE A SHOUT-OUT TO SERINA. SERINA WAS MY PREDECESSOR AND REALLY LAID THE FOUNDATION FOR AN AMAZING PROGRAM. WE'RE TRYING TO BUILD ON THAT. IN ADDITION TO THE CONGREGATE MEAL PROGRAM WHICH SERVES AS A PORTAL TO OTHER ACCESS SERVICES -- AND FOLKS TALKED ABOUT ISOLATION, DEPRESSION. ALL THOSE THINGS WE SEE AS WELL. SO THE CONGREGATE MEAL PROGRAM DRAWS PEOPLE IN AND THEN WE TRY TO ENGAGE THEM IN OTHER ACTIVITIES. WE HAVE EDUCATIONAL ACTIVITIES, WE HAVE WELLNESS, WE DO YOGA, STRETCH AND STROLL. WE HAVE A FRIENDLY VISITOR PROGRAM WHERE WE MATCH A TRAINED VOLUNTEER WHO COMMITS TO WEEKLY VISITS WITH AN ISOLATED OR HOME-BOUND LGBT SENIOR. WE ALSO HAVE A HOME SHARING PROGRAM THAT WAS LAUNCHED LAST YEAR, AND WE'RE VERY, VERY EXCITED ABOUT THE PROGRAM. WE'RE TALKING ABOUT DIFFERENT MODELS THAT CAME UP BECAUSE WE KNOW THAT ONE SIZE WILL NOT FIT ALL. SO WE HAVE TO COME UP WITH DIFFERENT OPTIONS FOR FOLKS. AND THIS OPTION, I THINK, WILL REALLY HELP FOLKS TO AGE IN PLACE. WE MATCH OLD ADULTS THAT ARE HOMEOWNERS WITH WELL-SCREENED, QUALIFIED RENTERS. WE TRY TO -- AND THE PROGRAM HAS BEEN IN EXISTENCE FOR JUST OVER A YEAR. SO WE'RE KIND OF TWEAKING AND ADJUSTING AS WE GO ALONG. INITIALLY WE THOUGHT, OKAY, WE WOULD MATCH MUCH OLDER ADULTS, 75, 80 WITH YOUNGER ADULTS. AND THE YOUNGER FOLKS WOULD SORT OF HELP OUT WITH HOUSEHOLD CHORES, TAKE OUT THE GARBAGE, MAYBE HELP WITH TAKING FOLKS TO DOCTOR VISITS, THAT KIND OF STUFF. WHAT WE'VE SEEN THOUGH IS THAT WE'RE GETTING MUCH YOUNGER PEOPLE, BOTH AS HOMEOWNERS AND RENTERS. IT COULD JUST BE -- COULD BE A WHOLE HOST OF REASONS. MAYBE MARKETING. WE'RE NOT HITTING THE OLDER PEOPLE AS YET. BUT WE'RE VERY EXCITED. WE'VE MATCHED FIVE FOLKS SO FAR. WE HAVE FIVE IN THE HOPPER. AND WE SEE THIS REALLY AS A WIN-WIN SITUATION. SO THE RENTER GETS TO LIVE IN A HIGHLY DESIRABLE NEIGHBORHOOD. LOVELY HOME. THE PROVIDER GETS NOT ONLY COMPANIONSHIP BUT A SUSPENSE WITH THE RENT OR MORTGAGE. SO WE THINK THIS IS A REALLY GOOD MODEL. AND HOME SHARING HAS BEEN AROUND FOR LOTS AND LOTS OF YEARS. IT'S A MODEL THAT WE'RE TRYING TO USE WITH OUR LGBT OLDER ADULTS. WE ALSO HAVE AN INFORMATION REFERRAL PROGRAM, WHICH I WON'T GO INTO BECAUSE WE KNOW WHAT THAT MEANS. WE HAVE CONSTITUENT ADVOCACY PROGRAMS. PEOPLE GO OUT AND DO THE TRAINING OR EDUCATION FOR POLICY MAKERS, PROVIDE OR OTHER OLDER ADULTS. AND WE'VEEEN INCREDIBLY, YOU KNOW, SUCCESSFU WITH -- I THINK WE HAVE ABOUT 12 ADVOCATES THAT HAVE GIVEN TESTIMONY, WHO HA PROVIDED TRAINING FOR PROVIDERS. SO WE'RE VERY, VERY THRILLED TO HAVE THAT