Caregiving for LGBTQIA+ Older Adults: Religious Exemptions and Cultural Discord in Long-Term Care.

Religious and moral exemptions have burgeoned since the U.S. Supreme Court affirmed marriage equality in 2015.

Navigating Religious Refusal to Nursing Home Care for LGBTQ+ Residents: Comparisons Between Floor Staff and Managers.

Objectives: Religious exemptions (exceptions to nondiscrimination laws for individual religious/moral beliefs) in health care have surged, negatively affecting LGBTQ+ older adults in nursing homes with some of the highest caregiving needs. Given job differences between floor staff and managers, this study asks: How does meaning-making differ between nursing home floor staff and managers when staff refuse to care for LGBTQ+ residents? To answer this question, this study uses social coherence as a conceptual framework to understand the process of reflection that staff employ when a colleague invokes a religious exemption to care.

Methods: This qualitative comparative study uses in-depth semistructured interviews to compare responses from nursing home floor staff and managers (n = 80).

An Historical Case Study of Trans Exclusion and Empowerment: Implications for Transgender Older Adults and Aging.

Transgender older adults have a long history of exclusion that shapes current experiences with social services. However, scant gerontological research uses archival data, which can provide critical context for service providers. Moreover, sparse research examines how exclusion can be a catalyst for change that social workers could leverage.

Constructing Discrimination Rights: Comparisons Among Staff in Long-Term Care Health Facilities.

Background And Objectives: Despite increased attention to racial and gender justice in the workplace in recent years, discrimination complaints remain vastly underreported. Building on legal consciousness theory-which explains how individuals invoke (or do not invoke) legal principles to define everyday experiences-this study examines how long-term care facility staff understand experiences of discrimination by residents and why staff fails to report discrimination.

Research Design And Methods: This qualitative comparative study uses in-depth semistructured ethnographic interviews to compare experiences among facility staff (n = 80) at three levels (floor staff, mid-management, and upper-management).

Transition Coverage and Clarity in Self-Insured Corporate Health Insurance Benefit Plans.

While many health insurance plans now cover at least some gender-affirming care for transgender persons, no study to date has examined contract language about gender-affirming care in self-insured corporate plans. We sought to evaluate private company offerings from the perspective of an employee, analyzing clarity as well as what gender-affirming care is covered or excluded. We coded 435 health insurance contracts from 40 U.