From Isolation to Inclusion: Advancing Social Connection – ISPRM

In conjunction with the 64th session of the UN Commission for Social Development, the International Society of Physical and Rehabilitation Medicine (ISPRM), in partnership with UNITAR and the International Council for Caring Communities, convened a critical dialogue titled “From Isolation to Inclusion”. The session, chaired by Dr. Brian O’Young, highlighted loneliness as a pressing global health threat, with mortality risks comparable to smoking 15 cigarettes a day or obesity.

The Scope of the Crisis Experts emphasized that loneliness is not merely an emotional state but a systemic failure. Ms. Akiko Ito, Executive Director of UNITAR CIFAL Japan, noted in her address that loneliness serves as a signal that “policies, systems, and support structures are not sufficiently connecting people to care services and one another”. The repercussions are severe, linking social isolation to increased risks of cardiovascular disease, dementia, and reduced workplace productivity.

Multidisciplinary Solutions The panel presented diverse, innovative strategies to foster connection across different sectors:

• Mental Health and Culture: Dr. Kenneth Fung (University of Toronto) addressed the “digital paradox,” where hyper-connectivity leads to isolation, particularly among youth. He advocated for “co-designing” solutions with vulnerable populations and using mindfulness to dismantle the cognitive biases that fuel stigma and divisiveness.
• Body and Mind Practices: Professor Chikako Hoshino introduced “Regenerative Yoga,” a method combining movement and laughter to aid isolated groups, such as the elderly and hikikomori (social recluses) in Japan. Complementing this, Professor Areerat Suputtitada spoke on mindfulness meditation as a tool to cultivate “wholeness,” helping individuals regulate emotions and maintain internal stability even when physically alone.
• Sport as a Bridge: Dr. Matthew Bartels illustrated how adaptive sports can break the cycle of isolation for people with disabilities. By engaging in wheelchair sports and community activities, participants improve their self-esteem and build essential social networks.
• The Built Environment: Architect Hans Galutera presented the concept of “Design Hug,” arguing that physical space is “public health infrastructure.” He demonstrated how designing environments with better visibility, proximity, and a sense of belonging can unconsciously invite participation and aid recovery.
• Technology and AI: Addressing the future of care, Dr. Tara Chen discussed the role of Artificial Intelligence. He argued that AI should not replace human relationships but support them—for instance, by improving workflow efficiency for medical staff so they can spend more quality time with patients.

The session concluded with a consensus that addressing loneliness requires a “whole of society” approach. Whether through urban design, inclusive policymaking, or community-based initiatives, moving from isolation to inclusion is a collective responsibility essential for sustainable development and human dignity.