Healthy Aging and Social engAGEment
The National Resource Center for Engaging Older Adults - January 2020 engAGED Newsletter • February 6, 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.
The Marshall-Harrison County Health District invites community members to attend the next Building Healthy Futures class, Navigating Aging, on Thursday, July 30, at 1:00 p.m. at the Harrison County AgriLife Extension Office (2005 Warren Drive, Marshall, Texas). Presented by the Area Agency on Aging of East Texas, this free educational class is designed to introduce older adults, caregivers, and family members to valuable programs and resources that support healthy, independent living. Participants will learn about the Area Agency on Aging's evidence-based intervention programs, which are designed to promote wellness, prevent falls, manage chronic health conditions, and improve overall quality of life. Attendees will also enjoy a nutritious snack provided during the class. In addition to the presentation, the Area Agency on Aging will conduct a brief community survey to gather input on the types of aging-related classes and services residents would like to see offered in Marshall and Harrison County. Community feedback will help shape future educational opportunities to better meet local needs. "Building Healthy Futures is about connecting our community with trusted resources that support health and well-being at every stage of life," said Jennifer Hancock, Executive Director of the Marshall-Harrison County Health District. "We're excited to partner with the Area Agency on Aging of East Texas to learn more about the classes and services they offer." The class is free and open to the public. Registration is recommended by visiting mhchd.org or by contacting the Marshall-Harrison County Health District at 903-938-8338.
Each May, the Administration for Community Living leads the nation’s observance of Older Americans Month, and this year’s theme was “Champion Your Health.” In recognition of the month, the Area Agency on Aging of East Texas hosted three community events in Jacksonville, Marshall, and Athens, bringing together older adults, caregivers, staff, volunteers, and community partners to celebrate healthy aging and support older adults’ independence. More than 420 people attended the three events, where they received information and heard from experts on senior services, exercise programs, fraud and scams, and ways to take an active role in managing their health. Activities included on-site health screenings, evidence-based activity demonstrations, a Dementia Live demonstration, and the TxDOT Car Fit Program for Seniors. At some events, local officials also read proclamations recognizing May as Older Americans Month, including Cherokee County Judge Chris Davis, who presented the proclamation in Jacksonville. “We encourage older East Texans and their caregivers to connect with our agency to learn more about the resources and services available to help them live independently and remain active in their communities,” said Adrian Cornejo, ETCOG’s Director of the Area Agency on Aging. Special thanks to all event partners, sponsors, volunteers, AAA staff, and participants who helped make these Older Americans Month events a success!
