Wright Leslie A, King Diane K, Retrum Jessica H, Helander Kenneth, Wilkins Shari, Boggs Jennifer M, Portz Jennifer Dickman, Nearing Kathryn, Gozansky Wendolyn S
Institute for Health Research, Kaiser Permanente Colorado, Denver, CO, USA.
Center for Behavioral Health Research and Services, University of Alaska Anchorage, Anchorage, AK, USA.
Fam Pract. 2017 Jun 1;34(3):330-335. doi: 10.1093/fampra/cmx005.
Due to a history of oppression and lack of culturally competent services, lesbian, gay, bisexual and transgender (LGBT) seniors experience barriers to accessing social services. Tailoring an evidence-based ageing in place intervention to address the unique needs of LGBT seniors may decrease the isolation often faced by this population.
To describe practices used in the formation of a community-based participatory research (CBPR), partnership involving social workers, health services providers, researchers and community members who engaged to establish a LGBT ageing in place model called Seniors Using Supports To Age In Neighborhoods (SUSTAIN).
A case study approach was employed to describe the partnership development process by reflecting on past meeting minutes, progress reports and interviews with SUSTAIN's partners.
Key partnering practices utilized by SUSTAIN included (i) development of a shared commitment and vision; (ii) identifying partners with intersecting spheres of influence in multiple communities of identity (ageing services, LGBT, health research); (iii) attending to power dynamics (e.g. equitable sharing of funds); and (iv) building community capacity through reciprocal learning. Although the partnership dissolved after 4 years, it served as a successful catalyst to establish community programming to support ageing in place for LGBT seniors.
Multi-sector stakeholder involvement with capacity to connect communities and use frameworks that formalize equity was key to establishing a high-trust CBPR partnership. However, lack of focus on external forces impacting each partner (e.g. individual organizational strategic planning, community funding agency perspectives) ultimately led to dissolution of the SUSTAIN partnership even though implementation of community programming was realized.
由于遭受压迫的历史以及缺乏具有文化胜任力的服务，女同性恋、男同性恋、双性恋和跨性别（LGBT）老年人在获取社会服务方面面临障碍。量身定制基于证据的就地养老干预措施以满足LGBT老年人的独特需求，可能会减少这一群体经常面临的孤立感。
描述在形成基于社区的参与性研究（CBPR）伙伴关系过程中所采用的做法，该伙伴关系涉及社会工作者、卫生服务提供者、研究人员和社区成员，他们共同致力于建立一个名为“邻里支持老年人就地养老”（SUSTAIN）的LGBT就地养老模式。
采用案例研究方法，通过回顾过去的会议记录、进展报告以及对SUSTAIN伙伴的访谈来描述伙伴关系的发展过程。
SUSTAIN采用的关键伙伴合作做法包括：（i）形成共同的承诺和愿景；（ii）在多个身份社区（老年服务、LGBT、健康研究）中确定具有交叉影响范围的伙伴；（iii）关注权力动态（如公平分配资金）；以及（iv）通过相互学习建设社区能力。尽管该伙伴关系在4年后解散，但它成功地推动了社区项目的建立，以支持LGBT老年人就地养老。
多部门利益相关者的参与以及连接社区和使用公平形式化框架的能力，是建立高度信任的CBPR伙伴关系的关键。然而，尽管实现了社区项目的实施，但由于缺乏对影响每个伙伴的外部力量（如个别组织的战略规划、社区资助机构的观点）的关注，最终导致了SUSTAIN伙伴关系的解散。
