Overview
The purpose of this chapter is to
explore lesbian, gay, bisexual, and transgender (LGBT) elders with
histories of incarceration. This chapter reviews the history of
research and practice in this area, major issues and relevant
policies, new research that is critical to understanding LGBT elder
in the criminal justice system, and the role of interdisciplinary
practice in improving service delivery for this population. Due to
the paucity of the literature available on this population, this
chapter provides new data from a qualitative study of ten formerly
incarcerated LGBT elders’ experiences prior to, during, and after
release from prison. Consistent with intersectionality theory, a
core theme of self and the social mirror emerged from the data that
represented LGBT elders’ ongoing coming out process of unearthing
their ‘true selves’ despite managing multiple intersectional
stigmatized identities, such as being LGBT, elderly, HIV positive,
formerly incarcerated, and a racial/ethnic minority. These
exploratory findings further our awareness of an overlooked
population of LGBT elders involved in the criminal justice system.
The implications for interprofessional and interdisciplinary policy
and practice that incorporate suggestions from the formerly
incarcerated suggestions for systemic reform are discussed.
Learning Objectives
By the end of the chapter, the reader
should be able to:
1.
Articulate some of the common
experiences of LGBT elders involved in the criminal justice system,
especially related to prison and community reintegration.
2.
Identify intersectional social
locations or identities of LGBT elders with criminal justice
histories.
3.
Describe the sources of trauma, stress,
and oppression and resilience among this population.
4.
Identify service and justice gaps on
how to improve the interprofessional response to LGBT elders
involved in the criminal justice system.
Introduction
The steady growth of a graying of the
global prison population is perhaps most challenging in the United
States (USA). The USA has the highest rate of incarceration in the
world (Walmsley 2013). As of 2013,
prisoner population rates per 100,000 were 716 in the USA compared
to 475 for Russia, 148 in the UK, 121 in China, and 118 in Canada
(Walmsley 2013). In 2012, one of
every 35 adult residents in the USA (2.9 %) was in jail,
prison, or on parole or probation (Glaze and Herberman
2012). Of the estimated 1.5 million
persons in the state and federal prison in the USA in 2013,
18 % (n = 270,000) are aged 50 and
older (Carson 2014).
A profile of older adults in USA
prisons portrays a diverse population that disproportionally
affects vulnerable populations based on characteristics such as
age, race/ethnicity, gender, and disability (Maschi et al.
2014). For example, in the US
prison population aged 50 and older, the vast majority are men
(96 %) compared to women (4 %) and are disproportionately
racial ethnic groups (black = 45 %,
Latino = 11 %, 10 % = other) compared
to whites (43 %; Guerino et al. 2011). Health status varies; some individuals
have functional capacity, while others suffer from disabilities or
serious, chronic, and terminal illnesses such as HIV/AIDS, cancer,
and dementia or mental health (e.g., depression, anxiety,
psychosis) and substance abuse problems (36 %; BJS
2006; Maschi et al. 2012a, b). The
majority report a history of victimization, grief and loss, and
chronic stress prior to and during prison and varying levels of
coping and social support (Maschi et al. 2012c, 2013b).
Despite this knowledge, there is a
dearth of research that examines the experiences of LGBT elders
involved in the criminal justice system. The pathways to prison for
older adults in prison may include one or more cumulative
inequalities (Maschi and Aday 2014), such as social disadvantage based on age,
race, education, socioeconomic status, gender, disability, legal or
immigration status, and sexual minority status (Maschi et al.
2014). These accumulated
inequalities can influence access to health and social services,
economic resources, and justice across the life course. This is
uniquely applicable because of their criminal justice history,
which is largely not addressed in intersectionality theory.
History of Research and Practice Pertinent to This Topic
Civil and human rights advocacy groups
that respect an inherent dignity of older and LGBT persons are
gaining momentum. The United Nations has designated a number of
special needs populations that are subject to special protections.
These special populations include lesbian, gay, bisexual, and
transgender (LGBT) prisoners and older prisoners in addition to
prisoners with mental health care needs, disabilities, racial and
ethnic minorities, women, foreign-born nationals, and prisoners
with terminal illness or under a death sentence (United Nations
Office on Drugs and Crime [UNODC] 2009). Given that many people in prison have
complex needs, the likelihood is quite high that incarcerated
people who are LGBT would also be represented in one or more of
these vulnerable care populations.
Yet, the little information available
on LGBT people in prison is mostly based on younger as opposed to
older persons. In a US Department of Justice report on sexual
victimization in jails and prisons (Beck et al. 2013), inmates identifying their sexual
orientation as gay, lesbian, and bisexual were among those with the
highest rates: 12.2 % of prisoners and 8.5 % of jail
inmates reported sexual victimization from other inmates, and
5.4 % of prisoners and 4.3 % of jail inmates reported
victimization by staff. It is of concern that inmates with mental
health needs who were identified as non-heterosexual reported the
highest rates of inmate-on-inmate sexual victimization (i.e.,
14.7 % of jail inmates and 21 % of prison inmates). In a
study of violence in California prisons , transgender women in
men’s prisons were 13 times as likely to experience sexual violence
than were other prisoners (Jenness et al. 2007). Incarcerated LGBT persons also have
health care concerns that include sexually transmitted diseases
(STDs), including HIV/AIDS, and mental health and substance use
disorders. The health care of transgender prisoners is often an
administrative issue versus a health care issue due to
institutional policies preventing hormone and/or transition-related
care (Marksamer and Tobin 2014).
LGBT persons are also at high risk of
family rejection, homelessness, and unemployment due to bias and
discrimination based on their LGBT status. LGBT persons may reject
(lack) access to prison-based rehabilitative services for fear of
being assaulted by other incarcerated persons or correctional
staff. Incarcerated LGBT people have special considerations pre-
and post-release because they may not have ready access to family
supports or therapeutic services, especially if they have
experienced trauma during their incarceration (UNODC 2009). These scant findings suggest that LGBT
elders released from prison, especially those with complex issues,
such as being HIV positive with comorbid health and mental health
issues, may also experience the collateral consequences of
incarceration, ageism, and homophobia. The complexity of their
situation may create additional barriers for (LGBT) them to gain
access to culturally responsive healthcare, housing, employment,
and social welfare benefits (Maschi et al. 2012c). Additional research is needed to further
our knowledge of public health issues, especially as it relates to
diverse elders who are at a heightened risk of health and justice
disparities. Therefore, in this next section, we present new
findings on the experiences of LGBT elders before, during, and
after prison and service providers that were used to identify
research, practice, and policy gaps.
Discussion Box 12.1
The current literature finds that
there are scant findings that suggest that LGBT elders released
from prison, especially those with complex issues, such as being
HIV positive with comorbid health and mental health issues, may
experience the collateral consequences of incarceration, ageism,
and homophobia.
The complexity of their situation may
create additional barriers for them to gain access to culturally
responsive healthcare, housing, employment, and social welfare
benefits. In an essay form or in a small group discussion, please
answer the following questions:
1.
What do you think accounts for the
lack of research or information on LGBT elder involved in the
criminal justice system compared to other LGBT issues ?
2.
Based on existing cross-disciplinary
theories or your own thoughts, what do you think accounts for the
interpersonal social and structural barriers for LGBT to access
services and justice?
3.
How do you think access to services or
justice can be achieved for LGBT elder in the criminal justice
system?
Major Issues of Chapter Topic and the Relevant Policies
Due to the lack of research on LGBT
elders involved in the criminal justice system, the following
two-phase qualitative study was conducted to explore the
experiences of formerly incarcerated LGBT elders before, during,
and after prison. Research in this area has important implications
for developing an intersectional LGBT aging sensitive and social
and public care approach to prevention and intervention that target
diverse elders’ pathways to prison and community reintegration ,
including care transitions. The number of diverse elders behind
bars has increased more than 1300 % since the early 1980s and
is projected to increase four times by 2030 (Human Rights Watch
[HRW] 2012). Correctional service
providers are ill-prepared to address the specialized long-term
health and social care needs of an older special needs population
(Maschi et al. 2013a,
b). In the USA, federal and state
governments spend a combined $77 billion annually to operate
correctional facilities (ACLU 2012). A coordinated public health practice and
policy response can assist with improving access to health and
justice for an all-too-often group of minority elders (Maschi et
al. 2012c, 2014).
