Health Bias in Clinical Work with Older Adult Clients: The Relation with Ageism and Aging Anxiety

Caskie, Grace I. L.; Patterson, Shannon; Voelkner, Abigail

doi:10.1080/07317115.2021.2019863

Cited by 9 publications

(2 citation statements)

References 54 publications

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“…Ageing anxiety (personal fears about the changes associated with ageing) is associated with fear of death and lower optimism (Barnett and Adams, 2018), consistent with 'terror management theory'. The bias against working with medically unwell clients is magnified by higher ageing anxiety and ageist attitudes (Caskie et al, 2022). Supervisors do, however, need to be sensitive to the potential for vicarious traumatisation when young therapists are exposed to a client's multiple losses and learn to fear their own futures.…”

Section: Recommendations For Training and Supervisionmentioning

confidence: 99%

Embedding the silver thread in all-age psychological services: training and supervising younger therapists to deliver CBT for anxiety or depression to older people with multi-morbidity

Charlesworth

2022

tCBT

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Providers of cognitive behavioural therapy (CBT) in adult mental health services in the UK are expected to deliver therapy suitable for adults of all ages. However, older people commonly present with co-morbidities that challenge delivery of single-diagnosis CBT protocols. Added to this, the difference in age between therapy-provider and service-user can compromise collaboration. In this paper, I consider two key areas of relevance for training and supervising CBT therapists for work with older people, namely multi-morbidities and intergenerational relations. The evolving evidence base for CBT with older people is summarised and a commentary provided on previous ‘old age’ case studies from the Cognitive Behaviour Therapist (tCBT). Strategies for collaborative relationships are discussed, as are strategies for ‘embedding the silver thread’. I conclude with recommendations for future directions for CBT training and supervision. Key learning aims (1) To be aware that any differences in working with older people are not due to age per se, but factors such as cohort differences and multi-morbidity. (2) To reflect on case examples of CBT with older people. (3) To learn strategies for developing collaborative relationships across an intergenerational divide.

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Section: Recommendations For Training and Supervisionmentioning

confidence: 99%

Embedding the silver thread in all-age psychological services: training and supervising younger therapists to deliver CBT for anxiety or depression to older people with multi-morbidity

Charlesworth

2022

tCBT

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“…Specifically, service-delivery gaps have been noted in Australia (Snowdon et al, 1995), New Zealand (Melding, 2005), Europe (Fernandez-Ballesteros et al, 2007), and China (Chiu & Chiu, 2005). Unfortunately, negative attitudes toward older adults are often found amongst mental health professionals (see Bodner et al, 2018 for review of literature) and have been connected with provider hesitance to work with this population (e.g., Caskie et al, 2022;Tomko & Munley, 2013). These may be particularly pronounced toward individuals 85 + (Kessler & Blachetta, 2020).…”

Section: Introductionmentioning

confidence: 99%

Training in Aging as a Diversity Factor: Education, Knowledge, and Attitudes Amongst Psychology Doctoral Students

Graham

Moye

2022

Psychology Learning & Teaching

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The population of older adults is growing rapidly and there will be an increased need for psychological services for this population. Current estimates indicate a significant workforce gap such that all psychologists, regardless of specialty area, will likely be called upon to work with older adults. Education and experience in the care of older adults has been consistently connected with improved competence and interest in working with this population. Further, the APA requires that training programmes adequately cover aspects of individual diversity, though age-related education and training may be largely lacking and/or minimally addressed. The present study explores age-related training within a sample of psychology doctoral students. Participants ( n = 85) consisted of doctoral trainees recruited via email (listserv) to complete an anonymous online survey as part of a larger study. Results indicate that (1) training in aging varies and is inadequate in some programmes; (2) knowledge in aging varies and is associated with training opportunities; (3) training in aging is less than training in race/ ethnic diversity; and (4) attitudes toward older clients are most strongly predicted by extent of training in aging. The authors offer suggestions for expanding age-related aspects into generalist training.

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Reducing negative attitudes toward older adults and increasing advocacy for policies to support older adults: Bayesian analysis approach

2023

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Health Bias in Clinical Work with Older Adult Clients: The Relation with Ageism and Aging Anxiety

Cited by 9 publications

References 54 publications

Embedding the silver thread in all-age psychological services: training and supervising younger therapists to deliver CBT for anxiety or depression to older people with multi-morbidity

Embedding the silver thread in all-age psychological services: training and supervising younger therapists to deliver CBT for anxiety or depression to older people with multi-morbidity

Training in Aging as a Diversity Factor: Education, Knowledge, and Attitudes Amongst Psychology Doctoral Students

Reducing negative attitudes toward older adults and increasing advocacy for policies to support older adults: Bayesian analysis approach

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