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In 2021 and 2022, County Parks and Recreation staff conducted listening sessions in <br />different areas to secure input from older adults about needed wellness programs. <br />These will continue in 2023, and the programs developed are at no cost due to funding <br />from a Florida Blue Foundation grant. Another organization, the Senior Resource <br />Association began Lifeway, a no -cost program for older adults to use weights and <br />regular stretching/exercise to stay active. In addition to the need for free or low-cost <br />exercise programs, "access to mental health programs" and "mental illness prevention <br />and intervention quality", "affordable services and resources" were mentioned. <br />Mental health is essential to personal well-being, family and interpersonal <br />relationships and the ability to contribute to the community. Mental health disorders <br />are among the most common causes of disabilities in the nation. Poor mental <br />health or the presence of mental illness often result in detrimental physical health <br />and financial outcomes. Failure to access care is a significant issue among those <br />suffering from mental health conditions. Stigma, lack of education and awareness, <br />and missed opportunities for screenings and interventions are among the barriers <br />for receiving appropriate care. <br />In Indian River County from 2017-2019, there has been an increasing trend in <br />inpatient discharges related to episodic mood disorders with a significant amount of <br />inpatient discharges in the 10-14 and 15-19 age groups. Additionally, in 2019, there <br />were twenty-nine deaths by suicide in Indian River County, an age-adjusted rate of <br />16.5 per 100,000 residents, which was slightly higher than the state's and higher <br />than the Healthy People 2030 target of 12.8 per 100,000. The highest rates are <br />among the 45-64 age group and have been increasing since 2009. Due to the <br />significant and impactful consequences and the challenges and barriers <br />experienced accessing care, the advisory committee of the CHIP deemed mental <br />health a priority. Stigma, lack of education and awareness, and missed <br />opportunities for screenings and interventions are among the barriers to receiving <br />care. <br />Mental health/health issues were also a focus of the Community Health Domain Team <br />of Livable Indian River, which caused them to expand upon the CHIP with two concerns <br />for elders: 1) isolation/loneliness (seen in Objective 1A.4.) and 2) need for supportive <br />services (Goal 1.C.). Loneliness reduces longevity by 8 years and has one of the <br />biggest negative effects on a person's quality of life. "Social isolation among older adults <br />is associated with $6.7 billion in additional Medicare spending annually. (Dr. Charlotte <br />Yeh, 2021 Foundation for Social Connection Action Forum presentation)" Loneliness <br />and isolation were concerns for elders before Covid, but the closures due to the <br />pandemic increased the problem. Covid also brought loneliness and isolation more into <br />the public eye as people of all ages experienced losses of usual social connection. <br />Loneliness was underscored in both the 2019 Community Needs Assessment (CNA) <br />and the Livable Survey. Of the Livable IR Survey respondents, 22% interacted with <br />Livable Indian River Action Plan 10 <br />31 <br />