ࡱ> %` rbjbj"x"x 4@@g%$444H111822LHNT3L6"n6(6667L7(MMMMMMM$GPhRfM4)D66)D)DM4466MFYHYHYH)D<4646MYH)DMYHYH8K44K6H3 Gu1eEHPKdM4NNXK,SF6SKKS4L`7;YHb>$@777MMGv777N)D)D)D)DHHH,HHH,HHH444444  Dr Jo Harrison Fellow of the Aust. Assoc. Gerontology School of Health Sciences University of South Australia PO Box 56 Semaphore SA 5019  HYPERLINK "mailto:harrisonja@bigpond.com" harrisonja@bigpond.com Consultation on protection from discrimination on the basis of sexual orientation and sex and/or gender identity LGBTI Discrimination Consultation 鱨վ GPO Box 5218 Sydney NSW 2001  HYPERLINK "mailto:lgbti@humanrights.gov.au" lgbti@humanrights.gov.au I am grateful to the 鱨վ (AHRC) for the opportunity to comment on the prospect of the inclusion of sexual orientation and sex and/or gender identity in Federal anti-discrimination legislation. The comments and information provided in this paper, as well as those contained in the attachment, refer specifically to the situation of GLBTI (gay, lesbian, bisexual, transgender and intersex) older people and the vital importance of their protection from discrimination, vilification and harassment in respect to their circumstances as consumers, or potential consumers, of aged care services. This includes services provided at residential, in-home, community, informal and all other levels of care. Across Australia GLBTI older people are living in fear of abuse, neglect, forcible outing, denial of service, homophobic vilification, eviction and isolation as they confront or consider the reality of confronting the current aged care sector and rely on that sector for support in the midst of increasing physical or cognitive dependency. In this respect, GLBTI older people, particularly those over 70 years of age, form a uniquely vulnerable cohort within the sexual and gender diverse community, and have received very limited attention and action in relation to protection of their rights.   There is a growing body of evidence regarding the situation and needs of GLBTI elderly people, and the prospects for baby boomers who are GLBTI in relation to a future interfacing with the aged care sector about which many express grave fears. While the Federal government has enacted measures to protect the rights of consumers in respect to certain areas of aged care over the past two decades, including the provision of aged care advocacy services across Australia, these measures have not been extended to protection of the rights of GLBTI consumers, and include no explicit mention of these rights. Consumers who are GLBTI remain largely invisible and are therefore assumed by service providers to not exist. This cycle of invisibility entrenches fear of discrimination. The attached paper that I co-authored with the Australian Coalition for Equality provides further detail regarding this situation, and outlines the implications for the aged care sector of the 2008 Federal reforms removing discrimination against same-sex couples. The paper has provided a basis for discussion with government about measures which need to be taken to ensure that legislative reforms impact on consumers and the sector in an effective manner. The impending transfer of all responsibility for aged care to the Federal government under the Health and Hospitals Reform Commission and COAG reforms, and the current inquiry into aged care being conducted by the Productivity Commission for the Federal government give greater impetus to the need for strong anti-discrimination protection at Federal level for GLBTI consumers of aged care services, as well as their partners, significant others and representatives.  HYPERLINK "http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/Content/AgedCareReformInvitation" http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/Content/AgedCareReformInvitation  HYPERLINK "http://www.pc.gov.au/projects/inquiry/aged-care" http://www.pc.gov.au/projects/inquiry/aged-care Indeed, the transition process taking place towards Federal responsibility for aged care provides a significant window of opportunity for the AHRC and the Federal government to ensure maximum protection from discrimination and well targeted education around certainty and safety for GLBTI aged care consumers. As Raj (2010) points out, Federal anti-discrimination legislation in relation to sexuality and sex and/or gender identity is urgently needed so that consumers of aged care services are protected from discrimination and persecution in a sector which will be coming under Federal control.  