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    Experiences of LGBTIQA+ People with Disability in Healthcare and Community Services: Towards Embracing Multiple Identities.

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    Author
    O'Shea, A; Latham, JR; McNair, R; Despott, N; Rose, M; Mountford, R; Frawley, P
    Date
    2020-11-02
    Source Title
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI AG
    University of Melbourne Author/s
    Latham, Joe; McNair, Ruth
    Affiliation
    General Practice
    School of Culture and Communication
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    O'Shea, A., Latham, J. R., McNair, R., Despott, N., Rose, M., Mountford, R. & Frawley, P. (2020). Experiences of LGBTIQA+ People with Disability in Healthcare and Community Services: Towards Embracing Multiple Identities.. International Journal of Environmental Research and Public Health, 17 (21), pp.1-14. https://doi.org/10.3390/ijerph17218080.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252663
    DOI
    10.3390/ijerph17218080
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662209
    Abstract
    Healthcare and disability support services are increasing their efforts towards inclusion and recognising the needs of different groups. This research project was conducted by academic and peer researchers (LGBTIQA+ people with disability) in Victoria, Australia using four focus groups with LGBTIQA+ people with disability. We report on two overarching themes relating to participants' experiences of accessing health services as LGBTIQA+ people with disability: difficulties in managing multiple identities and the impacts of community services and supports. Participants described having to repeatedly 'come out' in a range of ways and contexts as complex and layered processes in which it was difficult to present their full range of needs and experiences to services. We also found that the role of community in promoting a sense of belonging and resilience increased capacity to manage health service use and advocacy. Services and communities aiming to be inclusive to all have the opportunity to recognise and respond to the issues faced by LGBTIQA+ people with disability as a way to pay attention to how overt and subtle practices of discrimination continue to operate despite repeated attempts at or claims of being 'inclusive.' Our research suggests actual inclusive, accessible services can be achieved in part through policy and practice that actively responds to the specific needs of LGBTIQA+ people with disability, in addition to LGBTIQA+ education for disability services and disability and accessibility education for LGBTIQA+ focused services. As we do in this article, we argue that this work must be done by prioritising authentic participation of LGBTIQA+ people with disability in the services and research that is about them.

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