Social isolation is a risk factor for elder abuse – and also a consequence of it. Thus, increasing social integration is a potent abuse prevention strategy.
There are a range of reasons older adults become socially isolated. For example, older adults tend to have one or more chronic health problems, some of which can interfere with an ability to manage household responsibilities, access transportation to visit family and friends, or travel to a local senior center. Once isolated, the opportunity for abuse to occur increases.
In addition, many perpetrators seek to isolate victims. Motivated to keep the abuse, exploitation or neglect hidden from outsiders, abusers monitor mail and phone calls, travel to medical and other appointments with the victim and create obstacles for the older victim to socialize inside and outside the home. In some cases, perpetrators refuse family and friends access to the home.
It is therefore critical for older adults to be integrated into social networks, to belong. When someone belongs to a network, the person is visible. This is protective. We all need someone to share worries with, to help problem-solve and strategize solutions if the need arises. Social supports provide opportunities for this. And if the older adult begins to withdraw or is forced into an isolated existence, others will notice and can reach out directly or call for help.
In an effort to raise awareness of the need for older adults to strengthen their social networks, we invited Janet L. Wolfe, PhD, a licensed psychologist, to write a guest blog providing practical tips on how to accomplish this.
Dr. Wolfe served for over 35 years as Director of the Albert Ellis Institute in New York City and currently has a private consulting and therapy practice in New York City. She has conducted hundreds of workshops on cognitive behavior therapy applications to anxiety and stress management, communications training, addictions, and couples and family counseling throughout the U.S., Europe, South America, and Asia, and has helped spawn numerous women’s programs in schools, clinics, and agencies based on Rational Emotive Behavior Therapy and CBT principles.
For many years, Dr. Wolfe has conducted workshops in NYC for older adults on how to replenish their friendship networks. The workshops, sponsored by the Hospital for Special Surgery’s Greenberg Academy for Successful Aging, have met with rave reviews. The following are practical tips she utilizes during these workshops. (Click here for a PDF of these suggestions to share as a resource with your older clients.)
Dr. Janet Wolfe’s Practical Tips for Older Adults Interested in Replenishing their Friendship Network
Several studies have shown the significant contribution of friendships to health, happiness, and even longevity. Here are some tried and true guidelines on where older adults can meet people, how they can initiate conversations and maintain connections. These guidelines were created to directly address older adults as the audience.
Places to meet people: Even if your mobility may be somewhat limited, you can encounter people everywhere, including your own building, doctor’s office, coffee shops, classes, exercise groups and even grocery lines. It’s also helpful to change your everyday routine by walking into a new coffee shop, recreational center, or sitting on a different park bench than you normally do. It’s also helpful to wear something (like an interesting pin, political button, or hat) that might catch someone’s eye and spark them to make a comment.
Practice in advance: Greet, make eye contact and smile at people to start working on your skills. You can practice on people you see every day, such as the mail carrier, doorman, grocery clerk, or even people you pass on the street.
Overcome your fears of rejection. Even if 9 out of 10 people don’t respond to your conversational overture, you have nothing to lose. One of the nice things about having lived for a few decades is that you (hopefully) have learned not to get embarrassed over the small stuff or take things as a measure of your self-worth.
“PUSH yourself to approach someone or a group of people at a place or event where you don’t know anyone and credit yourself for doing so.” – Dr. Janet Wolfe
Opening and Extending Conversations
Suggestions for sparking conversations with others: You don’t have to have traveled widely or have had a lot of unusual experiences to be an interesting conversationalist.
- Compliment someone on a piece of apparel, their pet, or something nice you observed them doing. Offer to help a person with something they may be having difficulty with.
- Request information by asking someone for a restaurant or hair salon recommendation.
- Be observant and notice what others are reading and take in your surroundings at events, lectures and parties. Then you can ask questions like: “How are you finding the book you’re reading?” “Have you attended events here before? Which are the ones you’ve enjoyed the most?” “What do you suppose is in that green dip?” “I love that painting – it really moves me.” “You made a really interesting comment during the lecture, and I’d like to hear more about it.” (Note: Try to avoid questions that are likely to elicit one-word or yes-or-no answers, such as, “Do you know the time?”)
- Engage with others who are near you and conversing: “I‘m sorry to interrupt, but I really agree with that comment you just made.” Or “I overheard you mention that new Tom Hanks movie. I was thinking of seeing it–do you recommend it?”
Suggestions for extending the conversation: If the person seems the least bit open, don’t just exit; prolong it until you can get a better sense of whether this might be a good friendship prospect.
- Listen with interest. Lean toward the person, nod periodically, and make good eye contact (though don’t keep your eyes glued to them). When people feel listened to, they feel happier and are likely to associate you with these happy feelings.
- Ask follow-up questions: If the person mentioned she was a bookkeeper, for example, ask, “How did you get into that line of work?” “What did you do before then?” Take advantage of information they may drop, such as the fact that they lived in Cleveland, or were in a book discussion group and then ask follow-up questions and make connections.