PROGRAM. ON THE HORIZON, AFFORDABLE HOUSING. SO CENTER AND HOLSTED IS PARTNERING WITH THE CENTER FOR HUMAN RIGHTS. THEY HAVE BEEN AROUND A GAZILLION YEARS. THEY PROVIDE A WHOLE HOST OF SERVICES IN CHICAGO. ONE OF THE BIG SERVICE UNITS IS HOUSING. WE ARE PARTNERING WITH THEM TO CREATE HOUSING FOR SENIORS 55 AND UP, LOW TO MODERATE INCOME SENIORS. WE'RE LOOKING AT APPROXIMATELY 75 UNITS. THIS WILL BE -- IT'S AMAZING HOW I WILL NOT -- I WILL HAVE TIME LEFTOVER. BUT -- >> NOBODY HAS TIME LEFTOVER. >> BUT THE CENTER AND HOLSD -- THERE'S A MODEL OF THE UNIT. SO CENTER AND HOLSTED IS JUST A LITTLE BIT NOR OF THE PROPOSED HOUSING. INITIALLY THERE WAS GOING TO BE A BRIDGE TO THE CENTER, BUT I DON'T THINK THAT'S GOING TO WORK. THERE'S A POLICE -- IT'S AN OLD POLICE STATION. IT'S LIKE THE OLDEST POLICE STATION IN THE NATION. AND THE POLICE HAVE A DRIVEWAY THAT THEY'RE NOT ABOUT TO GIVE UP. SO WE CAN'T BUILD THAT BRIDGE. CAN YOU IMAGINE? IT WOULD HAVE BEEN WONDERFUL. BUT FOLKS WILL HAVE HOPEFULLY EA ACCESS TO CENTER AND HOLSTED AND ALL THE SVICES TH WE TALKED ABOUT BECAUSE IT'S SO CRITICAL. IT'S NOT JUST ABOUT PROVIDING HOUSING FOR FOLKS. BUT A COMMUNITY AND SUPPORTIVE HOUSING. AND WE HAVENTAL HEALTH AND WE WOULD LOVE, LOVE TO EXPAND THE CURRENT SERVICES THAT WE OFFERED. UNLIKE YOU, WE DON'T HAVE A CASE MANA SO MY STAFF, THEY DO CASE MANAGEMENT, ALTHOUGH TECHNICALLY THEY'RE NOT CAS MANAGERS. SO CENTER AND HOLSTED WILL ASSIST IN THE PROPERTY MANAGEMENT AS WELL AS THE DEVELOPMENT AND ILEMENTATION OF SOCIAL SERVICE AND COMMUNITY PROGRAMS. CONSTRUCTION IS SCHULED FOR NEXT YEAR. WE'RE HOPING TO BREAK GROUND NEXT YEAR. AND I THINK WITH A GRAND OPENING HOPEFULLY IN 2014 OR 2015. WE HAVE FUNDING BUT A WHOLE HOST OF FOLKS WHICH I WON'T GO INTO. I'M OPEN TO QUESTIONS THAT YOU ALL MAY HAVE. >> THANK YOU FOR THE PLAN. >> THANKS. [APPLAUSE] I THINK WHAT YOU WERE ABLE TO AR THIS MORNING, PEOPLE ARE WOING IN LOCAL COMMUNITI TO PROVIDE CRITICAL SERVICES TO HELP OLDER LGB PEOE AGE IN PLACE. ALSO TO PROVIDE SOME CREATIVE AFFORDABLE HOUSING. I THIN THE CRITICAL THING, IF YOU WRAP TOGETHER WHAT MARAND MICHAEL TALKED ABOUT THIS MORNING AND YOU TALK ABOUT THE FINANCIAL CHALLENGES THAT LGBT PEOPLE FACE AS WE AGE, WENOW THAT THE IMPORTANT PIECE IS LOW INCOME AND AFFORDABLE HOUSING. SO AS WE TALK THROUGH THIS THIS AFTERNOON, YOU'LL HEAR SOME MODELS OF THAT. IT'S GRE TO HEAR ABOUT THE DIFFERENT MODELS THAT ARE GOING ON AND THE CREATIVITY OF HAVING PEOPLE SHARE HOUSING AND THE THINGS THAT YOU'RE DOING IN CHICAGO. SO WE WANT TO