Sarah Jen

• Doctor of Social Work
• Professor (Assistant) at University of Kansas

Scholarship has suggested that compassion is the foundation of quality social work practice. However, research exploring specific ways in which social workers utilize compassion is limited. Therefore, this qualitative study examined how social workers actualize compassion in practice. Semi-structured interviews were completed with 12 social workers...

This article reflects the interweaving of multiple sources of knowledge – narratives of student mothers, personal reflections of our own as mothers in academia, and recent literature – while using the thread of feminist theories and critique to bind the pieces together. We aim to reflect the impact of the pandemic on mothers who are also university...

The health-related pathways of bisexual individuals are most often compared to those of lesbians and gay men or examine participants of different genders separately. However, little is known regarding how the health-related pathways of bisexual individuals of diverse genders compare to one another, particularly in mid- to later life. This analysis...

Purpose: Evidence establishing the importance of compassion in the context of social work practice is emerging. Compassion, stemming from the Latin words com and pati, means to suffer with. Given the proximity social workers have to vast experiences of suffering, compassion may play a central role in providing meaningful care to individuals, commu...

Critical gerontologists have called for more diverse and inclusive visions of a good old age, and especially for imaginings that do not depend on health, wealth and heterosexuality. They have suggested that LGBTQ people, alongside other marginalized groups, may have particular contributions to make to the project of reimagining ageing. In this pape...

In the face of childhood adversity, services and interventions can improve a child's life trajectory by promoting healthy development, enhancing protective factors, and building resilience through stable and supportive relationships. One such service, a specific and highly researched home visiting intervention, Attachment and Biobehavioral Catch-up...

For women, midlife represents an important stage of transition, including shifts in physiological, social, and sexual experiences. Prior research demonstrates that women's sexuality is more dynamic and context-dependent than men's. Most research focused on women's sexuality in mid- to later-life emphasizes physiological changes, while largely ignor...

Little is known about caregiving outcomes of sexual and gender diverse, including LGBT, caregivers. Informed by the Health Equity Promotion Model (HEPM) and Pearlin's Stress Process Model, we utilized data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS), to examine perceived stress among a sample of 754 sexual and g...

For women, midlife represents an important stage of transition, including shifts in physiological, social, and sexual experiences. Prior research demonstrates that women’s sexuality is more dynamic and context-dependent than men’s. Most research focused on women’s sexuality in mid- to later-life emphasizes physiological changes, while largely ignor...

Scholars have called for “queering aging futures” beyond normative assumptions or scripts (Sandberg & Marshall, 2019), which is well-aligned with queer theory’s Cruising Utopia which suggests “cruising ahead” toward a queer utopian future that is not yet possible (Muñoz, 2009). Due to emphasis on form rather than content, narrative analyses enable...

Many older adults remain sexually interested and active in later life. However, little is known about how sexual policies and practices in skilled-nursing facilities (SNF) address sexual activities of residents with cognitive impairment and dementia. This study seeks to identify the current sexual policies and staff’s perspectives related to reside...

During the COVID-19 pandemic, media sources discussed diverse perspectives on aging and older adults, providing opportunities to examine representations of older adults during times of crisis. This study aims to explore representations of older adults during the first month of the pandemic in the U.S. by comparing the perspectives of older and youn...

In recent years, suicide and nonsuicidal self-injury researchers and practitioners have identified the need to amplify the lived experiences of individuals who experience and engage in self-injurious thoughts and behaviors in research and clinical practice (hereinafter referred to as “self-harm” to honor the words used by the youth who participated...

Background and Objectives Prior research has shown informal caregiving among older adults can negatively impact the caregiver’s physical and psychological health. However, little is known about protective and risk factors associated with the health-related quality of life (HRQOL) of lesbian, gay, bisexual, transgender, and queer (LGBTQ) caregivers....

The COVID-19 pandemic emphasized disparities faced by marginalized students. Faculty have little empirical guidance teaching during a global pandemic. This chapter provides a reflexive and empirical examination of student and faculty experiences during the beginning of COVID-19 pandemic, with an emphasis on narratives of students who are Black, Ind...

Doll assessed sexual expressions, policies, and practices in Skilled Nursing Facilities (SNFs) in the state of Kansas. This study provided an updated and expanded assessment. A mixed-methods survey was distributed to administrators of all SNFs in the state of Kansas. Among 60 administrations, 84% reported any sexual expression among residents in th...

As an ongoing collective trauma event, the COVID-19 pandemic has produced varied experiences and narratives among diverse populations, which have implications for meaning-making and healing post-pandemic. This study examined narratives from six social work students to better understand how individuals make meaning out of the pandemic experience. Ho...

