- Inclusive Questions for Older Adults PDF Document - A Practical Guide to Collecting Data on Sexual Orientation and Gender Identity
- Better Serving The Lesbian, Gay, Bisexual and Trans Gender Populations in Assisted Living Communities
- Sexually Transmitted Diseases in the Elderly: What you Need to Know
Guidelines for the Evaluation of dementia and Age Related Cognitive Change, American Psychological Association
Assessment of Older Adults with Diminished Capacity- American Bar Association, Free download 186 pages, Sexual consent forms pages 61-71
- A Guide to Assessing Needs: Essential Tools for Collecting Information, Making Decisions and Achieving Development Results - Free Book Download
- Alzheimer's Disease and Sexuality, Maintaining Intimacy, Managing Difficult Behavior, James Clyde Sellman Ph.D July 24 2008, About.com
- A Perfect Cause - Sex Offenders Act, Predators in Nursing Homes
- American Association for Geriatric Psychiatry
- American Association of Older Persons. Great Sex Well After 50.
- America Bar Association
- American Family Physician - Questions for a Sexual Health History
- American Foundation for Urological Disease, Inc
- Assessment of Older Adults with Diminished Capacity: A Handbook for Psychologist, Free 186 book download, American Bar Association
- Assessments - Admission Intimacy History
- Assessments - Assessment of Sexual Behavior
- Assessments - Sexual Behaviourial Assessment
- Assessments - Sexuality Practice Guidelines
- Beautiful portraits of older gay couples.
- Better Serving the Lesbian Gay, Bisexual and Transgender Populations in Assisted Living communities
- Challenges of housing Registered Sex Offenders
- Comprehensive Geriatric Assessment
- Delivery of The National Dementia Strategy, The Alzheimer’s Society UK Recommends How To Implement the UK Strategy, “Information Needs of People With Dementia and Carers.” Download Free Document
- Dementia Care Mapping Book through Amazon
- Did an NHC Nursing Home let a Serial Molester Run Free For Seven Years
- Finding the Path to Equal Justice A Handbook for Adults with Intellectual Disabilities and their Families, Free Download, Georgia Appleseed
- For Behavior Log, Growing Options, ABC (Antecedent, Behavior, Consequence), Chart Form
- For Behavior Log, Aged Care, Behavior Chart see page 11
- FREE DOWNLOAD A Practical Guide for Collecting Data on Sexual Orientation and Gender Identity
by National Resource Center on LGBT Aging
- Gathering Data on Sexual Orientation - National Resource Center on LGBT Aging
- Gen Silent Video - Fantastic Video to Show your Staff on LGBT Issues in Long Term Care
- Get a Second Wind
- Grandparent Molesting: Sexual Abuse of Elderly Nursing Home Residents and It’s Prevention
- Guidelines for Conducting Assessments of Capacity, Canada
- Hartford Institute for Geriatric Nursing Try This Series. Free download assessments tools
- HIV and Aging Consensus Project - Recommended Treatment Strategies for Clinicians Managing Older Patients with HIV
- Hypersexuality in Dementia, Advances in psychiatric treatment
- Improving Lesbian, Gay, Bisexual and Transgender Access to Healthcare at New York City Health and Hospitals Corporation Facilities, (Everyone should read this)
- Improving the Lives of LGBT Older Adults
- Intimate partner violence prevention
- Intimate Partner Violence and Sexual Victimazation Assessment Instruments to Use in Health Care Settings
- Judicial Determination of Capacity of Older Adults in Guardianship Proceedings. A Handbook for Judges, Free Download about 186 pages
- LGBT Aging Project
- LGBT Inclusive Model for Aging in Place
- Mental Health Foundation UK, Case Studies to discuss
- National Academy of Elder Care Attorneys
- National Domestic Violence Hotline
- National Coalition for LGBT Health
- National Gay and Lesbian Task Force
- National Online Resource Center on Violence Against Women
- National Resource Center on LGBT Aging
- National Sexual Violence Resource Center
- Opening Doors: An Investigation of Barriers to Senior Housing for Same Sex Couple by SAGE and The Equal Rights Center. Read 2014 Report
- Policy Focus: How to Gather Data on Sexual Orientation and Gender Identity in Clinical Settings
- Proactive Sexual Health History Article with Sexual History Form, American Family Physician Web site. Free Download
- Promoting Sexual Safety, Responding to Sexual Activity and managing Allegations of Sexual Assault in Adult Acute Inpatient Units
- PSAT The Psychosexual Assessment and Treatment Continuum
- Rape, Abuse, and Incest National Network
- Residents’ Rights and the LGBT Community: Know Your Rights as a Nursing Home Resident
- SAGE (Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders), 305 Seventh Avenue, 6th Floor, New York, NY 10001, 212-741-2247, ext. 261
- Sex and Aging: A Game of Awareness and Interaction
- Sexuality and Intimacy in Older Adults - Staff Attitudes
- Sexuality Assessment - Nursing Home Pro
- Sexually Transmitted Diseases in the Elderly: What You Need To Know, Sexual History Form for Elders
- Sexual violence
- Screening Older Adults for Executive Dysfunction
- Society for the Scientific Study of Sexuality.
