Virginity Definitions and Meaning Among the LGBT Community

The literature on lesbian, gay, bisexual, and transgender (LGBT) virginity is almost nonexistent. Thus this exploratory study was completed to understand virginity in the LGBT community. The research questions asked members of two LGBT student groups to define virginity, discuss its meaning, and share experiences. Data were collected from two focus groups and six individual follow-up interviews and were analyzed. Results indicate that there is a range of virginity definitions, there is little discussion of the topic, and that “coming out” is a more important rite of passage than virginity among these LGBT community members. Future research needs are discussed.     

Specifying Long-Term Care Provider Responsiveness to LGBT Older Adults

In-depth interviews and focus groups with lesbian, gay, and transgender older adults addressed the question “What does it mean for long-term care providers to be responsive to lesbian, gay, bisexual, and transgender (LGBT) older adults?” Sixteen domains of long-term care provider responsiveness to LGBT older adults were identified, including awareness of centrality of partners, knowledge of importance of preferred gender expression, openness to welcoming LGBT older adults, and ability to create LGBT-safe environments. Future research should include LGBT elders who belong to ethnic minority groups, bisexual elders, and LGBT older adults who do not identify with LGBT labels.     

Community Care in Taiwan

SUMMARY

This article explores the policy definitions and the funder roles of central and local governments in community care in Taiwan. The notion of community care has been adopted in Taiwan following the model of Hong Kong but the main question of the article is whether this has resulted in actual service provisions at the community level, forming an alternative to institutional care. The data has been collected from several sources: policy documents, official statistics, surveys, general reports, funding provision reports, and empirical studies. The results show that neither central nor local authorities are seriously involved in caring for elderly people or persons with disabilities in Taiwan's communities. In Taiwan, community care for these groups of people still means, in practice, informal care provided by female family members without any support from public policies.     

Social Control and Community Care

Community mental health is often viewed as an alternative to the more segregative forms of treatment/control that prevailed before World War II. It has been regarded as a self-determinate system best characterized by the notions of community care, community treatment, and community control. This paper takes issue with the more traditional understanding of community mental health. Drawing on a historical and political-economic analysis of the wider processes of social reproduction and social control and on a general theory of capitalist regulation, it identifies three processes- expansion, neutralization, and privatization-that link the rise of community mental health during the post-war period to basic tendencies of U.S. capitalist formation.     

Examining Cohort Differences and Resilience among the Aging LGBT Community: Implications for Education and Practice among an Expansively Diverse Population

The aging lesbian, gay, bisexual, and transgender (LGBT) community continues to grow considerably while often being faced with unique and unmet needs separate from younger LGBT cohorts or their non-LGBT counterparts. This article explores some of the differences in attitudes among generational cohort groups regarding coming out decisions; sexual risk and safety; the impact of evolving policies within systems and society; as well as the demonstrated strengths and resiliencies of the aging LGBT community. Implications and suggestions for education, training, and best practices among this expansive and diverse population are considered as well as continued research in the field of LGBT aging.     

Experimentation and Planning in Community Care

The dominant ideology in services for people with learning disabilities is clearly normalisation, or social role valorisation, as it has recently been termed. The emphasis is on the role that a person has within society. However, in Western society, what seems to be valued is power, individualism, enterprise, wealth, beauty and so on. It is not yet clear how we will be able to help people with learning disabilities to achieve such valued social roles. An alternative may be to consider whether we can design communities which value co-operation, affection and interdependence (rather than independence) and I shall describe first a fictional community which has such ideals, and then a real (albeit small) community, in Mexico, where conditions are arranged such that these ideals may be realised. I will then go on to outline some aspects of the philosophy which underpins these communities and which might be relevant to designing co-operative communities. These include the importance of setting objectives; the valuing of human diversity; the importance of viewing a person as a function of her or his social relations; acknowledging the complexity of human behaviour; and the distinction between rule-governed and contingency-shaped behaviour.     