Research Box 12.1
-
Title of Research: LGBT Elder and the Criminal Justice System
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Research Question: What do LGBT elders report about their experiences before, during, and after prison?
-
Methods: This qualitative study participatory translation research methods is featured in this chapter. The study was conducted in two phases. Phase one consisted of in-depth interviews with 10 LGBT elders released from prison. Phase two consisted of a photograph and film documentary project.
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Results: Participants commonly reported experiences of discrimination and victimization. A core theme of self and the social mirror emerged from the data that represented LGBT elders’ ongoing coming out process of unearthing their ‘true selves’ despite managing multiple intersectional stigmatized identities, such as being LGBT, elderly, HIV positive, formerly incarcerated, and a racial/ethnic minority.
-
Conclusion: These exploratory findings further our awareness of an overlooked population of LGBT elders involved in the criminal justice system. The implications for interprofessional and interdisciplinary policy and practice that incorporate suggestions from the formerly incarcerated suggestions for systemic reform are discussed.
-
Discussion Questions (essay or small or large group discussion)1.What are your thoughts on participatory action research in which the faces and personal background of participants are known?2.How does this differs from traditional research methods in which anonymity or confidentiality is a core research ethic?3.If you were to design a study of LGBT elders in the criminal justice system, what would be the purpose and rationale of your study, your research question, and the methods used?
Methods
Research Design
Phase One: The authors used a research
design that they refer to as ‘participatory translational
research,’ which was conducted in two phases. In phase one, LGBT
elder adults aged 50 and older released from prison within the past
five years were recruited to participate in the project. The
research team posted an announcement and invitation that described
the study on the bulletin boards of regional correctional community
service providers and parole offices. Handouts were available
directly below the posted study announcement and an invitation for
potential participants to review and voluntarily respond to the
research team by phone or mail. Snowball sampling methods also were
used to recruit participants in Brooklyn, New York, which had a
high concentration of LGBT persons in the community and an LGBT
psychosocial program.
Ten participants who responded to the
announcement and invitation met with the members of the research
team to find out more about the study and provided their informed
consent to participate in the study. First, two ninety-minute focus
groups were conducted with formerly incarcerated LGBT elders, with
five participants persons per group. The focus group interview
schedule consisted of ten open-ended questions that asked attendees
about their experiences before, during, and after prison. One week
later, each participated in a one-on-one 90 minute,
semi-structured in-depth interview. All interviews were held in a
private room at the principal investigator’s office building that
was at a central location and easily accessible by public
transportation. All interviews were administered by the principal
investigators and two trained MSW students with personal histories
of incarceration. The one-on-one interview schedule was divided
into three parts that asked participants detailed questions about
their experiences of self and community before, during, and after
prison. The interviews were recorded using a digital audio recorder
and were transcribed verbatim. Participants were offered a
thirty-dollar gift card for their participation for each interview
completed.
The qualitative data from service
providers and formerly incarcerated older adults were analyzed
using Tutty et al.’s (1996)
qualitative data analysis coding scheme. The first step involved
identifying ‘meaning units’ (similar to in vivo codes) from the
data, that is, the first-level codes were assigned to the data to
accurately reflect the writer’s exact words (e.g., true self,
homo-thug). Next, second-level coding and first-level ‘meaning
units’ were sorted and placed in their respective categories (e.g.,
‘going in’ or ‘coming out’ of prison). A constant comparative
strategy was used to ensure that meaning unit codes were classified
by similarities and differences and carefully analyzed for
relationships, themes, and patterns. The categories were examined
for meaning and interpretation. A conceptually clustered diagram
was constructed to detect patterns and themes and develop a process
model (Miles and Huberman 1994).
Phase
Two: Phase two was a participatory action documentary
project. A collaborative partnership was formed by the research
team and formerly incarcerated LGBT volunteers to design and
implement the project to increase public awareness and combat
societal stigma. The LGBT elders were especially concerned about
the invisibility and lack of culturally responsive services for
incarcerated and formerly incarcerated LGBT elders. Ron Levine, a
social documentary photographer and creator of the ‘Prisoners of
Age’ project, was recruited to be a part of the team. The
‘Prisoners of Age’ project has been an ongoing is a series of
photographs and interviews with elderly inmates and corrections
personnel conducted in prisons both in the USA and Canada since
1996. A photograph of an elder transgender person in prison can be
found in the chapter appendix (See Image 12.1). The exhibit is
designed to play a role in stimulating social and institutional
change by addressing the issues of social justice and human dignity
through images and interviews. The photograph exhibits have been
shown internationally.
![A320416_1_En_12_Fig1_HTML.gif](A320416_1_En_12_Fig1_HTML.gif)
Image 12.1
Prisoners of age photograph of Christine
White. Photo © Ron Levine.
Reprinted with permission
For the first round of recruitment,
three formerly incarcerated LGBT elders agreed to participate in a
short documentary project. The participants signed a release form
for their photographs and interview excerpts to be used for the
documentary project. The 90-min interviews were shot with a Canon
5D mark II camera and 50- and 85-mm lenses. Sound was direct to
film using a RODE shotgun microphone attached to the flash plate.
During the shooting, the filmmaker asked the participants to
describe their past and current experiences, and future goals. The
footage was edited to be a 5-min documentary short.
Self and the Social Mirror
Phase One Qualitative Results
An overarching theme ‘self and the
social mirror,’ emerged from data about that described their
lifelong process of managing the ‘visible’ and ‘invisible’ prisons
of oppression, social stigma, and criminal justice involvement.
Self in the social mirror was defined as a dynamic personal,
interpersonal, and historical process that involved the mutual
reflection (or deflection) of participants’ diverse selves with
family and friends and society. Many participants described a
lifelong process of integrating aspects of their social identities
or location that were commonly subject to bias, discrimination, and
violence. Many participants viewed themselves by one or more of
following identities (or social location): being a racial/ethnic
minority, older, HIV positive, LGBT, formerly incarcerated with a
mental health and/or substance diagnosis, occupational status and
income, and geographic location. Participants shared their views on
how they multiple social identities or locations, such as
race/ethnicity, sexual orientation, or their serious mental health
status. When asked to ‘tell me about yourself,’ participants
commonly identified themselves as LGBT and then added one or more
other aspects of themselves.
I am an African-American female, 55, um, what else do I want to say. Um, I’m presently unemployed. I was incarcerated for like six years on a drug charge. Um, and um, it wasn’t easy, but I’m okay now.
I’m a lesbian um, presently. I’m not in any committed relationship or anything like that and um, well. I’m presently doing, I’m focusing on my recovery you know and just trying to stay in the community.
Um, Latino and I’m LGBT, GQ. And I did sixteen years in prison for manslaughter and I learned a lot in prison. It took me time to learn about myself. I was a closet gay person, didn’t want nobody to know who I was, and I’m learning how to live life, and I’m in a relationship for six years, and I love myself today.
I did ten years, six months in prison. I am a gay male. I’m in a committed relationship for the last six years. Um, I’m presently working in the mental health field in a psychosocial club and advocacy program for LGBT members. Um, helping to be a liaison between their therapist and the support they receive. Um, one of the things that um, I’m trying to do after coming out of prison for so long is to establish a working relationship um, and being a productive person.
Building ‘Immunity’ to Social Stigma
Participants commonly reported that
they faced challenges to developing a strong sense of self and a
relationship to their families and communities. Social stigma was
described as a communicable disease in which some participants
developed immunity to external oppressive attitudes and practices.
Some feedbacks seemed to accurately mirror and support the
expression of their ‘true selves.’ Other feedback was potentially
obstructive to that expression. Many participants described a
multi-dimensional ‘coming out’ and self-acceptance process, which
included being LGBT. Social and historical circumstances influenced
how they negotiated this identity before, during, and after prison.