HYPERLINK "http://www.theage.com.au/opinion/politics/samesex-couples-deserve-a-fair-go-too-20100726-10s06.html" http://www.theage.com.au/opinion/politics/samesex-couples-deserve-a-fair-go-too-20100726-10s06.html In this respect, the National Action Plan on Human Rights needs to explicitly include reference to GLBTI aged care and the steps which will be taken to prevent and eliminate discrimination across the sector. It is imperative that targeted education and information programs that impact on service providers and consumers, as well as their representatives and advocates, be included in the action plan. There is a need for specifically targeted resources to enable education, information and advocacy to be provided across the sector. Without this element of the national action plan process, GLBTI consumers and potential consumers of aged care services will remain invisible, silent and afraid. Consequently, most consumers would regard legislative and administrative mechanisms established to enable them to make formal complaints as impossible to utilise. Given the particular history of fear of prejudice and discrimination that older GLBTI people have lived through, their invisibility within the aged care sector, and the current lack of specific aged care advocacy for these consumers, it is strongly recommended that the AHRC consider their situation as unique and requiring tailored resourced responses so that legislative protections will be effective and understood within the aged care sector. The unique and particularly vulnerable situation for older GLBTI consumers of aged care services also necessitates that there be no exemptions provided to charitable, religious or any other provider organisations in relation to anti-discrimination measures. It is vitally important that all providers across the aged care sector are consistently included in all compulsory measures for protection and educated about the rights of aged care residents and consumers in relation to sexual orientation and sex and/or gender identity. In circumstances where a provider organisation is granted an exemption that provider must be legally obliged to publish the detail of the exemption in all their publications, documents and public information, as well as in all recruitment and human resources documents. The exemption information also needs to be published on the Aged Care Standards and Accreditation Agency web site and in all Agency reports. Preferably, no such exemptions should be provided under any circumstances. The special invisibility of older GLBTI people also necessitates that grounds for discrimination are broad, and include both perception and assumption regarding sexual orientation and sex and/or gender identity. In this respect, those GLBTI elderly people who experience vilification, abuse, harassment or discrimination despite not being out in the aged care environment, will still be entitled to protection. It is thus critically important that the AHRC or Commissioner with responsibility is empowered to not only act or investigate in relation to specific complaints from individual consumers, but is able to initiate and conduct an investigation where it is deemed that the matter of concern is viable and warrants investigation. In this way, the AHRC could contribute to ensuring that consumer rights are protected while not seeking to force GLBTI elders out of the closet. Certainly, this fear of being forced out of the closet was one of the most emphatic fears expressed by GLBTI elders and their representatives in relation to the Centrelink reforms which resulted from the Federal reforms in relation to same-sex couples.  HYPERLINK "http://www.acon.org.au/advocacy/news/centrelink-changes-update" http://www.acon.org.au/advocacy/news/centrelink-changes-update The AHRC and the Federal government need to consider means by which this outing will not be imposed on GLBTI elderly people, but rights will be protected and understood by all those involved in aged care. As previously mentioned, many of the matters raised here are canvassed in greater detail in the discussion paper which is attached for the information of the AHRC as an extension of this paper: Harrison, J and Irlam, CB, 2010. The removal of same-sex discrimination: Implications for lesbian, gay, bisexual, transgender & intersex (LGBTI) aged care. Discussion Paper. Australian Coalition for Equality and Diversity Futures, Adelaide. The paper is also available online at:  HYPERLINK "http://www.coalitionforequality.org.au/LGBTI-AgedCareDiscussionPaper.pdf" http://www.coalitionforequality.org.au/LGBTI-AgedCareDiscussionPaper.pdf