Social connection and self-neglect: A case for broader exploration

Author:

Burnett Jason1ORCID,Hoyumpa Gabrielle M.2,Beauchamp Jennifer E. S.3,Hernandez-Tejada Melba A.4,Acierno Ronald4,Perissinotto Carla5

Affiliation:

1. Joan and Stanford Alexander Division of Geriatric and Palliative Medicine, McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA

2. McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA

3. Cizik School of Nursing, The University of Texas Health Science Center, Houston, TX, USA

4. Trauma and Resilience Center, Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center, Houston, TX, USA

5. School of Medicine, The University of California San Francisco, San Francisco, CA, USA

Abstract

Self-neglect (SN) is the most common report to Adult Protective Services (APS) and is associated with significant morbidity and mortality risks for older adults. Lack of instrumental support is a well-evidenced etiologic factor in the development and continuation of SN, but little is known about other modifiable social connection characteristics. The social connection framework, provides a host of evidence-based characteristics across structure, function, quality missing from SN studies that could be identified if explored. These factors could provide prevention and intervention targets related to poor health. We present a narrative case study using quantitative and qualitative data to explore social connection across structure, function, and quality in the context of SN. The findings highlight the complexity of social connection that may be frequently observed in SN cases reported to APS. Strategic utilization of direct and indirect social interventions to support social connection in this case is presented and provides general considerations that may be generalizable to other SN cases. Thoughts for future research on social connection in this population are provided.

Funder

Carmela and Salvatore Bitondo Graduate Student Fellowship in Elder Mistreatment

Publisher

SAGE Publications

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