One 55-year-old formerly incarcerated woman shared the following:
Well, no, well I don’t know if it’s me, but I personally don’t care how a person feels about me. You understand what I’m saying. My attitude is that if you don’t like what I represent, don’t, don’t, you know, don’t say nothing to me. I can keep it moving and that’s it and that’s all so nobody, I never got approached on that but I’m quite sure you know, it would whatever but I never personally got approached about it so as far as me being LGBT and being incarcerated, it wasn’t a problem for me.
Another participant described how he
was always prepared to protect himself and vocalize his rights,
especially to culturally incompetent community professionals and
service providers.
You have to put your guards up in every way possible that’s going to help you to get ahead, being gay for me, HIV positive, black, you know, a whole lot of stuff, you know. So, you have to set up certain things that are going to defend you along the way. Otherwise you’re going to get swallowed up. I’m not just accepting anything but capable of advocating for myself, especially when I need affirming program services. If you can’t advocate, that becomes a stumbling block.
Many participants shared their earlier
life experiences in which mirroring from families, peers, and
communities varied concerning how they chose to share one or more
of their ‘intersectional’ aspects of self. It is important to
understand that identity is comprised of many different facets,
including, but not limited to, our biological sex, gender identity
and expression, sexual identity, class, race, and age. We make
choices throughout our lives to express or hide these aspects of
ourselves. Ward (2008) has shown
that race, class, gender, and sexuality are important in
structuring our identity and that examining our sexuality is
integral to viewing the intersectionality of the many facets of
self. Being HIV positive, having a serious mental health illness,
or being LGBT and engaging in criminal behavior are often
selectively disclosed to families, peers, and other social circles.
Being HIV Positive: By immediate family, like my mother, father, sister, and brother, I know and they all know my HIV status. Uh, my father, I haven’t really told my status, you know, um. You know, even though I know he would love me because I’m his son and, and he would just, I mean, he wouldn’t have a choice, but I just don’t feel comfortable coming out telling him that I’m HIV positive. I brought it to my mother’s attention, and my mother, she’s like, she says, no, don’t tell him, you know, and I don’t know why, but I just keep, we’re just keeping that a secret. But everybody else knows. My brother knows. My sister knows. My aunt knows, you know.
Being Diagnosed with a Mental Illness: Growing up, my family wasn’t really cool with being mentally ill so I couldn’t be mentally ill. I was not able to go to a psychiatrist. I was not able to take medication, and I was damn sure not able to talk about how I felt or what was going on. So, I self-medicated with drugs. The voices were getting loud, drink a little bit more, smoke a little bit more.
Most of the time voluntary um, but a lot of the times involuntary because my mother had to put me there. I can’t even count. Let’s say 30 times from the age of 26 to 35. I think I went to the psych hospital, about two or three times a year for like 10 to 12 years.
Being Gay and Engaging in Violent Behavior: That they all knew my name in jail. One guard, her name was R, said yo, R’s back. I used to stay in the lock up a lot and she would ask, ‘Like are you sure you are a homo?’ The officers used to tease me like how could a homo be doing all this. Homos don’t do this.
‘Inside’ Prison
The legal system itself may have
imposed discrimination prior to actually being sentenced and
entering prison. Individuals may be exposed to the personal
feelings or biases of the police, lawyer, or judge who impacts
their treatment and sentencing. Participants described prison as a
mixed experience of self in their social mirror. All participants
acknowledged the cruelty of prison, especially for LGBT persons.
Yet, despite the conditions of confinement, participants also
acknowledged that they could use their time to gain greater insight
and clarity about themselves and take accountability for their
crimes. Many participants provided a thick description of the grave
and dangerous social conditions of confinement, especially for gay
men and transgender persons in men’s prisons compared to lesbian,
bisexual, or transgender person in a women’s prison. As
participants described below, the culture of prison was full of
systemic bias and discrimination that limited their access to
rehabilitative services and basic safety and protections.
It was like this in jail, if you are male and gay so you should like it, you know. So um, it was really hard to go through that and try to deal with the day, you know, and days were long, you know. You were up at 7, you know, and even your time locked in your cell wasn’t a safe time, because if they wanted you, they could tell a CO to crack your cell and they would run in on you. You know it was really frightening. It was hard to get yourself mentally ready for the morning because you never knew what was going to happen that day, and that’s a real terrible feeling like, what’s going to happen to me today. Every day was like, I got to keep up. I got to keep up. I got to look left. I got to look right because people were just being abused all throughout my stay, and the LGBT was just assaulted so many times on a regular basis. Everyone got it, but the LGBT men, they just you know, they were washing and underwears and anything their parents sent them or friends sent them, they would take them you know and they would make them cook for them and wash their pots. It was just frightening.
The CO’s didn’t care about anything. They watched gay people get raped. They would walk the tier and see you being raped in your cell or being beaten in your cell, and they would keep on walking, you know. Um, they would see you get beat and raped in the shower room, and they wouldn’t say anything, and when you needed help to cry out to the CO, it was like crying out to air, you know, because they weren’t going to do anything.
‘Gay’ Coping in Prison
When it came to negotiating their
sexual and gender identity, participants described choosing among
one of three ‘gay’ coping strategies: fight (i.e., defending the
right to be openly gay), flight (i.e., complete distancing from
one’s LGBT identity in prison often out of fear of safety), or
keeping it out of ‘sight’ (i.e., selectively disclosing one’s LGBT
identity). The choice to use one of these coping strategies
influenced their level of access to health, mental health, and
rehabilitative services, including education.
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Flight: Well, nobody, nobody, nobody knew I was gay. Only a few guys I let know, but other people, I just say no, I’m not gay. I’m old man. Having sex in prison is not acceptable. No, if you get caught, they send a letter to your house, or they tell your family over the phone, you know. You go to the box. Some, some officer, some CO, some correctional officer, they’ll let you be with your lover in, in the other cell. Some people you just paid the officer off, be kind of cigarette or with drugs.
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Out of Sight: Um, it was a hard life in jail because you had to walk around like on pins on needles. It wasn’t that good especially if you was gay or bisexual. I wasn’t the type of person to walk around and? Advertise, and only a few people knew. I wasn’t the type of person that wanted to be taken advantage of and being raped, so I had to learn how to defend myself in jail. I went through a lot of, lot of tough times. It wasn’t that easy for me. But I’m easy to get along with so I guess my uh, word of mouth got me by. I was able to get along with everybody. I wasn’t selfish. You know, try to stick with this one, that one. I stuck with who I needed to stick with to get by in jail if it helped me that way.
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Fight: How did I cope with being gay in prison? I did when in Rome, do as Romans. When in Rome, do as Romans. I was in jail I did what jail people do. So I hung out with a crew that were crazy. I was hearing voices, I was crazy so we did the same thing and the only reason they accepted me is because I was just as dangerous as they were. I was always gay all my life so when I got in jail um, I never went into you know, segregation or into the gay quarters. I always went into general population and um, I made myself deal with what was going on and I became one of the people that were there. Fighting was just, I don’t know if it was more because I was LGBT or because it’s just what you do in jail, but I know that I went through a lot being an openly gay person in jail because the attacks and things that happen to uh, that I had observed happen to gay people were really frightening, and I just made it a way of my dealing in jail that it wouldn’t happen to me so I became a really, really wild person um, they have a name for gays like me in jail and it’s homo thug. I became like one of the fearless gay people in jail um, I just didn’t want to be raped.
‘Coming Out’ of Prison
Return to Community. Participants’
perceptions of self in the social mirror continued to evolve after
they ‘came out’ of prison. Many participants, especially those with
long-term prison sentences, described feeling fear if correctional
or community program staff did not help prepare them for impending
release. Preparation for reentry is essential for individuals to
reintegrate into the community successfully. Aside from challenges
of returning to the community with the stigma of having served
time, there may be essential skills that have to be mastered for
them to manage in the community, such as budgeting, meal
preparation, and accessing essential social services for medical
and mental health needs. Some of those returning to the community
have been ‘in the system’ for so long that they have lost their
ability to care for themselves independently and have become
‘institutionalized.’ Since entering prison, they have been told
when to get up; had their meals prepared; and were provided with
shelter, medical care, and direction for most of their daily
activities.
