Millions of Americans aged 65+ are socially isolated and millions more report feeling lonely. Social isolation and loneliness in older adults were compounded by stay-at-home orders and other COVID-19 prevention measures. Although many Americans experienced no difficulties transitioning to the use of electronic devices as their primary means of communication and connection, some older adults were not similarly able to espouse this shift. Our aim was to reduce the impact of social isolation on older adults, increase their comfort in expressing feelings of loneliness, and assist them in acquiring technology skills and accessing telehealth and community supports. Participants received wellness calls for conversation, resource access and technology-based support. Most participants reported decreased loneliness and increased connectedness after the calls; half reported increased ease in expressing their feelings. Programs that provide phone-based support for older adults may reduce loneliness and increase social connectedness.

Social isolation and loneliness are critical social drivers of health and need to be recognized as such. Safety efforts due to the COVID-19 pandemic have increased social isolation, highlighted the digital divide for older adults and rural communities, and have exacerbated related health concerns especially among older adults. Opportunities for increasing social connectedness of older adults and others who are isolated must be prioritized to decrease the impact of social isolation and loneliness on mental and physical health. Recommendations for policies, programs, and other actions addressing social isolation as a determinant of healthy aging by supporting community and individual social connectedness are highlighted using case examples from the western region of North Carolina. The purpose of this chapter is to urge policy makers and health professionals to prioritize policies, programs, and support for social connectedness as an antidote to turn the tide on the widespread impact of social isolation on the health of older adults.