Closure of a long-term services and supports program in Wyoming increased social isolation, loneliness, and depression among previously enrolled older adults.

Background

Older adults experience social isolation and loneliness at greater rates than younger populations. The Program of All-Inclusive Care for the Elderly (PACE) helps to address these challenges by offering integrated medical, behavioral health, and social support. Wyoming’s one PACE site, which closed in 2021 due to a reduction in state funds, supported 139 older adults in the state. This study measured changes in self-reported feelings of social isolation, loneliness, and depression in the year following program closure.

Findings

This study included 17 participants and used a mixed-methods approach, combining qualitative interviews and quantitative self-report data. Participants shared that they felt more isolated, lonely, and depressed following the program’s closure. Many reported negative impacts to their autonomy, social opportunities, spiritual needs, and transportation options. Additionally, participants struggled to form new connections in their communities and recommended the program reopen in the future.

Program/Policy Takeaways

Enrollment in PACE can improve feelings of connectedness and engagement among participating older adults. States, policymakers, and service providers can use the insights from this study to consider implementing or expanding PACE or other long-term services and supports programs in their communities to mitigate social isolation of older adults, especially those with chronic conditions.