Isolation in Community. Entering the
community and relearning self care, managing the demands of
maintaining housing in terms of cleaning, shopping, and cooking,
and interacting with others in a socially acceptable way are
critical to remain outside of incarceration. For some, life outside
of prison is isolating, and they have very little left of family,
friends or social supports.
There was nothing for me out there, which made coming home a little more frightening, and for the LGBT it’s like that. Why leave prison, I’m getting three hots and a cot. I don’t have to fight for the food, you know. Some of us don’t want to come out, and it was a feel like, what am I going to do at this late age. I think I came out at, I’ve been out almost four years. I came out at 46 years old. I didn’t know what, what am I going to do, where am I going. I knew I didn’t want to go to a program and stay at a program you know, like programs and, you know, it pushes us out to the street.
Other participants reported adopting a positive attitude of success on their road to recovery despite anticipated challenges posed by the culturally destructive social mirroring and practices. One participant described how he prepared himself psychologically, emotionally, and spiritually to triumph over challenges, especially bias and discrimination, he believed he would face being older and gay and serving a 15 year sentence for attempted murders.
Everything’s been beautiful. I just don’t allow it to be any other way. Every day I wake up, I’m so appreciative to not be behind bars. Nothing that comes up, no weather conditions or anything, and my partner says, baby, you are up at 6 o’clock no matter what goes on. I praise God in the morning, and just like yeah, it’s time to go. I think I was given a second chance. My second chance. A second chance at life, and I just don’t want to mess it up. I can’t say there has been any difficulties. There’s been situations, and I just take them in stride. Because all of it is a work in progress. I went into mainstream, I didn’t wait for the housing because I was in a relationship that I wanted to do, and they had informed me that any of the housing that I got would not allow me and my partner to merge. And as I said, I’m 50. I’m not going to be living alone. And going to see my partner who lives in the Bronx and I’m over here, you know. They are not recognizing LGBT relationships. That’s an issue.
Access to Services. Some participants
talked about the advantages of having a stigmatized label that
comes with legal protections and services, which include having an
HIV positive status or diagnosed with a serious mental illness.
And you were talking about like supports coming out of prison, you know, being LGBT and be labeled HIV, you get a lot of stigma but you get a lot of support on your transition out. Otherwise, we don’t get anything. Um, we don’t even get the assistance to try to get housing. You have to find a social worker and tell her look, can you start the paperwork, because I heard it could be done from here, and then she be like, well I don’t know about that. Will you look it up while the paperwork’s here, you know, and be on them like I know something that you could do for me. But if you don’t, you know what I’m saying, but for us coming out and you’re not HIV positive, then you don’t find something for yourself, you’re going to the street.
Referral for services to assist with
mental health, health, housing vocational and/or educational
services is very important in community reentry . Having the dual
stigma of being incarcerated, having a medical or psychiatric
diagnosis, and needing social and financial supports upon release
are critical for most individuals released from a forensic setting.
Participants shared how reentry or housing supports and services
that were not LGBT and aging friendly influenced their ability to
express to be open about themselves and receive adequate peer,
family, professional, and/or community support.
The housing that I was in was lovely, but I was with people that weren’t LG affirming and weren’t as mentally equipped as I was so I was having to live in. Sometime in the environment that wasn’t safe for me, and sometime wasn’t healthy for me.
Well, when I came out um, there was a reentry program, I worked with them very well. They helped me out in a lot of ways. I went to school with them um, I went through their training program, and I even got jobs through them so they helped me out a long way until I was able to get on my feet again at a reentry program. But they did not have LGBT and aging services. That right there if it was it was kept in the closet. I didn’t see too many open gay people there you know saying just straight thugs, you know, from the street and stuff like that from locked up, but it wasn’t really, if it was it was under the cover, it was in the closet, but it wasn’t brought out in the open like that, it was just mostly thugs.
Housing. Another important
consideration in housing is the restrictions placed on certain
types of offenders. There may be restrictions on where they can
reside, such as not within a certain distance of a school, park, or
public housing. This may make returning to family or their prior
residence impossible. Being relocated after serving time to an
unfamiliar, or unsafe area, has obvious implications. There may be
curfews or required appearances that make finding employment, or
attending a program, difficult. One participant described the
drawbacks for not having services that integrate LGBT, aging, and
criminal justice services:
I don’t think like, when you get out if you are LGBT they have a few things but you age out at 24 and those are the couple of things that they have right now but for our age 40 and 50 there are no specific services. They don’t even have housing where they can sufficiently put you. Yeah, they got one LGBT elder program now, but I don’t seem them helping people coming out of jail. That’s support for, you know, people on the street for LGBT but coming out for senior citizens like if you are LGBT in jail and you’re getting out, they going are going to push you over there at the LGBT youth center. But for anybody over that age, there’s nothing. And then when you get 40, it’s like you’re on your own, we’re letting you go, but where you going is on you. They don’t have no kind of referrals. They have no kind of support so everything is really on you to be strong and look for, but people get discouraged really quickly because it’s like next to no that you are going to find services. And the services that they have, they may not be able to accept you because they are at their quota with LGBT but 40–50+. We have to depend on our family and most of us don’t have that.
Rainbow Heights: A Pocket of Hope. All
of the participants were members of the Rainbow Heights Club, which
is an LGBT affirmative psychosocial service provider in Brooklyn,
New York. Their staff has been trained to work with LGBT-identified
clients with multiple problems related to their mental health, past
history, and skill set. The participants described their
experiences there:
There’s not a lot for the LGBT. I thank God for Rainbow Heights and being a person that can provide service for people that have nowhere to go to be themselves, to be safe, to eat a meal. To get support and referral to a lot of things that they may need in their life but we are only one and we’re the only one in the whole United States, Rainbow Club so more.
Phase Two Results
For phase two, the first filming took
place in Bedford-Stuyvesant in April 2014. The three volunteers,
Randy, Mark, and Dwon, identified themselves as formerly
incarcerated LGBT elders who had spent most of their recent prison
sentences at Sing-Sing Correctional Facilitate in upstate New York.
Recently, Randy and Mark were legally married under New York State
law. The photograph and interview session lasted about an hour and
a half. An excerpt of the interview transcript can be found in
Table 12.1 in the chapter appendix, and photographs
can be found in Images 12.2 and 12.3 in the appendix. The final short
documentary was edited down to 5 minutes by Mr. Levine. In the
interviews, Randy spoke about his life before prison and his life
within the penitentiary, emphasizing his experiences as a gay man
within the prison system. He talked generally about survival in
prison and specifically about his survival techniques as a member
of the LGBT community in prison, his coping skills, and his own
personal experiences. Mark appeared to be shy and spoke minimally
about his experiences. Dwon discussed his experiences living his
life on the ‘down low,’ and about hiding his homosexual identity by
dating both men and women in the past. He emphasized his wish to
find a life mate like Randy and Mark have done. The five-minute
short documentary can be found on the Prisoners of Age Facebook
page at the following link: https://www.facebook.com/photo.php?v=10204217999038834&set=vb.1493049016&type=2&theater.