COVID-19 has had a drastic, long-lasting impact on skilled nursing facilities (SNFs), forcing communities to continuously adapt to rapidly changing guidelines, restrictions, and challenges. In spring 2020, we conducted a sequential mixed-methods study with administrators of SNFs in the Midwest to understand the experience of administrators, staff,...

Arts-based research methods have an important place in social work scholarship. Arts-based research methods, such as poetic inquiry, highlight lived experiences through creativity, emotion, and embodiment. This paper shares findings from a qualitative study that investigated social workers’ experiences with compassion in their professional practice...

Prior studies have reported barriers to meeting the sexual needs of older adults within skilled-nursing facilities, such as a lack of privacy, lack of supportive practices and policies, and judgement or discomfort on the part of the staff (Doll, 2013; Hajjar & Kamel, 2003). In 2008, Doll and colleagues assessed the scope of sexual behaviors, staff...

Based on clinical and epidemiological evidence, COVID-19 infection can occur in people of all ages; however, the media typically focuses its attention on the vulnerability of older adults and individuals with chronic illnesses. This study aims to explore the representation of older adults during the first month of the pandemic in the U.S. by compar...

Little is known about the ways in which older bisexual individuals make meaning out of their sexual identity. This study examined narratives of older bisexual women from a life course perspective to better understand their life experiences and how their bisexual identities developed within historical and discursive contexts. In-depth interviews wit...

At the Society for Social Work and Research 2021 Annual Conference, the authors of this commentary presented at or attended a roundtable discussion to critically examine discourses around age, race, and gender that had emerged or been impacted during the COVID-19 pandemic. Inspired by the richness of their discussion and diverse areas of interest,...

Objectives Media sources have consistently described older adults as a medically vulnerable population during the COVID-19 pandemic, yet a lack of concern over their health and safety has resulted in dismissal and devaluation. This unprecedented situation highlights ongoing societal ageism and its manifestations in public discourse. This analysis a...

Social work educators prepare students to respond to crises across system levels. A global pandemic or large-scale disasters, however, present challenges educators are ill prepared for. This study explored the experiences of BSW and MSW students during the COVID-19 pandemic. With a trauma-informed pedagogy framework, a team of faculty and students...

As social work educators and students, the COVID-19 pandemic impacted our teaching and learning in challenging ways. We embarked on a qualitative research study to better understand the ways in which the pandemic was affecting the social work students in our program. Three faculty mentors worked collaboratively with five social work students across...

Research on queer and trans people is frequently situated within a theoretical frame and discourse of stigma. While revealing key effects of marginalization, consistent centering of stigmatized experiences limits the ability of research to destabilize stigma or provide nuanced counternarratives. Qualitative methods provide unique opportunities to p...

The media has consistently described older adults as the population most vulnerable to COVID-19. Anti-ageism critics have taken issue with the oft-repeated statement that “only” older adults are at risk, a construction that dismisses and devalues the nuances within this population. The purpose of this study was to analyze instances of ageism in nat...

There are few cultural representations or scripts available for LGBTQ aging. Among bisexual and otherwise non-monosexual (bi+) women, stereotypes of hypersexuality exclude older adults while the contrasting experience of invisibility obscures the existence of bi+ aging. In this discourse analysis, we examined three issues of the Bi Women Quarterly...

Critical discourse analysis (CDA) examines the relationship between language and power in society. By linking micro, mezzo, and macro environments, examining the impact of language on marginalized communities, and providing a lens for critical reflection, CDA aligns with the frameworks and values of social work as a profession. Yet this method has...

In this qualitative study, authors examine women's sexual risk and protective factors based on their experiences of intimate partner violence (IPV) and positioning within society relative to power. This analysis examines sexual risk and protective factors across intersectional identities-including gender, race, socioeconomic conditions, and age-amo...

Background: Understanding end-of-life (EOL) and palliative care continues to grow. However, little attention has been paid to the experiences, preferences, and needs of older lesbian, gay, bisexual, transgender, and queer (LGBTQ) women. While some universal expectations or preferences at EOL exist, this population may not receive adequate or approp...

Purpose Little is known about the life course of bisexual older adults. This study examines life events and experiences of bisexuals by generation: Pride Generation, born 1950–1964; Silenced Generation, born 1935–1949; and Invisible Generation, born 1934 or earlier, as well as by gender among women, men, and gender diverse older adults. Methods Ag...

Understanding the co-construction of the interview process between older adult research participants and relatively younger interviewers requires a nuanced analysis of positioning, reflexivity, and power within interviewing dynamics, accounting for differences in historical context and lived experience. Guided by a feminist life span approach, this...

