Application Exercise STEP 1 Choose a community Community you are focusing on for this application exercise Older Adults STEP 2 Define the problems Level of SEM Social Determinants of Health affecting this community Public Policy Critical healthcare services may be difficult for older people to understand and access Inadequate policies to ensure that older people with different levels of mobility can access public spaces and transit infrastructure The quality of services provided to older individuals varies due to states inconsistent standards for elder care The availability of affordable age appropriate housing that satisfies their physical needs is restricted for older people The special needs of senior citizens are often unmet by public transit systems which restricts their ability to travel freely and preserve social connections Isolation is exacerbated by the lack of local social services that address the mental health and social needs of older people One of the organizational issues is the lack of geriatrics trained medical personnel in nearby clinics and hospitals Few senior centers provide comprehensive programs for senior citizens including social activities nutrition and fitness Insufficient information is provided by healthcare and community organizations regarding the resources and services that are accessible to older individuals Emotional and physical neglect may result from the loss of support systems within the family and peer groups Significant amounts of stress are commonly experienced by those who care for the elderly which may lower the standard of Community Organizational Interpersonal Level of SEM Social Determinants of Health affecting this community Intrapersonal care provided Older adults feel less empowered because they have fewer opportunities to participate in community decisions that affect their lives A negative self perception of aging may have an effect on motivation to engage in preventative health behaviors and mental health Inability to adapt to the social and physical changes that accompany aging which has an impact on quality of life and mental health A lack of knowledge or understanding of the social and health resources available to senior citizens STEP 3 Brainstorm a solution Pick one level from above and describe a possible intervention to address the SEM at that level to promote health equity for this community Inadequate public policies and community infrastructure make it difficult for older adults to access housing healthcare and transportation Different states have different standards for elder care which results in varying levels of service quality Issues in the community include a lack of reasonably priced senior friendly housing and inadequate public transit which limits social interactions and mobility Inadequate knowledge of available resources and a lack of personnel with geriatrics training are organizational challenges Stress among caregivers and the loss of support systems are examples of interpersonal problems Negative self perception and a lack of resource awareness are examples of intrapersonal challenges Comprehensive healthcare social and educational services could be offered by Integrated Service Centers to address these problems