Table 1.

Opportunities for Primary Care Clinicians to Address Social Isolation and Loneliness

US Surgeon General Health Care Sector Recommendations (Pillar 3)Opportunities for Primary Care
Train health care providersProvide and encourage opportunities for the current primary care workforce to learn about importance of SIL and practical ways to assess and address SIL in patients
Educate trainees in residency programs and medical schools on SIL
Assess and support patientsScreen patients for loneliness (eg, using 3-item UCLA Loneliness Screener13) and social isolation (eg, using Berkman-Syme Social Network Index14)
Incorporate questions and information about SIL in chronic disease management care plans
Implement psychological interventions such as cognitive behavioral therapy to address loneliness
Implement social interventions such as referrals to community-based organizations and other social activities to improve connections
Expand public health surveillance and interventionsLeverage system-wide capacity to identify SIL and promote partnerships to address SIL
Foster partnerships and cross-sector collaborations to address SIL between primary care, public health, and community organizations
Develop infrastructure to support partnerships and collaborations
  • SIL = social isolation and loneliness.