ABSTRACT
Social isolation is a serious health issue for people of all ages, but it appears to be especially devastating for older adults. Socially isolated individuals incur increased risk of an array of problems including abuse, cognitive impairment, depression, disability, extended hospital stays, falls, malnutrition and mortality. Rural older adults face a particularly high risk of social isolation. A major challenge in addressing social isolation is that social isolates are difficult to detect in the community. Social isolates are often first discovered when they encounter the health and mental care systems. Community organizations play a vital role in combating social isolation by providing opportunities for leisure, recreation, social connections, and the receipt of health, social, and financial services. Policy changes can help support rural communities and reduce the risk of older residents becoming isolated. Rural older adults need to assume some responsibility for maintaining social connectedness in their own private lives.