OPEN THE TIME NOW FOR QUESTIONS ANDANSWERS. FOR THE FKS WHO ARE WATCHIN US ONLINE,LEASE REMEMBER THAT YOU CAN SEND IN QUESTIONS OR YOU CAN TWEET QUESONS. WE WON'T TWEET OUR ANSWERS. QUESTIONS FRO THE AUDIENCE. I'M CURIOUS THEAR MORE ABOUT THE SPECIFICS BO THREE OF YOU, FOR HOW YOU ARE MANAGING THE FINANCING AROUND THE CREATION OF THE HOUSING. YOU KNOW, WHAT -- WHO ARE YOU WORKING WITH. IS IT PUBLIC/PRIVATE PARTNERSHIPS, ET CETERA. >> YES. ALL OF THAT. [LAUGHTER] SO UTHING RHT W, WHICH IS NOT SERED, I THINK WE JUST SUCCESSFULLY CPETED TO GET THE ND TO BUILDHE HOUSING. SO NOW WE'RE WORNGN THE FINANCING PIECEFIT. SO WHAT I HAVEERE ARE FOLKS THATE'RE GOINGAFTER. SO THERE'S THE CHICAGO COMMUNITY LOAN FUNDERS, ILLINOIS FACILITIES FUND WE'RE ALSO GOING AFTER LOW INCOME HOUSING TCREDIT CITY, STATE AND PRIVATE FUNDG. I WISH I COD SPEAKORE TO THAT. THAT'S WHAT I HAVE RIGHT NOW. AND I THINK THAT ACTUALLY - I KNOW THAT SETH WILL TALK MORE ABOUT THIS AT A LATER PANEL ABOUT THE FUNDING. I ASSUME YOU AR PUTTING YOUN THE SPOT. WE'RE STILL IN THE PROCESS OF FINALIZING -- OBTAINI OURAND SO WE HAVEN'T TAKEN THAT NEXT EP. >> AT THE TSK FORCE, BARBARA STATTON WEARS A CPLE HATS. THERE'S AN ORGANIZATION IN MINNEAPOLIS THAT HASN'T BROKE GROUND YET, BUT THEY WILL BE OPENING SPIRION THE LAKE, WHICH WILL BE LOW COST HOUSING 44 -- 43 OR 46 LGBTPEOPLE. ANYMORE QUESTIONS? >> HI. I'M LARRY FROM PHILADELPHIA. I WAS WONDERING IF YOU COULD DESCRIBE HOW YOUR AGING SERVICE COMMUNITY AND YOUR LGBT SERVICE COMMUNITY ARE WORKING TOGETHER OR NOT WORKING TOGETHER. >> COMMITTEES? WAS THAT THE QUESTION? >> COMMUNITIES. >> OH, COMMUNITIES. YEAH, YEAH. I GUESS -- CERTAINLY IN OUR SITUATION IN PORTLAND, WE HAVE HAD INCREDIBLE SUPPORT FROM OUR LOCAL AAA. WITHOUT IT, I DON'T KNOW THAT WE WOULD HAVE MADE AS MUCH PROGRESS AS WE HAVE TO DATE. WE HAVE MEMBERS OF OUR AAA THAT SIT ON OUR ADVISORY TEAM. THEY'RE CONSTANTLY KEEPING THEIR EYE US. FOR US IN OUR SITUATION, THE PARTNERSHIP HAS BEEN VERY STRONG. YEAH. I MEAN, WE'VE HAD -- OUR GAY SENIORS HAVE BEEN INVITED TO PARTICIPATE IN EVERY COUNTY LEADERSHIP MEETING. I MEAN, I CAN'T SAY ENOUGH ABOUT THE SUPPORT THAT WE HAVE RECEIVED FROM OUR LOCAL AAA IN SPECIFIC. >> IN LOS ANGELES, IT MIGHT BE TRUE AND OTHER LARGE CITIES, THE CITY OF LOS ANGELES IS ITS OWN AAA AND THE COUNTY IS THE AAA AS WELL. IN -- WE'RE WORKING TO ESTABLISH STRONG RELATIONSHIPS. I'M WORKING WITH THE L.A. CITY AAA. ACTUALLY TRAINING FOR THE MULTIPURPOSE CENTERS, WHICH WE HAVEN'T BEEN ABLE TO DO AS OF YET. PART OF THAT IS JUST