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The risk of burnout among workers providing social services to people with mental illness
Horsáková, Jana ; Žáčková, Hana (advisor) ; Cimrmannová, Tereza (referee)
The aim of the work is to map burnout syndrome and ways to protect against it. Subject of this work is focused on social workers specializing in providing care for people with mental illness. Therefore is examined burnout syndrome with regard to the working range of profession and to the specific target group. Except traditional definitions of burnout I deal with existential dimension of exhaustion and also the situation where the crisis may be supportive to growth. Finally, the work discusses ways to prevent burnout, how to balance energy expenditure, the importance of support from the professional and personal environment and people's own abilities to protect themselves. In a survey are used methods of Maslach Burnout Inventory. Results of the research and discovered values of burn rate are then compared with results of secondary questionnaire focusing on the level of support, expectations of employees and length of experience.
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How relationships help to cope with schizophrenia
Černá, Iveta ; Goldmann, Petr (advisor) ; Procházková, Jana (referee)
This work focuses on family relationships of people, who went through a psychotic episode. The main question is: How the relationships with relatives help to cope with life with mental disease, not only psychotic episode itself, but especially the period after fading the symtoms away? It is looking for an answer in the interviews with people with mental disease, focusing on their relationships before and after breaking out of the illness. It came out the relationships in the primar family are helpful in this new life situation of the respondents, not the partner relationships, as was expected. The first analysis focused on the main developmental phases in lives of the respondents. It was followed by the analysis of interpersonal relationships. Finally, based on the studied literature, there were established the categories of possible reactions of family members to the respondents'disease. These categories were looked for in the interviews.
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Specifics of social work with individuals
HAVLÍČKOVÁ, Silvie
The diploma thesis is focused on the problem of the specific features of working with an individual. As this is a very wide topic difficult to grasp for the interviewees, a narrower focus was created, on the area of mental health/illness. The theoretical part is divided into two sections. In the first one, a description of mental illness is found, to permit basic clarity and the imagination of working with this target group. The second part focuses on social activity, on the problem of caring for the mentally ill, and last but not least on the Reformation of psychiatric care, when the origin of Mental Health Centers (further mentioned as MHC) is related also to the adjustment of the work, methodology and approach of social workers. The practical part was created based on a qualitative research, via a semi-structured interview with workers, focusing on social work with mentally ill people. Due to creating an MHC in FOKUS Vysočina Region and via cooperating with the medical sector, i.e. also the Psychiatric Hospital in Havlíčkův Brod, the survey was implemented in the Havlíčkův Brod area serving as a catchment area. The aim of this thesis is to describe specific features of social work from social workers´ side working with mentally ill people (individuals) in the Havlíčkův Brod area. Using the research question: What specific features do social workers claim when working with mentally ill individuals. The executed research has proven that the specific theories and techniques used most include the interview, active listening, crisis intervention and the approach focused on the client. Further in the area of housing, finance, relationships, and the mental illness itself. The non-profit sector workers see a specific feature in cooperating with the medical sector, necessary for working in MHC and in the Recovery approach (the CARe method).
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The literary statement of mentally ill individuals as a testimony of a fight for normality (its ethical aspect)
VEDRALOVÁ, Aneta
Goal of this bachelor thesis is to describe dominant ethical aspects of a return of a mentally ill person back to normal life and to point out by this the importance of social support in the process of recovery. As a specific of this thesis I consider a fact that my source of data were not just semi-structured interviews but also the content analysis of books written by two women, who have personal experience with psychotic form of illness. To result effective achievement of a main research goal, the thesis is divided into two parts, into theoretical part and into empirical part. The theoretical part is a vast treatise about schizophrenic disease written in a way so the reader would better experience life from the point of view of a mentally ill person. It includes the description of schizophrenia, its possible manifestations, social impacts, treatment or prognosis. In addition to that, a part dedicated to the treatment of schizophrenia describes a type of treatment that is not very often used in the Czech Republic called narrative therapy. Another equally important section of the theoretical part is the treatise about stigma of mental illness and its possible elimination by activities of anti-stigmatizing nature. Theory is then finished by outlining the issue of normality. The empirical part of my bachelor thesis is trying to reach set goal with the help of qualitative strategy. It is happening through the analysis of loose transcription of two semi-structured interviews, but also through the content analysis of two books. One of them is called Ve stínech za zrcadlem aneb o životě s psychózou which was written by Markéta Bednářová, and the other one is called Homo psychoticus written by Markéta Dohnalová. It is clear from the research that mentally ill individual must (besides the disease itself) fight with the negative attitude of society, that treats him discriminatory, while he is trying to get back to his normal functioning. For example, mentally ill people have problems to keep a job, or even to find one that suits their abilities and possibilities. Successful recovery is also sometimes prevented by the treatment of schizophrenia, which is quite a paradox. The ill people are not willing to use medicine with soothing and other undesirable effects which sadly often leads to relapse and repeated hospitalization. Another problem to successful return can also be family. It is important for the ill individual to return back to stable and safe environment which serves as a protection and prevention from possible relapse of the disease. The ill individual is often hindrance to himself. Self-stigmatization goes hand in hand with the loss of self-confidence, with the change of identity and with the consequent stagnation in the label of mental illness. It comes to the internalization of prejudices, which the society holds against people ill with schizophrenia and the ill individual gives up all efforts on his full integration back to the society. In a fight against stigmatization and primarily self-stigmatization, it seems to be effective to reveal one's diagnosis and to talk about it openly. This is what Markéta Bednářová and Markéta Dohnalová, who both believe that writing a book about a fight against their disease is an effective form of autotherapy and also a bridge to mental health, did. This bachelor thesis could arouse further interest about therapy for people ill with schizophrenia through writing of their life story, and it could also serve as an accompanying material while teaching social work with the intention to describe the concepts of stigmatization of mental illness to students. And beside that it can evoke further interest in support of social services which try to ease the return of an ill individual back to the society. And finally, this bachelor theses itself could be a bearer of anti-stigmatizing influence.
