SilverBills: A Legal, Technical and Financial Tool for Aging LGBTQ+ Individuals with Impaired Cognition.

摘要 年龄是阿尔茨海默病和相关痴呆（AD/ADRD）的最大风险因素， 100万LGBTQ+美国人是老年人。LGBTQ+老年人面临歧视和迫害 只有最近的法律的保护，他们的性取向和/或性别 在美国的身份证明。LGBTQ+认知障碍患者 由于他们的性/性别少数地位，他们受到疾病的不成比例的影响，这可能导致 一个LGBTQ+老年人推迟或避免看到医疗保健提供者完全由于害怕性 性取向/性别认同歧视。LGBTQ+个人的经济稳定受到威胁， 她们因性取向/性别认同而面临的污名化和歧视 这阻碍了他们储蓄和积累财富的能力;近三分之一（32%） 50岁及以上的LGBTQ+成年人生活在联邦贫困线的200%或更低，而只有26% 65岁及以上的非LGBTQ+老年人。有一些技术产品有助于促进经济增长， 通过促进账单管理和预算的工具来改善健康;然而，这些产品通常需要 高度的技术专门知识，提供的个人支持不足以满足需求 认知障碍的LGBTQ+人群。该应用程序解决了缺乏财政 管理和法律的支持老年LGBTQ+个人认知障碍，因为SilverBills将 开发和增加其产品的功能，这将有助于防止欺诈，鼓励储蓄，并提供支持， 法律的事务，包括法律的索赔支持和获得授权书。该项目的目标是 通过SilverBills V.3改善有认知障碍的老年LGBTQ+个人的财务状况 财务和法律的管理工具。本直接至第二阶段SBIR提案的目标是制定 申请老年LGBTQ+个人认知障碍，并评估财务健康和心理健康 LGBTQ+认知障碍患者的健康状况。这项建议的目的是：（1）发展 SilverBills应用程序，以防止欺诈和促进储蓄LGBTQ+个人与认知障碍， 2)开发互动功能，为有认知障碍的LGBTQ+个人提供法律的支持， 和3）评估SilverBills V3对老年LGBTQ+的财务健康和心理健康的影响 有认知障碍的人。该团队将开发SilverBills V3，并支持严格的科学 验证，这将提供创新的证据，并为金融和法律的 为有认知障碍的LGBTQ+老年人提供管理。

ABSTRACT Age is the greatest risk factor for Alzheimer’s disease and related dementia (AD/ADRD) and an estimated 2.7 million LGBTQ+ Americans are older adults. LGBTQ+ older adults face discrimination and persecution throughout their lives, with only some recent legal protections for their sexual orientation and/or gender identification statuses in the United States. LGBTQ+ individuals with cognitive impairment are disproportionately impacted by their illness because of their sexual/gender minority status, which may cause an LGBTQ+ older adult to delay or avoid seeing a healthcare provider altogether due to fear of sexual orientation/gender identity discrimination. The economic stability of LGBTQ+ individuals is threatened due to the stigmatization and discrimination they have faced because of their sexual orientation/gender identification throughout their lives, which has impeded their ability to save and accumulate wealth; almost one third (32%) of LGBTQ+ adults aged 50 and older live on 200% of the Federal Poverty Level or less, in contrast to only 26% of non-LGBTQ+ older adults aged 65 and older. There are technology products that help foster economic wellbeing through tools that facilitate bill management and budgeting; however, these products often require a high degree of technical expertise and provide an insufficient degree of personal support to address the needs of those with cognitive impairment who identify as LGBTQ+. This application addresses the lack of financial management and legal support for older LGBTQ+ individuals with cognitive impairment, because SilverBills will develop and add features to its product that will help prevent fraud, encourage savings, and provide support for legal matters including legal claim support and obtaining powers of attorney. The goal of this project is to improve the financial wellbeing of older LGBTQ+ individuals with cognitive impairment through SilverBills V. 3 financial and legal management tool. The objective of this Direct to Phase II SBIR proposal is to develop an application for older LGBTQ+ individuals with cognitive impairment and assess financial wellbeing and mental health in LGBTQ+ individuals with cognitive impairment. This proposal aims to 1) to develop features in the SilverBills application to prevent fraud and promote savings for LGBTQ+ individuals with cognitive impairment, 2) to develop interactive features that support legal matters for LGBTQ+ individuals with cognitive impairment, and 3) to evaluate the impact of the SilverBills V3 on the financial wellbeing and mental health of aging LGBTQ+ individuals with cognitive impairment. The team will develop SilverBills V3 and support the rigorous scientific validation, which will provide evidence of innovation and provide technological tools for financial and legal management for older LGBTQ+ individuals with cognitive impairment.