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Growing number of care providers catering to LGBTQ seniors

SAGE highlights unique needs of community at Virginia event

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More healthcare providers are recognizing the unique challenges faced by LGBTQ elders. (Photo courtesy of Bigstock)

An event scheduled for Nov. 17 in Sterling, Va., described as ‘Giving Thanks to LGBTQ+ Elders: SAGE Table’ was expected to draw attention to the growing number of organizations and senior care facilities in Northern Virginia and in the D.C. metro area in general that are supportive of LGBTQ seniors.

The New York City-based national LGBTQ seniors advocacy group SAGE launched what it called SAGE Tables in 2017 as a gathering to share a meal among people of all ages to support their LGBTQ friends and family members who are seniors, in part, to alleviate social isolation.

SAGE has said hundreds of such gatherings have taken place across the country since SAGE Table events began.

The Sterling, Va., SAGE Table event was being co-hosted by five Northern Virginia-based senior care organizations or facilities that are welcoming to LGBTQ seniors, according to Karen McPhail, the CEO of Eldementals, LLC, one of the senior care providers hosting the event.

McPhail is also the founder and director of Aging Rainbows, a Great Falls, Va.-based group that advocates for LGBTQ seniors, and which is also one of the five co-hosts of the SAGE Table event in Sterling.

The other co-hosts include Insight Memory Care, a seniors care facility in Sterling where the SAGE Table event was to be held; Care Connect Nova of Purcellville, Va., a lesbian-owned company that provides in-home concierge senior care services in all parts of Northern Virginia; and Retirement Unlimited, Inc. (RUI), a Richmond, Va.-based company that provides both independent and assisted living residential facilities for seniors in Northern Virginia.

“Come enjoy an evening of dining and conversation,” a statement released by organizers of the Sterling SAGE Table event says. “SAGE Table events bring together people of all ages to share a meal and conversation,” it says. “The transformative relationships formed around a SAGE Table can alleviate social isolation and its consequences.”

McPhail said that while the senior care operators co-hosting the SAGE Table, including her company, are supportive and knowledgeable of the needs of LGBTQ seniors, not all such facilities have that knowledge and provide that support. She said she was prompted to form Aging Rainbows after witnessing first-hand inappropriate treatment toward one of her clients who is transgender.

“One of my transgender clients fell,” McPhail said. “She had a neck fracture. She had been doing well, independent, no problems before the fall,” McPhail told the Blade. “She is 63 years old and all of a sudden, she’s going to skilled nursing rehab. And they wanted to put her in a gender inappropriate room,” McPhail continued.

“And it took me hours of shielding her from what I thought was inappropriate, and educating and advocating to find the appropriate room,” she said. “I had to work over weeks to educate people who had no idea of her needs. And at that point, I sat down at my desk and said, enough. So, I created at that time all the information for starting Aging Rainbows.”

Among other things, McPhail said, Aging Rainbows advises senior care facilities she works with to enroll employees and officials in an LGBTQ competency training program operated nationally by SAGE. The facilities and organization participating in the program, called SAGECare, are designated “SAGECare credentialed” and are included in SAGE database lists available to LGBTQ elders looking for a safe and supportive facility in which to reside.

“It is the case now that in almost all states there are one or more elder care facilities that have been trained throughout our SAGECare program,” SAGE CEO Michael Adams told the Blade in a recent interview. “But it’s nowhere near where it needs to be,” he said. “It needs to be that there are welcoming elder care facilities in every single community in this country” for LGBTQ elders.

Insight Memory Care and Eldementals are SAGECare Platinum credentialed, according to SAGE spokesperson Christina Da Costa.

Da Costa told the Blade this week that there are currently 17 SAGECare credentialed organizations or facilities in the D.C. metro area. Among them is the Ingleside at Rock Creek residential seniors facility in D.C.

Under the SAGECare program, there are now 174,699 professionals trained and 748 SAGECare credentialed organizations or facilities nationwide, Da Costa said.

As of one year ago, SAGE said there were 15 elder care residential facilities in the U.S. created specifically to serve LGBTQ seniors. They are located in several of the nation’s large cities, including New York, San Francisco, and Los Angeles. But none are located in D.C., Virginia or Maryland.

Aging Rainbows, meanwhile, is among several D.C.-area organizations that provide support and services for LGBTQ seniors. The D.C. Center for the LGBT Community and Whitman-Walker Health, D.C.’s LGBTQ supportive healthcare center, have provided programs and services for LGBTQ seniors for more than a decade.

