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Social Connectedness E.A. Casey, Advisor The Problem The Health - - PowerPoint PPT Presentation
Social Connectedness E.A. Casey, Advisor The Problem The Health - - PowerPoint PPT Presentation
Social Connectedness E.A. Casey, Advisor The Problem The Health Risks of Isolation and Loneliness High Blood Pressure Heart Disease Diabetes Weakened Immune system Sleep Problems Depression and Anxiety Alcohol & Pain Medication abuse
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The Problem
The Health Risks of Isolation and Loneliness High Blood Pressure Heart Disease Diabetes Weakened Immune system Sleep Problems Depression and Anxiety Alcohol & Pain Medication abuse Cognitive Decline, Dementia The list goes on… Isolated and lonely older adults have a higher risk of: Needing long-term care Increased ER visits Becoming a victim of fraud Becoming a victim of elder abuse Dying early MALNUTRITION Medicare spends more on isolated older adults: $1608 per person each year
Totaling $6.7 billion annually
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- Social isolation is typically defined as an objective and
quantifiable state of one’s social network and social contact.
- Loneliness is the subjective experience of dissatisfaction
with that network and contact.
“The pain of loneliness is a biological trigger, like physical pain or the ache of hunger and thirst. Hunger, of course, means you need to eat to survive. Pain sensors protect the individual from physical danger. Loneliness a warning sign that’s evolved to signal the need for change in order to restore something necessary for your survival, probably to do with protecting the individual from isolation.” Cacioppo & Hawkley, 2009
Isolation & Loneliness
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Risk Factors & Causes
SOCIETAL COMMUNITY RELATIONSHIP INDIVIDUAL
- Discrimination,
marginalization
- Ageism
- Social norms
- Lack of social
cohesion Living in an area with:
- Low income,
social disadvantages
- High crime
- Limited
- pportunities for
social participation
- High residential
mobility
- Limited access to
services, amenities, public transport
- Frequency of
contact with friends, family, & neighbors
- Size and quality
- f social network
- Family conflict,
disruption, & dysfunction Personal characteristics:
- 75+
- Living alone
- Widowed or divorced
- Limited financial resources
- Psychological vulnerabilities
- Language barriers
- No children
Life-course transitions:
- Decline in general health; vision / hearing
loss
- Physical disability, loss of mobility
- Retirement
- Loss of driving ability
- Loss of a partner, loss of peers
- Becoming a caregiver
- Having family relocate a distance away
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IN-DEPTH SCREEN BRIEF ISOLATION SCREEN PHYSICAL (objective) EMOTIONAL (subjective) SOCIAL SUPPORT (objective & subjective) PHYSICAL EMOTIONAL SOCIAL SITES
FQHC LOW-INCOME HOUSING SENIOR CENTERS MAP (ADRC) HOSPITAL/ER DISCHARGE
EDUCATION & REFERRAL
PRINT/ ONLINE TELEPHONE/ VISITATION EBPs PROFESSIONAS MEALS ON WHEELS
The MAC Collaboration
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What we’re doing about it
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What we’re doing about it
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- Grants and research to validate and scale evidence-based
solutions
- MPTF Daily Call Sheet
- University of Washington Health Promotion Research Center
PEARLS
- Dartmouth College Tele-Behavioral Activation for Home-Delivered
Meals Clients
- YMCA Evaluation of Evidence-Based Programs
- Health Research Inc / NY State Dept of Health Hotline to Combat
Social Isolation and Loneliness
- National Academies Consensus Report
- Develop new products and services
- Voice-controlled technology pilot
- Transportation access research project
What we’re doing about it
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