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Milken Institute Global Conference 2020
October 19, 2020, Online, USA
Milken Institute Global Conference 2020
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Social Isolation: Confronting the Silent Pandemic
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About the talk

Topic: Finances

In the midst of a global pandemic, another hidden public health crisis has emerged: Loneliness, the subjective feeling that results from social isolation. The condition affects people of all ages and is a significant health risk, particularly for older adults and those with chronic conditions. A recent study from the National Academies of Sciences, Engineering, and Medicine found that social isolation has been associated with an increased risk of developing dementia and premature mortality. Loneliness is rising among the younger people as well, with Gen Z (those born between 1997 and the early 2000's), being most affected, according to a major study from 2018. During this panel, we'll hear from leading experts on how COVID-19 is exacerbating the loneliness epidemic and the healing power of human connection.

Moderator

Scott Kaiser

Chief Innovation Officer, Motion Picture & Television Fund

Speakers

Linda Goler Blount

President and CEO, Black Women's Health Imperative

Jeff Huber

President and CEO, Home Instead Senior Care

Dora Hughes

Associate Professor of Health Policy & Management, Milken Institute School of Public Health

Kim McCoy Wade

Director, California Department of Aging

About speakers

Scott Kaiser
Chief Executive Office at Determined Health
Linda Goler Blount
President and CEO at Black Women's Health Imperative
Jeff Huber
CEO at Home Instead, Inc.
Dora Hughes
Associate Research Professor at GWU Milken Institute School of Public Health Department of Health Policy and Management
Kim McCoy Wade
Director at California Department of Aging

Driving innovation to improve the health and well-being of older adults, support vulnerable populations, and address critical unmet needs. Co-founded Determined Health Inc. to empower a broad range of organizations with the tools needed to effectively address social isolation and other critical social determinants of health. We are determined to create communities that support people’s ability to live well, age well, engage with each other, and, above all, thrive with dignity and purpose. Learn more about how you can join us and use our Connection1st CallHub to end isolation now at: www.joincallhub.com

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I’m on a mission to create a world we all want to grow older in tomorrow. As the leader of Home Instead, I’m deeply passionate about transforming beliefs around aging and inspiring action. I believe business should be a force for good in evolving our professional, economic and health care systems to better serve an aging society. I aim to elevate and change perceptions about caregiving and grow the global workforce of professional caregivers. And I champion care for the whole person—mind, body and spirit—so we can all live fully and serve each other.

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Welcome everyone. Thank you all for joining us today for our panel, social isolation fronting the silence. And I am a very attrition and the chief Innovation officer for the motion picture. Television fund mptf for a charitable organization that serves people work or working three to a variety of services, support and charitable assistance. And we're here today to talk about the silent pandemic, social isolation and loneliness. In the midst of This Global

pandemic, another hidden Public Health crisis has emerged. We can do affect people of all ages, and the significant health risk, particularly for older adults and those with chronic conditions. A recent report from the national academies of science, engineering and Medicine. Highlighted the fact that social isolation has been associated with an increased risk of developing dementia and premature mortality. Rising as well to a major study. From 2018 during this

panel will hear from leading experts on how covid-19 is exacerbating this loneliness epidemic. And we'll hear about the healing power of human connection before you introduce a panelist, if you could pull up the slide, please. I'd like to highlight a report that was released. Just last week together, apart findings from the social isolation impact stomach. So back on July 1st, with frankly feels like several lifetimes ago, mptf partnered with the Milken institute's center for the future Beijing. Hukou percent of virtual loneliness and social isolation

impact Summit. So this report is available online job of highlighting. Some of the key issues around loneliness and social isolation as it summarizes aspects of the receipt from July 1st. So today will address them. The key takeaways and calls to action through this conversation today. Either. Do I have the pleasure of introducing this wonderful esteemed panel Tim McCoy. Wade is the director of the California Department of AG. Overseas Home and Community Services for older adults across the state of the California and she's part of the team developing and implementing a California Statewide

master plan on Aging something. Highlighted in the report saying that. I hope we will discuss today and Linda pagoler Blossom is the president and CEO of the black women's health imperative. As presidency. Olinda is overseen more than 20 million dollars of investment into black women's health in research. And she is responsible for moving the organization forward and its mission to achieve Health Equity as well as reproductive Justice for black women. Jeff Huber is the president and CEO Home, Instead, Senior Care,