Among the regular events offered by Center Aging, the D.C. Center’s seniors program are its weekly Monday morning Coffee and Conversation gathering and its weekly Friday afternoon Tea Time gathering. Both are currently held via Zoom.

As part of its ongoing special events, the Center Aging program held an event on Saturday, July 21 called Intergenerational Hangout in which LGBTQ older adults and LGBTQ younger adults came together for a discussion about “everything and anything in the hopes of building bridges between generations and providing some laughs along the way,” according to a D.C. Center announcement of the event.

Abby Fenton, a spokesperson for Whitman-Walker Health, said the LGBTQ supportive health center has long provided supportive and affirming medical care for LGBTQ seniors who make up a large number of its patients.

Fenton said “quite a few” of Whitman-Walker’s LGBTQ seniors patients are longtime HIV survivors who feel comfortable coming to a healthcare provider with expertise and understanding of how best to keep people with HIV healthy.

Whitman-Walker Health also co-coordinates at least four peer-led support groups for LGBTQ seniors called Silver Circles, that meet once a week, according to Michael Mitchell, the Whitman-Walker coordinator of the Silver Circles program. Mitchell said the program is operated jointly by Whitman-Walker and Iona Senior Services, a D.C.-based nonprofit organization that provides services for seniors, including LGBTQ seniors.

“Iona is proud to offer programs specifically created for LGBTQ older adults, in addition to our other programs that are open to everyone, regardless of sexual orientation or gender expression,” Iona says on its website.

Mitchell said the Silver Circles groups discuss a wide range of issues of interest to LGBTQ seniors, including the subject of sex.

He said the program is supported financially by the D.C. Department of Aging and Community Living, which lists on its website community-based organizations, including Whitman-Walker, Iona, and the D.C. Center that provide services for LGBTQ seniors.

Also providing support and services for LGBTQ seniors is Capitol Hill Village, a nonprofit organization serving older adults in Capitol Hill and surrounding neighborhoods, a statement on organization’s website says. The statement says the group’s focus is on helping seniors “age in place” in their own homes by providing services from its volunteers such as home maintenance and transportation.

Like the D.C. Center’s LGBTQ seniors gathering events on Mondays and Fridays, Mitchell said all the Silver Circle gatherings continue to meet virtually via Zoom.

Longtime D.C. LGBTQ seniors advocate Ron Swanda said he is disappointed that the D.C. Center’s seniors gatherings as well as other local seniors events have continued to meet virtually.

“I’d rather do these things face to face because I learn better and I like to get the feel for the people involved,” he said. “When I do it online I don’t,” said Swanda, who told the Blade he has withdrawn from participating in most Zoom events.

Mitchell of Whitman-Walker said that although participants in the LGBTQ seniors programs yearn for the pre-COVID, in-person gatherings, most have adjusted to the Zoom meetings, and some prefer them.   

“Initially, we were concerned that our senior Circle folks wouldn’t necessarily get the technology,” Mitchell said in referring to the use of online programs like Zoom. “But they’ve glommed onto the technology pretty quickly,” he said.

“And what we have found is that they do miss meeting in person, as isolation is one of the things we’re trying to tackle, but not having to come downtown, find parking, be out after dark, be on icy sidewalks in the winter, that kind of thing has actually been very helpful for a lot of these folks,” according to Mitchell.

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Virginia

Miyares joins efforts to fight Title IX changes

Republican Va. AG part of multi-state effort

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Virginia Gov. Glenn Youngkin listens as Attorney General Jason Miyares addresses an audience at a legislative signing ceremony in the Virginia Capitol on April 5, 2024. (Photo courtesy of Miyares’s office)

BY NATHANIEL CLINE | Virginia Attorney General Jason Miyares has joined a multi-state effort to stop new Title IX rules from going into effect. 

The list of new rules designed to protect victims of campus sexual assaults and the rights of LGBTQ students has come under attack by Republican attorneys general in several states.

Miyares called the changes a “dangerous overhaul” of Title IX, and said the new rules would negatively impact students, families and schools in the commonwealth. The ruling also comes after Gov. Glenn Youngkin’s administration overhauled the commonwealth’s transgender student policies.

“The Biden administration’s unlawful rule would jeopardize half a century of landmark protections for women, forcing the administration’s social agenda onto the states by holding federal funding hostage,” Miyares said in a statement. “They are avoiding Congress and the constitutional process because they know it will not pass. We cannot roll back Title IX in the name of false equity.”