Table 12.1
Excerpt from interview transcript prisoners
of age documentary on formerly incarcerated LGBT elders
RE:
My name is Duwan. I’m 55-years old. I was born in Brooklyn, New
York. I was on the down low. You know, I didn’t really start coming
out into—well I came out when I was young. But, I mean, it was just
really hard for me to accept that, you know, and I went through men
and women, because I was trying to find myself, you know
|
RE:
I’m Randy Killings, and I’m 49. Well I was originated in Brooklyn,
and my mom had me in Jamaica and came back to New York
|
RE:
My name is Mark. I’m 44-years old. I was born in Manhattan. Went to
prison for a while. And now I’m here enjoying my life
|
IN:
So tell me, I want to hear the love story
|
RE:
Well, actually we met on the medication line going to medication
that one night. And one of our mutual friends had brought Mark
down. I think he had just got transferred here
|
RE:
Yeah, I got transferred here
|
RE:
He said I got somebody I want you to meet, and he told him the same
thing. And when we met I just was attracted instantly, which was
unusual for me, because I don’t usually deal with any kind of
activity in jail. But when I saw him I said you’re going to be my
husband. And he laughed. And the next day we started a
relationship
|
RE: I
grew up always gay, but I was so boisterous and strong with it I
didn’t get a lot of abuse or stigmas or things that most gays go
through
|
RE:
Everywhere I went everyone would be like, you know, that’s Randy,
he’s gay, but you all don’t mess with him. He ain’t dealing with
that, you know
|
RE:
We were in something called maximum prison. Maximum prison, people
who are not actually coming home for a very long time if they’re
coming home. So the mindset is like this is mine, this is how I’m
going to run it, and that’s how it was, and there was no changing
it
|
RE:
Because you have to get stronger in jail, you really do, because
there’s such a closed in community where if you’re not strong
enough you’ll get sucked under
|
RE:
Yes, you get sucked under
|
RE:
You’ll be devoured
|
RE: I
was always a good person, but the reason I was in jail this time
was because at that time I was into a lifestyle where it was a lot
of money. I hung out with a lot of guys, it was a stick up crew.
And we wore a lot of jewelry and stuff. And I smoked crack. As I
was leaving the guy tried to rob me outside of the crack house, and
we were fighting, and I punched him hard, and he fell backwards
onto the Johnny pump, and it went through his head. In the time it
took for me to be released they told me, they gave me a CRD to get
out. I immediately just laid down everything. I stopped using,
which was predominately my problem. I transferred to another side
of **, which was called the Core Program, which helped people
integrate back into society and give them an option. And I knew
that if I went back to where I was from that it would be really,
really hard for me. I signed for Project Renewal PTS Program. It
was Transition Housing for Parolees. Right there I prayed that God
would take the taste out of my mouth not to get high, because I got
clean, but it was a different feeling when I was in the free air,
you know. So I had to go to a program for a year, which I completed
very, very quickly. I graduated in like four months. And my
director said, you know, you have a gift, because I was always
helping people and connecting with them. And he said maybe you need
to think about counseling
|
RE: I
look at them, and I see these two how their relationship, you know,
I mean, they’re married and stuff like that, and that’s what I want
to be. Right now, you know, I’m looking. I’m hoping to find
somebody nice that, you know, I could grow old with, you know,
spend the rest of my time with
|
![/epubstore/T/D-A-Teaster/Handbook-Of-Lgbt-Elders/OEBPS/A320416_1_En_12_Fig2_HTML.jpg](/epubstore/T/D-A-Teaster/Handbook-Of-Lgbt-Elders/OEBPS/A320416_1_En_12_Fig2_HTML.jpg)
Image 12.2
Randy and Mark. Photo © Ron Levine. Reprinted with
permission
![/epubstore/T/D-A-Teaster/Handbook-Of-Lgbt-Elders/OEBPS/A320416_1_En_12_Fig3_HTML.jpg](/epubstore/T/D-A-Teaster/Handbook-Of-Lgbt-Elders/OEBPS/A320416_1_En_12_Fig3_HTML.jpg)
Image 12.3
Dwon. Photo © Ron Levine. Reprinted with
permission
Research Critical to Issues Discussed in This Chapter
This qualitative study explored the
experiences of formerly incarcerated LGBT elders. A central theme
of self and the social mirror-emerged participants described a
process in which they built a strong sense of self and pride, often
in response to bias, prejudice, discrimination, and violence due to
the nature of their multiple minority identities, which included
being LGBT, HIV positive, racial/ethnic minority, formerly
incarcerated, and being diagnosed with a serious mental illness.
Despite the many challenges, most of the participants described
resilient coping strategies that helped them navigate oppressive
attitudes and practices that were pervasive in community and
institutional settings.
These findings build upon the existing
literature on marginalized LGBT elders. Similar to Addis et al.
(2009), review of the literature on
the needs of LGBT older people, these findings also showed that
discrimination based on a LGBT sexual orientation has a major
impact on meeting their needs in health and social services. The
narratives from the current study of formerly incarcerated older
adults underscore their struggle to be recognized for their true
selves, which consisted of multiple intersectional identities and
striving for individual and collective empowerment. Many
participants expressed the strong desire to engage in the dialogue
about what are the problems and solutions for LGBT minority elders.
In recognition of this request, the recommendations for system
reform are taken directly from formerly incarcerated LGBT elders.
As shown in Table 12.2 of the chapter appendix, participants
recommended the adoption of more compassionate and affirming
practice and policy approaches, non-discrimination and special
population considerations, post-prison release access to culturally
responsive safe and affordable housing, services, family and peer
supports, and leadership and justice and advocacy opportunities.
These recommendations have implications for interprofessional and
interdisciplinary service delivery and approaches.
Table 12.2
Formerly incarcerated LGBT elders
recommendations for system reform
1. Adoption
of more compassionate and affirming practice and policy
approaches
We need to reform the whole criminal
justice process. Like the intake process in prison. I don’t know if
they do it like that as some type of scare tactic or what. The way
they the intake is like they can give you like a very negative
outlook on, on, on, on life in prison. And if you’re not an
open-minded person, you can go through your whole sentence being in
fear. I think they need to be a little bit more compassionate on
intake because if you’re full of fear, you’re not open to anything,
you know. So you go in jail or prison and you think you got to
fight or you got to do this. It’s just not true. You don’t have to
fight your way through jail. It’s like anything in life. If you’re
not educated about the situation, it can be bad
We need a special unit in prison for only
the -LGBT. Some, some of them can’t be in population. They’re
scared to go to population to get raped or get stabbed. They could
separate the LGBT person from population, you know, put another
jail for them only. I seen lot of LGBT people in prison got beat
up, stabbed, all, all type of worse things happen to them
I think they need to start hiring more LGBT
more correction officers. Like LGBT, you can’t be a part of the
LGBT community and be a corrections officer, did you know that. Not
be openly gay. You can be an openly lesbian but you can’t be an
openly gay man and they let women, they put in areas where they are
not going to do any good. They put the women in non-visiting room.
They need to let female correctional officers to be up on the tiers
or in the dorms. They put the men up there and that is all corrupt.
