1.Describe the demographics of the LGBT population and their medical, psychosocial, and spiritual and bereavement needs.2.Identify the barriers of the LGBT population to hospice and bereavement services.3.Describe how the hospice interdisciplinary team (physician, social work, pastoral care, and bereavement counselor) can help manage this need. Approximately 3.8% of American adults, equaling 11.7 million people, identify themselves as lesbian, gay, bisexual, or transgender. Three million of these are over the age of 65, and this number is estimated to rise to 4 million by the year 2020. This population has specific medical, psychosocial, emotional, and spiritual and bereavement needs. These include increased incidence of illnesses and diseases such as HIV/AIDS; social stigma and prejudice; unequal treatment under the current laws, programs, and services; lack of social support; nondisclosure of sexual orientation for fear of discrimination; and partner/spousal exclusion during late-life decision making. The Visiting Nurse Service of New York—Hospice Care provides this specialized service to New York City, which has the United States’ largest LGBT concentration. This session will review those needs and address them using the hospice interdisciplinary team approach. Gates, GJ. How many people are lesbian, gay, bisexual, and transgender? Los Angeles, CA: The Williams Institute, University of California School of Law; 2011. http://williamsinstitute.law.ucla.edu/wp-content/uploads/Gates-How-Many-People-LGBT-Apr-2011.pdf.