Community Care: Relationships and Control

Analysis of the relationships available to people with learning difficulties has received much attention in recent literature and has also become the focus of work undertaken by service personnel. This paper presents an analysis of networks of people with a learning difficulty in Wales and illustrates the paucity of close relationships in people's lives. It is argued that community care involves the removal of custodial forms of social control and their replacement by mechanisms which place greater emphasis on relationships as a form of imposing sanctions on individuals. In an attempt to assist the move to improve networks the authors argue the need to develop a theoretical understanding of the social processes by which individuals are excluded and as a result inform the means by which individuals may be included.     

Ready or Not: Transitioning from Institutional Care to Community Care

Federal legislation has moved toward the support and expansion of home- and community-based alternatives to nursing home placement. Despite the seemingly positive nature of these efforts, the question remains as to whether individuals, families, and communities are prepared for this shift in long-term care. Furthermore, there has been a lack of attention to the impact of nursing home transition programs on family caregivers, community resources, and the availability of appropriate housing alternatives. Although nursing home transition programs offer a promising alternative to institutional care, the authors suggest a closer examination of the policies and practicality of these transitions is needed.     

Growing Pains: An Eriksonian View of the Arc of Presenting Concerns in an LGBT Community Mental Health Center

This article explores the evolving landscape of mental health practice at a New York City community health center serving lesbian, gay, bisexual, and transgender (LGBT) persons and those living with HIV/AIDS. Erikson’s theory of psychosocial development is used to understand the shift in presenting problems that has occurred over the past decade. In the authors’ analysis, the emphasis in treatment of LGBT persons has evolved from “coming out” concerns to issues related to developing intimate relationships, fostering generativity, and ego integrity in later adulthood. Case examples illustrate the changing focus of treatment over time. This article concludes by providing mental health practitioners with recommendations for working with the LGBT community now and over the following decade.     

Psychological Distress in Older Portuguese Gay and Bisexual Men: The Mediating Role of LGBT Community Connectedness

Abstract

Objectives: Examining Psychological Distress (PD) among older Portuguese gay and bisexual men (GBM), and the mediator role of LGBT community connectedness (LGBTCC) of minority stress variables on PD. Methods: We performed a mediation analysis with LGBTCC as mediator between minority stress variables and PD with a sample of 110 elderly GBM. Results: We found moderate PD levels; LGBTCC was a significant mediator between concealment of sexual orientation and PD, but not between internalized stigma and expectations of rejection and PD. Conclusions: More attention is needed to Older Portuguese GBM’s mental health. LGBTCC is an important ameliorating factor for older GBM.     

Community Based Rural Health Care in India

SUMMARY

India is a large country, geographically as well as popula-tionwise. The majority of its population lives in rural areas, i.e., villages. Again, most of the villages are in remote areas. The State has been making sincere efforts to make the basic social services accessible to all in the rural area. Health being one of the vital services, it has been a challenging task before the State to extend it to the remote rural areas, many of which are not yet connected by motorable roads. As a result of various experiments carried out over the last five decades, the State has developed a fairly well-designed primary health care service, and it is in operation in rural areas. However, there appears to be a striking gap between the delivery of health services in rural areas and utilization of the services by the people. Attempts have been made in this article to apprise the readers of the health service system in India, and it discusses the issue of health service delivery at the village level. The discussion is based on a small study carried out in a rural area in the State of West Bengal (India) where students of social work of the University to which the author belongs are placed for field work. Following the inputs received through supervision of the students' work, the study was initiated and conducted.

This article based on the study seeks to focus on peoples' perception of the health services as provided by the State in rural areas, which in turn gets reflected in the extent to which they utilize the services. Social workers being an integral part of the health set up, their role bears special significance. Discussion, therefore, centres on scope for social work intervention at the community level as well as in institutional level of the health service delivery system to make the services meaningful and effective in rural areas. In fact, it has to take the leadership role in reforming the service delivery system when required.     

