Inclusive Support for LGBTIQA+ People

LGBTIQA+ is an umbrella term for people of diverse sexualities, genders and sex characteristics. This lesson explains the letters in plain terms. Key points: sexual orientation, gender identity and sex characteristics are three different things; L, G, B and A relate to sexuality, T relates to gender identity, I relates to variations in sex characteristics, and Q is a broad term some people use; the plus recognises other identities; and the most important thing is to use the words a person uses for themselves.

The words we use can make someone feel safe or unwelcome. This lesson covers respectful language and pronouns. Key points: pronouns are the words used to refer to someone, like she, he or they; use the name and pronouns a person asks you to use; do not assume someone's partner's gender, so use words like partner; if you make a mistake, correct yourself briefly and move on; avoid outdated or offensive terms and jokes; and never ask intrusive questions about someone's body or medical history out of curiosity.

Many LGBTIQA+ people have experienced discrimination, stigma or rejection, including in health and care services. This lesson explains why that matters for wellbeing and for the support we provide. Key points: the Australian Government recognises that discrimination, stigma and trauma are linked to poorer physical and mental health for LGBTIQA+ people; these outcomes come from how people are treated, not from who they are; older LGBTIQA+ people may have lived through times of criminalisation and may hide their identity; people with disability can face discrimination on more than one ground; and a safe service helps people seek support.

Information about a person's sexuality, gender identity or intersex variation is private and sensitive. This lesson explains how to protect it. Key points: it is the person's choice who knows; never out someone to family, other participants, colleagues or the community; only record this information when it is needed for support and with the person's agreement; follow our privacy policy; be aware that a person may be out in some places and not others; and if someone shares this with you, thank them and ask who else knows.

A safe service is one where LGBTIQA+ people feel welcome and can be themselves. This lesson covers what makes a service safe and what anti discrimination law says in general terms. Key points: safety is shown through respectful language, inclusive forms, visible signs of welcome and supporting people to connect with community; since 1 August 2013 the Sex Discrimination Act 1984 has protected people from discrimination on the grounds of sexual orientation, gender identity and intersex status in many areas of public life; state and territory laws also apply; and complaints can go to the Australian Human Rights Commission.

Sometimes discrimination comes from other people: participants, family members, visitors, members of the public or even colleagues. This lesson explains how to respond. Key points: put the safety and dignity of the person being targeted first; calmly challenge disrespectful comments when it is safe; do not join in with jokes or gossip; support the person afterwards and ask what they need; record what happened factually; and report discrimination, harassment or bullying to your team leader, including when it comes from a colleague.

This case study follows Bill and Tony, an older gay couple who have been together for over forty years. When Bill moves into residential aged care after a stroke, staff assume Tony is a friend, and Bill's niece tries to limit Tony's visits. The lesson explores how assumptions can erase a relationship, why a person's own wishes about visitors come first, and how records, respectful language and the team leader's support help protect the couple. Key points: never assume, respect partners and chosen family, and follow the person's wishes.

This case study follows Kaylee, a young trans woman with an intellectual disability who lives in a supported living home. Kaylee has started using her new name and wants to buy clothes that match her gender. Her father does not agree and asks staff not to help. The lesson explores how to support Kaylee's choices and identity, protect her privacy about who knows, and respond when family disagree. Key points: use her name and pronouns, support her own decisions, respect her privacy and involve your team leader with family conversations.