Community climate toward sexual and gender minority (SGM) youth is associated with higher rates of victimization and poorer health and wellbeing‐related outcomes such as depression and suicidal ideation. However, this field of research has underemphasized the experiences of transgender youth, particularly within the Midwestern context which is mark...

In qualitative research, similarities and differences between the participant and researcher influence the research process and dynamics. Specifically, the age difference between older participants and relatively younger qualitative researchers is a common, but under-examined dynamic requiring nuanced, reflexive analysis. Using a life course concep...

Older bisexual women report a less positive sense of their sexual identity, less belonging in LGBTQ communities, and worse mental health outcomes compared to lesbian counterparts. These patterns are consistent with those identified among younger bisexual cohorts and appear to be connected to how bisexual identities are perceived and experienced; ho...

The present chapter focuses on a relatively new family configuration, comprised of a gay man and a heterosexual woman who choose to conceive and raise a child together outside of marriage. In this family configuration, which we have termed the “hetero-gay family”, both birth parents are actively involved in their children’s daily lives and in child...

Older bisexual women report a less positive sense of their sexual identity, less belonging in LGBTQ communities, and worse mental health outcomes compared to lesbian counterparts. These patterns are consistent with those identified among younger bisexual cohorts and appear to be connected to how bisexual identities are perceived and experienced; ho...

Research on bisexual histories and identities in later life is limited and reflects only single-nation studies. This article compares findings from two independently conducted studies of bisexual aging, in the United Kingdom and the United States, using a discourse analytic and life course perspective. The goals were to compare how participants nar...

Background: LGBTQ* (lesbian, gay, bisexual, trans, and queer) older adults are demographically diverse and growing populations. In an earlier 25-year review of the literature on sexual orientation and aging, we identified four waves of research that addressed dispelling negative stereotypes, psychosocial adjustment to aging, identity development,...

Social research in lesbian, gay, bisexual, transgender, and queer (LGBTQ) aging is a rapidly growing field, but an examination of the use of theory has not yet been conducted for its impact on the field’s direction. We conducted a systematic review of empirical articles published in LGBTQ aging in the years 2009–2017 (N = 102). Using a typology of...

There is a small but growing field of inquiry exploring the needs and experiences of transgender and gender non-conforming older adults (TGNC). While large, quantitative studies are useful for illustrating differences at the population level, in-depth qualitative research is needed to offer interpretations that reflect the complexity and nuance of...

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults are an understudied and underserved population. However, subgroup differences are often overlooked including the lives of older bisexual women who experience significant disparities in health. The historical and sociocultural context around bisexuality of older adults is one unexam...

Social research in LGBTQ aging is a rapidly growing field, but the use of theory has not yet been analyzed for its impact on the direction of the field. We conducted a systematic review of empirical articles published in LGBTQ aging in the years 2009–2017 (N=102). Using Bradbury-Jones, Taylor, & Herber’s (2014) typology of theory use in scholarly a...

Gerontology is described as rich in data, but poor in theory, a lack which weakens the link between research and applied social gerontology. Reviews of theory in social gerontology at large have been completed in the recent past. However, little work examines theory use pertaining to specific older adult populations or narrower aspects of their liv...

Sexual experiences of older adults remain underexplored. This review examined 21 articles focused on the sexuality of midlife and older women to identify theories used and understand how theory informs this literature. Reviewed articles described a dominant narrative of sexual decline in later life but positioned their own work as counternarratives...

Purpose of the Study: Life events are associated with the health and well-being of older adults. Using the Health Equity Promotion Model, this article explores historical and environmental context as it frames life experiences and adaptation of lesbian, gay, bisexual, and transgender (LGBT) older adults. Design and Methods: This was the largest stu...

Purpose of the Study: Until recently, lesbian, gay, bisexual, and transgender (LGBT) adults were excluded from full participation in civil marriage. The purpose of this study is to examine how legal marriage and relationship status are associated with health-promoting and at-risk factors, health, and quality of life of LGBT adults aged 50 and older...

Purpose of the study: Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGB...

Cognitive impairment, Alzheimer’s disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimi...

Little research has explored the intersection of aging and sexuality. This qualitative study is informed by a life course approach and narrative gerontology methods. Semistructured interviews were conducted with 13 women age 55 and older to explore the effects of gender, aging, and living environment on past and current sexual experiences. Subtheme...

Despite growing racial and ethnic diversity among lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults in the United States, LGBTQ older adults of color largely are invisible in aging services, research, and public policy. GRIOT Circle and Caring and Aging with Pride are pioneering efforts in community-based services and research. Th...