- Ask creative questions. For example, “What is the most popular misconception that people have about your former job?” “If you could spend a week anywhere in the world, where would you choose and what would you do there?” “I wonder what would happen if they banned private cars in the city for one day?”
Share Something about Yourself
Self-disclose. You don’t need to start out with the most intimate details of your life.
Possibilities include:
- Share an experience from your own life that’s related to something the person has mentioned.
- Mention that although many of your friends have died or moved away, you’ve gotten to know some younger people and have been learning a lot about pop culture.
- Talk about some activities and events that you’ve enjoyed, or some funny comment you heard the other day.
In preparation:
- If you’re going to an event, read the daily paper and note down a couple of things you found interesting. You can even carry a card with you as a reminder. Keep up-to-date with local and international news or interesting upcoming events.
Maintaining Connections
Once you’ve done all the work of engaging people in conversations, it is important to attempt to keep these connections going so that you can foster friendships and support that will last over time.
Suggested ways to maintain connections:
- Don’t just count on running into the person again. Say, “I’ve really enjoyed talking with you.” Or “How about we meet tomorrow on the same bench (or after exercise class) and continue our conversation?”
- Invite the person to join you for lunch, a social event, or other activity.
- Give out your phone number, address, or e-mail address and ask for theirs.
- Send an article or inform the person of an event.
- Call (or set up a meeting with) someone you haven’t seen for a while.
Click here to download a PDF version of Dr. Wolfe’s tips to be used as a handout.
Additional Resources for Staying Connected
In New York City, there are resources available to older adults who are interested in engaging with others in their communities. Click here to download a handout including more information on social isolation, tips and resources.
If you’re still looking for more resources, click here to learn about the wide array of programs funded by the NYC Department for the Aging and search for local senior centers. In addition, the Internet and social media outlets offer opportunities to connect with others. Click here to learn about The Senior Planet Exploration Center, which is the first technology-themed center for people 60 and older. This center “offers older New Yorkers a comfortable space to learn, work and explore new ways to thrive in today’s digital world.” Click here to learn about Self Help’s Virtual Senior Center program, which offers several opportunities for homebound older adults to interact with their peers through classes, discussions and more.
Are you aware of other resources available for older adults who want to become more connected in their communities? Please share them here in the comment function of the blog.
By NYCEAC Guest Blogger Janet Wolfe, Ph.D.
Social integration ensures less vulnerability to elder abuse. Make sure you are in touch with your friends, relatives…
Hi Devi – thank you for your comment and for this great reminder. It is so important! I hope you found the blog helpful and are able to use the tips with folks you know both in professional and personal circles.
I think it’s important to recognise that some people, regardless of their age, are not “joiners”. There are various reasons for this. However, if we are to uphold the human rights of older people, then we should respect their choices. While joining groups might be one way of preventing elder abuse and networking seniors, there are other ways one might gain a sense of connection. This can be achieved in neighbourhoods informally, with friends through social contact, through technology and having contact with health care providers, which often leads to discussions about wider issues. The term social connection can mean different things for people and doesn’t always mean joining a group. These informal social connections should be recognised and acknowledged as part of the wider prevention of elder abuse.
Hi Gary – thank you for your comment, raising excellent points and shining additional important light on older adults and social connections. I completely agree with what you’re saying and, yes, we absolutely want to encourage older adults to connect in the way that they feel most comfortable. It sounds like you’re doing some work in the elder justice field. Thank you for all you do to raise awareness of elder abuse!
[…] Increasing Social Integration and Preventing Elder Abuse […]
[…] This year, NYCEAC is using this graphic – designed by Nancy Oatts, a passionate elder justice advocate – to commemorate WEAAD and highlight the isolation faced by older adults, which increases risk for elder abuse. Breaking the silence about elder abuse, both by interacting with victims and families and with older adults in general, is critically important to ensuring that elder abuse is identified and prevented. We encourage you to share this blog and image as a reminder to connect with older adults and fight against elder abuse. For more information on how to help older adults expand their social networks, see our blog focused on Increasing Social Integration. […]
Great article. I would just add to not forget the people living in nursing homes who are may also be vulnerable to an abusive staff. Visitors to nursing homes become a “bridge” between the people living in there and the community and a second set of eyes. People who get visitors will get better care.
Hi Paul – thank you so much for your comment. I am sorry for such a delayed response. Great points and so important. Thank you!
[…] this blog, Increasing Social Integration and Preventing Elder Abuse, Dr. Janet Wolfe discusses the importance of keeping older adults connected to others as a means […]
[…] gatherings are more commonplace and yet older adults can experience more acute social isolation. Isolation is both a risk factor and a consequence of elder abuse. Older adults who are isolated are at greater risk of elder abuse, fraud, and scams. This is a […]