Rhonda Brown

Stigma or respect: Lesbian-parented families negotiating school settings

This article explores the interface between lesbian-parented families and mainstream society through the example of schools. Lesbian-parented families are an increasingly visible family form; they are diverse and complex and raise challenges for heteronormative social institutions. Based on qualitative family interviews with lesbian-parented families in Melbourne, we discuss the dialectic between schools and families. In many heteronormative school contexts family members were stigmatized and burdened by secrecy and fear about their family configuration. However, there were also a significant minority of family members who felt respected, supported and safe within the school environment.These parents and children were out and proud about their families, and schools had responded with acceptance in both the schoolyard and the curriculum. We discuss the contextual factors (including social location and family formation), impacting on and constraining the interface between the families and schools, and point to opportunities for change.

Lesbian parents negotiating the health care system in Australia

Twenty Australian lesbian-parented families were interviewed in multigenerational family groups about the interface between their public and private worlds. Experiences of the health care bureaucracy were difficult, whereas many participants found individual providers to be approachable and caring. Three strategies were used for disclosure of their sexual orientation to health care providers: private, proud, and passive. Influences on the strategy used included family formation, role of the non-birth parent, geographic location, and expected continuity of care. Parents displayed a high degree of thoughtful planning in utilizing their preferred disclosure strategy in order to optimize safety, particularly for their children.

Bisexual Parents and Family Diversity: Findings From the Work, Love, Play Study

This article reports on findings from the Work, Love, Play study, an Australian/New Zealand study of same-sex attracted parents. There were 48 parents in this study who identified as bisexual. There was a diversity of contexts in which people in this sample were parenting: heterosexual relationships, same-sex relationships, coparenting with ex-partners or nonpartners, and sole parenting. A large number of these bisexual parents had experience of divorce or separation since having children, but most reported positive aspects to their parenting relationships with ex-partners. Very few people in this study reported that bisexual identity created difficulties for them as a parent.

Understanding resilience in same-sex parented families: the work, love, play study

BackgroundWhile families headed by same-sex couples have achieved greater public visibility in recent years, there are still many challenges for these families in dealing with legal and community contexts that are not supportive of same-sex relationships. The Work, Love, Play study is a large longitudinal study of same-sex parents. It aims to investigate many facets of family life among this sample and examine how they change over time. The study focuses specifically on two key areas missing from the current literature: factors supporting resilience in same-sex parented families; and health and wellbeing outcomes for same-sex couples who undergo separation, including the negotiation of shared parenting arrangements post-separation. The current paper aims to provide a comprehensive overview of the design and methods of this longitudinal study and discuss its significance.Methods/DesignThe Work, Love, Play study is a mixed design, three wave, longitudinal cohort study of same-sex attracted parents. The sample includes lesbian, gay, bisexual and transgender parents in Australia and New Zealand (including single parents within these categories) caring for any children under the age of 18 years. The study will be conducted over six years from 2008 to 2014. Quantitative data are to be collected via three on-line surveys in 2008, 2010 and 2012 from the cohort of parents recruited in Wave1. Qualitative data will be collected via interviews with purposively selected subsamples in 2012 and 2013. Data collection began in 2008 and 355 respondents to Wave One of the study have agreed to participate in future surveys. Work is currently underway to increase this sample size. The methods and survey instruments are described.DiscussionThis study will make an important contribution to the existing research on same-sex parented families. Strengths of the study design include the longitudinal method, which will allow understanding of changes over time within internal family relationships and social supports. Further, the mixed method design enables triangulation of qualitative and quantitative data. A broad recruitment strategy has already enabled a large sample size with the inclusion of both gay men and lesbians.

In search of a name for lesbians who mother their non-biological children.

ABSTRACT We are interested in how language has been used in the literature to describe and define the role and relationship of non-birth lesbian mothers to their children. Although previous researchers and clinicians have presented strong cases for a variety of descriptions, there is little agreement about what language best reflects and, indeed, legitimizes this relationship. We have previously argued that “the search for a definitive term is unlikely to bear fruit” (Brown & Perlesz, 2007), and, in this article, we revisit the variety of labels used and explore the implications of this language. Language is not only determined by social and individual understandings of mothering and parenting, but is also influenced by pathways to lesbian parenting and negotiated roles and relationships within families. Language has the power not only to acknowledge and affirm but also to negate and render invisible the position and distinctive contribution of lesbian mothers who have not given birth to their children.