Home Care Services Company and its franchises in the global population is committed to promoting consumer choice and care, but certainly not least At The Institute School of Public Health Dora is a internet where I get some of my geriatrics training. So go Brigham door, work focuses on the intersection of clinical and Community Health social determinants of Health, Health Equity, Health Care, Quality and Workforce. Issues that could not absolutely Amplified magnify of critical importance to death,

just High Life Again, even before covid 5280 reported that they sell isolate, that's even before covid. And now we know these numbers have gone up dramatically. We've all experienced forced isolation being cut off in different ways. On why you feel? This is such a critical issue and why was so many things to be concerned about addressing loneliness and social isolation. Why should just remain a high priority and I'm going to start with Kim McCoy weight. Thank you so much. As you say, anybody

who's working with older adults are working families and communities already knew that I was a shin in loneliness were major threat to our health and wellness as we age to our sense of belonging to our sense of purpose, but with covid-19 Amplified underscored put in all caps in a whole new way. Here at the State of California. We did two things. We started with our governor a check-in call campaign called on people to make hundreds and thousands and tens of thousands and hundreds of thousands of phone calls and the stories we've heard back. We're too many times

heartbreaking. Absolutely heartbreaking, people worried about where they're going to get the groceries in their house. People longing, for their friends children, great connection, as well as four basic needs. We were very fortunate that with some Bay Area partners. Friendship place for older adults to call and get that friendly ear. That friendly conversation. Any time doing a little bit lonely or having a more serious bout of depression or anxiety, or behavioral health challenges, and we continue to receive the days of people who are

missing their communities are there hugs. And if you do worry, particularly in our residential facilities, where there's been an even longer prohibition on in-person visit because of the deadliness of covid-19 in France, as desperate to see, their loved ones, particularly with dementia, but of all of, all of all families, have these, these need. So it is just turning opening. Communication has revealed so much and so much need. So we are really trying to double down on everything we can do to

make connections happen, Safeway restore services, but also rethink connections and services. How can we make sure older people are included? How can we make sure the digital divide is bridged. How can we make sure the ages of men racism and other Prejudice are keeping us apart when we should be connected. So it's really a call to transform. Our communities are services, our relation to each other. It's it's terrible that we're here. It will be, it is really a challenge to us to make it a transformative Leap Forward. Yep. Thank you Scott. I think

it's such a critical issue for a simple reason and it's that social isolation and loneliness. Kill you just as human beings require food and water and sleep. And we need to an interaction in order to to thrive and survive. So before the wrist, you know, before the pandemic seniors, who are lonely 30% greater risk for heart disease or 32% greater risk for stroke there at traumatically, increase risk for to be subjected to scams and because of all of that have a 45% increased risk of mortality. So loneliness, kills that you want

evidence of that? Since the start of the pandemic we've seen, you know, thirteen to fifteen thousand more deaths from Alzheimer's and other dimensions than prior years. More than we would have expected this year, you know, the deaths from covid in nursing homes as well. But these additional $15 and it's because it's rapidly accelerating the disease progression. So sadly, these people are dying alone or an article about a nursing home in Greeley Colorado, where the residents were

protesting and holding signs, that said, I'd rather die than die alone. No one should die alone. And that's why my platform as the CEO of the world's leading home care. Provider is to eradicate social isolation and loneliness for seniors. And we do that through our core business, with a professional caregiver, in the client's home, which is the safest place to keep them. We know that you and interaction is the antidote to loneliness. And so we're trying. We're making big investments in technology to extend our high-tech business with technology, but we're also doing

that through other ways like free resources for fam. Training people and go to caregiver, stress. Calm and be equipped with education tools up, helping take care of their loved one. We're doing it through by financially supporting nonprofits through our homeland. Security is less than 1% of all done. Dropping dollars go to senior causes, and we want to change that. And most importantly, we were trying to eliminate social isolation through a social movement called ready to care. We can solve this problem tomorrow, if everybody just did a little bit and reached out to social, a

