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For older people whose social networks are dwindling, arts and culture give opportunities to keep socially, civically, and mentally active in their communities. The arts provide a symbolic and emotionally expressive communication system for elders with cognitive limitations, allowing them to engage with their care partners and the larger community.

Social isolation is an epidemic in the United States, affecting two-thirds of older adults and three-quarters of young people (as reported during COVID). Social isolation is linked to depression, poor sleep, and impaired immunity. It increases the risks of dementia by 50 percent, stroke by 32 percent, and coronary heart disease by 29 percent, and significantly increases the risk of premature death from all causes.

Part of Grantmakers In Aging’s Moving Ahead Together initiative, supported by Gilead Sciences, this document offers a detailed framework of recommendations for strengthening the integration of HIV and aging care and services through increased understanding, more customized programs, closer cross-sector connection, and stronger policymaking. Three main sections. Focus Area #1: Complexities and Challenges, explores the broader social context, including stigma. Focus Area #2: Integrating and Improving Care and Services, emphasizes the need for whole-person care and examines medical care, mental and behavioral health care, and social and psychosocial support. Focus Area #3: The Way Forward, looks at policy and how to update it to reflect the graying of HIV.

This report summarizes key issues relevant to understanding complex care and offers resources and case studies for funders interested in entering the field or deepening their existing work. It also profiles funding opportunities, explores existing models, and shares philanthropic lessons learned.