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2021 ; 29
(8
): 816-827
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Strategies to Promote Social Connections Among Older Adults During "Social
Distancing" Restrictions
#MMPMID32425473
Van Orden KA
; Bower E
; Lutz J
; Silva C
; Gallegos AM
; Podgorski CA
; Santos EJ
; Conwell Y
Am J Geriatr Psychiatry
2021[Aug]; 29
(8
): 816-827
PMID32425473
show ga
Older age and medical comorbidity are factors associated with more severe illness
and risk of death due to COVID-19 infection. Social distancing is an important
public health strategy for controlling the spread of the virus and minimizing its
impact on the older adult population. It comes at a cost, however. Loneliness is
associated with myriad adverse health outcomes, one of which is impaired immune
functioning, which adds even greater risk for coronavirus infection,
complications and death. Older adults, therefore, are at compound risk, making
effective management of loneliness and social isolation in our older patients a
high priority target for preventive intervention. In this paper, the authors
describe a cognitive-behavioral framework for social connectedness, including
evidence-informed strategies clinicians can use to help patients develop a
"Connections Plan" to stay connected and promote their social, mental, and
physical health during "social distancing" restrictions. This set of strategies
can be provided during brief (30 minute) telephone sessions and is analogous to
creating a "Safety Plan" for suicide risk. The approach is illustrated with three
case examples.