socially, isolated seniors in their communities. So, you know, I would love everybody listen to go to ready to care.com and sign up and every Monday you're going to get a tiny little text message with a little bit of inspiration. Little bit education at. Allow you inspire to take small acts of care to take care of the seniors around. You didn't even go and become a pen pal, and write a letter to an isolated senior. Excellent. Thank you really hearing from Kim about the, the spotlight covid, from Jeff about how low can

your skills? It's always just now more than ever. Going around the horn here by yourself. Why should we care about the 50? Yes, thank you for that question. And I just also want to start by giving. Thanks for inviting me to participate on the panel today. I am here to represent the public health perspective and public health is concerned with promoting and protecting the health of people in the communities where they live. That is our core Mission. And that is why we care as a Public Health Community

about. Social isolation is Justice, laid out social insulation kills are we will think about crying to see you. As we know that social isolation and carries the same risk as bad as smoking 15 cigarettes a day, carrying similar risk to obesity and physical inactivity. Social isolation also is the Sochi with about a 50% increased risk of dementia, is that as another startling and certainly distrusting statistic and I think to your points. Even pretty tab

more than a quarter of adults, aged, 65, and older considered to be socially isolated and even more. If you consider almost at 45 and older. So for all of those reasons, we cannot achieve. Our core mission is public health professionals without addressing social, isolation and loneliness. And I look forward to getting to some of the solutions that we're seeing us as we continue this conversation. Excellent. Thank you so much for coming back to Linda Murphy here. Hopefully

we got all the stuff in here, waiting with bated breath to hear. This is really critical time for 400 years. Black. Women have been undervalued dismissed in in this country and all of that is loneliness producing. But what we had was each other, we had our families. We had, our friends are social networks to depend on, to take our, our issues are concerned. Our anxieties are depressions to get for support for Solace. And now here we are with with covid-19 where we have to enforce

social isolation. I'm into this goes to the core of of how we interact as family as Community are responsibilities. As women as Mothers, Daughters sister to care for others. And suddenly now, we're in this position of not being able to do that and not receiving the kinds of supporting and network that we become too reliant. Admit it frankly just to deal with the issues of being a black woman in the society. So my concern is 8 months, 9 months into this, this goes on

about what the end popping out. I'm up concern about the emotional impact and what the what the effect it will have on our communities on our family structures, on our ability, to do things like here for our parents or care for elders in facilities. And what this might mean for a black woman, psyche, and her sense of self. And we're already beginning to hear women talk about letting their families down letting you letting people down, not not living up to what's expected. And so, this is a real concern for us

that black women will further internalize this negativity. And, and the fact that the destruction that comes from when your social network is disrupted. I'm looking forward to the conversation. Thank you, Linda move on here. I was reviewing. This is excellent report again together or apart report findings from the social isolation, text Summit. And what eggnog the great work at the milk and Team on Madden, the supporters of the word, n e, r p, Foundation scam Foundation to Gary and Mary West Foundation. And as I was looking through that

report, I saw a comment from you yet. You talked about there's just one loneliness, storybook, Nanny and update on the issue in this situation. So there's not just one. Lonely story has informed the approach to self, California. Absolutely have we have been on a year-long listening and collaboration process with our state to plan, a 10-year road map for aging and we have just heard so many agents stories and now so many covid stories. So let me just give couple of damn pills. You can imagine and you meet yourself. Maybe

somebody in your sixties thinking about what does it do for my retirement, my inclusion at work, in my isolated from my job and my missing job opportunities opportunities, my not seeing my grandchildren, helping my children care for their grandchildren. That is one storey. Somebody who is closer to a hundred in a residential facility. Maybe has children in town, maybe has children across the country, may be doesn't have children. That is a different isolation story. But I think when you look innocent many, many, many times has been a journey.

Is that housing and tear in isolation and having housing that supports your care and supports your connection? Team for California, for all of us, has to have options at the different ages and stages of Aging so it may be that building an in-law unit in the back and multi-generational family to be together encounter isolation, San Diego, making it even easier and more affordable to build. It may be that we need to rethink senior housing and think about multi-generational. So you see places in the Bay Area, blending affordable housing for seniors, with Foster aging out

of the system on the different areas of a residential building. It may be that in a residential facility. We want it creates smaller communities, 14th and come up a lot. How do we turn our scale residential facilities into a small home? Reporting Home Health in isolation inclusion, of isolation. So I think no matter what age or states were in your community is what your finances are with your ability to make sure there's an option that doesn't just think about, do you have a roof over your head? Do you have

good cholesterol score, but also is equally value in your inclusion, your connection. Your well-being, as all three of those things have to work together as well. I have to go to Dora. I mean if there's a public health issue, right this. Incredible National academies report, a lot of elevating, the profile of this is a public health concern on par with smoking obesity. So I'm just wondering if you listen to the store and in your work. I mean, again at this convergence of Community Health.