STRUCTURE, HOW THE TRAINING GOT SET UP AT THE L.A. GAY AND LESBIAN CENTER. BUT FOR US, IT'S REALLY KIND OF A RICHFIELD. I COME FROM PORTLAND. I'M USED TO A VERY CLOSE RELATIONSHIP WITH THE AAA. AND -- WITH THAT BEING SAID, THERE'S LOTS OF PEOPLE THAT HAVE ARRIVED SERVICES THROUGH L.A. COUNTY, L.A. CITY, ORANGE COUNTY. PEOPLE ARE LITERALLY COMING OUT OF THE WOOD WORK TO GET TRAINED, TO ACTUALLY BUILD THEIR CULTURAL COMPETENCY FOR THEIR INDIVIDUAL PIECE OF SERVICE DIVISION. SO THAT IS VERY HOPEFUL FOR US. >> IN CHICAGO, I THINK THERE'S A SIMILAR SCENARIO. WE'VE HAD TREMENDOUS RESPONSE FROM MAIN SERVICE, AGENT PROVIDERS, WANTING TO BE TRAINED ON BEING CULTURALLY COMPETENT, TO PROVIDE CARE TO LGBT OLDER ADULTS. WE WORK WITH THE MAYOR'S OFFICE. WE'RE FUNDED BY THE CITY OF CHICAGO FOR CONGREGATE MEAL PROGRAMS. WE WORK WITH A LOT OF MAIN STEAM PROVIDERS LIKE MATHERS LIFE, HEARTLAND ALLIANCE, WHICH WE'LL BE DOING THE SENIOR HOUSING WITH. SO FOLKS ARE CLAMORING AT OUR DOORS TO WORK WITH US. WE HAD A WELLNESS FAIR THIS PAST SEPTEMBER AND HAD OVER 40 VENDORS COME AND BE A PART OF THAT. SO I THINK THE RESPONSE HAS BEEN REALLY INCREDIBLE AND WANTING TO GENUINELY OR MAYBE THEY SEE IT AS A MARKET TO REACH OUT TO. >> CAN I THINK NATIONALLY? I WANT TO GIVE A SHOUT OUT TO MINNEAPOLIS TODAY. REGENE MOORE AND KELLY MALCOLM. THEY WORK WITH THE AREA AGING SERVICES TO DO READINESS TO SERVICE. THERE'S A LOT OF WILLINGNESS TO RECEIVE TRAINING, TO PROVIDE SERVICES AND THERE'S SOME -- DEPENDING UPON LOCATION AND WHATEVER, BUT I THINK THE IMPORTANT PIECE OFHAT IS THE WILLINGNESS OF THE NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING TO WORK COLLABORATIVELY WITH THE LGBT COMMUNITY TO PROVIDE AND REACH OUT AND SEE WHERE THE SERVICES AND THE TRAINING THAT IS NECESSARY TO PROVIDE THEM CAN BE AVAILABLE. >> THANK YOU ALL SO MUCH. THIS IS FAASTIC. MY ANECDOT EXPERIENCE AS AN ADVOCATE IS THAT TRANS-GENDER ELDERS IN PARTICULAR, MANY ARE SO FEARFUL AND ISOLATED THAT THEY'RE NOT PARTICIPATING IN ANY KIND OR RESOURCES. I WAS CURIOUS. WHAT ARE YOU HEARING FROM THE GROUPS YOU'RE PARTNERING WITH? ARE PEOPLE SEEING TRANS-GENDER CLIENTS? AND IF SO, HOW IS THAT GOING? >> WELL, I CAN'T SAY THAT I'M HEARING FROM OTHER SERVICE PROVIDERS ABOUT TRANS-GENDER SENIORS. AND YOU KNOW, IN OUR PROGRAMMING, WE HAVE TRANS-GENDER SENIORS THAT ARE INVOLVED BUT NOT NEARLY THE NUMBERS THAT WOULD REPRESENT THE TRUE POPULATION. YOU KNOW, WE HAVE TO DO A BETTER JOB ABOUT CREATING SAFE SPACE FOR OUR TRANS-GENDER SENIORS. WE'VE DONE THIS WITH OUR