May is Mental Health Awareness Month, an observance dedicated to sharing the importance
of mental health, overcoming stigma, and highlighting available support. At Signify Health, we
recognize the importance of mental health and the impact it can have on an individual’s overall
health and well-being. Our network of clinicians help people gain a more comprehensive view of
their health by conducting In-Home Health Evaluations (IHEs). During an IHE, clinicians identify
chronic conditions, close gaps in care, and address social determinants of health, making it
possible for health plan members to get connected to the right care for their unique needs.
As a physician dedicated to helping people on their path to better health, I have seen firsthand
the profound impact that mental health can have on overall well-being. Unfortunately, mental
health is still too often overlooked, but it’s a critical part of health that shouldn’t be ignored,
especially for older adults.
As we age, our mental health and well-being can be affected by many life changes such as
coping with a serious illness, experiencing social isolation or losing a loved one. In fact,
according to the National Council on Aging, nearly 25 percent of adults 65 and older are living
with a mental health condition such as anxiety or depression.
Having a plan in place to support mental health often leads to better physical health outcomes,
improved cognitive function and remaining independent longer1 . However, while mental health
conditions can be managed, many older adults go undiagnosed and untreated2.
Promoting Mental Health Awareness for Older Adults
Some common mental health concerns among older adults include:
1. Depression. Symptoms may include persistent sadness, loss of interest in activities,
changes in appetite or sleep patterns, and feelings of hopelessness.
2. Anxiety. Anxiety disorders can manifest as excessive worry, restlessness and physical
symptoms such as increased heart rate and muscle tension.
3. Cognitive Decline. Conditions such as dementia and Alzheimer’s disease can affect
cognitive function and lead to memory loss, confusion and difficulty with daily tasks.
These conditions can impact mental health, leading to feelings of frustration, fear and
sadness.
4. Loneliness and Social Isolation. Many older adults experience loneliness and social
isolation due to limited social interaction and connection.
How Signify Health Supports Mental Health
In my role as Signify Health’s chief medical officer, I know that one of the initial steps to help
people who may struggle with mental health or other concerns is building a relationship and
earning their trust so they can feel heard and share what’s really going on. That can be difficult
to do in a traditional clinical setting.
Our licensed clinicians visit eligible health plan members (including those enrolled in Medicare
Advantage, Medicaid and Commercial plans) in their homes, where they are more comfortable
and relaxed, to conduct In-Home Health Evaluations (IHEs). Connecting with people in their
personal environment can give us insights into the environmental and social factors that might
indicate they may be struggling with their mental health, experiencing loneliness or having a
hard time engaging in their normal routines. Our clinicians perform a range of tests and
screenings as part of the IHE including a comprehensive physical exam, social determinants of
health evaluation, medication review and mental health screening to help identify symptoms of
depression and anxiety.
During a recent IHE, I met a Medicare Advantage member who had recently lost his wife.
Through our discussions and screenings, I was able to determine he did not have depression or
anxiety but was lonely. Seeing pictures of his wife around his home and asking thoughtful
questions helped him feel at ease to open up about this difficult topic. We were able to talk
about the ways he can stay active in his community and connected to his family and friends who
live nearby.
Additionally, as part of an IHE, eligible members can receive a cognitive health screening, an
important step to uncover mild cognitive impairment. Screenings to assess memory and
cognitive function are an important step in early identification and intervention to slow disease
progression.
Five Mental Health Tips for Older Adults
Here are the top tips I recommend to older adults to help support their mental health and well-
being:
1. Stay connected to family and friends. This can be a weekly phone call to your loved
ones or walking with a friend.
2. Maintain a healthy diet. Eating a balanced, nutrient-rich diet can support your mood
and cognitive function.
3. Stay current with wellness appointments. Talk to your primary care provider about
your physical and mental well-being and any concerns you may have.
4. Stay active. Regular physical activity can have a positive impact on mental health.
Engage in activities you enjoy like walking, swimming or yoga to help reduce stress and
improve your mood.
5. Spend time on hobbies. Pursue interests and hobbies that bring joy, whether it’s
gardening, painting or reading (even better if it’s shared with a friend!).
Mental Health Awareness Month is a great opportunity to underscore the ripple effect that small,
proactive steps can have on mental and emotional well-being.
Many health plans offer In-Home Health Evaluations (IHEs) at no cost. If you want to see
if you or a loved one is eligible for an IHE with a Signify Health clinician, just go to
our online scheduling portal where you can select a date that is best for your schedule.
1 https://www.nia.nih.gov/health/healthy-aging/what-do-we-know-about-healthy-aging
2 https://www.ncoa.org/article/mental-illness-and-older-adults-what-to-know-about-symptoms-and-treatment/