Can you just help us frame this a little bit as a as a public health issue? Then extend into some of the underlined policy drivers that could help us begin to address. Store. And I love that. But you went there, even before I had a chance to go there myself, because I was just thinking from listening to it to Kim and her examples and some of the work that she's working on. It is just that emblematic it and really helping to to underscore the shift and the public health response

because all the way she's describing is what we would consider to be part of the public eye. Help respond to that. We can invite him to join our tribe and public is focusing. More on populations. There is this increasing abrasive embrace the most effective partnership standing public health, health, care and Social Services has changed. Started pre-pandemic, certainly, but I think What is driving? These Partnerships at first, there is now a much much greater understanding that social to turn to Hell the conditions, in which we

are born to live and age are the major contributors to help and frankly outside of the realm of what we used to be considered, strictly hell, social terms of health include socioeconomic factors, which include social, isolation and loneliness. And those factors contribute to 40% of Health and Longevity. The Housing Authority would work on housing. The food bank to work on food, insecurity Healthcare and work on health and really focus on individual needs. And so now is you think about

what you just described as steamy stuff is working together because as you might imagine if you need assistance with housing you very well. May need assistance with food and if you are a senior experiencing such isolation and loneliness You may very well need help with transportation and Frets Community safety, which is another associate terms to help is a factor and it says these suckers to start to pull together. There has been a shift from addressing these individually to think how can we go to address the needs for the entire Community or population and with the focus on the

root causes? And so is very classic is Kim describe. We're not just thinking about how can we address housing needs? But how can we dressed housing plus care? And thinking about how to recreate Community, moving away from one person at a time for an entire area. And a tire patch need is more place based approach and sorry. I think it's no, use a freezer called the chief strategist and, and really pointing out that they're more looking up stream. I'll think about the policies, the regulations defining, that's needed to address.

At a higher level of what you're the public health approach to addressing your question. You have my vote for for anything and partnership and you know, we talked about silos in Partnership is Individuals and families in Italy in tax-advantaged caregivers. Can you speak a little bit about to how we really closed loop and bring individuals families into Circleville? While we're trying to raise awareness about this issue on on multiple fronts, and you know, we agree that we have to bring the the public sector,

the private sector, the social sector together to help help solve these challenges. For our part. We're trying to do that on a couple of different ways. The first is just through our Core Business. For us. It's all about connecting seniors with the people, the activities, the things that give them. Meaning and purpose in life is very founding story of our company was based on our Founders grandmother, who was in her late eighties. Socially isolated in in very failing and in declining health, and once she got reconnected, she her health took a U-turn and she had 11 for

Fruitful year. So, we're trying to advocate for professional tournament as a solution to trying to use technology to expand our reach. But beyond that were also, just trying to create a social movement trying to raise awareness about Miss You by getting our communities involved and and and putting effort behind a movement that we've called. We pray to called ready to care that because I guarantee you that every person who's listening to this session has a senior on their block, down the street, around the corner, in your building that this suffering and isolation. And if you don't

now, you you very soon. Well, so ready. Cares about getting everybody involved to give him a little bit of Education, awareness and a call to action, to, to simple acts of care. And then additional, we're trying to create the next generation of leaders who understand Aging in the issues that come along with it. Most notably social isolation and loneliness. So where we created this opportunity for young people to have a paid year of service much like Teach for America did? I understand the challenges of inner-city Education. We want to create the next generation of

leaders who understand the challenges of aging and then go on to become a change, agent at the program, called Champion the Beijing. And we partner with service here to help up for 8, that that movement. That's great. That's an excellent. Excellent. We know that caregivers are disproportionately impacted Throop and we know that you identify this as part of a marginalized is at higher risk. So many color. I want a woman's health study and how your organization supported a secondary analysis. Looking at.