Virginia Attorney General Jason Miyares at the Virginia State Capitol on Jan. 10, 2024. (Photo by Nathaniel Cline/Virginia Mercury)

Attorney generals from Tennessee, Indiana, Kentucky, Ohio, and West Virginia have also signed onto the suit, which was filed in Tennessee. Separate lawsuits have been filed in other states, including Louisiana and Texas.

Title IX, which has undergone several transformations based on the political party in office, was created to address women’s rights and prohibits any federally funded school or education program from discriminating against any student based on sex since it was established in 1972. 

The Department of Education said some differences compared to the previous version developed under the Trump administration, include protections against all sex-based harassment and discrimination, prohibits schools from sharing personal information, and supports students and families. 

Narissa Rahaman, executive director for Equality Virginia, said in a statement that the rule prevents opponents from weakening “crucial” civil rights protections including for LGBTQ students by ensuring that pregnant and parenting students have a right to equal education opportunities, protecting student survivors and guaranteeing the rights of LGBTQ students to come to school as themselves without fear of harassment or discrimination.

“Students across races, places, and genders prove every day that they can do great things, especially when there are strong Title IX protections in place, which is why the Biden administration’s updates to the Title IX rules are essential to ensure every student can thrive at school,” said Rahaman.

The new rule is slated to take effect on Aug. 1 and will apply to complaints of alleged conduct that occurs on or after that date, according to the Department of Education. 

Protections

While the ruling protects students and employees from all sex-based harassment and discrimination, it will also impact LGBTQ students and employees, including providing complete protection from sex-based harassment, and prohibiting schools from sharing personal information.

Schools must act “promptly and effectively” to protect and treat all students and staff who make complaints “equitably.” Schools must also provide support measures to complainants and respondents, and act to end any sex discrimination in their programs and prevent any recurrence.

The rule further clarifies the definition of “sex-based harassment,” which means to treat someone unfairly because of their gender; and the scope of sex discrimination, including schools’ obligations not to discriminate based on sex stereotypes, sex characteristics, pregnancy or related conditions, sexual orientation, and gender identity.

The federal agency said the changes will empower and support students and families by requiring schools to disclose their nondiscrimination policies and procedures to all students, employees, and other participants in their education programs so that students and families understand their rights.  

The final rule also protects against retaliation for students, employees, and others who exercise their Title IX rights, and supports the rights of parents and guardians to act on behalf of their elementary school and secondary school children. 

The rule also protects student privacy by prohibiting schools from disclosing personally identifiable information with limited exceptions, which is something the Youngkin administration has opposed. 

Advocates say one of the rights students should have is the power to decide who finds out about their transgender status, to protect them from being bullied or harassed.

Virginia policies

In 2021, the first model policies for trans students were designed under former Gov. Ralph Northam to provide school officials guidance on the treatment of trans and nonbinary students and to protect the privacy and rights of these students. 

However, some schools declined to adopt the model policies, and the state law that led to them lacked enforcement incentives or penalties.

The current policies adopted by the Youngkin administration were revised to require parental approval for any changes to students’ “names, nicknames, and/or pronouns,” direct schools to keep parents “informed about their children’s well-being” and require that student participation in activities and athletics and use of bathrooms be based on sex, “except to the extent that federal law otherwise requires.” 

Virginia schools have also not fully adopted the newly revised policies, and state law has not changed since the policies were overhauled in 2023.

The Virginia Department of Education faces two lawsuits over the policies adopted by the Youngkin administration.

“All Virginia students, including our transgender and nonbinary students deserve to feel safe and welcomed at schools,” said Wyatt Rolla, a senior trans rights attorney with the ACLU of Virginia. “Accessing restrooms, locker rooms and other facilities that are necessary when you are at school learning is a key part of our schools being inclusive of those transgender [and] non binary students that are part of our community.”

Athletics not included

The provisions under the new Title IX rule did not mention anything about requiring schools to allow trans students to play on teams that align with their gender identity. Virginia has taken its own shot at banning trans athletes from competing in sports through legislation.

In February, the Youngkin administration attempted to challenge the Virginia High School League’s policy on transgender athletes, the Daily Progress reported. 

The proposed policy would have matched with the administration’s current policies that students should be placed on teams based on their biological sex rather than their gender identity.

The Virginia High School League, which oversees interscholastic athletic competition for Virginia’s public high schools, allows for trans athletes to participate on teams that match their gender identity, but under certain conditions.

Simultaneously, lawmakers in the Virginia General Assembly controlled by Democrats killed bills, including Senate Bill 68, during the previous session that would have essentially banned transgender students from competing in sports.

