Toward a resilient opioid treatment workforce: Clinical supervision, training, and trauma-related functioning in a multistate study.
Authors: Linde-Krieger LB, Tennant E, Davis A, Brady BR, Rivers PS, Carter GA, Coffee ZH, Frank D, Mahoney AN, Najar SM, Crosby RA, Meyerson BE
Journal: Journal of social work practice in the addictions
mental health
psychology
open access
Abstract
Definitions of old age vary, influenced by factors such as chronological age, biological changes and social roles [, ]. African societies often emphasise social roles over biological changes [, ]. In Ghana, for example, age is perceived as a continuous process dependent on life conditions and social status [, ]. Language further shapes perceptions of ageing in Ghana, with terms used to describe older adults carrying connotations of weakness and incapacity []. The interpretation of disability is context‐dependent, influenced by age, gender, education, and personal experiences [, ]. Regarding age, older adults may either or not identify as disabled due to normalised functional difficulties associated with ageing [, , ]. Younger adults tend to hold negative stereotypes of ageing, associating it with sickness, whereas older adults often view ageing positively [, , , , ]. Disability's definition varies across models [], notably the medical and social models. The medical model views disability as an individual's functional limitation resulting from impairment [], whereas the social model attributes it to societal barriers [, , , ]. The biopsychosocial perspective integrates both models, considering biological, individual and social factors. The International Classification of Functioning, Disability and Health (ICF) emphasises the interaction between an individual's health condition and contextual factors, broadening the understanding of disability beyond individual limitations [, ]. The perception of ageing and disability is deeply influenced by societal norms and individual experiences [, , , , ]. In many cultures, ageing is associated with notions of successful ageing, which encompass physical, mental and social well‐being [, , ]. However, these ideals often exclude those with disabilities, leading to a narrow view of what constitutes successful ageing. Older adults may internalise these societal perceptions, equating age‐related health issues with disability, even when they may not meet clinical definitions of disability.