How can we look to experiences in his collar black and brown? Really healthy social connection and you know, it's go back to the the Heckler report. It has always been from the perspective of what's wrong and it was interesting and looking at the black until study, which has some 60,000 and participants. We, when I started just inside most of what the words and phrases black women, use it at my house for a psychosocial, in a very few of the words and phrases. They use had anything to do with physical health or disease day that we went to the Bible study and said, hey, how

is everything wrong? If is that it it just all bad and they said well known fact, we back black women to rate their health and the majority of them actually right there. Tell free their house is very good or excellent. So I said, okay, wait a minute if that's the case, then maybe the way we're coming about talking about how their approach is backwards. Because if we don't do ourselves as broke and broke down, then the public health communication Jewish that way either nor should the medical community has allowed us to reframe our work and start looking at it. Work to do an

asset-based lending. We view ourselves as, okay. I mean if I can get my money right, I can take care of everything else. Yes. Diabetes is important, but it's not the most important thing. And sew ins in thinking about loneliness and particularly the role of covid-19 and we're having to tap into that. And ask that question. What does it mean to be a black woman living in this Society? In this help her and to deal with the loneliness issues, but also again, to fill her, her responsibilities black women are bringing people into their home. They're bringing their Elders, into their

homes, to care for them. But of course, that means that raises everybody's wrist for covid-19 versus expectation that we will take care of people that we will do what we need to do it in in our churches and in communities, but we've got to make sure that we take a strength-based approach to giving women the kind of resources they need and ingested touch on my door. I said, Yes, we talked about social determinants of Health all the time. But we also have to ask ourselves why these social determinants exist in the first place? And so culturally where we may not be socialized to

complain. And we may feel guilty about complaining about feeling lonely. We have to look at society and look at the barriers that exist that actually reinforce those those feelings of loneliness and prevent us from making the kinds of connections that we really want to make and then maintain those connections. Absolutely Spotlight on these issues. I was really interesting and not serve skirting around, Lisa's them as a driver. And I was an amazing article looking at the impact

of rape, the streets of racism and the feeling of chronic isolation and loneliness. Is that something that has come up in? Any of the paperwork that you've done seem, we should be fully into It it does because we have have felt isolated for generations, and they were black women going to turn to, but each other for support who is going to understand their lived experience, who's better understand a store and having the store clerk, follow you around who could understand showing

up in the emergency department in incredible pain because you're having a crisis, and what you're met with is. Oh, you must be drug-seeking. This absolutely is is coming up. And let me look at the statistics of infection rates, and death rates among black and brown people. As many as he on X bed of white people, depending on where you are, what we're getting is. So it's because you're black, but of course, we know that's not the case. And so nine months ago, black women ignore, now, we're essential workers and get to go face and often unmasked and angry public and

then come back home. So yeah, who do we turn to? So this is really critical as we think about how Society is organized and whose value and who is in and what kinds of support are put in place to help people. Not only now through this forced isolation for very good public health reasons, although happy head of an appropriate response, 9 months ago, 10 months ago. We wouldn't be in this place but to create an environment where people can can feel valued and feel supported and feel like Appreciated. I'm going to jump it cuz there's a pause and there's so much to say that you just

said that that has been informing the California thinking in California work. I just want to lift it up, you know thinking about how this is not an individual issue. This is Doris point to this is families and communities and censoring people in families and communities of their choice families in the biggest piranhas, send until it comes up in so many ways. And when you think about childcare was 20 years ago, and the attention that the closure of schools and close, your child care is dead right now. I almost feel like our our field is it is in 20 years behind and

people are just beginning to realize how Central caring for elders is 2 whole family life. What is doing for us? And we're trying to do it all in fear for our parents and our children and our work and maybe do some school on the side and I somehow get the groceries into. I think that whole family. Situation of this is so important. And we're certainly is a state very much thinking about the holidays, coming up. And I are, yeah, I'd love to hear to come Doris respected from a public health view of,

of the role of guilt when we are isolated, but then when we try to get together, when we try to deal with those feelings of isolation, black women in particular, I made you feel guilty about some of the choices are making, but they're trying to take care of their family, their friends, their children. They're trying to work at homeschooling and meet all of these expectations this syndrome, the soldier syndrome of taking on so much responsibility. So I wonder about what this is going to mean months from now of the guilt that we've taken on an internalized for simply.