Community Care and Social Exclusion of the Chronically Mentally Ill

Everyday life for the mentally ill has been characterized typically by social exclusion. This study attempts to identify some of the elements of this exoerience bv focusine on the dimensions of residential scgregatio& ~ n e m ~ l ~ ~ m c n t , social isolation, and time. Psrtici~ant observa~ion and interview methods wcrc used to understand the problem of social exclusion for 60 former state hospital patients. The results suggest that social exclusion can be interpreted as part of a wider system of socio-cultural organization which fosters the separation of the mentally ill.     

LGBT Religious Activism: Predicting State Variations in the Number of Metropolitan Community Churches, 1974–2000

Armstrong and Bernstein (2008) critique the emphasis movement scholars place upon activism within the formal political sphere, proposing, instead, a multi‐institutional approach which argues that protest can occur within any social institution and that the desired outcomes of activism can include cultural outcomes. The goal of this article is to expand the range of social movement targets studied through an examination of lesbian, gay, bisexual, and transgender (LGBT) activism within the institution of religion. In the United States, religion, particularly Christianity, is used as the primary justification for defining same‐sex sexuality as undesirable and denying LGBT individuals full citizenship. The LGBT community challenges these traditional Christian definitions of same‐sex sexuality in numerous ways, including through the creation of LGBT‐affirming congregations. I examine the development and spread of congregations affiliated with the United Federation of Metropolitan Community Churches (UFMCC), an LGBT‐affirmative denomination, across all 50 states from 1974 to 2000. Drawing upon organizational ecology, resource mobilization, political opportunity, and theories of religious switching, I find that the distribution of UFMCC congregations challenges the usefulness of traditional explanations for activism.     

Representing the Views of Disabled People in Community Care Planning

The 1990 NHS and Community Care Act requires social services departments in Britain to involve representatives of service users in the preparation of their annual community care plans. This paper gives a critical account of the different ways in which the views of disabled people are sought and represented in community care planning; and of the organisational and practical barriers which disabled people and their organisations are likely to encounter in representing their views to service planners. People with learning disabilities, older disabled people, people with sensory impairments and disabled people from Black and ethnic minority communities are particularly likely to be excluded from current consultation procedures. The paper concludes that present methods of representation place considerable burdens on both individual disabled people and on their organisations. Consequently, disabled people may increasingly question the effectiveness and usefulness of their involvement in community care planning, in the light of the many other issues which are important to them.     

浅析廊坊市社区居家养老服务体系的构建

廊坊市老龄人口总数和年增长率均高于全国平均水平,已提前进入老龄化社会,养老服务问题愈加凸显,加快养老服务体系建设至关重要。社区居家养老服务模式集合了家庭养老和机构养老的优点,以其人性化、便捷性、操作性强等独特优势,已成为全世界非常推崇的养老服务模式。通过纵向数据分析和横向比较分析,描述廊坊市人口老龄化的基本态势,深入剖析居家养老服务模式的内涵,并在探讨廊坊市居家养老服务的实践与存在的不足的基础上,提出构建社区居家养老服务体系的对策。     

Denied Citizens of Turkey: Experiences of Discrimination Among LGBT Individuals in Employment,Housing and Health Care

The purpose of this article is to explore experiences of discrimination against lesbian, gay, bisexual and trans (LGBT) individuals in three domains of social policies: employment, housing and health care — domains in which LGBT individuals are not openly recognized as equal citizens and anti‐discrimination legislation is absent in Turkey. Drawing on qualitative content analysis of the data collected from 14 focus group interviews with 139 LGBT individuals conducted in ten provinces of Turkey in the first half of 2014, this article sheds light on diverse forms of discrimination facing LGBT individuals in employment, housing and health care in a largely under‐researched country. The article concludes that the contemporary understanding of Turkish citizenship and its practice are rooted in heterosexist universalism that does not recognize LGBTs as equal citizens, which, in turn, leads to systematic breaches of LGBTs' social rights in employment, housing and health care. The article shows that even strong and universalistic social policies fail to serve LGBTs on an equal footing with other citizens unless equal citizenship rights of LGBTs and anti‐discrimination principles are recognized and realized.