Northampton june 2014 Dr AHY
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Northampton june 2014 Dr AHY Northampton june 2014 Dr AHY Presentation Transcript

  • Loneliness and Isolation Active and participating ALAN HATTON-YEO COMMUNITIES FOR ALL AGES UK JUNE 12TH 2014
  • Loneliness and social isolation in the United Kingdom • Between 6% and 13% of people aged over 65 say they feel always or very lonely (Victor, 2011) • 17% of older people are in contact with family, friends and neighbours less than once a week and 11% are in contact less than once a month (Victor et al, 2003) • Over half (51%) of all people aged 75 and over live alone (ONS, 2010) • Two fifths all older people (about 3.9 million) say the television is their main company (Age UK, 2014) • 63% of adults aged 52 or over who have been widowed, and 51% of the same group who are separated or divorced report, feeling lonely some of the time or often (Beaumont, 2013) • 59% of adults aged over 52 who report poor health say they feel lonely some of the time or often, compared to 21% who say they are in excellent health (Beaumont, 2013) • A higher percentage of women than men report feeling lonely some of the time or often (Beaumont, 2013)
  • Loneliness and physical health • The effect of loneliness and isolation on mortality exceeds the impact of well- known risk factors such as obesity, and has a similar influence as cigarette smoking (Holt-Lunstad, 2010) • Loneliness increases the risk of high blood pressure (Hawkley et al, 2010) • Lonely individuals are also at higher risk of the onset of disability (Lund et al, 2010)
  • Loneliness and mental health • Loneliness puts individuals at greater risk of cognitive decline (James et al, 2011) • One study concludes lonely people have a 64% increased chance of developing clinical dementia (Holwerda et al, 2012) • Lonely individuals are more prone to depression (Cacioppo et al, 2006) (Green et al, 1992) • Loneliness and low social interaction are predictive of suicide in older age (O’Connell et al, 2004)
  • Maintaining independence Academic research is clear that preventing and alleviating loneliness is vital to enabling older people to remain as independent as possible. Lonely individuals are more likely to: • Visit their GP, have higher use of medication, higher incidence of falls and increased risk factors for long term care (Cohen, 2006) • Undergo early entry into residential or nursing care (Russell et al, 1997) • Use accident and emergency services independent of chronic illness. (Geller, Janson, McGovern and Valdini, 1999)
  • • WE ARE WELL AWARE OF THE RISK FACTORS Onset of sensory impairment Mobility difficulties Retirement: loss of role, money & contribution Becoming a carer, caring, ceasing to care Bereavement Existing social exclusion Rural isolation “Safeguarding the convoy”
  • What the evidence tells us: Cost-effectiveness of acting sooner “Not done to, thank you very much” Finding a new way of giving Targeting specific groups Befriending, Mentoring, Gatekeeping Bringing generations together Investing in/not cutting enablers eg transport, exercise, clubs And pursuing evidence on new approaches
  • Active Participation: Engagement not Befriending Part of something bigger Contributing Learning Valued Recognising that we all have a future