Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

"A timely and welcome contribution to the research on loneliness and kindred phenomena." Lars Andersson, International Journal of Ageing and Later Life, 2010. Developments to the physical environment, scientific and technological innovation, the reorganisation of work and leisure and the impact of globalization and global capitalism have all influenced the nature of the world in which we now live. Social engagement and relationships, however, remain important at any age and their quality is a key element contributing to the quality of life of older people. This book provides a detailed account of loneliness and social isolation as experienced by older people living in Britain. The authors consider the incidence and effects of isolation and loneliness, identifying the factors which lead to such experiences and considering potential interventions. They also argue that these feelings are experienced at all stages of the life course and not unique to the social world of older people. Victor, Scambler and Bond rationalise that this is an important area, as both loneliness and social isolation are negatively associated with both quality and quantity of life - whilst the maintenance of social relationships is seen as a key component of 'successful ageing'. The Social World of Older People is important reading for students of social work, gerontology, community care and social policy as well as being of interest to policy makers and practitioners in these fields.

Critical strategies for confronting a dire, yet under-addressed societal epidemic—the risky and potentially deadly consequences for older adults living a socially isolated life, are the focus for this book. By documenting our current understanding of the complex and multi-dimensional nature of social isolation among elders, the authors highlight innovative and alternative forms of community and later-life relationships that can serve to forestall or prevent social isolation and loneliness. With contributions from recognized scholars, clinicians, and elder-policy activists, as well as from multiple practice perspectives (direct service providers, administrators, researchers, and educators) the book documents the interrelated issues of social relationships and health in late life. It describes creative programs and intervention techniques that help maintain the integrity of an older adult’s individual, group, and community relations, communication pathways, and a sense of belonging. The book also illuminates multidisciplinary and integrated best practices for minimizing the risk of late life social isolation. Case studies showcase the issues that arise in clinical practice and service delivery and demonstrate proven methods for effectively addressing them. Key Features: Delivers best-practice strategies and interventions for bolstering older adult social health and community engagement Written by top scholars in the gerontology community Explores the life-threatening risks and consequences of social isolation for older adults and their families Describes the wide range of social relationships that can determine the extent to which older adults will be at risk of becoming socially isolated Considers the role that older adult diversity and difference plays in determining quality of life and the integrity of relationships Highlights physical, behavioral, environmental, social, and economic forces that can influence the quality of late life relationships

Despite decades of attention on building a global HIV research and programming agenda, HIV in older populations has generally been neglected until recently. This new book focuses on HIV and aging in the context of ageism with regard to prevention, treatment guidelines, funding, and the engagement of communities and health and social service organizations. The lack of perceived HIV risk in late adulthood among older people themselves, as well on the part of providers and society in general, has led to a lack of investment in education, testing, and programmatic responses. Ageism perpetuates the invisibility of older adults and, in turn, renders current medical and social service systems unprepared to respond to patients’ needs. While ageism may lead to some advantages – discounts for services, for example – it is the negative aspects that must be addressed when determining the appropriate community-level response to the epidemic.

This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.

Loneliness is among the most common distresses. In one survey, a quarter of Americans interviewed said that they had suffered from loneliness within the past few weeks. Yet for a condition so pervasive, loneliness has received little professional attention. Loneliness: The Experience of Emotional and Social Isolation brings together papers which attempt to capture the phenomena of loneliness with case materials that illuminate the descriptive and theoretical acccounts. It is organized into seven sections, covering: explanations for the neglect of loneliness, and an attept to describe the condition; mechanisms underlying some forms of loneliness; a discussion of situations in which loneliness is commonly found; loneliness among those suffering the loss of a loved one; the loneliness of social isolation; resources available to the lonely; and, finally, a look at issues yet to be dealt with and some suggestions for the management of loneliness. This book is a useful resource for social scientists, clinicians, and individuals who now or in the future may suffer from loneliness.

Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

The guide is aimed primarily at urban planners, but older citizens can use it to monitor progress towards more age-friendly cities. At its heart is a checklist of age-friendly features. For example, an age-friendly city has sufficient public benches that are well-situated, well-maintained and safe, as well as sufficient public toilets that are clean, secure, accessible by people with disabilities and well-indicated. Other key features of an age-friendly city include: well-maintained and well-lit sidewalks; public buildings that are fully accessible to people with disabilities; city bus drivers who wait until older people are seated before starting off and priority seating on buses; enough reserved parking spots for people with disabilities; housing integrated in the community that accommodates changing needs and abilities as people grow older; friendly, personalized service and information instead of automated answering services; easy-to-read written information in plain language; public and commercial services and stores in neighbourhoods close to where people live, rather than concentrated outside the city; and a civic culture that respects and includes older persons.

Key research in the world’s largest aging population – in China – has fed into this important new work, which aims to answer questions critical to older people worldwide. These include: is the period of disability compressing or expanding with increasing life expectancy and what factors are associated with these trends in the recent decades? And is it possible to realize morbidity compression with a prolongation of the life span in the future? Essential reading for gerontologists.

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.