This project is funded through the generous support provided by:

Going upstream

The quote below is from a US-based survey conducted back in 2009:

"Within the next two weeks I will be going into assisted living. Due to my financial situation, I will have to share a room with another man. The thought of going back into a closet is making me ill. Frankly, I’m afraid of telling anyone that I’m gay." 

                                                                — Anonymous, 73 years old, Sylmar, CA

We encourage you to access the full report at

Sadly, little has changed in the DECADE in which we have been aware of the issues faced by LGBTQI2S as they enter long-term care facilities.

Over the life of this project we discovered that there were many toolkits, courses, and modules aimed at increasing LGBTQI2S sensitivity in many workplace settings. What we have found to be missing in the equation right now, is that the utilization of these resources is at present very low.

Interestingly, and this is what may be at the core of the issue at the moment in long-term care, simply, that in many settings administrators feel they do not have any LGBTQI2S residents and/or it is felt that their mission to treat all people the same is a satisfactory position.

The first statement of course cannot fully be true across hundreds of long-term care homes, and in many ways this reflects the invisibility of this population in these settings. 

The second statement, sadly, falls short of being effective, because the missing component in the decree that an organization treats everyone the same, implies that they treat everyone as heterosexuals. 

By "Going Upstream" a large part of our project now, is focused on raising awareness to the issues among management, professional staff, and frontline workers in these facilities. Our goal is simply to get the conversation started, and in turn get people to engage with our workbook and learning Activities and/or explore the many toolkits and LGBTQIQ2S sensitivity training materials that are out there!