MONO LINGUAL AND BILINGUAL SPANISH-SPEAKING SENIORS AND SAW A HUGE INFLUX OF PEOPLE. ONE OF MY MANAGERS, GABRIELLE MARTINEZ, IS NOW PUTTING TOGETHER A SMALL SUPPORT GROUP, KIND OF A CHAT GROUP AT FIRST, FOR TRANS-GENDER SENIORS. WHAT WE FOUND IS WHILE WE HAVE A LOT OF PROGRAMMING THROUGHOUT THE LESBIAN AND GAY CENTER, THE GROUP THAT WAS MEETING, PARTICULARLY WOMEN, TRANS-GENDER WOMEN THAT WERE MEETING WEREN'T HAVING THEIR ISSUES ADDRESSED. THEY WERE TRANS-GENDER WOMEN IN THEIR 20s, 30s. THEY WERE IN THEIR 60s AND 70s, TOTALLY DIFFERENT LIFE EXPERIENCE, AND THEY DIDN'T ACTUALLY FEEL COMFORTABLE TALKING ABOUT THE ISSUES THAT THEY WERE HAVING. SO WE'RE NOW WORKING WITH THEM TO ACTUALLY ESTABLISH AND OPEN SPACE FOR THEM. I THINK THAT WE'RE DOING A BETTER JOB. I THINK THEY'RE -- JUST WITHIN OUR ORGANIZATION THERE'S MORE THAT WE CAN DO. AND I REALLY HAVEN'T HEARD OF PEOPLE DOING ANY TYPE OF OUTREACH OR PROVIDING ACCESS TO THAT GROUP. >> I WOULD SAY DITTO. I THINK WE CAN DO A MUCH BETTER JOB OF PROVIDING SPECIFIC AND TAILORED SERVICES FOR TRANS-GENDER OLDER ADULTS. WE ALSO NEED TO DO A BETTER JOB IN REACHING HIV POSITIVE OLDER ADULTS AND WOMEN. WE ARE JUST NOT REALLY REACHING THOSE GROUPS. SO WE'RE CONSTANTLY CHALLENGED AS I'M SURE MANY OF YOU WHO WORK IN NONPROFIT SETTINGS, WE HAVE LIMITED RESOURCES. LIKE I SAID, WE HAVE TWO STAFF MEMBERS TRYING TO PROVIDE ALL THESE SERVICES. IT'S CERTAINLY SOMETHING THAT WE'RE AWARE OF, AND WE ARE TRYING TO DO SORT OF THE BEST THAT WE CAN. >> WE RECENTLY WERE AWARDED FUNDING FROM PRIDE FOR ENHANCING OUR OUTREACH FOR TRANS-GENDER SENIORS. WE'VE HAD AN INFLUX OF TRANS-GENDER SENIORS. NOT A LOT, BUT A HANDFUL. AND WE HAVE ACTIVITIES GEARED TOWARDS THAT COHORT COMING UP IN THE NEXT YEAR. MANY THANKS TO PRIDE FOR HELPING US DO THAT. >> I'M HOPING THAT AT SOM POINT THIS AFTERNO THERE WILL BE TALK OR MENTION OF THE TRANS-GENDER AGING NETWORK THAT IS A PROJECT FORAGE AND THE TRANS-GENDER EQUALITY GROUP. THEY WILL BE MEETING AND COMING OUT WITH SPECIFIC POLICY RECOMMENDATIONS FOR TRA-GENDER ELDERS. I'M LOOKING FORWARD TO HEARING ABOUT THAT AS WE GO THROUGH THE DAY. >> QUESTION? I WAS REALLY STRUCK BY WHAT MAYA SAID ABOUT HAVING SEVERAL POPULAONS, COMMUNITIES IN THE SAME SERVICE PROVIDING ANONYMITY. IT STRUCK ME AS A PARADOX THROUGHOUT THE HISTORY OF L AGING IS THAT SO MANY PEOPLE MOST IN NEED OF SERVICES ARE THE MOST ISOLATED AND LEAST LIKELY THE COME FORWARD. WE'RE TALKING ABOUT THE LGBT COMMUNITY AS IF THERE'S PEOPLE THAT ARE VERY WILLING TO IDENTIFIED. AND I THINK