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History and Present of Art Therapy in Psychiatric Institutions in the Czech Republic The Rožnov Art Therapy in Psychiatric Context
HROMÁDKOVÁ, Karolína
The aim of the submitted thesis is description of the contemporary form of art therapy in the czech psychiatric facilities. Historical development of the approach to people suffering from mental illnesses is also outlined with respect to their art work. The investigation included visits of seven ateliers of psychiatric hospitals and interviews with local art therapists about the form of their art therapeutic approach, about the art therapeutic work in the psychiatric hospital and about the rhythm of the atelier. The results were processed by means of the case study and completed with direct observation findings. Particularly, the forms of Roznov intervention art therapy were compared. Overall image of the art therapeutic practice in the Czech Republic is completed by information from websites of all psychiatric inpatient facilities in the Czech Republic. Common signs of the visited ateliers (i. e. long-term working of one art therapist, exhibition of the patient's art works) are pointed out in the results as well as their differences (i. e. different education of art therapists, spatial conditions of the ateliers, sets of art work themes). Art therapy has longstanding tradition in the czech psychiatric environment which develops individually around current art therapists in the particular psychiatric facilities. Also Roznov art therapy approach found its place and modifications in this environment. From the outside view, integrity in the therapeutic approach, by extension in art therapists's education is missing as well as the establishment of art therapist as a profession.
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The role of nurses in patient education with mental illness.
NĚMCOVÁ, Veronika
This Bachelor Thesis is divided into two parts and deals with the issue of an education of patients with mental illness. The theoretical part deals with the field of psychiatry, its historical development, causes of mental illness and the classification of it. Furthermore, in the theoretical part I elaborated the area of nursing care for patients with mental illness, including its specifics, the sphere of communication in nursing care and specifically with patients with mental illness. Last but not least, we are focusing on educational activities with patients with mental illness. The second practical part is dedicated to the course and to the results of the research. The research took place in the first half of 2017 at the acute psychiatric ward at the outpatient and inpatient ward. The main objective was focused on the role of the nurse in educating a patient with mental illness with regard to his diagnosis and related problems. After setting the main goal, we identified three partial objectives: the intellectual, practical and the personal goal. These objectives have become the basis for creation of five research questions. Based on these questions, questions were created which were used in interviews with subjects. The semi-structured interview method was selected for the realization of the research, including basic and supplementary questions. Additional questions were asked during interviews with subjects if necessary. The research group consists of eight nurses working at the outpatient and inpatient ward of the psychiatric ward of one of the Pilsen Region hospitals. Interviews with subjects were always at a prearranged place. The subjects were informed about anonymity, not including the name of the hospital facility which they work in. After the data collection was completed, the results were examined using coding and categorization. The subjects' replies were exactly recorded in precreated categories. During the research, we focused on the role of the nurse in educating a patient with a mental illness. We have been asking our sisters, for example, what they see as obstacles towards effective education, what purpose they see in educating a patient with mental illness etc. A research survey showed that the interviewed nurses do not have enough quality educational materials to help them throughout the educational process. Another factor that influences the educational process is, according to our research, the complete lack of dedicated time space for the education of patients with mental illness. It was also found that despite sufficient motivation of nurses, they lacked enough information related to their focus, in the context of lifelong learning, which would help them in the communication and educational process. We believe, that one of many solutions for our researched workplace would be to set apart time for the educational activity of the nurse, providing the nurses with more effective materials and quality education in the field. We believe that our Bachelor Thesis will be a contribution to the further professional focus and life of the author and to all readers of this Bachelor Thesis. This work also opens up a space for research on larger scales given to the phenomenon we have determined.
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