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Healthy Aging and Social engAGEment

The National Resource Center for Engaging Older Adults - January 2020 engAGED Newsletter • Feb 06, 2020

Understanding Loneliness In Older Adults — And Tailoring A Solution

For years, Dr. Linda Fried offered older patients who complained of being lonely what seemed to be sensible guidance. “Go out and find something that matters to you,” she would say.

But her well-meant advice didn’t work most of the time. What patients really wanted were close relationships with people they care about, satisfying social roles and a sense that their lives have value. And this wasn’t easy to find.

We need “new societal institutions that bring meaning and purpose” to older adults’ lives, Fried recently told a committee of the National Academies of Sciences investigating loneliness and social isolation among older adults. (Fried is a geriatrician and dean of the Mailman School of Public Health at Columbia University.)

The committee’s deliberations come amid growing interest in the topic. Four surveys (by Cigna, AARP, the Kaiser Family Foundation and the University of Michigan) have examined the extent of loneliness and social isolation in older adults in the past year. And health insurers, health care systems, senior housing operators and social service agencies are launching or expanding initiatives. (Kaiser Health News is an editorially independent program of the Kaiser Family Foundation.)

Notably, Anthem Inc. is planning a national rollout to Medicare Advantage plans of a program addressing loneliness developed by its subsidiary CareMore Health, according to Robin Caruso, CareMore’s chief togetherness officer. UnitedHealthcare is making health navigators available to Medicare Advantage members at risk for social isolation. And Kaiser Permanente is starting a pilot program that will refer lonely or isolated older adults in its Northwest region to community services, with plans to eventually bring it to other regions, according to Lucy Savitz, vice president of health research at Kaiser Permanente Northwest. (KHN is not affiliated with Kaiser Permanente.)

The effectiveness of these programs and others remains to be seen. Few have been rigorously evaluated, and many assume increased social interaction will go a long way toward alleviating older adults’ distress at not having meaningful relationships. But that isn’t necessarily the case.

“Assuaging loneliness is not just about having random human contact; it’s about the quality of that contact and who you’re having contact with,” said Dr. Vyjeyanthi Periyakoil, an associate professor of medicine at Stanford University School of Medicine.

A one-size-fits-all approach won’t work for older adults, she and other experts agreed. Instead, varied approaches that recognize the different degrees, types and root causes of loneliness are needed.


Nurse standing behind elderly woman holding her shoulders
By Area Agency on Aging of East Texas 03 May, 2024
“Power in Community” Conference Will Cover Medicare Basics, Savings Programs, Preventing Fraud, Health and Wellness, and Community Resources
A group of elderly people are sitting around a table with a nurse.
By Area Agency on Aging of East Texas 02 Apr, 2024
Throughout May, the Area Agency on Aging of East Texas (AAA) is joining organizations across the nation to celebrate the seniors in our communities for Older Americans Month (OAM). The AAA will host and partner with organizations for six celebration events across East Texas at area senior centers and community centers focusing on connection – how communities can build relationships to maintain a healthy senior population. OAM is a national initiative led by the Administration for Community Living. This year’s theme, Powered by Connection , recognizes the profound impact that meaningful relationships and social connections have on our health and well-being. The following OAM celebration events are open to the public and will include food, fun, door prizes, and information on services available to East Texas seniors: May 8th at the Forever Young Activity Center, located at 404 S. Main St. in Quitman, from 10:00 AM - 1:00 PM May 9th at the Harrison County Extension Office, located at 2005 Warren Dr. in Marshall, from 9:00 AM - 12:00 PM May 14th at the Douglas Alumni Association Inc., located at 408 Terry St. in Pittsburg, from 9:30 AM - 2:00 PM May 16th at the First United Methodist Church, located at 225 Lovers Ln in Athens, from 9:30 AM - 2:00 PM May 30th at Central Baptist Church, located at 220 W. Sabine St. in Carthage, from 9:30 AM - 1:00 PM The AAA serves as the region's leader in advocating and providing various services, such as information and referral, benefits counseling, case management, health education classes, senior nutrition, housing repair, and support through the Ombudsman program for people in nursing and assisted living facilities. These services help older individuals live independent, meaningful, and dignified lives in their own homes and communities for as long as possible. Contact the AAA for questions about the events by calling (903) 218-6500.
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