Social isolation predicts re‐hospitalization in a group of older American veterans enrolled in the UPBEAT Program

Mistry, Ritesh; Rosansky, Joel; McGuire, Jim; McDermott, Charles; Jarvik, Lissy F.

doi:10.1002/gps.447

Cited by 106 publications

(80 citation statements)

References 34 publications

(54 reference statements)

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“…English, Cantonese). In this way, residents felt more at home and a sense of belonging to the apartment community and able to develop social roles and social ties which are so vital to good quality of life (Victor et al, 2009;Mistry et al, 2001). …”

Section: Working Towards Ageing Well In and Around Rosewood Towersmentioning

confidence: 99%

Ageing well in the right place: partnership working with older people

Sixsmith

Fang

Woolrych

et al. 2017

WWOP

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Special issue entitled "Psychologies of Ageing: Research, Policy and Practice". AbstractPurpose: The provision of home and community supports can enable people to successfully age-inplace by improving physical and mental health, supporting social participation and enhancing independence, autonomy and choice. One challenge concerns the integration of place-based supports available as older people transition into affordable housing. Sustainable solutions need to be developed and implemented with the full involvement of communities, service organisations and older people themselves. Partnership building is an important component of this process. This article details the intricacies of developing partnerships with low-income older people, local service providers and nonprofit housing associations in the context of a Canadian housing development. Approach:A Community Based Participatory Approach was used to inform the data collection and partnership building process. The partnership building process progressed through a series of democratized committee meetings based on the principles of Appreciative Inquiry, four collaboration cafés with nonprofit housing providers, and four community mapping workshops with low-income older people. Data collection also involved 25 interviews and 15 photovoice sessions with the housing residents. The common aims of partnership and data collection were to: (i) understand the challenges and opportunities experienced by older people, service providers and nonprofit housing providers; (ii) identify the perspectives of service providers and nonprofit housing providers for the provision and delivery of senior-friendly services and resources; and (iii) determine actions that can be undertaken to better meet the needs of service providers and nonprofit housing providers in order to help them better serve older people. Findings:The partnership prioritised the generation of a shared vision together with shared values, interests and the goal of co-creating meaningful housing solutions for older people transitioning into affordable housing. Input from interviews and photovoice sessions with older people provided material to inform decision making in support of ageing well in the right place.Attention to issues of power dynamics and knowledge generation and feedback mechanisms enable all fields of expertise to be taken into account, including the experiential expertise of older residents. This resulted in functional, physical, psychological and social aspects of ageing in place to inform the new build housing complex. Limitations:The time and effort required to conduct democratized partnerships slowed the decision making process. Originality:The findings confirm that the drive toward community partnerships is a necessary process in supporting older people to age well in the right place. This requires sound mechanisms to include the voice of older people themselves alongside other relevant stakeholders. Ageing well in a housing complex requires meaningful placemaking to include the functional, phy...

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Section: Working Towards Ageing Well In and Around Rosewood Towersmentioning

confidence: 99%

Ageing well in the right place: partnership working with older people

Sixsmith

Fang

Woolrych

et al. 2017

WWOP

View full text Add to dashboard Cite

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“…17 Researchers in Los Angeles found that social isolation among older people was linked with a four-to five-fold increase in the likelihood of re-hospitalization within the year. 18 …”

Section: Effects On Service Utilizationmentioning

confidence: 99%

Loneliness, isolation and the health of older adults: do we need a new research agenda?

2012

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Bible to modern critiques of the digital age, loneliness has been portrayed as part of the human condition. Recognition of the significant adverse consequences for health has come more recently, with much of the interest triggered by a rise in the death rate in Europe in 2003. Unusually high temperatures in the summer of that year were linked with the deaths of more than 40,000 mainly elderly people throughout mainland Europe. Proportionately fewer deaths were recorded among frail and sick older people living in institutions, compared with more able, but less well-supported people living in the community. These deaths stimulated much discussion and reflection on the treatment of elders in society. In France, and later the UK, nongovernmental organizations instigated campaigns to address loneliness and isolation among the aged. Such campaigns, along with research from different disciplines linking loneliness and isolation with adverse health outcomes and premature mortality, have focused attention on the problems. But despite acknowledgement of isolation in the UK National Service Framework for Older People in relation to falls and depression, 1 concern among care providers and commissioners has never matched the breadth and severity of the consequences of isolation and loneliness. In this article, we present an overview of current evidence and suggest that a renewed research agenda is required for a growing older population.

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“…One-third of older adults were living alone, and almost one-half were separated, widowed, or divorced, all of which indicate increased risk for social isolation, which is a risk factor for suicide, 47 psychiatric rehospitalization, 48 and medical rehospitalization. 49 Thus the population of older adults admitted to APUs may have a high need for social supports and postdischarge psychiatric care to prevent recurrence of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Older Adults Hospitalized in Acute Psychiatric Units in Ontario: A Population-Based Study

et al. 2012

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Objective: As the numbers of older adults in Canada increases, there will be a growing need for mental health services for this population. Acute psychiatric units (APUs) provide inpatient psychiatric services for the management of serious mental illness. Understanding the characteristics of older adults in APUs is necessary to determine the range of inpatient services required for this population. Method:We conducted a population-based study of all adults discharged from APUs in Ontario in a 2-year period, 2008-2010, using administrative databases. We compared the characteristics of older adults (aged 66 years and older) in APUs to those of younger adults (aged 18 to 65 years), including sociodemographics, psychiatric and medical diagnoses, and measures of cognition and functioning.

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Social isolation predicts re‐hospitalization in a group of older American veterans enrolled in the UPBEAT Program

Cited by 106 publications

References 34 publications

Ageing well in the right place: partnership working with older people

Ageing well in the right place: partnership working with older people

Loneliness, isolation and the health of older adults: do we need a new research agenda?

Characteristics of Older Adults Hospitalized in Acute Psychiatric Units in Ontario: A Population-Based Study

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