THAT IS SOMETHING -- WHAT YOU SUGGESTED IN THE MODEL IS SOMETHING THAT I THINK TO APPLY, EVEN WITH GAY AND LESBIAN OLDER HOUSING, THERE WAS AN BUILDING. MOST LIKELY IT WILL CHANGE WITH THE BABY BOOMERS TO SOME DEGREE. >> WHEN WE FIRST STARTED OUR PROGRAM TEN YEARS AGO, WE WERE CALLED ELDER RESOURCE ALLIANCE TO TRY TO GIVE PEOPLE THE OPPORTUNITY TO ACCESS SERVICES IN ANONYMITY. EVENTUALLY OUR GROUP SAID NO, WE'RE OUT AND WE WANT TO SAY WHO WE ARE AND BE THERE. SIDE TO WHERE OUR OFFICES ARE IN HOLLYWOOD AND COULD HAVE SOMEPLACE CLOSER TO HOME. I THINK IT'S A GREAT POINT. >> OKAY. >> TWO MORE QUESTIONS. >> QUICK QUESTION FOR THE THREE OF YOU. I'M JOYCE SILVER. THE QUESTION I HAD AND I WAS VERY ENCOURAGED BY TALKING ABOUT MEDICAL SERVICES AVAILABLE ON PREMISES AND FOOD AND PROGRAMS LIKE THAT. I'M WONDERING AT WHAT POINT DO ACTIVITIES OF DAILY LIVING PRESENT THEMSELVES FOR RESIDENTIAL SERVICES. AND WHEN -- IS THERE A PARTICULAR EVENT THAT DETERMINES SOMEBODY'S ALL THE MODELS WE'RE DISCUSSING? >> WE'RE TALKING ABOUT ADLs AND IDLs. ANYBODY KNOW WHAT THAT IS? ACTIVITIES OF DAILY LIVING. >> MAYBE NOT. >> MAYBE NOT. >> MAYBE PEOPLE ONLINE MIGHT NOT SO IF YOU GIVE A QUICK -- >> SO ACTIVITIES OF DAILY LIVING WAS A CONCEPT DEVELOPED BY CATS PROBABLY IN THE LATE 60s, EARLY 70s. SOMETHING LIKE THAT. BATHING, CLOTHING, FEEDING YOURSELF, TOILETING, TRANSFERRING. AND THEN THERE'S MANAGING DAILY FINANCES, GOING TO THE GROCERY STORE, COOKING FOR YOURSELF, WASHING YOUR CLOTHES. REALLY TAKING CARE OF YOUR LIFE FROM SOUP TO NUTS IS IDLs. AND I DON'T THINK THERE'S ONE THING THAT WOULD TRIGGER ONE ADL IN PARTICULAR THAT WOULD TRIGGER PEOPLE TO NO LONGER LIVE SUCCESSFULLY INDEPENDENTLY. BECAUSE IF YOU LOOK AT SENIORS, THERE'S A GREAT ARRAY OF FUNCTIONALITY THAT PEOPLE HAVE WITHIN THEIR OWN HOMES. PEOPLE REMAIN INDEPENDENT FOR QUITE SOME TIME EVEN THOUGH BE MIGHT SAY ON A FUNCTIONAL SCALE, THEY'RE ACTUALLY QUITE LOW PHYSICALLY. I DO THINK THAT -- WHAT I WANT TO EMPHASIS AND I DON'T KNOW ABOUT THE HOUSING MODEL YOU'RE DOING HOPE, BUT IT'S TOTALLY INDEPENDENT. IT'S THAT SERVICES CAN BE BROUGHT TO PEOPLE AND THAT THEY CAN COME DOWN AN ELEVATOR AND ACCESS CARE. IT'S NOT THAT WE'RE PROVIDING NURSING CARE. WE'RE NOT AN ASSISTED LIVING COMMUNITY. THERE ISN'T GOING TO BE THAT LEVEL OF CARE PROVISION. IT'S INDEPENDENT LIVING, BUT THERE'S SUPPORT THERE FOR THEM TO ACCESS AND FOR US TO HELP BRING IT INTO THEIR PERSONAL HOME. >> THAT'S THE MODEL THAT CHICAGO IS FOLLOWING AS WELL. I THINK THAT'S WHY IT'S SO CRITICAL FOR US TO