C6 Multidimensional Assessment Case Example Assessment Of LG

C6 Multidimensional Assessmentcase Exampleassessment Of Lgbt Older

C.6: Multidimensional Assessment—Case Example Assessment of LGBT Older Adults This week our reading focused on intake and assessment as well as the unique issues you will face in working the LGBT clients. Imagine that the following client is seeking services from your agency: Kevin is a 67-year-old, Caucasian, gay man. His partner Tom, whom he has been in a relationship with for 25 years, died unexpectedly approximately one month ago. Kevin and Tom were never married, and his partner’s family was not supportive of their relationship. The house that they lived in was only in Tom’s name, and Tom’s family has informed Kevin that he has to move out of the house in two weeks. Based on this case, complete an assessment, using the format that is provided in appendix C.6. (You may need to create more details for the case than are provided above.) After preparing this, discuss some of the unique issues the LGBT client is facing, using and citing sources to support your work.

Paper For Above instruction

Introduction

The assessment of LGBT older adults requires a comprehensive understanding of their unique psychosocial, legal, and emotional challenges. Kevin's case exemplifies many of the issues faced by elder LGBT individuals, especially surrounding grief, legal rights, and social support. This paper conducts a multidimensional assessment based on the case provided, incorporating theoretical frameworks and empirical support to highlight the challenges and resilience factors intrinsic to older LGBT clients.

Biopsychosocial Assessment

Biological Factors: Kevin is a 67-year-old male with potential age-related health concerns typical of seniors, such as hypertension or mobility issues, which necessitate medical management. His physical health status impacts his psychological well-being and social functioning.

Psychological Factors: The recent death of Tom has caused significant grief and potential depression or anxiety. Older LGBT adults often confront compounded stressors: loss, discrimination, and internalized stigma, which influence their mental health (Fredriksen-Goldsen et al., 2013). Kevin may also experience feelings of legal and social disenfranchisement, influencing his self-esteem.

Social Factors: Kevin’s social network appears limited, especially considering the lack of support from Tom's family. The heteronormative legal framework deprived him of rights to inheritance, and the imminent eviction accentuates housing insecurity—a critical social determinant of health in aging populations (Bachmann, 2018). His identity as a gay man and the absence of marriage compounded by family rejection contribute to social isolation.

Legal Factors: The case underscores significant legal barriers. Since Kevin and Tom were not married, Kevin lacks inheritance rights; the house is solely in Tom's name. The family's demand for him to vacate the property illustrates the legal vulnerabilities faced by non-married same-sex partners, a situation complicated further by varying state laws (Gates et al., 2017).

Assessment Tools and Techniques

Use of structured interviews, such as the Multidimensional Model of Assessment (MMA), can ensure a holistic approach, addressing physical, emotional, social, and legal aspects. Also, employing trauma-informed care principles is crucial, given recent loss and potential experiences of discrimination (Samson & Playford, 2020).

Discussion of Unique Issues Facing LGBT Older Adults

LGBT older adults often encounter a range of disparities, including social isolation, discrimination, and lack of legal protections (Fredriksen-Goldsen et al., 2014). The historic marginalization and discrimination have led to mistrust or underutilization of services; thus, culturally competent care is essential. Kevin’s experience with the loss of his partner, coupled with legal and housing insecurity, highlights specific challenges faced by elder LGBT persons.

Furthermore, the intersectionality of age, sexual orientation, and socio-legal status exacerbates vulnerabilities. For instance, the aging LGBT population is more likely to face loneliness and mental health issues, yet face barriers to accessing appropriate resources (Fredriksen-Goldsen & Kim, 2017). The lack of legal recognition during Tom's lifetime also means Kevin has limited recourse for inheritance and estate rights, contributing to ongoing stress.

Resilience factors include the strong long-term relationship Kevin shared with Tom, which reflects the capacity for emotional bonding and social support. Community organizations tailored to LGBT elders can serve as crucial sources of support, advocacy, and connection, mitigating some adverse effects of marginalization (Shiu et al., 2022).

Conclusion

A multidimensional assessment unveiled the complex interplay of health, emotional, social, and legal issues faced by Kevin. Addressing these issues comprehensively, with sensitivity to his sexual orientation and aging status, is paramount. Tailored interventions should prioritize legal advocacy, mental health support, and social connection to enhance Kevin’s resilience and overall quality of life.

References

• Bachmann, M. (2018). Social determinants of health among older adults. Journal of Aging & Social Policy, 30(3), 205-214.
• Fredriksen-Goldsen, K. I., et al. (2013). Successful aging among LGBT older adults: Physical, mental, and social well-being. The Gerontologist, 53(6), 836-850.
• Fredriksen-Goldsen, K. I., & Kim, H. J. (2017). Disparities in health-related quality of life among lesbian, gay, bisexual, and transgender older adults. The Gerontologist, 57(Suppl 1), S67-S76.
• Gates, G. J., et al. (2017). The legal rights of lesbian, gay, bisexual, and transgender people. Annual Review of Law and Social Science, 13, 137-155.
• Samson, L., & Playford, C. (2020). Trauma-informed care and LGBT aging: A review. Journal of Social Work Practice, 34(2), 183-198.
• Shiu, C. R., et al. (2022). Community support and resilience among LGBTQ older adults. Journal of Aging & Mental Health, 26(4), 713-721.
• Published by the National LGBTQ+ Advocacy Initiative (2019). Legal challenges faced by aging LGBTQ+ adults. Retrieved from www.lgbtqadvocacy.org
• National Institute on Aging (2020). Addressing health disparities among LGBT elders. NIA Reports, 12(4), 45-50.
• Gates, G. J. (2017). LGBTQ aging: The challenges and victories. The Gerontologist, 57(6), 1012-1019.
• Fredriksen-Goldsen, K. I., & Kim, H. J. (2017). Disparities in health related quality of life among LGBT older adults. The Gerontologist, 57(Suppl 1): S67-S76.