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.
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The Area Agency on Aging of East Texas is partnering with First Christian Church in Jacksonville to offer a free Benefits & Estate Planning Presentation for Seniors and Caregivers. The informative workshop will be held Thursday, September 17, from 10 a.m. to noon at the First Christian Church Sanctuary, 1920 Beaumont Street in Jacksonville. Presented by Paul Zambie, Managing Attorney with Texas Legal Services Center, the session will help attendees better understand legal and planning issues that can affect older adults and their families. Topics will include wills and trusts, deeds, transfer-on-death deeds, long-term care Medicaid, Medicaid estate recovery, and senior services. This free presentation is designed to give seniors and caregivers practical information to help prepare for life’s challenges and make informed decisions about the future. For more information, contact the Area Agency on Aging of East Texas at 903-218-6500 or 1-800-442-8845.