- Stalking Resource Center
- Still Out, Still Aging, The MetLife Study of Lesbian Gay Bisexual and Transgender Baby Boomers
- Supporting Sexual Health and Intimacy in Care Facilities
- To Watch a Video of a Nurse Conducting Executive Dysfunction Assessments
- The Geriatric Mental Health Foundation
- The Metlife Study of Lesbian, Gay, Bisexual and Transgender Baby Boomers, Still Out, Still Aging
- The National Intimate Partner and Sexual Violence Survey- NISVS
- The National Long-Term Ombudsman Resource Center has many resources regarding elder abuse, residents' rights, and ombudsman training.
- The Single Assessment Process, Assessment Tools and Scales
- Transgender Aging Resources
- What to do with Sex Offenders in Long Term Care?, Article published December 2nd 2011, LTL Magazine
- World Health Organization (2004). Sexual Health- A New Focus for WHO. Progress in Reproductive Health Research, 67. 1-8.
From Department of Aging
For Family Caregivers
The third section of this booklet for caregivers of people with Alzheimer’s disease addresses challenging situations, including sexual relationships and inappropriate sexual behavior. Tips for dealing with each situation are provided. The brochure is available online in English and Spanish; print copies are available in English, Spanish, Arabic, Russian, Japanese, Hebrew, Chinese, Danish, Hindi, and Serbian.
Caring for a Person with Alzheimer's Disease: Your Easy-to-Use Guide from the National Institute on Aging (2009, 148 pages)
This guide from the National Institute on Aging provides clear, easy-to-read information and advice to help caregivers of people with Alzheimer’s disease cope with the many challenges they face. One section of the guide explains how to deal with common behavioral issues, including loss of intimacy and sexually inappropriate behavior. Other aspects of caregiving discussed include everyday activities, home safety, getting help, and choosing a full-time care facility. Available from the Alzheimer's Disease Education and Referral (ADEAR) Center. Call (800) 438-4380 or e-mail firstname.lastname@example.org.
Dementia: Sexuality and Intimacy (2008)
This fact sheet from the consumer health website of the government of Victoria, Australia, explains that people with dementia continue to need loving, safe relationships, even when the disease changes how they show intimacy and sexuality. It explains what partners can expect in terms of increases or decreases in sexual interest and demands, and advises them on how to manage inappropriate sexual behaviors.
Sex and Dementia (2008, 6 pages)
This fact sheet describes how dementia can affect the sexual feelings, needs, and desires of people with dementia and their partners. It explains how sexual behavior can change in a person with dementia and how partners can cope with changes and their own emotions and frustration. Also covered are sex in residential care settings, capacity to consent to sexual relations, and what to do when abuse is suspected.
This fact sheet explains how Alzheimer’s disease can change a person’s sexual behavior and how caregivers can deal with those changes. It lists possible reasons for behaviors such as inappropriate undressing, sexual displays, aggressive advances, and reduced sexual desire. It suggests ways to respond to these behaviors and offers advice for partners about adjusting to changes in the sexual relationship.
Available from the Alzheimer's Association. Call (800) 272-3900 or e-mail email@example.com. Free print copy from local chapters and free online access at www.alz.org/national/documents/topicsheet_sexuality.pdf (English) and www.alz.org/national/documents/sp_topicsheet_sexualidad.pdf (Spanish).
This publication discusses how couples can cope with the emotional and physical changes in their relationship brought on by dementia. It describes the impact of a lost sexual relationship and the ways that physical intimacy can help both the person with dementia and his or her caregiver cope with loss and agitation. Sexually inappropriate behaviors are also discussed.