Just trying to make the best of this covid-19 situation. Yeah, I'll just pay to very brief comments that we're looking at in the question. I just repeat the question for our audiences. How do we continue to lift up and strengthen Community Partnerships of all kinds, play, Space Community, cultural Community, all kinds of communities and I will take two strategies that we're looking at very briefly at the state. One is, how do we make it easier for health plans to partner with social and Community organizations? As we know these things go together, but it is very hard for a major

health plan to partner with a local community based cultural based organization to provide visiting to provide meals, that are appropriate. So how come you make that easier policy-wise Contracting wise funding wise? And then the other piece I would just say is in Tucson it to where is a virtual care experience of broadband and experience without our knowledge and a weather is for health care, whether it's for your loved ones, whether it's attending your religious service or a class online weather. Ordering those household necessities that is key in the world about how to equipped

with devices, the Broadband, the training. So that that Senior Center can be online. Bill pay health, can do a virtual check in at? What are the ways you can get the best of both worlds from the thoughts, on our mind to help plan partnership in the technology partnership, but I'd love to hear from. Let's see, Linda. Do you want us to just say what's on your mind? Stereo razor really critical point in the reproductive Justice will be talked about intersectionality and black women live at the intersection of racial oppression gender, oppression

economic, oppression until you've highlighted really important Point Telehealth Nothing by a by a video rate. If you've got enough Broadband speed if you don't You can't do it. So you can't participate in Telehealth. You can't do the connection that you can't do live streaming of your church services or or if you're the adult day care. If you can't connect to this. This also highlights another in a quality of many in our systems. Talking about the bass organizations and I absolutely agree with what you say. This is

not only an issue with loneliness, is not only an issue of lower-income People. This pan socioeconomic status. So whether you're a well-off person or not, you're still made to feel the the same sort of sense of loneliness. And part of what we're trying to do is help providers understand this and to look for it and ask for it, ask about it here if they can see into the home to tell a medicine. I've had a number of providers. Tell me I get a better sense of what, how people live in that done before I'm able to improve my care, but they can't. Of course, they don't have that opportunity. But the

people up and down the ladder are feeling this. And we're hearing this from the black only serve at the higher end and black only serve whoever you resources that they are made to feel as though they're in. By themselves and don't have a place to turn to the. We really need to think, holistically about how we provide these opportunities for connection with everyone. I think you quote. Start speaking Sterling Staffing about a half a million of seniors, go more than six days a week on average without seeing anyone at all. And that's just crazy that again that was creepy

endemic and so you can have this severe and and worsening crisis has forced isolation that. I think can't be understated. The other and only point and then I'm going to be quiet as one of my favorite implemented in California, the California Cannabis News for health initiatives or catchy, and that is a type of model of that is purposely blow multi-sector coalitions that again, including Public Health, including Health Care, cleaning a social services organizations and many many of these accountable to me for help

actually include participation by Health plans that are donating their they're trying to do any good. If you really helping to address Upstream of the needs for the communities that they're serving of focusing on the individual needs. But also, how do we change the policies in the community that as an example can help lead to more in-law, suites being filled or more affordable. Housing are resonating with me in exactly as a public health approach is that we are seeking to emulate in Maurice, face more, local areas. As I'm

back here. I just want to stop be asleep. As panel is much better off with the help from the audience. I was starting to get some audience questions. I'm not sure the protocol of how you submit a question. But definitely we want to hear from you. We want you to feel connected and then, right, that's what this is all about. Your other. Call Jackson from the report was to Broadmead continuing education and information. Raleigh. Right, you know, since the very beginning of the pandemic, our caregivers have been really Frontline responders.

