Loneliness is an Epidemic.

The Surgeon General’s Advisory and Healthcare Mental Health

The Surgeon General's Advisory on loneliness and lack of connection highlights the critical need to address this public health crisis in the United States. Physicians and healthcare workers play a crucial role in identifying and addressing the impact of loneliness and isolation on patients' health and well-being.

Healthcare plays a unique role, and healthcare workers carry a high risk for being isolated and lonely. Relationships are essential to connection and wellbeing, and many healthcare workers including physicians have lost a colleague to COVID, Suicide, or leaving healthcare in the last year.

Physician and healthcare leadership in fighting the epidemic of loneliness starts with being proactive and responsible about seeking help for their own mental health.
— Janae Sharp

What are the steps the Surgeon General laid out to fight the epidemic of loneliness and how do they apply to healthcare workers?

Strengthen Social Infrastructure:

Physicians and healthcare workers can advocate for the inclusion of social infrastructure components, such as community centers and support groups, within healthcare settings. They can collaborate with community organizations to establish programs that promote connection, facilitate peer support, and enhance patients' access to social resources. Additionally, healthcare facilities can create welcoming environments that encourage social interactions, such as comfortable waiting areas and communal spaces. This means listening to healthcare workers about policies and safe work conditions. Build trust.

Enact Pro-Connection Public Policies:

Physicians and healthcare workers can engage in public policy discussions to advocate for policies that promote connection. This can include supporting initiatives for affordable and accessible transportation options, which can help patients overcome barriers to social engagement. They can also advocate for policies that ensure paid family leave and caregiving support, recognizing the importance of strong familial and social connections for individuals' well-being. Healthcare systems can ensure that medical workers have support systems in place including grief counseling, debriefing after difficult events, and community education. Is the counseling and addiction support at your healthcare job possible to access without stigma or possible harm? If accessing mental health support has a negative impact on jobs, it is not actually support.

Mobilize the Health Sector:

Healthcare providers are well-positioned to identify patients at risk of loneliness and isolation. Physicians and healthcare workers can incorporate social determinants of health assessments into routine patient care, including screening for social connection and support systems. After asking, find community resources. They can develop strategies to address patients' social needs, such as referring them to community resources and support groups. Collaborating with social workers and community health workers can enhance the effectiveness of interventions. Additionally, use best practices to evaluate your own health. Are you in an environment where you can be healthy?

Reform Digital Environments:

Physicians and healthcare workers should be aware of the potential negative impacts of excessive digital interactions on patients' social connections. They can educate patients about healthy technology use and emphasize the importance of balancing virtual interactions with face-to-face connections. Healthcare professionals can also advocate for responsible design and regulation of digital platforms, ensuring they prioritize meaningful social connections and mental well-being. Use medical knowledge and expertise to ensure that good information is available to patients.

Deepen Our Knowledge:

Physicians and healthcare workers can actively participate in research efforts focused on understanding the causes and consequences of social disconnection. By contributing to studies, they can provide valuable insights into the impact of loneliness on patients' health outcomes and the effectiveness of interventions. Additionally, healthcare professionals should stay updated on the latest research findings related to social connection and integrate evidence-based approaches into their clinical practice. Leaders should build sustainable communities for connection and support.

Cultivate a Culture of Connection:

Physicians and healthcare workers can lead by example in fostering a culture of connection within healthcare settings. They should prioritize building meaningful relationships with patients, colleagues, and staff. Promoting open communication, empathy, and active listening can enhance patient experiences and contribute to a supportive healthcare environment. Healthcare organizations can also implement policies that foster a sense of community and social support among their workforces. This also means ensuring that physicians, nurses, and other healthcare workers have a stable work environment to deliver care.

Physicians and healthcare workers can make significant contributions to addressing the epidemic of loneliness and isolation, improving patient outcomes, and creating a healthier, more connected society.

It starts with being proactive and responsible about seeking help for their own mental health.

Community care complements medical care by providing patients with the necessary social, emotional, and practical support they need to navigate their health challenges effectively.

Comprehensive healthcare goes beyond medical interventions. Read more about the advisory at https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf

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Karen Murphy, PhD RN Innovation Leader