They think it’s cute to see if the homo get beat up because they
don’t like
I believe that if people had better, like
if there was better planning for people that’s coming out, out of
prison system, a lot of them wouldn’t be going back to jail. A lot
of them would change their ways, and they would become productive
members of society, LGBT or not
|
2. Nondiscrimination and special population
considerations
And one of the things you were talking
about in jail that really needs to change, gays in prison should be
able to safely go to school. Right now they can’t. They’d be
attacked. In prison, they need to separate the jobs for older and
people that’s younger. I worked in a mess hall, and that’s a hard
job, and, you know, if you’re up in age and you got your, you know,
the older you get, the more aches and pains you have, you know, and
working in the mess hall, I don’t see it being good for somebody
that’s 55 or 60
They need to have senior citizen things up
there in prison for people that are senior citizens, I mean,
because when you’re old, I mean, everybody gets old. I mean,
already you’re forgetful in the mind and stuff like that. You get
senile and stuff like that, you know. Um, they should have just a,
I can’t say, um, a certain place, but, I mean, they should have
something for seniors too, you know, because - How can you put a
60-something year-old man in with the regular population of 15 and
16-year-old kids. I wish they would have places for people who are
of that age, something to do for them and something to keep their
mind on the right thing, you know, where they won’t get into
trouble or get hurt
|
3. Post
reentry access to culturally responsive safe and affordable housing
and social services
Cheaper housing, housing, affordable
housing, connected to a therapist, connection to treatment. All
these things—Affordable treatment because now, safe housing is
essential in being able to successfully adjust back into the
community. Living in a high crime area, that has a majority of
unemployed or underemployed residents that may be socially
stigmatized will reduce the ability to manage. In addition, some of
these areas have high rates of victimization of residents, and easy
access to illegal activities and drugs. Adding identification as
LGBT can exacerbate community discrimination and oppression
Housing is a big issue. Let’s say you’re
coming out of jail, and, and you’re eligible for SSI or whatever,
right? They should have some type of housing program that will meet
like the budget of a person that’s on SSI. I think that’s another
reason why a lot of people go back to jail because they feel safer
there, because at least they know that when the night comes, they
got somewhere to sleep. They got some food and they’re comfortable
with it, for some people
One thing that was really hard and I found
a couple of things when I got out of jail that were LGBT and the
housing situation. There was some terrible housing. And that’s not
just for the LGBT over 50, it’s the housing situation but it harder
for an LGBT person because like I said we are pushed into
mainstream and they’re not friendly. So having something housing
where it could be more LG affirm and I’m not saying build a big
house for only LGBT but at least let it be affirming where I can go
there and be okay and not go shopping and my neighbor come busting
my door because I’m gay and take my food because that happens
We need intergenerational services for LGBT
people. I work in a LGBT program and I think we’re from age 21 to I
think closer to 60. I see the age integration of the people. I
think we need to learn to live together even age differences
because that makes a community. To be able to respect or the, I
know when I grew up how I respected the older people. And I like to
be around the older people. And, and I help the older people and
that’s one of the things we need to get back into what a community
is integration of LGBT people of all ages
Specific services for people who are at
least age 50 or older, LGBT, and formerly incarcerated. For
programs, we need them more affirming. See everyone says we need
something for the gays, something for the, no, we need a firm thing
so we can integrate and learn to live
I would like them to have more places for
people that’s on the down low, or they’re not on the down low, just
gay. They just ready to come out or for the LGBT and stuff like
that, they need to have a lot more places for them, you know,
places where they could go and like TV and stuff like that, but I
don’t know how true, I never really, when I always went, I never
said I was gay, you know, so I didn’t get put with a gay guy. I got
put in the regular population, you now
For release programs, they really got to
somewhere to put people, aging LGBT people. Lesbian and gay people,
aging people they are just throwing them back in the street or
putting them in a house where there are mostly either sitting there
drinking or drugging or mourning themselves to death because they
are left in a room and they have nothing to do
|
4. Mental
health and social needs
More activities, more sponsoring of
something for the LGBT seniors. We don’t have anything. Even if
they go into regular senior citizen. Senior citizens are just like
kids. They are just bias as kids so, you know, just more resources
for us
We need a lot with diabetes because a lot
of our seniors are coming down with it, especially the black and
Puerto Ricans, because we are limited to our resources of eating
you know.
So if it is something that is available for
a closeted gay person, maybe his therapist or the counselor or
someone they have seen hears that or you suspect somebody, well you
know, they have housing for LGBT, here’s some information. I don’t
know if that applies for you, let me make that decision and then
tell you, you know what this is who I am and I like to keep it
between me and you so sign me up. But there should be some way that
it can get out because it is really stigmatized in jail. So most of
the men who are out there trying to be the biggest are the most
gay. But they are not going to say, you know, but then again they
don’t need the services because they going back to having a sexual
life and perform their self as a heterosexual person but there are
people that are in that are so, I think, I think there would be a
response because people, first of all, they will get this
information when they were out. Second of all, it will give them
some hope that I’m going to come out but I’m coming out for the
right reasons and I’m going to get some support and direction
|
5. Family
and peer and mentoring supports
To be able to integrate, you are going to
somewhere and have the same thing happen to you in jail going into
some of these program and housing and one of the things that I wish
they would offer more is support for LGBT coming out of jail
because if you can’t go home and most of them have been thrown out,
disowned, or, you know, families don’t associate with us and we
wind up going back to the streets doing what we did to get us back
in jail. If you identify, your family first of all if they are not
loving and caring to you like they should be, they are going to put
you out and once you get in jail, they don’t really have specials
cops to say okay don’t mess with the LGBT leave them alone. We are
not going to let you rape them. They don’t care
Start to have something for LGBT specific,
you know, supports. Okay and starting in prison. Yes because we
need to have that hope and have an LG person come to prison and say
hey, I’m out here, look at me. And I think that’s great when you
probably come up with a way to craft it. My only thought is does it
then put, if you have an LGBT person coming in, does that put
people at danger, people then become to know if they are LGBT
We need more coming out of jail for people
to know that there is hope like a role model thing. Like guys I’ve
been where you at but we can still get here. Don’t let your past
keep you suppressed. Look forward. Look up. Because we don’t get
that hope. We don’t get someone from the LGBT coming in jail saying
hey, guy I’m out there and I’m doing it. It’s not anything and
there’s no hope in jail saying that hey guy I got this place for
you that you can go to that’s just for you. We don’t get that. Now
they come in here and tell everybody that’s straight, we’ve got
this, this, this but we don’t have anything in jail coming out
saying well, we got some support lined up for you. Not yet and
that’s what needed because it’s frightening, like I said it’s a
revolving door. They don’t have this support, what are you doing,
you’re not equipping them to go out there and survive. You’re
equipping them to go back and come back
|
6. Justice
and policy advocacy opportunities
For policies, I would change stop and frisk
of course. And there is no law but their treatment of gays. They
have no respect for gays. There’s nothing in line that they can say
they are breaking and not doing, it’s just their treatments toward
especially the gay men, and I can’t even say lesbians. There’s very
few cops that will be angry with lesbians but all cops are angry in
treatment of gay people or trans people. It’s just horrible
One of the things that we should always
have is someone in the LGBT, in like on the returning is access to
a lawyer. They should have an LGBT person, affirming person to
defend us because we get no defense by regular attorneys. Now, I
mean that’s one time that will probably predict some things and
coming out we can work on that end but going in, I need somebody
like, they don’t even want to talk to you. We need yeah, LGBT
representation of lawyers, otherwise they may not want to talk to
you or really understand or help you
We need to have the opportunity to be more
visible and have our voices heard. What better way to let people
and professionals know what needs to change for LGBT elders
|
Policy Box 12.1
Review Table 12.2 of the chapter
appendix provides policy recommendations by and for LGBT elders to
improve service systems and organizational and legislative policies
that impact LGBT persons in prison and after their release. Choose
one of the theme areas: (1) adoption of more compassionate and
affirming practice and policy approaches, (2) non-discrimination
and special population considerations, (3) post-prison release
access to culturally responsive safe and affordable housing
services, (4) family and peer supports, and (5) justice and
advocacy opportunities. Provide at least 1–2 recommendations on how
organizational and/or legislative policies can be improved at the
local, state, federal, and/or international level to help improve
access to services and justice for LGBT elders in prison or after
their release. Develop an action plan on how to realize these
recommendations (e.g., building coalitions, advocacy campaigns,
contacting legislators).
Related Disciplines Influencing Service Delivery and Interdisciplinary Approaches
Based on the existing literature and
the current study findings, we recommend a holistic and
comprehensive social and public care response that targets primary
(prevention), secondary (at risk), and tertiary (targeted
population) assessments and intervention with LGBT elders at risk
of criminalization or current or past criminal justice involvement.
As illustrated in the first-hand accounts of formerly incarcerated
LGBT elders, they have had adverse experiences in service delivery
systems that include health care, mental health care, social
services, and the criminal justice system. Implicated in the
narratives of elders is the often less-than-adequate services and
sometime abusive treatment of law enforcement (e.g., police or
correctional officers), social workers and psychologists (in or out
of the prison), medical doctors and nurses, educators, and lawyers.
There are many factors that seem to account for the lack of
culturally responsive treatment of LGBT elder with criminal justice
histories, which include the fragmentation of services, lack of
communication between service providers, and lack for training to
work with LGBT elders that have multiple intersectional identities
that may include race and ethnicity, gender, HIV/AIDS history,
serious mental illness, substance use issues, and criminal offense
histories.
