|
|
Drop-out of patients with substance addiction from hospital treatment
Korbová, Markéta ; Kalina, Kamil (advisor) ; Libra, Jiří (referee)
Background: The drop-out phenomenon is a common occurrence in addiction treatment, despite playing one of the most crucial roles in achieving desired treatment outcomes for addiction. The issue of drop-out is associated with both the healthcare facility and the patient, making it necessary to examine risk factors and learn how to respond to them. Aims: The aim of this study is to map and describe the factors that led patients in medium-term residential treatment to prematurely terminate treatment at their own request. The specific objectives are to assess the treatment program's design from the perspective of both patients and members of the therapeutic team, focus on patient needs, describe common characteristics of these patients, and identify potential interventions suitable for the treatment adaptation phase. Methods: Data were collected using a qualitative method of semi-structured interviews. Interviews were conducted with respondents who met the selection criteria, including patients and members of the therapeutic team. The research sample consisted of a total of 11 respondents. Results: Premature termination of treatment is caused by a combination of various factors, including personal, family, organizational, and socio-economic factors. Improvements in individualized patient care,...
|
|
|
The Topical Steroid Withdrawal and the Dependence Syndrome: Questionnaire Survey and Case Studies
Krotilová, Zuzana ; Kalina, Kamil (advisor) ; Reichelová, Lenka (referee)
Background: The topical steroid withdrawal (syndrome) or red skin syndrome is a possible topical steroid treatment complication. The bachelor's thesis looks up into patients on topical steroid dependency criteria by particularly atopic dermatitis patients treated with topical steroids. It also deals with the topical steroid withdrawal itself. Aims: The main aim is to get to know whether some difficulties and manifestations of the long-term-topical-steroid treated patients can be defined similarly like the dependency syndrome. Methods: The first method used for the research was quantitative, i.e. an anonymous online questionnaire survey among the trait carriers which included ten DSM-5 dependency criteria questions. In the research sample, there were approximately 900 potencial participants (members of a Facebook group that gathers Czech and Slovak people with RSS). 105 respondents participated. The second method was qualitative - 3 case studies (2 women, 1 man, trait carriers and the sampling was random) of participants whom the medical history were taken from and semi- structured interview were recorded. The interview consisted of some areas of interest and MKN-10 (ICD-10) dependency criteria questions. Results: The degree of fulfillment of the dependency criteria for the online questionnaire...
|
|
|
Effect of risk factors associated with family system on the development of substance use disorders in offspring - case study
Krejsa, Bohumil ; Kalina, Kamil (advisor) ; Kuda, Aleš (referee)
Introduction: The diploma thesis deals with the dangerous aspects of development of narcotics on descendants in a family system. The diploma thesis is divided into two parts - theoretical and practical. The theoretical part describes basics of the family system and its disorders. It includes parents' roles and the risk of the family enviromnent and its influence on the upbringing of a child. The thesis also deals with family factors that ilnfluence family environment. The end of the theoretical part describes types of dangerous and protective factors that influence the formation of descendant's addiction.The practical part is based on qualitative research. The research is made on five case studies. The respondents undergo an institutional treatment based on addictional disorder. Aim: The aim of this diploma thesis is to describe the summary of family dangerous and protective factors that may predict presence of alcohol abuse in children and teenagers. Methods: Semi-structured interviews were used to obtain the data, which were then analyzed by the method of creating clusters. Results: This diploma thesis shows that in nearly all the case studies in this research , dangerous and protective factors described in the theoretical part appeared. What appears frequently is the disfunctional family system...
|
|
| |
|
| |
|
|
Barriers in early onset of drug users into the treatment
Fafejtová, Lucie ; Richterová-Těmínová, Martina (advisor) ; Kalina, Kamil (referee)
OF THE THESIS Name: Bc. Lucie Fafejtová Specialization: Addictology Head of the thesis: PaedDr. Martina Richterová - Těmínová Opponent: Doc. MUDr. PhDr. Kamil Kalina, CSc. Pages: 118 The name of the thesis: BARRIERS IN EARLY ONSET OF DRUG USERS INTO THE TREATMENT Abstract: The aim of this thesis is to analyze the barriers to early onset of treatment for drug users and not just the first one, but also with other runs. The theoretical part focuses on the possible barriers for starting the treatment, and the factors that are important for change, treat and restoration of the client. It is mainly the individuality of clients (age, his fears, anxiety, lack of confidence and motivation for treatment); drug world, in which the client lives and his drug career; health of the client (including psychopathological complications), social background (regarding the criminal background and his relationship with the others and family) and also factors on the medical company side or treatment program. In the practical part I am focused on qualitative research of three focus groups, where the groups are divided by age to youth, adults and older clients. Focus of these groups is the existence of barriers for drug users to appear in time to treatment. The aim of this research is to compare these three focus groups and...
|
|
| |
|
|
Relapse and relapse prevention in a client with alcohol dependence - case study
Šibalová, Bohuslava ; Kalina, Kamil (advisor) ; Nevoralová, Monika (referee)
Relapse is a phenomenon frequently co-occurring in substance abuse and dependence. Relapse prevention is a cornerstone of therapeutical work with the clients. This thesis are built upon a qualitative research conducted on a case study of a client with alcohol dependence. The aim of this work is to study relapse related matters and relapse prevention problems in the given case. Semi-structured interview was used as the method of this research together with reviewing medical documentation, the life curve and direct observation of the client. The objectives are: to search the circumstances precluding the relapses, the development of these phenomena, and to identify what lead the client to deal with situations of failure. The work is also focused on the perception of the situations by the client and his way back to abstinence. The chronological development of the disease and the current condition of the client are described in respective parts of the thesis.
|
|
|
Drop-out of patients with substance dependence from in-patient treatment
Fiala, Tomáš ; Kalina, Kamil (advisor) ; Kulhánek, Adam (referee)
Drop out for clients with addiction has an adverse effect on their abstinence - the probability of relapse is very high (Kalina, 2003). By contrast, treatment completion is associated with abstinence, lower criminal activity, fewer relapses and a higher employment rate (Brorson et al., 2013). For effective addiction treatment is crucial to minimize the number of drop outs. Risk factors appear not only on the client side, but also on the side of the service. The study focused on clients who planned to drop out, but at last they decided to stay. Anamnestic data and interviews with clients helped to identify common client traits and answer the questions about the client thinking process during the crisis, what they emphasize, how they evaluate their decision not to drop out and what motivational influences they identify. Frequent common traits of clients who overcame drop out tendencies were a higher age (90 %), criminal record (74 %), contact with psychiatry (84 %) and repeated addiction treatment (74 %). Interpersonal conflicts with staff and clients (50 %) and craving (22 %) were the most frequent reasons to drop out. Nearly 2/3 of clients appreciated the improved mental and physical health. The support from the others was the main reason for retention in treatment (31 % from relatives, 26 % from...
|
|
| |
guest ::