Providing life-saving license in a relationship. Based care all around the world pre-pandemic. It was a difficult, and lonely job already for caregivers. I don't have seen the effects of covid on their clients, but they've been feeling the effects of themselves as the additional stress. And so that's why, you know, trying to support that we created a 24/7 support line where they have unlimited access to a trained professional so they can help nurture their own mental health. We talked

a lot about caring for the whole person at home instead and certainly caring for the emotional spiritual physical, and mental health of our caregivers is a Paramount in, Addenda The Strain on family caregivers who do most of the caregiving. And, you know, it was mentioned earlier. Not only, they dealing with the attacks of Providence elves in the isolation. They're facing. But they're having to be a teacher now, and the feelings of guilt that were mentioned earlier by not being able to be physically present with their loved ones. So we do a lot to

support my family caregivers through free resources site. You can go to caregiver, stress. Calm and find all kinds of a couple tools and information of Education. As as family caregivers are trying to support their loved ones through this pandemic. And obviously, somebody who's living with the voice in our boat associated with curious to hear more from you. Also just know that the Milken Institute has recently formed an alliance that are critical in this convergence of social connection. Caregiving dementia.

Well, you're right and not only dementia was pandemic before the pandemic start earlier. It's really exist in the progression of the disease and people are because they're being socially isolated and their diseases accounting, much faster and in a much greater increase of Destin prematurely because of the pandemic. So I think that bodes well for home care and Kim, professional caregiving, but providing family Caregivers for the tools. They need to to care for someone with dementia. So that's

why you can go to caregiver stress that, and basically receive the same training that we offer to our professional caregivers free of charge. This is our way of helping to support family caregivers who are are supporting loved one with Alzheimer's and Dementia. Yeah, I definitely I seen in my own patients and in the population of cigarettes to keep both declined dramatically as a result of the valve out really hot and we facilitate connecting your, we're all dealing with this tension. I've been there at the AL level at the nursing home

from the transmission of this virus. And how do we keep them? In case you make it to the question was about, you know, it seems in person contact would be the best way to address social isolation and loneliness, but how can we better use technology to help bridge the gap? That's really something. Any of you, I'm sure I could speak to. I know they've been some incredible things going on in, California. I'll start out the wrong answer and don't let the tech intimidate to let me just say the telephone is a fabulous Technology Innovation, calling people continues to be a wonderful thing

to do. And I was just, you know, as we approach the holidays and people will be seeking connection. If nothing else pick up the phone. That's that. There are also breakthroughs in voice-activated technology, some of these devices where you don't have to have a username and a login, you know, it really is worth exploring. Even with folks who maybe didn't spend their career online, if some of the voice-activated, technology is used to work. With lots of great guys on this. I'm so grateful to all the people creating digital content, whether it's religious institutions, educational

institutions are institutions in some ways, you know, how things are more inclusive than ever before if you can get online and it also just so, you know, there's a great innovator. Been happening. I personally am using a new app called Marco Polo to do video text with older family members, who can record video text. So I can see them and see their house and they can see mine and see my children. So I think it is it is both about the old tried-and-true. The telephone FaceTime things that the people are extra milk with. And then also energy user friendly technology. Hot off the presses

Innovation. S breakthrough. Jack looks like you wanted to jump in as well. Yeah, I agree with Kim that were possible. Low-tech is probably the best possible solution. You know, there's a the saying that in the age of machines, humanity is the killer app, but we're, that's not possible. I think technology can be a fantastic way to bridge that divide at. So, you recognized in years ago that we needed a to bridge the digital divide into our clients homes. We partnered with an organization called Grand

pad and took their tablet, which state developed over the years in conjunction with their senior advisers. They call that Grand advisor. These are people in their eighties nineties, even even one of the grand advisors Elmer's. Over a hundred and they've generated and eliminated. All of the affection points, you know, Cellular Connection being the best way to not deal with Wi-Fi for exam. Far or how the speakers work or how the screen works with somebody in their eighties or nineties and how their their their skin qualities change and don't work with screen. So

they could modify the screen. So we we've taken that. And now we're using it as a caregiving tool in addition to being there for the client. But allows us to connect with our client, when we can't be there in person and allows our client to connect with their families and to the office. And so, it's just been a fantastic way for us to to bring technology to help solve this channel to social isolation along with it. That's a great example. Again, where you just remove that, you know, Grandpa really spoken to

us. As we have another question from the audience with his name from, but thank you for this great questions. And we, anybody was on social media saw, an amplification of generational, conflict surrounding the pandemic. How do we create more energetic, irracional connection to address the crisis? And again, I know each of you kids could only have this connection as a solution to the isolation problem. Well, I'll just jump in. Some of this is actually happening because the economic Fallout from this, poor response to covid-19 is actually forcing