In general, there is a significant
need for affirming services in health and mental health, law,
social services, education and vocational training to help people
in the prison and community reintegration process. A comprehensive
response is needed to address the pervasive and multisystemic
biases, prejudice, and discrimination experiences of LGBT
minorities across the life course that places them at risk of
criminalization and/or involvement in the criminal justice system.
When LGBT elders feel that they cannot reveal their true identity
to access services they need in prison or in the community, it
leads to a disregard of their unique challenges by health, mental
health, and other service providers that would be instrumental in
accessing housing and financial resources. Fear of discrimination
and exclusion may lead to an avoidance of disclosure, and
therefore, a true evaluation of service is needed. This group tends
to remain marginalized and invisible to heterosexual social service
providers (Addis et al. 2009).
In the prior literature and current
study findings, access to education in prison or after prison
release is important. Both in prison and in the community, LGBT
people experience discrimination in accessing education. However,
in prison, this is even more so because many LGBT people in prison
did not attend or were not allowed to attend educational classes
because of personal safety and prison management issues. In the
current study highlighted in this chapter, clients who attend the
Rainbow Heights psychosocial club clearly described facing
discrimination from other service providers, such as medical
professionals, therapists, and social service providers, especially
with housing. In fact, many of the narratives suggest the visible
and invisible ‘prisons’ in which society attempts to place them.
One participant described how discrimination on the basis of LGBT
identities creates a ‘prison in the community’ and asked, ‘what’s
the difference from being in jail?’
A recovery approach is recommended to
assist LGBT elders being released from the criminal justice system
to feel more comfortable in accessing services for their mental
health, health, housing, and other important 'social, legal' and
other supports. Engagement without exacerbating stigmas of their
LGBT identity and criminal history is essential to begin
establishing a helping relationship. It is important to provide
services that consider diverse needs including, vocational,
educational, financial, clinical and housing services. The
Substance Abuse and Mental Health Services Administration (SAMSHA
2012) has estimated that 12
percent of male offenders and 24 % of female offenders have a
mental health and/or substance use disorder. Many researchers
indicate that this may be even higher in the LGBT population (Brown
and Pantalone 2011; Mustanski et
al. 2010).
For any treatment to have efficacy, it
must treat the whole individual, not only the presenting disorder.
Best practices include addressing and integrating services with
culturally responsive providers. These services may include
supported employment, family education, peer support, case
management, and advocacy services. Organizations like The Rainbow
Heights Club, a self-help and advocacy program specifically
designed to provide services to LGBT individuals, may be a key
component in community reintegration (Hellman and Klein
2004). Places for socialization and
acceptance are crucial as one reenters the community from prison.
Isolation, discrimination, and lack of stable supports can only
have a negative outcome.
Mental health and other educational
and service providers need to provide trauma-informed care for
those reentering from the criminal justice system. To adequately
adjust to the community, people have to be taught strategies to
address traumas they have experienced and to overcome some of the
detrimental coping mechanisms they may have employed in the past,
which may include substance abuse. Partnering with criminal justice
professionals and working on a comprehensive culturally competent
unified plan is a first step in the process of managing complex
issues in reintegration. Entering the community without adequate
funds for food, shelter, and medical needs creates a barrier to
success, as does a lack of social support.
Lastly, consistent with Ka’Opua et al.
(2012), we recommend the need for
returning prisoners to have timely access to social service
programs and services as well as trauma-informed care to help cope
past trauma histories as well as the trauma of incarceration. For
more details on a trauma-informed approach, please see the
Substance Abuse and Mental Health Services Administration’s (2010)
recommendations on trauma-informed care at: http://beta.samhsa.gov/nctic/trauma-interventions.
Summary
This chapter reviewed the experiences
of LGBT elders’ experiences prior to, during, and after
incarceration. The information that is available, including the
current study findings described in this chapter, suggests that
biases, discrimination, violence, and criminalization are common
experiences reported by LGBT elders. Intersectionality theory 'that
incorporates incarceration history as a social identity or
location, is an important consideration for developing
interprofessional and interdisciplinary practices across service
settings. As described throughout the chapter, many of these
diverse elders were not only LGBT but racial ethnic minorities with
histories of HIV/AIDs, serious mental illness and substance abuse,
trauma, and/or committed drug or serious violent offenses. A
holistic comprehensive approach is recommended that involves
interprofessional and intersectoral collaboration to address
service and policy gaps that are commonly experienced by LGBT
elders in prior to prison, during prison, and after release from
prison. Promising practices, such as the Rainbow Heights
psychosocial club in Brooklyn, New York, are highlighted as a
LGBT-affirming service provider that is helpful for LGBT elders
released from the criminal justice system.
Learning Exercises
Self-Check Questions
1.
Race, class, gender, and sexuality are
important in structuring our identity and that examining our
sexuality is integral to viewing the _________________ of the many
facets of self. (Answer: intersectionality)
2.
LGBT persons, especially elders, are
at high risk of direct violence in the form of _____________ and/or
_______victimization. (Answer: sexual or physical)
3.
_____________ research after gather
narrative data from participants to gain a in-depth portrait of
their lives. (Answer: qualitative)
4.
For LGBT survivors of trauma,
________________ is a recommended intervention strategy. (Answer:
trauma-informed care)
5.
For LGBT elders with serious mental
illness and substance use problems, a __________ approach is
recommended. (Answer: recovery)
Field-Based Experiential Assignments
1.
Visit a LGBT elder center or service
provider in your geographic location or attend a LGBT event, and
write about your experiences, especially as it relates to your
impressions of the LGBT community prior to the visit and after
it.
2.
Visit the United Nations-Free and
Equal Campaign located at and join the campaign: https://www.unfe.org/en. Review
the materials, including the fact sheets to learn more about the
human rights challenges facing lesbian, gay, bisexual and
transgender (LGBT) people everywhere and the actions that can be
taken to tackle violence and discrimination and protect the rights
of LGBT people everywhere. In essay form or in small group
discussion, choose one of the problems and the solutions to write
about or discuss: (1) LGBT Rights: Frequently Asked Questions, (2)
International Human Rights Law, (3) Equality and
Non-Discrimination. (4) Criminalization, (5) Violence, or (5)
Refuge and Asylum.
3.
View the short documentary on LGBT
elders released from prison short at:
https://www.facebook.com/photo.php?v=10204217999038834&set=vb.1493049016&type=2&theater.
In essay form or group discussion,
describe your thought and feelings having watched this videos. Did
any of your viewpoints change after watching the video? If so,
please share in essay form or group discussion.
Multiple-Choice Questions
1.
Which country has the most number of
incarcerated people in the world?
(A)
Russia
(B)
China
(C)
India
(D)
USA
2.
LGBT elders are at high risk of what
types of discrimination and oppression?
(A)
Housing
(B)
Employment
(C)
Violence
(D)
All of the above
3.
Research that actively involves
participants voice in the research project is commonly referred to
as:
(A)
Quantitative research
(B)
Chi-Square Analysis
(C)
Participatory Action Research
(D)
Descriptive Research
4.
What percentage of incarcerated LGBT
people in US prisons report being raped:
(A)
75 %
(B)
35 %
(C)
12 %
(D)
64 %
5.
The USA spend about how much annually
to operate correctional facilities?
(A)
One million
(B)
Two and a half million
(C)
15 billion
(D)
77 billion
6.
Social documentary often is used to:
(A)
Foster dialogue
(B)
Stimulate debate
(C)
Stimulate social and institutional
change
(D)
All of the above
7.
Social Stigma among LGBT elders
involved in the criminal justice system can be experienced:
(A)
As a result of negative attitudes
about their LGBT identity and/or criminal justice involvement
(B)
Internally in the form of self hatred
and low self worth
(C)
Is not an issue
(D)
Both A and B
8.
Comprehensive services for LGBT
elders released from prison may included:
(A)
Housing and Employment
(B)
Access to health, mental health, and
social services
(C)
Histories of Trauma
(D)
A and B only
(E)
All of the Above
9.
For treatment to be effective with
LGBT elders with mental health issues released from prison:
(A)
Medication must be prescribed
(B)
It must treat the whole individual,
not just the mental disorder
(C)
Be GLBT affirming
(D)
B and C only
10.