Gay and bisexual dads and diversity: Fathers in the work, love, play study

Abstract This paper reports on findings from the Work, Love, Play (WLP) study, an Australian/New Zealand study of same-sex attracted parents. There were 88 fathers who responded to the WLP survey. There was a diversity of contexts in which these men had become parents and were currently parenting: 34 (39%) had become parents while in a previous heterosexual relationship, 20 (23%) were parenting children who had been conceived via surrogacy in the context of the respondent’s current same-sex relationship, 17 (19%) had become parents through sperm donation and co-parenting arrangements with single women or lesbian couples, while 10 (11%) were parents to foster children. The shift to parent- hood generated largely positive outcomes for most men including bringing men closer to their families, although some men who had children from previous heterosexual relationships faced challenges confronting their families concerns about the impact of their ‘coming out’ on their children.

User Experience and Care Integration in Transitional Care for Older People From Hospital to Home A Meta-Synthesis

This meta-synthesis aimed to improve understanding of user experience of older people, carers, and health providers; and care integration in the care of older people transitioning from hospital to home. Following our systematic search, we identified and synthesized 20 studies, and constructed a comprehensive framework. We derived four themes: (1) ‘Who is taking care of what? Trying to work together”; (2) ‘Falling short of the mark’; (3) ‘A proper discharge’; and (4) ‘You adjust somehow.’ The themes that emerged from the studies reflected users’ experience of discharge and transitional care as a social process of ‘negotiation and navigation of independence (older people/carers), or dependence (health providers).’ Users engaged in negotiation and navigation through the interrogative strategies of questioning, discussion, information provision, information seeking, assessment, and translation. The derived themes reflected care integration that facilitated, or a lack of care integration that constrained, users’ experiences of negotiation and navigation of independence/dependence.

A model for lesbian, bisexual and queer-related influences on alcohol consumption and implications for policy and practice

Abstract Research consistently reports higher rates of problematic drinking among lesbian, bisexual and queer women than among heterosexual women, but relatively little research has identified underlying factors. Within this context, the aim of the present study was to qualitatively explore the sociocultural influences on alcohol consumption among lesbian, bisexual and queer women in Australia. An ethnographic study including in-depth interviews and 10 sessions of participant observation was conducted with 25 Australian lesbian, bisexual and queer women. Analysis of transcripts and fieldnotes focused on lesbian, bisexual and queer-related influences on alcohol consumption. Three lesbian, bisexual and queer-related factors were identified that influenced alcohol use: (1) coping, (2) connection and (3) intersections with lesbian, bisexual and queer identity. Most participants reported consuming alcohol to cope with discrimination or to connect with like-minded others. Alcohol use had positive influences for some women through facilitating social connection and wellbeing. Women with a high lesbian, bisexual and queer identity salience were more likely to seek lesbian, bisexual and queer community connection involving alcohol, to publicly identify as lesbian, bisexual and queer and to experience discrimination. National policies need to address underlying causes of discrimination against lesbian, bisexual and queer women. Alcohol policies and clinical interventions should acknowledge the impact of discrimination on higher alcohol consumption amongst lesbian, bisexual and queer women compared with heterosexual women, and should utilise health promotion messages regarding safe drinking that facilitate lesbian, bisexual and queer social connection.

User experience and care for older people transitioning from hospital to home: patients' and carers' perspectives

Transitioning from hospital to home is challenging for many older people living with chronic health conditions. Transitional care facilitates safe and timely transfer of patients between levels of care and across care settings and includes communication between practitioners, assessment and planning, preparation, medication reconciliation, follow‐up care and self‐management education. To date, there is limited understanding of how to actively involve care recipient service users in transitional care.

Improving alcohol and mental health treatment for lesbian, bisexual and queer women: identity matters

Objective: Lesbian, bisexual and queer (LBQ) women experience substantial unmet alcohol and mental health treatment needs. This paper explores the way in which sexual identity shapes experience, and needs, in relation to alcohol and mental health treatment, and presents key messages for improving treatment.