Emerging research shows loneliness has a profound impact on a person’s physical and emotional health. Loneliness can increase depression and can have a greater impact on mortality than smoking or inactivity.
Who better in the healthcare field to address the barriers that exacerbate loneliness than OT?
With a holistic approach focused on person-centered goals, the OT scope of practice can address the goal of reducing loneliness or improving social connections. While research is limited on OT’s impact, screening for both social isolation and loneliness should be considered for every patient.
Loneliness can be significant for the elderly and for persons with disabilities. OT is already embedded in patient care models for these populations, so supporting the occupation of connections and friendships can be integrated into the treatment plan. Think about the following as you assess and structure interventions.
Address Underlying Issues – OT addresses a multitude of underlying issues that could present barriers to connecting with others and maintaining those connections. Examples include depression and anxiety; vision and hearing loss; and fatigue.
Address Mobility Challenges – OT can help patients identify and work on obstacles that make it difficult to participate in social activities. OT can instruct in the safe use of assistive devices, modify a patient’s vehicle and reduce barriers to public transportation.
Instruct in the Use of Technology – Some might argue that technology has increased loneliness but if used right it can also open the world a little wider for OT patients. Texting, email, online classes, Zoom or Facetime all have the potential to be a positive force.
Engage Caregivers – Activities may need the support of a caregiver for patients to access. Caregivers may benefit from the activity too or take a much needed break from their responsibilities, so engage caregivers to support the work on this occupation.
Consider the Therapeutic Use of Self – OTs know the most effective OT-patient relationship is one built together with shared experiences and trust. OTs use six therapeutic models: advocating, collaborating, empathizing, encouraging, instructing and problem solving to help patients master their goals. By virtue of these models of care, OT is connecting with the patient on a personal level and providing a connection that patient can count on.
Initiate Groups – If you work in a setting where groups are part of the practice, brainstorm some new ideas. If isn’t within your current scope of practice, consider volunteering at a senior center, homeless shelter or other social service provider.
OT can make a difference for patients by reducing barriers and increasing opportunities to interact with others – together with our patients we can push back against this tide of loneliness.
