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Executive Summary The public health measures implemented to control the COVID-19 pandemic disrupted normal social interactions, exacerbating preexisting concerns about increasing levels of social isolation and loneliness across various age groups. As localities experience shifts in pandemic-related supplemental federal resources, state and local governments, health care providers, community-based organizations, and other partners have a timely opportunity and a pressing need to address this issue. This rapid expert consultation focuses on strategies tailored to different age groups and communities facing the challenges of social isolation and loneliness that arose during or were exacerbated by the COVID-19 pandemic. It focuses on groups most affected by these challenges (including, but not limited to, older adults, youth, and individuals with preexisting health conditions) and describes strategies for promoting social connectedness and well-being. Box 1 summarizes these strategies. BOX 1 KEY STRATEGIES: PROMOTING SOCIAL CONNECTEDNESS AND REDUCING SOCIAL ISOLATION AND LONELINESS ⢠Community-based supports: Social connectedness can be enhanced by using existing community infrastructure, including schools, primary care settings, and workplaces, and by leveraging the strengths and resources of community service networks. Tailoring these supports involves understanding the specific needs of each group. For example, youth programs might focus on after-school activities and peer support, while older adults might benefit from community health outreach. ⢠Community leadership: Partnering with communities to design and deliver services and forging inclusive, action- oriented strategic alliances can enhance social connection and empower communities to identify and sustain community-level solutions. Supporting different community members in taking on leadership roles can facilitate relevant and effective solutions. For example, youth leadership programs can foster a sense of responsibility and connection among young people, while older adults can contribute valuable experience and wisdom to community projects. ⢠Digital environments: The rise in digital innovations presents opportunities to address loneliness and social isolation through online support groups, social media interactions, information discovery, resource access, and service delivery. The use of digital platforms should be tailored to the target population. Teens and young adults might be more engaged through social media and online gaming communities, while older adults might prefer accessible electronic devices to communicate with friends and family, virtual community centers, or health forums that provide a space for social interaction and support. ⢠Social infrastructure: Inclusive design is crucial for making public spaces accessible and appealing to all age groups. Designing inclusive and multifaceted public infrastructure, including libraries, community gardens, and community centers, and offering diverse local destinations, such as shops, cafes, and restaurants, can promote social connectedness and alleviate loneliness. Mixed-use planning brings diverse amenities nearby, while transportation options enhance access to these facilities. ⢠Comprehensive policy initiatives: Proactive policymaking can aid the development of legislation and policies to enhance social connectedness and provide ongoing support for community and social programs, addressing different groups' unique challenges. For example, policies aimed at youth might focus on improving mental health services in schools. In contrast, policies targeting the middle-aged population might focus on promoting or modifying leave policies for workers taking care of children and aging parents, and those aimed at older adults might prioritize access to community-based health care and social services. JULY 2024 | 1
