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SAGE certification would matter to her in picking a community. A longtime lesbian activist, she has always felt comfortable there. While leaders say this mostly grew out of the "person-centered care" movement, they also know that the estimated three million LGBT people over age 55 are an underserved market. Via Pandagon: It includes a four-hour training for managers and online training for most of the remaining staff. Subscribe Now.

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Where do you see yourself within the next few years? In case you hadn't guessed, Beiler is a lesbian. The trend is occurring at a time when overt discrimination against gay elders continues.

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Residents who came of age at a time when it was acceptable to treat LGBT peers badly may be harder to reach than staff.

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