Available from the Family Caregiver Alliance. Call (415) 434-3388 or e-mail firstname.lastname@example.org. Free online access at www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=782.
Sexuality and the Alzheimer’s Patient (1993, 64 pages)
This guide from the Joseph and Kathleen Bryan Alzheimer’s Disease Research Center discusses issues of sexuality and intimacy for people with Alzheimer’s and their caregivers. Among the topics discussed are the need for affection and self-esteem, effects of the disease on marital intimacy, how to respond to inappropriate sexual behaviors, and sexual needs and expression. Other topics include the effects of medications on sexual function, coping strategies for the spouse caregiver, and managing sexual behaviors in the nursing home.
Sexuality in Later Life (La sexualidad en la edad avanzada) (2009, 12 pages)
This fact sheet describes the physical changes that occur with normal aging and reviews some causes of sexual problems, including dementia. It also discusses the importance of safe sex, emotional factors and sexuality, and ways to keep an active sex life in later life.
Available from the National Institute on Aging Information Center. Call (800) 222-2225/(800) 222-4225 (TTY) or e-mail email@example.com. Free print and online access at www.nia.nih.gov/HealthInformation/Publications/sexuality.htm
Intimacy, Sexuality and Sexual Behaviour in Dementia: How to Develop Practice Guidelines and Policy for Long-Term Care Facilities (2002, 25 pages)
This guide advises facility managers on developing an effective policy on sexuality and dementia that balances residents’ rights to sexual expression with an organization’s mission and goals. It reviews obstacles to consistent, fair practices, including staff members’ perceptions of and attitudes toward the sexuality of elderly residents with dementia. The guide includes action steps facilities can take to develop a policy and a list of facilities to contact for sample policies, resources, and facts and myths about sexuality and older adults.
Freedom of Sexual Expression: Dementia and Resident Rights in Long-Term Care Facilities (2002, VHS or DVD and booklet)
This 16-minute video looks at sexuality and intimacy in long-term care settings. It tastefully shows sexual expressions and describes methods for allowing sexual expression while maintaining a comfortable environment for residents and staff. The video also offers strategies for dealing with inappropriate sexual behaviors, as well as sample policies and procedures regarding residents’ rights in the areas of sexual expression and physical protection.
More Than a Thousand Tomorrows (2003, DVD)
This 22-minute follow-up to “A Thousand Tomorrows” further explores the challenges that Alzheimer’s disease can bring to intimacy and sexuality in a spousal relationship. The video revisits Everett and Betty Jordan, looking at the changes Alzheimer’s has caused in their intimate relationship. It also discusses such issues as making the adjustment from intimate partner to caregiver and dealing with frustration over lack of sexual desire.
Physical Intimacy: The Person with Alzheimer’s Disease (2008, DVD)
Dr. Peter V. Rabins of the University of Maryland School of Medicine and nursing staff discuss issues related to physical intimacy and patients with Alzheimer’s disease. They discuss patients’ needs for positive intimacy, when intimacy is inappropriate, and actions to take in selected situations. Topics include masturbation, inappropriate touching of residents and staff, and the need for family involvement to develop solutions.
Available from the University of Maryland School of Medicine Video Press. Call (800) 328-7450 or e-mail firstname.lastname@example.org. PRICE: $150; $75 rental fee.
Supporting the Caregiver in Dementia: A Guide for Health Care Professionals (2006, 312 pages)
This guide for mental health professionals explores caregiving in dementia, discussing the latest research developments and sharing tips for clinical practice. Part III examines caregiving from an interpersonal perspective. One article in this section, “Caregiving and the Sexual Relationship in Dementia,” by Naomi D. Nelson, addresses the issue of sexuality and intimacy by people with Alzheimer’s disease and their caregivers.
Available from the Johns Hopkins University Press. Call (410) 516-6930. PRICE: $57 (hardcover).
A Thousand Tomorrows (1995, DVD)
In this 30-minute video, three married couples discuss their relationships and problems with intimacy related to Alzheimer’s disease. They describe different issues, including hypersexuality, a decline in intimacy, a strengthened relationship, and what happens when a partner no longer recognizes his or her spouse.
Simonelli, C., et al. The influence of caregiver burden on sexual intimacy and marital satisfaction in couples with an Alzheimer’s spouse. International Journal of Clinical Practice. 2008;62(1):47-52.
"So that knowledge gets better with Age" National Resource Center on LGBT Aging
"Remember : You don't stop laughing because you grow old:,
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