An essential element or elements of
treatment with LGBT elder released from prison is the following:
(A)
Engagement without exacerbating
stigma
(B)
Child care availability
(C)
Offering space for socialization and
acceptance
(D)
Both A and C
Key
-
1–2-D
-
3-C
-
4-C
-
5-D
-
6-D
-
7-D
-
8-E
-
9-D
-
10-D
Resources
-
Be the Evidence International-Rainbow Justice Project: http://www.betheevidence.org/rainbow-justice-project/
-
Equal Rights Center: http://www.equalrightscenter.org/site/PageServer?pagename=issues_lgbt
-
Huffington Post Op-Ed on Prison Rape and Gay Rights: http://www.huffingtonpost.com/rodney-smith/prison-rape-gay-rights_b_4504331.html
-
Just Detention International: http://www.justdetention.org
-
Lamba Legal-Criminal Justice: http://www.lambdalegal.org/blog/topic/criminal-justice
-
Prison Rape Elimination Act (PREA) Resources Center: http://www.prearesourcecenter.org/about (Resources on LGBT persons in prison)
-
Prisoners of Age: http://www.prisonersofage.com/home
-
Rainbow Heights Club: http://www.rainbowheights.org
-
Sero Project: http://seroproject.com
-
Services and Advocacy for Gay, Lesbian, Bisexual Elders (SAGE): http://sageusa.org/index.cfm
-
Transgender Law Center: http://transgenderlawcenter.org/issues/prisons
-
Transequality-Jails Prison Resource: http://transequality.org/PDFs/JailPrisons_Resource_FINAL.pdf
-
United Nations Office on Drugs and Crime: http://www.unodc.org
-
United Nations Office on Drugs and Crime Handbook on Prisoners with Special Needs: http://www.unodc.org/documents/justice-and-prison-reform/Prisoners-with-special-needs.pdf
-
United Nations-Free and Equal Campaign: https://www.unfe.org/en
References
Addis, S., Davies, M.,
Greene, G., MacBride-Stewart, S. & Shepherd, M. (2009). The
health, social care and housing needs of lesbian, gay, bisexual and
transgender older people: A review of the literature. Health and Social Care in the Community,
17(6), 647–656. doi:10.111/j.1365-2524.2009.00866.x
American Civil Liberties
Union [ACLU]. (2012). At America’s
expense: The mass incarceration of the elderly. Washington,
DC: Author.
Beck, A. J., Berzofsky, M.,
Caspar, R., & Krebs, C. (2013). Sexual victimization in prisons and jails
reported by inmates, 2011–2012. Retrieved September 18,
2014, from http://www.bjs.gov/content/pub/pdf/svpjri1112.pdf
Brown, L., & Pantalone,
D. (2011). Lesbian, gay, bisexual and transgender issues in trauma
psychology: A topic comes out of the closet. Traumatology, 17(2), 1–3. doi:10.1177/1534765611417763.CrossRef
Bureau of Justice Statistics
[BJS]. (2006). Mental health
problems of prison and jail. Retrieved November 4, 2012,
from
http://bjs.ojp.usdoj.gov/index.cfm?typbdetail&iid789
Carson, E. A. (2014).
Prisoners in 2013.
Retrieved September 18, 2014, from http://www.bjs.gov/content/pub/pdf/p13.pdf
Glaze, L. E., &
Herberman, E. J. (2012). Correctional populations in the United
States, 2012. Retrieved September 18, 2014, from
http://www.bjs.gov/index.cfm?ty=pbdetail&iid=4843
Guerino, P., Harrison, P.,
& Sabol, W. (2011). Prisoners
in 2010. Retrieved June 1, 2012, from http://bjs.ojp.usdoj.gov/content/pub/pdf/p10.pdf
Hellman, R., & Klein, E.
(2004). A program for lesbian, gay, bisexual and transgender
individuals with major mental illness. Journal of Gay and Lesbian Mental
Health, 8(3–4),
67–82.CrossRef
Human Rights Watch [HRW].
(2012). Old behind bars. Retrieved January 31, 2012, from
http://www.hrw.org/reports/2012/01/27/old-behind-bars
Jenness, V., Maxon, C. L.,
Matsuda, K. N., & Sumner, J. M. (2007). Violence in California correctional
facilities: An empirical examination of sexual assault
(Center for Evidence-Based Corrections). Retrieved September 18,
2014, from
http://www.wcl.american.edu/endsilence/documents/ViolenceinCaliforniaCorrectionalFacilities.pdf
Ka’Opua, L. S., Petteruti,
A., Takushi, R. N., Spencer, J. H., Park, S. H., Diaz, T. P., et
al. (2012). The lived experience of native Hawaiians exiting prison
and reentering the community: How do you really decriminalize
someone who’s consistently being called a criminal? Journal of Forensic Social Work, 2,
141–161.
Marksamer, J., & Tobin,
H. J. (2014). Standing with LGBT
prisoners: An advocate’s guide to ending abuse and combatting
injustice. National Center for Transgender Equality.
Retrieved September 18, 2014, from
http://transequality.org/PDFs/JailPrisons_Resource_FINAL.pdf
Maschi, T., & Aday, R.
(2014). The social determinants of health and justice and the aging
in prison crisis: A call to action. International Journal of Social Work,
1, 1–15.CrossRef
Maschi, T., Kwak, J., Ko, E.
J., & Morrissey, M. (2012a). Forget me not: Dementia in
prisons. The
Gerontologist,. doi:10.1093/geront/gnr131.
Maschi, T., Sutfin, S.,
& O’Connell, B. (2012b). Aging, mental health, and the criminal
justice system: A content analysis of the literature. Journal of Forensic Social Work,
2, 162–185.CrossRef
Maschi, T., Viola, D., &
Sun, F. (2012c). The high cost of the international aging prisoner
crisis: Well-being as the common denominator for action.
Gerontologist. doi:10.1093/geront/gns125. (First
published on October 4, 2012.)
Maschi, T., Viola, D., &
Morgen, K. (2013a). Trauma and coping among older adults in prison:
Linking empirical evidence to practice. Gerontologist. doi:10.1093/geront/gnt069. (First
published online July 19, 2013.)
Maschi, T., Viola, D.,
Morgen, K., & Koskinen, L. (2013b). Trauma, stress, grief,
loss, and separation among older adults in prison: the protective
role of coping resources on physical and mental wellbeing.
Journal of Crime and
Justice,. doi:10.1080/0735648X.2013.808853.
Maschi, T., Viola, D.,
Harrison, M., Harrison, W., Koskinen, L., & Bellusa, S. (2014).
Bridging community and prison for older adults and their families:
Invoking human rights and intergenerational family justice.
International Journal of Prisoner
Health, 19(1),
1–19.
Miles, M. B., &
Huberman, A. M. (1994). Qualitative data analysis. Thousand
Oaks, CA: Sage Publications.
Mustanski, B. S., Garafalo,
R., & Emerson, E. M. (2010). Mental health disorder,
psychological distress and suicidality in a diverse sample of
lesbian, gay, bisexual and transgender youths. American Journal of Public Health,
100(12),
2426–2432.CrossRef
SAMSHA Einstein Expert Panel
Report. (2012).
http://www.samhsa.gov/traumaJustice/pdf/Final%20CoOccurring_Disorders_Report_031014_508.pdf
Tutty, L. M., Rothery, M.,
& Grinnell, R. M. (1996). Qualitative research for social
workers. Needham Heights, MA: Allyn and Bacon.
United Nations Office on
Drugs and Crime [UNODC]. (2009). Handbook for prisoners with special
needs. Vienna, Austria: Author.
Walmsley, R. (2013). World
prison population list (10th Ed.). Retrieved September 18, 2014,
from
http://www.prisonstudies.org/sites/prisonstudies.org/files/resources/downloads/wppl_10.pdf
Ward, J. (2008).
Respectably queer: Diversity
culture in LGBT activist organizations. Nashville, TN:
Vanderbilt University Press.