Promoting social activity in clinical practice

Everyone, including patients concerned about their risk of developing dementia, should be encouraged to be socially active as far as they feel comfortable.  Social isolation can increase the risk of dementia, heart disease and mental illness.

There are many reasons why a person may not be socially engaged.  For example, patients who are older, geographically isolated, disabled or suffering chronic illness may be at higher risk of social isolation.

The 5As model for detection, assessment and management of risk factors, as outlined in the SNAP guide, could be applied to social activity.

• Ask about the patient’s current social activities
• Assess their level of risk and their readiness to change
• Advise them of the need for social engagement and provide information about what they can do
• Assist them to find activities they will enjoy and to plan how they will increase their level of social activity
• Arrange referral to any appropriate services and follow up appointments