them to live together. So it's increasing the number of multigenerational households, which comes with his own set of opportunities and challenges. Perhaps about two. Women is check on your friends and relatives, be your sister's keeper, pay attention to what people are saying, how they're saying? Look at them. If you can do video chatting, really pay attention. And when somebody says, oh, I'm fine, when you know, they're really not, we say mind your sister's business, mind, your brother's business, get into

their business, drop off food, since his neighbors, run errands, just drop a note. Buy say I was thinking about you. Just got to your point check on people. And because we have are you supposed to focus program? Called My Sister's Keeper. It's a great opportunity to high school and college Aid. Young women to say your grandparents. I need you now more than ever and hey, you might actually learn something from them. So we are encouraging that kind of frost and his cultural and cost generational conversation, which I think helps. Everybody feel a little more connected.

Absolutely, I can jump in there. I think that's just a fantastic advice in a call to action for all of us. I'm glad you have the platform. You have that, that sounds incredible. I'll mention again. The one that we were trying to get young people engaged in this conversation, through ready to care. It's, it's really simple thing. You go into rated care.com e-sign every Monday, you're going to get a text message. That gives you a little call to action, to take care of the people in your community. And then we just need of the next 30 Years is going to be a massive surge in the oldest of

the old. So if we think we have social isolation and loneliness issues, now it's going to be exacerbated over the next thirty years since so, trying to get young people to understand a gene that is a great destination for their careers on. So we're trying to inspire young people to get involved in a job. Talk about my own daughter over the summer. She's a sophomore in college her her job. The summer went away. She worked in restaurants. So I suggest that you become a caregiver, and it was a, i opening experience for her. She was in social work, study for social work. And now she's thinking

about geriatrics of the career. So, bring intergenerational things together for the first time in history were going to have five generations working in the workplace together. What an amazing opportunity for us to to bring these Generations together. Absolute are also really encouraging young. People who may be feeling Despair and confusion and overwhelm about this moment that your elders have been through tough times before your elders have been through the draft have been through the Civil Rights Movement may have been interned, an

internment camp out here, in California were alive. When they were discriminated, against may have been alive when they weren't allowed to vote. Have been through the AIDS crisis, have been through a lot. And so to reach out to your elders and hear the stories of change of challenge of resilience of community, really be a chance to learn your history and to fill the future together. Absolutely. A fire crew could just pull up that graphic together apart slide one more time. I just want to highlight that a generational connection,

the Isner Foundation which focuses exclusively on supporting the intergenerational connection. Also highlighted in this report to check that out. And I'll bring this up, just has to express my appreciation to the Milken Institute for including this session for giving. All of us, this platform to discuss this. Now we've been yelling at from the mountaintops. We're All in This Together, connection matters, connection matters, and now I think we're all listening. So then our last minute here, I'd really love to just go wrap it. Round. The horn at

closing. Sentiments of the floor is yours. Let's just go around them. Look at my bosses with starts with Linda. I pay my closing. Remarks are be your sister's keeper. Mind her business. Well, I'll tell Ray to Kerrigan. This is a way for everyone to get involved. And also support the the phone as a great technology. I think comedian. Greg Goldman said once that my phone is a seldom-used app on my phone. So let's let's get it out with use it. Dora. I would say that we need to continue to prioritize social isolation as a social term as a health and even post-pandemic

continue to advocate for greater funding, for the services and supports that. Our seniors needs. Okay, Kim, bring us, bring us home, represent, California. Well here, I don't know that I would just say, you know, this isn't just about the people to reach out to people who are feeling isolated. Also, if you are feeling isolated, I have no doubt. The people for listening to us right here that there are some people who are feeling isolation, maybe for a moment, maybe for a longer time, but just urging people to reach out to make that call. Let someone know if a person

doesn't doesn't connect with you, you make another connection. But really, it's a one a day to find the day. We all have to stay connected by any means necessary the next few days. The next few weeks and for the months to come, we're in this together. Wow, thank you Tim. And I have to say, I feel a lot better knowing that I'm connected to give you in this work. And I know we're at time. I really again want to thank all of our panelists, were their excellent contributions today and their contributions, to their incredible work. Each day. We are in this together. Check out the scanner

part report on the Milken Institute website and everybody stay connected and be well. Thank you.

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