WORK WITH OTHER AGENCIES. SO WHEN WE DO SEE THAT AND DETERMINE THAT SOMEONE NEEDS MORE THAN WE CAN OFFER THAT WE MAKE THOSE REFERRALS. AND THAT THEY'RE TRAINED AND ABLE TO PROVIDE QUALITY CARE FOR OUR FOLKS. >> I THINK THIS AFTERNOON WHEN WE HEAR MORE ABOUT PEOPLE KEEP THEIR INDEPENDENCE. OUR LAST QUESTION. >> MY QUESTION IS QUICK. IT'S A CLARIFICATION. I DON'T THINK I HEARD LIKE A DE MORNING. WANT TO MAKE SURE WE'RE ON THE SAME PAGE. >> GOOD LUCK IN GETTING A DEFINITION I. >> I WAS GOING TO SAY HOW DIFFERENT. >> IT'S SOMETHING THAT WE OFTEN SORT OF TUSSLE. AND I -- WE TUSSLE OVER THE TERMS "SENIOR", "ELDER", "OLDER ADULT." FOR MY PROGRAM, WE USE THE TERM "OLDER ADULT" AND PROVIDE SERVICES FOR THOSE 55 AND UP. >> AND OUR PROGRAM RANGES FROM 60 TO 102. I'D SAY ANYBODY UNDER 75 DOESN'T LIKE THE WORD "SENIOR" IN OUR PROGRAM. WE'RE LOOKING TO CHANGE THE WORDING OF OUR DEPARTMENT. ELDER IS A MOVING TARGET. THE AARP HOUSING SURVEY KEEPS GETTING YOUNGER AND YOUNGER. I THINK IT STARTED 65 AND WENT TO 60 AND NOW IT'S 55. I THINK IT MIGHT HAVE GONE DOWN TO 50. I'M 46. MAYBE NEXT YEAR I'LL BE PART OF IT. BUT YEAH, I THINK -- I KNOW. AT LEAST I DON'T HAVE MY HEAD WRAPPED AROUND WHAT IS AN ELDER OR WHAT IS A SENIOR. I THINK A LOT OF IT DEEMS WITH HOW WE VIEW DIFFERENT AT DIFFERENT FUNCTIONAL LEVELS. >> FOR THE PURPOSES OF OUR ACTUAL SERVICES, THE CASE MANAGEMENT, THOSE SERVICES ARE FOR PEOPLE 60 AND UP UNLESS THEY HAVE SOME SORT OF FORM OF DEMENTIA IN WHICH CASE WE COULD SERVE SOMEONE UNDER 60. WHEN WE'RE TALKING ABOUT GAY PARTICIPATES, THEY RANGE FROM 12 TO 102. OUR PARTICIPATES ARE ANY ALLIES WILLING TO GET IN THERE. THEY'RE VOLUNTEERS, THE PEOPLE ENGAGING IN SERVICES. MEMBERS OF OUR ADVISORY TEAMS. SO -- BEFORE AS FAR AS THE PEOPLE ACTUALLY RECEIVING SERVICES, IT'S GENERALLY 60 ANDIVE A ROU APPLAUSE AND THANK ALL OF OUR PANELS. [APPLAUSE] ME T LUSORRY. <u><i>PRESENT TO YOU ASSISTANT</i></u> SECRETARY, JOHN TRESVENIA. [APPLAUSE] INVOLVED WITH. NOT ONLY BECAUSE OF BEING ABLE TO LEAVE A TREMENDOUS GROUP OF OUR CAREER STAFF AROUND THE COUNTRY, BUT ALSO HAVE THE BEST INTERNSHIPS WAS IN 1978 WORKING IN THE MAYOR'S OFFICE IN SAN FRANCISCO. WORKING FOR THE MAYOR AND SEEING EVERY DAY HARVEY MILK AT THE BOARD OF SUPERVISORS FIGHTING <u><i>AL OPPORTUNITY, OUR</i></u> OFFICE RELEVANT TO THE 21st <u><i>AGAINST</i></u> PERSECUTION, THAT THIS IS AN ISSUE THAT IS CENTER MOST IN OUR NEIGHBORHOODS AND ALSO CENTER <u><i>THAT PERIOD OF TIME, WE HAVE</i></u> INCREASED THE NUMBER OF CALLS TO OUR HOTLINE ON LGBT HOUSING