This brief provides a succinct overview of the challenges that LGBT older adults face when attempting to access direct care services, and recommends concrete actions that lawmakers, administrators and direct care workers can take to effect permanent changes in public policies and attitudes that will improve long-term care for LGBT older adults. Read an introduction to this brief, written by Services & Advocacy for GLBT Elders (SAGE) Executive Director Michael Adams, on the Direct Care Alliance blog. [http://blog.directcarealliance.org/2010/11/improving-the-quality-of-direct-care-to-lgbt-older-adults-a-policy-brief/]