The role of the Intermediate Care Team in detecting and responding to loneliness in older clients

The Intermediate Care Team (ICT) supports patients in their own homes to manage complex needs. They are ideally placed in the community to identify older adults at risk of loneliness. However, little is known about how ICT professionals perceive, detect, or respond to loneliness in their clients. This study explores ICT professional’s attitudes to loneliness in the context of perceived service priorities and their experiences of managing loneliness in their clients. Eight ICT professionals (n=2 physiotherapists, n=3 occupational therapists, n=3 nurses) took part in semi-structured interviews. Data was analysed thematically using framework analysis, applying the Theory of Planned Behaviour as an interpretive framework. ICT professionals believed loneliness was a significant issue for many of their older clients but was a low priority for ICT services. Study participants believed that loneliness often goes undetected because it is an issue that is difficult to measure objectively. Barriers to managing loneliness included high work-load, unsatisfactory referral systems, and lack of close working with social-care and independent sector services. Introducing brief but reliable loneliness assessments into routine practice, receiving training on detecting and managing loneliness, and improving working relationships with social care and independent sector services were highlighted as strategies that could improve the detection and management of loneliness in ICT clients.