The Same Sex Relationships (Equal Treatment in Commonwealth Laws General Law Reform) Act 2008 amended the Aged Care Act 1997 so that same sex couples would be given equity of treatment when assessment for residential care fees and charges takes place. The Discussion Paper was developed in response to the far-reaching implications of the amendment of the Aged Care Act. The eradication of discrimination at Federal level is the essential bedrock that underpins action in relation to these implications. The discussion paper has provided a basis for discussions with the office of the former Minister for Ageing, Hon. Justine Elliot and the Department of Health and Ageing, including the Office for an Ageing Australia, in relation to GLBTI aged care issues. These issues are particularly pertinent given the impending Federal control of aged care matters and the need to ensure protection from discrimination to all consumers of aged care services. Doctoral research which I conducted investigated the lack of recognition of gay, lesbian, bisexual, transgender and intersex (GLBTI) issues in all areas of gerontology, including government policy and programs in Australia and the USA. The research revealed a serious lack of attention to concerns related to sexuality and gender identity in the Australian context. In the US context, a history of recognition of GLBTI concerns at all levels of aged care was apparent. The thesis is available online at  HYPERLINK "http://arrow.unisa.edu.au:8081/1959.8/24955" http://arrow.unisa.edu.au:8081/1959.8/24955 The deficit in Australian gerontology is reflected in an almost complete lack of mention of GLBTI elderly people in aged care policy, education and training, research priorities, program guidelines and consumer related initiatives, including advocacy. This absence of mention of or attention to the special needs of GLBTI elders and their carers and advocates reinforces invisibility and avoids the need to address whether standards of care are culturally appropriate to GLBTI needs. This reinforces fear of discrimination for consumers and a lack of awareness of obligations and responsibilities for providers. As a gerontologist with thirty years experience in direct care, policy development, research, training and advocacy, I am acutely aware of the strong history of recognition of special needs groups which has underpinned Australian aged care policy. As founder of a remote area aged care advocacy service, I am cognisant of the Federal governments commendable role in the recognition of residents rights, particularly those of Indigenous residents of residential aged care facilities. The development of the Aboriginal and Torres Strait Islander Aged Care Strategy was evidence of this commitment to ensuring that Indigenous people receive special consideration and culturally appropriate intervention, care, and service provision. A similar national strategy or plan in relation to GLBTI aged care is urgently needed. The continuing almost complete lack of mention of GLBTI aged care in government documents and procedures at Federal level stands in stark contrast to the commitment to Indigenous aged care, and requires urgent attention and redress. GLBTI consumers remain almost completely invisible within aged care services and across the aged care sector. This invisibility, due to lifetimes of fear of persecution and discrimination, is itself reflected in the absence of GBLTI issues in Federal aged care policy and ongoing programs. Federal anti-discrimination legislation is essential to the process of redressing this imbalance. The lack of attention runs counter to the rapidly increasing recognition of GLBTI aged care concerns across Australian gerontology and the GLBTI community, including representative organisations. Research, policy development, advocacy and other initiatives are occurring across Australia in relation to GLBTI ageing, and this is reflected in gerontology and in GLBTI organisations platforms, strategic plans, managerial structures, investigative projects, publications, internal discussions, research processes and information dissemination. The attached Discussion Paper outlines these initiatives in detail. Submissions to the Federal reviews of the Aged Care Complaints Investigation Scheme and Aged Care Accreditation Processes, the latter which has yet to release its report, highlight matters connected to GLBTI aged care and the process of compliance and quality improvement. In particular, submissions from the LGBTI Health Alliance, ACON, The GLBTI Retirement Association, Associate Professor Mark Hughes, Matrix Guild Victoria and the Victorian Gay and Lesbian Rights Lobby, Lesbian and Gay Solidarity Melbourne and myself highlight these concerns. Professor Walton highlighted privacy and sensitivity matters related to GLBTI concerns in her final report regarding the Complaints Investigation Scheme. I would urge the AHRC to access the GLBTI related submissions and the final reports where possible given that they raise serious matters connected to discrimination and fear of discrimination in relation to a special needs group which has received almost no attention in past deliberations around consumer rights. I would also urge the AHRC to refer to the recently released Senate Community Affairs References Committee report The Hidden Toll: Suicide in Australia, which makes particular mention of the matter of depression, anxiety and suicide as they impact on older GLBTI Australians who fear or experience discrimination. There is an urgent need for initiatives such as the Beyond Maturity Blues program run by Councils on the Ageing and Beyond Blue to be made relevant to GLBTI older people in conjunction with GLBTI organisations across Australia.  HYPERLINK "http://www.aph.gov.au/senate/committee/clac_ctte/suicide/report/index.htm" http://www.aph.gov.au/senate/committee/clac_ctte/suicide/report/index.htm There is evidence that GLBTI people postpone seeking help and approaching service providers due to fear of discrimination and persecution, both in the area of mental health and in relation to health and aged care matters generally. Such postponement of identification and access to appropriate services also raises cost implications, in that health or support needs that may have been easily addressed in a cost efficient manner are more likely to become serious and have greater cost implications should they remain unaddressed. This also raises the matter of premature admission to hospital or residential facilities due to a lack of appropriate preventative intervention earlier in the life of a GLBTI older person, to short circuit such a crisis event, which will have serious cost implications for the government and health provider. Clearly, addressing and reducing discrimination enhances quality, affordability and the financial sustainability of services across the aged care sector as a whole. There is a growing body of evidence regarding the extent to which GLBTI elders are experiencing discrimination, or fear of discrimination, within an industry which remains unaware and uneducated as to their special needs and unique concerns. The attachments to this submission include two reports from a four stage Foundation funded GLBTI aged care project conducted by the Matrix Guild Victoria, investigating discrimination and abuse on the basis of sexuality or gender identity. The reports are also available online at  HYPERLINK "http://www.matrixguildvic.org.au/project.html" http://www.matrixguildvic.org.au/project.html Additional relevant reports and publications are available at the following sites:  HYPERLINK "http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/pages/adb_glbti_consultation" http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/pages/adb_glbti_consultation [NSW Anti-Discrimination Board report on GLBTI aged care discrimination]  HYPERLINK "http://www.rainbowvisions.org.au/resourcesAgeing.html" http://www.rainbowvisions.org.au/resourcesAgeing.html [Links to full text documents on GLBTI ageing in Australia]  HYPERLINK "http://www.acon.org.au/about-acon/Strategies/ageing" http://www.acon.org.au/about-acon/Strategies/ageing [Ageing Strategy; ACON (AIDS Council of NSW)]  HYPERLINK "http://www.acon.org.au/womens-health/ageing/lesbians" http://www.acon.org.au/womens-health/ageing/lesbians [ACON Lesbians and ageing information]  HYPERLINK "http://www.acon.org.au/about-acon/Strategies/ACON-Strategic-Plan-09" http://www.acon.org.au/about-acon/Strategies/ACON-Strategic-Plan-09 [ACON organisational plan with ageing as a priority area]  HYPERLINK "http://www.qahc.org.au/seniors" http://www.qahc.org.au/seniors [Queensland LGBT Ageing Action Group]  HYPERLINK "http://glhv.org.au/node/557#attachments" http://glhv.org.au/node/557#attachments [Alzheimers Australia publication on dementia and gay men and lesbians]  HYPERLINK "http://glhv.org.au/taxonomy/term/40" http://glhv.org.au/taxonomy/term/40 [Gay and Lesbian Health Vic. Resources on ageing]  HYPERLINK "http://www.grai.org.au" http://www.grai.org.au [GLBTI Retirement Association Inc including recent research into residential provider attitudes and the development of practice guidelines]  HYPERLINK "http://www.lgbthealth.org.au" http://www.lgbthealth.org.au [National LGBT Health Alliance ageing as a priority] The recent Federal decision to provide a one-off grant to a pilot project to provide education around GLBTI issues to residential aged care staff in specific sites in NSW is a welcome development:  HYPERLINK "http://www.smh.com.au/national/back-into-the-closet-gays-find-few-friendsin-aged-care-20100416-skgc.html" http://www.smh.com.au/national/back-into-the-closet-gays-find-few-friendsin-aged-care-20100416-skgc.html  HYPERLINK "http://www.smh.com.au/national/federal-grant-to-protect-gays-against-stigma-in-aged-care-20100627-zc2c.html" http://www.smh.com.au/national/federal-grant-to-protect-gays-against-stigma-in-aged-care-20100627-zc2c.html As baby boomers who are out (open regarding sex, sexuality and gender identity) begin to access aged services, including residential facilities, the aged care sector will be increasingly forced to take GLBTI concerns into account. Ideally, the process of incorporating GLBTI needs into legislative protections, service procedures and Federal policies will have commenced prior to this future scenario. The prospect of legislative anti-discrimination reform which includes sexual orientation, sex and/or gender identity-based discrimination at Federal level is a positive indicator in relation to urgently needed change that will impact on the processes of aged care provision as well as the safety of consumers. Additional References and Resources in relation to the comments made in this paper Age Concern UK (2009) Later Life as an Older Lesbian Gay and Bisexual Person.  HYPERLINK "http://www.ageconcern.org.uk/AgeConcern/later-life-for-lesbian-gay-bisexual-over-60.asp" http://www.ageconcern.org.uk/AgeConcern/later-life-for-lesbian-gay-bisexual-over-60.asp  HYPERLINK "http://www.ageconcern.org.uk/AgeConcern/Documents/Later_life_as_OLGB_ACIG18.pdf" http://www.ageconcern.org.uk/AgeConcern/Documents/Later_life_as_OLGB_ACIG18.pdf Barrett, C Harrison J and Kent J (2009) Permission to Speak: Determining strategies towards the development of gay, lesbian, bisexual, transgender and intersex friendly aged care services in Victoria. Matrix Guild Victoria Inc. Melbourne.  HYPERLINK "http://www.matrixguildvic.org.au/project.html" http://www.matrixguildvic.org.au/project.html Harrison, J (2006) Outword Online, November An Insiders Perspective on LGBT Aging Issues in Australia  HYPERLINK "http://www.asaging.org/networks/LGAIN/outword_online/2006/nov.cfm" http://www.asaging.org/networks/LGAIN/outword_online/2006/nov.cfm Harrison, J (2006) Coming Out Ready or Not! Gay, lesbian, bisexual, transgender and intersex ageing and aged care in Australia: Reflections, contemporary developments and the road ahead in Gay and Lesbian Issues and Psychololgy Review Vol 2 No 2 pp. 44-53  HYPERLINK "http://www.psychology.org.au/units/interest_groups/gay_lesbian/8.7.22_10.asp#currentissue" http://www.psychology.org.au/units/interest_groups/gay_lesbian/8.7.22_10.asp#currentissue Harrison, J (2005) Pink Lavender and Grey: Gay, lesbian, bisexual, transgender and intersex ageing in Australian gerontology in Gay and Lesbian Issues and Psychology Review Vol 1 No 1 pp.11-16  HYPERLINK "http://www.psychology.org.au/units/interest_groups/gay_lesbian/8.7.22_10.asp#vol1no1" http://www.psychology.org.au/units/interest_groups/gay_lesbian/8.7.22_10.asp#vol1no1 Harrison, J (2004) Towards the Recognition of Gay Lesbian Bisexual Transgender and Intersex Ageing in Australian Gerontology. PhD Thesis. Faculty of Health Sciences. School of Health Sciences. University of South Australia.  HYPERLINK "http://www.library.unisa.edu.au/adt-root/public/adt-SUSA-01042005-134827/" \o "http://www.library.unisa.edu.au/adt-root/public/adt-SUSA-01042005-134827/" http://www.library.unisa.edu.au/adt-root/public/adt-SUSA-01042005-134827/ Harrison, J (2004) Discrimination and older gays: surviving aged care in Equal Time Anti-Discrimination Board of New South Wales, No 61, August pp. 1-3  HYPERLINK "http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/vwFiles/ET%20Aug%2004%20.pdf/$file/ET%20Aug%2004%20.pdf" http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/vwFiles/ET%20Aug%2004%20.pdf/$file/ET%20Aug%2004%20.pdf Harrison, J (2002) (with McNair, R) Life Stage Issues in Whats the Difference? Health Issues of Major Concern to