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Phyllis Simon, OTD, OTR/L, FNAP; Lenin C. Grajo, PhD, OTR/L; Diane Powers Dirette, PhD, OTL, FAOTA


There are growing numbers of older individuals who identify as lesbian, gay, bisexual, and transgender (LGBT) who are in need of health care services provided by culturally and clinically competent providers, including occupational therapists. The LGBT community presents with unique needs and circumstances that impact occupational therapy (OT) practice. This Opinions in the Profession article presents an overview of the unique narratives of and special considerations for LGBT older adults that the OT profession needs to address to meet the needs of this population and improve our service delivery. We assert essential implications for OT practice and education to better support the needs of LGBT older adults and strategies for occupational therapists to promote culturally and clinically competent care and serve as agents of change in practice.


The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript.