The African-American Brain Health Initiative at Rutgers University-Newark is a university-community partnership combining community engagement, education and training, and brain health research. Partnering with community-based organizations, it promotes brain health literacy, Alzheimer's awareness, brain-healthy lifestyle choices, and participation in brain research for older African Americans in Greater Newark, New Jersey. Our approach to recruitment relies on building trust through long-term relationships; communicating health knowledge through trusted community leaders; recruiting subjects through targeted efforts; and cultivating research participants as ambassadors.

There has been much speculation around the aging of the Baby Boom Generation because they were at the forefront of turbulent social changes in women's roles, marriage, and childbearing. This article addresses the ways in which population aging is intertwined with family change, and how intergenerational relations in later life are being transformed by social and demographic changes. Increasing diversity of family types and potentially weaker family ties raise the possibility of challenges to come in the next century.

LGBTQ older adults have higher levels of psychological distress as compared to older adults in general. They also experience multiple barriers to accessing equitable, culturally competent mental health and aging services because of their distinct histories and particular social contexts. This article discusses this lack of access to services, and highlights an innovative way mental health services are being delivered in LGBTQ communities.

In this article, Generations Guest Editor Karen Fredriksen-Goldsen interviews Barbara Satin, a transgender woman with a national leadership role in the United Church of Christ. Satin addresses the history, challenges, and hopes for LGBT older adults seeking sanctuary in modern faith communities as they age.

LGBT older adults are a heterogeneous population with collective and unique strengths and challenges. Health, personal, and economic disparities exist in this group when compared to the general population of older adults, yet subgroups such as transgender and bisexual older adults and individuals living with HIV are at greater risk for disparities and poorer health outcomes. As this population grows, further research is needed on factors that contribute to promoting health equity, while decreasing discrimination and improving competent service delivery.

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. This article describes innovative and effective ways to reach and serve LGBTQ older adults of color, how research can be designed collaboratively to address strengths and disparities in social, health, and economic well-being, and barriers to accessing aging services in these populations.

Between the ACA, innovative strategies to create a new type of workforce, and technology, we have a chance to redesign healthcare to adequately address physical and mental health.

The older adult population is becoming increasingly diverse. Given the rapid demographic changes in the U.S. population, there is rising diversity in older adults by race and ethnicity as well as by sexual and gender identity. It is estimated that more than 2.4 million adults ages 50 and older in the United States identify as lesbian, gay, bisexual, or transgender (LGBT) (Fredriksen-Goldsen and Kim, 2014), accounting for 2.4 percent of the population. Given the significant aging of the population overall, by 2030, LGBT adults ages 50 and older will number more than 5 million. LGBT adults who are middle-age and older experience significant health disparities (Fredriksen-Goldsen, Kim, and Barkan, 2012; Wallace et al., 2011), defined as variations in health attributable to systemic environmental, economic, and social barriers that place individuals at a disadvantage in the larger society (Centers for Disease Control and Prevention, 2011). Disparities in physical and mental health among LGBT older adults reflect a number of complex risks factors, including experiences of discrimination and victimization, elevated levels of chronic stress, delayed and limited access to care, and, for some, the increased likelihood of economic and social deprivation and isolation. Yet, despite disparities and adversity they may experience, most LGBT older adults are healthy and aging well (Fredriksen-Goldsen et al., 2014a). This article examines the health disparities of LGBT mid-life and older adults through a health-equity perspective. To address the range of health outcomes in these communities, we will look at strengths and resources, as well as challenges. The analysis will incorporate historical and changing social context. I also will consider steps for better addressing the unique health and aging needs of LGBT mid-life and older adults through innovations in services, policy, and research.