© Springer International Publishing Switzerland 2016
Debra A. Harley and Pamela B. Teaster (eds.)Handbook of LGBT Elders10.1007/978-3-319-03623-6_12

12. LGBT Elders and the Criminal Justice System

Tina Maschi , Jo Rees2, Eileen Klein3 and Ron Levine1, 4
(1)
Fordham University, New York, USA
(2)
Department of Social Work, Long Island University, New York, USA
(3)
Department of Social Work, Ramapo College, New York, USA
(4)
Be the Evidence and Prisoners of Age, New York, USA
 
 
Tina Maschi
Abstract
This chapter explores LGBT elders with histories of incarceration. 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, Reverse order, a member of a racial/ethnic minority, and being formerly incarcerated . 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 LGBT elders for systemic reform are presented .
Keywords
AgingOlder AdultsEldersMinority issuesPublic healthLGBT issuesIntersectionalityPrisonsCommunity reentryCommunity reintegrationSocial integration

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
  • 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.
  • 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
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.
  • 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.
  • 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.
  • 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=​1020421799903883​4&​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
Link to 5 min documentary: https://​www.​facebook.​com/​photo.​php?​v=​1020421799903883​4&​set=​vb.​1493049016&​type=​2&​theater
/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
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.

Appendix

Images of Incarcerated and Formerly Incarcerated LGBT Elders

See Images 12.1, 12.2 and 12.3.

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.
 
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

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/​ViolenceinCalifo​rniaCorrectional​Facilities.​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
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.