GLBTI Victorians. Ministerial Advisory Committee on Gay and Lesbian Health. Melbourne. Department of Human Services Victoria pp. 37-44 Online at:  HYPERLINK "http://www.dhs.vic.gov.au/phd/macglh/difference.htm" http://www.dhs.vic.gov.au/phd/macglh/difference.htm Harrison, J (2002) What are you really afraid of? Gay, lesbian, bisexual, transgender and intersex ageing, ageism, and activism in Word is Out No 2, March pp. 1-11  HYPERLINK "http://www.rainbowvisions.org.au/resources/wordIsOut_by_JoHarrison.pdf" http://www.rainbowvisions.org.au/resources/wordIsOut_by_JoHarrison.pdf Harrison, J (2002) LGBT Elders Gaining Ground in Australia in OUTWord Vol 9 No 1 pp. 3-7 San Francisco. American Society on Aging Lesbian and Gay Aging Issues Network  HYPERLINK "http://www.asaging.org/lgain" http://www.asaging.org/lgain  Harrison, J (2001) Its none of my business: Gay and lesbian invisibility in aged care in Australian Occupational Therapy Journal Vol 48 No3 Sept pp. 142-145  HYPERLINK "http://www.blackwell-synergy.com/doi/full/10.1046/j.0045-0766.2001.00262.x" http://www.blackwell-synergy.com/doi/full/10.1046/j.0045-0766.2001.00262.x Harrison, J (1999) Gay and Lesbian Aging in Australia: A Struggle for Recognition in OUTWord; Publication of the American Society on Aging Lesbian and Gay Aging Issues Network Fall Issue. pp. 1-2 Online at:  HYPERLINK "http://www.asaging.org/lgain.html" http://www.asaging.org/lgain.html Harrison, J (1999) A Lavender Pink Grey Power: Gay and Lesbian Gerontology in Australia in Australasian Journal on Ageing Vol. 18 No 1 pp. 32-37  HYPERLINK "http://www.rainbowvisions.org.au/resources/AJA1999Article.pdf" http://www.rainbowvisions.org.au/resources/AJA1999Article.pdf Harrison, J (1997) Social Policy and Aged Aboriginal People in Borowski, A Encel, S and Ozanne, E (eds) Ageing and Social Policy in Australia. Cambridge University Press. (Chapter 6) pp.119-136 Harrison, J (1996) Education Kit on Advocacy and Aboriginal Residents Rights. Central Australian Advocacy Service. Alice Springs (with White, R) Harrison, J and Irlam, CB, (2010) The removal of same-sex discrimination: Implications for lesbian, gay, bisexual, transgender & intersex (LGBTI) aged care. Discussion Paper. Australian Coalition for Equality and Diversity Futures, Adelaide.  HYPERLINK "http://www.coalitionforequality.org.au/LGBTI-AgedCareDiscussionPaper.pdf" http://www.coalitionforequality.org.au/LGBTI-AgedCareDiscussionPaper.pdf Irlam, C (2009) Road to Equality in SX News. July 15th. HYPERLINK http://sxnews.e-p.net.au/opinion/road-to-equality-corey-irlam-5794.html http://sxnews.e-p.net.au/opinion/road-to-equality-corey-irlam-5794.html NSW Anti Discrimination Board (2005) New South Wales Anti Discrimination Board Working Paper on Gay, Lesbian, Bisexual, Transgender and Intersex (GLBTI) Ageing and Discrimination (includes Harrison keynote presentation delivered on February 15th)  HYPERLINK "http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/pages/adb_glbti_consultation" http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/pages/adb_glbti_consultation Rainbow Visions Ageing Resources Online  HYPERLINK "http://www.rainbowvisions.org.au/resourcesAgeing.html" http://www.rainbowvisions.org.au/resourcesAgeing.html The National Gay and Lesbian Task Force Outing Age - Aging Issues (2009)  HYPERLINK "http://www.thetaskforce.org/issues/aging" http://www.thetaskforce.org/issues/aging  HYPERLINK "http://www.thetaskforce.org/downloads/reports/reports/OutingAge.pdf" http://www.thetaskforce.org/downloads/reports/reports/OutingAge.pdf  Harrison, J (2004) Discrimination and older gays: surviving aged care in Equal Time Anti-Discrimination Board of New South Wales, No 61, August pp. 1-3  HYPERLINK "http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/vwFiles/ET%20Aug%2004%20.pdf/$file/ET%20Aug%2004%20.pdf" http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/vwFiles/ET%20Aug%2004%20.pdf/$file/ET%20Aug%2004%20.pdf  NSW Anti Discrimination Board (2005) New South Wales Anti Discrimination Board Working Paper on Gay, Lesbian, Bisexual, Transgender and Intersex (GLBTI) Ageing and Discrimination  HYPERLINK "http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/pages/adb_glbti_consultation" http://www.lawlink.nsw.gov.au/lawlink/adb/ll_adb.nsf/pages/adb_glbti_consultation     PAGE  PAGE 1 I ų|i_J5(h hjCJOJQJ^JaJmH sH (h hCJOJQJ^JaJmH sH hjOJQJ^J$h$?ht'|0JCJOJQJ^JaJ/jh$?ht'|CJOJQJU^JaJ huX ht'|CJOJQJ^JaJht'|CJOJQJ^JaJ#jht'|CJOJQJU^JaJhD*CJOJQJ^JaJ h 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