State Sen. Tammy Brankley Mulchi (R-Mecklenburg), who carried Senate Bill 723, said students like her 6-year-old granddaughter should have a choice to play with their own gender during a Feb. 1 Senate Education subcommittee hearing.

Mulchi’s bill would have required schools and colleges to have separate sports for boys and girls based on their biological sex. Any dispute would require a note from a doctor.

“If she [my granddaughter] wants to play an all-girl sport, I want her to play against girls that were born girls and not play against someone that is much stronger than her or can hurt her and take away her chances of a scholarship,” Mulchi said.

However, state Sen. Stella Pekarsky (D-Fairfax) argued during the February hearing that whether students are competing with their respective biological sex or not “children of all ages, sexes have different builds and strengths and no children are alike on the same team.”

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Nathaniel Cline

Nathaniel is an award-winning journalist who’s been covering news across the country since 2007, including politics at the Loudoun Times-Mirror and the Northern Neck News in Virginia as well as sports for the Plain Dealer in Cleveland, Ohio. He has also hosted podcasts, worked as a television analyst for Spectrum Sports, and appeared as a panelist for conferences and educational programs. A graduate of Bowie State University, Nathaniel grew up in Hawaii and the United Kingdom as a military brat.

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The preceding article was previously published by the Virginia Mercury and is republished with permission.

Nonprofit. Nonpartisan. No paywalls. Fair and tough reporting on the policy and politics that affect all of us is more important than ever. The Mercury brings you coverage of the commonwealth’s biggest issues from a team of veteran Virginia journalists.

We’re part of States Newsroom, the nation’s largest state-focused nonprofit news organization.

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Local

Comings & Goings

SBA names Cosme D.C. Small Business Owner of the Year

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Manny Cosme

The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at: [email protected].

The Comings & Goings column also invites LGBTQ+ college students to share their successes with us. If you have been elected to a student government position, gotten an exciting internship, or are graduating and beginning your career with a great job, let us know so we can share your success. 

Congratulations to Manny Cosme, owner of CFO Services Group, who was named Small Business Owner of the Year, for Washington, D.C., by the Small Business Administration. 

SBA Administrator Isabel Castillas Guzman said, “Our 2024 National Small Business Week award winners exemplify excellence, innovation, and commitment, and the SBA is proud to showcase their incredible achievements and impact on their communities and our economy.” Upon being notified of the award Manny said, “I am incredibly honored and humbled to receive the Small Business Owner of the Year award from the Small Business Administration. This recognition serves as a testament to my team’s hard work, dedication, innovation, and impact in our local community.  As a small business owner, I have always strived to embody excellence in my company’s services and commitment to my clients. My team and I are proud to represent the thriving small business communities across the country, and we remain committed to driving innovation, growth, and positive change in our industry.”

Cosme is the founder and current president and CEO of CFO Services Group. The firm is focused on providing bookkeeping, outsourced accounting departments, and fractional CFO advisory services, to growing small businesses and non-profit organizations. The company is headquartered in D.C., with team members and clientele throughout the United States. In addition to working with private business and non-profit clients, CFO Services Group partners with various economic development agencies, such as local governments, chambers of commerce organizations, CDFIs and SBDC centers, to provide free financial literacy and technical assistance to businesses in underserved communities. 

Manny has served as the Vice President of Finance & Administration for the United States Hispanic Chamber of Commerce. He recently served as the Finance Chair for the Greater Washington Hispanic Chamber of Commerce, and Vice President of the Equality Chamber of Commerce. He is often sought after in keynote discussions on entrepreneurism and finance for fellow business owners. 

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Maryland

What Anne Arundel County school board candidates think about book bans

State lawmakers passed Freedom to Read Act in April

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Parents in some Maryland school districts have organized campaigns to restrict the kinds of books allowed in school libraries. (Photo by Kylie Cooper/Baltimore Banner)

BY ROYALE BONDS | Parents’ efforts to restrict content available to students in school libraries has become a contentious issue in Maryland. Conservative parent groups, such as Moms for Liberty, have been working to get books they believe are inappropriate removed from libraries in Carroll and Howard counties, sparking protests, new policies, and even a state law.

The Freedom to Read Act, passed in April, sets standards that books cannot be removed from public and school libraries due to an author’s background. Library staff that uphold the standard are protected under this act. The law, however, does not prohibit removing books deemed “sexually explicit,” the stated reason local Moms for Liberty chapters challenged school library books.

The rest of this article can be read on the Baltimore Banner website.

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