Supporting LGBTQQIP2SA Communities

Dementia can also have unique implications for individuals who identify as lesbian, gay, bisexual, transgender, queer, questioning, intersex, pansexual, two-spirit, and asexual (LGBTQQIP2SA). As community leaders, we all have a role to play.

Here are some important considerations:

• Health Disparities: LGBTQQIP2SA individuals may face health disparities that can impact their experience of dementia. These disparities can arise from stigma, discrimination, and limited access to inclusive healthcare. LGBTQQIP2SA individuals may be less likely to disclose their sexual orientation or gender identity to healthcare providers, which can affect the accuracy of assessments and the quality of care received.

• Support Networks: LGBTQQIP2SA individuals may rely on chosen families, close friends, or community networks for support rather than traditional family structures. It is important to recognize and respect these relationships when considering care plans and decision-making processes. Healthcare providers should be sensitive to the unique needs and preferences of LGBTQQIP2SA individuals and facilitate the involvement of their chosen support networks.

• Legal and Financial Considerations: LGBTQQIP2SA individuals may face specific legal and financial challenges related to dementia care. In some jurisdictions, their relationships may not be legally recognized or protected, which can impact decision-making authority, inheritance rights, and access to healthcare decision-making. Advance care planning, including legal documentation such as living wills and power of attorney, becomes crucial to ensure that the individual's wishes are respected.

• Dementia in Transgender Individuals: There is limited research on dementia in transgender individuals. However, it is important to consider the unique healthcare needs and experiences of transgender individuals when providing dementia care. This includes respecting individuals' gender identity, using appropriate pronouns, and being aware of any hormonal or surgical interventions that may affect their overall health and care requirements.

• Culturally Competent Care: Healthcare providers should strive to provide culturally competent care that addresses the specific needs and experiences of LGBTQQIP2SA individuals affected by dementia. This involves creating a safe and inclusive environment, training staff on LGBTQQIP2SA cultural competence, and being knowledgeable about available community resources and support networks.

• Research Gaps: There is a need for more research on dementia in LGBTQQIP2SA populations to better understand their unique experiences, challenges, and needs. This research can inform the development of inclusive policies, guidelines, and interventions that address the specific concerns of LGBTQQIP2SA individuals affected by dementia.

Overall, it is essential to approach dementia care in LGBTQQIP2SA populations with sensitivity, respect, and inclusivity. By recognizing and addressing the unique needs and experiences of LGBTQQIP2SA individuals, healthcare providers and support networks like the Alzheimer Society of Alberta and Northwest Territories can ensure that dementia care is inclusive, affirming, and supportive for all individuals, regardless of their sexual orientation or gender identity.