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Current form of the point scheme in chosen specialized wards for substance abuse treatment in psychiatric and general hospitals in the Czech Republic
Mladá, Kateřina ; Kalina, Kamil (advisor) ; Randák, Dušan (referee)
This diploma thesis has following goals: (1) to describe the original form of the point scheme suggested by doc. Jaroslav Skála (2) to describe the contemporary form of point schemes in chosen specialized wards for substance abuse treatment in psychiatric and general hospitals in the Czech Republic (3) to describe differences among contemporary forms of point schemes and the point scheme suggested by Jaroslav Skála (4) to find out, whether there are efforts to work with the forms of point schemes; (5) to describe reasons, why some wards tend to change the point schneme. This thesis is devided into the theoretical and practical part, conclusion and following discussion. Theoretical part deals mostly with the theory of the point scheme - its founder, formation, history and theoretical background. It also deals with its place in behavioral and cognitive-behavioral therapy and contingency management. The practical part describes the original form of the point scheme, it also describes contemporary forms of point schemes and then compares them with the original form following chosen criterions. This part also deals with the problem, why the point scheme is not used in some wards, especially why they retreated from it. The research questions are answered in the conclusion. The discussion contains the...
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Problems of origin and development of dependence on alcohol at women suffering from domestic violence: Protective and risk factors
Kačírková, Romana Eleanor ; Kalina, Kamil (advisor) ; Skřivánková, Magdaléna (referee)
Problems of origin and development of dependence on alcohol at women suffering from domestic violence: Protective and risk factors Abstract The bachelor thesis engages with theme of harmful use and alcohol dependence of women - victims of domestic violence. Background for this work was International violence against women survey in Czech Republic from 2003, which presents that 58,9 % respondents met with domestic violence in their lives. 26 % of them, who experienced violence by their partner, had recourse to use of alcohol or medicaments (Pikálková, 2004), which is not negligible number. Theoretical part of this thesis is devoted to themes of domestic violence and origin and development of dependence at first and then it describes existing researches which connect both themes. Goals of the thesis were to describe connection between domestic violence and harmful use or dependence on alcohol on the base of the experience of women exposed to domestic violence and also to describe risk and protective factors of harmful use or dependence on alcohol at those women. I reached the goals of the thesis by methods of qualitative reserch by means of semi-structured interview with six victims of domestic violence. Basic group were women - victims of domestic violence. Six women were chosen to research sample by...
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Treatment complication in patients with dual diagnosis - substance dependence and affective disorders. Case study
Filipovská, Marie ; Kalina, Kamil (advisor) ; Minařík, Jakub (referee)
This bachelor case study is named "Treatment complications in patients with dual diagnoses - substance dependence and affective disorders". It refers to the issue of treating clients with dual diagnoses. The main aim of the work is to find and map the possible factors that complicate the treatment of patients with dual diagnoses and contribute to the discussion on this topic. The methdology within this work consists of literature research and collected data from patients who have provided their personal information; which helped to emphasize some of the findings associated with the complexities of a treatment processes for patients with dual disorders. From the methodological standpoint, the research was carried out on the basis of partially structured interviews, standardized questionnaires, observation and comparison of client's stories. The result of the research was interpreted as the most recurrent formulas views and experience that patients perceive as a possible medical complications in the relation to their dual diagnoses. An important element in the research of this thesis is the fact that all participants perceived at least one medical complication during their treatment. This and other fundings can be used in professional work with clients suffering from dual disorders, as well as to the...
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Initiation of injecting drug use and application of the "Break the Cycle" intervention
Al-Halabiová, Ria ; Kalina, Kamil (advisor) ; Janíková, Barbara (referee)
Background: Injecting drug use is one of the most risky forms of substance use that carries risks for individuals and society. The Czech Republic is one of the countries where the prevalence of injecting drug use is high and increasing. The available data show that learning to inject has, among other things, a social character. Exploring these social circumstances, as well as the personal experiences of people who inject drugs, can be a tool for designing and implementing appropriate prevention interventions. One of these effective interventions is the Break the Cycle method, which refers to the initiation of injecting as a phenomenon that can be transmitted to inexperienced persons on the basis of social learning. Reducing the assistance of experienced persons in the initiation of injection to inexperienced persons, reducing injection in front of inexperienced persons, and refusing to discuss the benefits of injection with inexperienced persons can have a positive impact on the incidence of injection use in the Czech population. Aims and Methods: The aim of this study is to provide information on the essential phenomena related to the initiation of injection drug use and to explore the experience of clients of the Prague contact centre with their initiation of injection use and their experiences...
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Selected chapters of adolescent addictology in context of institutional care
Doležal, Bedřich ; Kalina, Kamil (advisor) ; Šťastná, Lenka (referee)
Adolescent drug abuse is a negative phenomenon, thesis aims for selected aspects of work with adolescent psychoactive substances users in Czech republic. Objective is to describe specifics of addictology programmes for adolescents and participation of state administration offices, also provide the list of facilities providing this type of care. Besides the literature, this thesis draws from personal experience of the author, who has been working with adolescent drug users. Institutional case study of addictology programme in context of institutional care is also part of the thesis. In conclusion is model of principles of the therapeutic community suitable for use in terms of institutional care. Case management principles are useful due to the problem complexity.
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Use of Equine Facilitated Activities and Therapies (hippo-rehabilitation) in Addiction Treatment in a Psychiatric Hospital
Bartoňová, Michaela ; Kalina, Kamil (advisor) ; Svěcená, Kateřina (referee)
Background: The diploma thesis deals with the method of equine facilitated psychiatry and psychology and its use in the treatment of addictions. The theoretical part is the starting point of the whole work. It presents the basic methods of treatment used, the method of Equine facilitated activities and therapies itself and its inclusion in traditional methods of addiction treatment. The research part is based on qualitative data collection. Aims: The aim of the diploma thesis is to describe the use of equine facilitated activities and therapies in residential addiction treatment. Find out how patients and therapists evaluate this method, what areas of life are affected by equine facilitated activities and therapies and how it fits into current treatment methods. Data: The research group consists of eight patients from the addiction treatment department at a psychiatric hospital who met the selection criteria. And two therapists who work with the method of equine facilitated psychiatry and psychology in addicted clients / patients and met the selection criteria. Methods: The chosen type of research was process evaluation. Patients were focused on the focus using a semi-structured interview and a semi-structured interview on the therapists. Results and Conclusion: Research has shown that horses have...
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Attachment at women and men with substance use disorders in an aftercare programme - gender analysis
Podzimková, Anna ; Kalina, Kamil (advisor) ; Riegel, Karel Dobroslav (referee)
Introductions: The research deals with the attachment theory at women and min with substance use disorder in an aftercare programme. It is divided into theoretical and practical part. The theoretical part explains the concept of attachment, describes its theoretical foundations, the connections between attachment and addiction, the possibilities of therapeutic work with attachment, its application in work with people with addiction, gender differences and the specifications of aftercare programmes. The practical part is base on qualitatively oriented research. The research was conducted on interviews with ten respondents, five women (set A) and five men (set B). All respondents are people with SUD, currently abstinents, after addiction treatment, participating in an aftercare programme. Aim: The aim of the research was to compare the differences and similarities at men and women with addiction disorder in their attachment, partnerships and family relationships and the subsequent implications of the results for practical use. Methods: Two semi-structured clinical interviews, the Adult Attachment Interview (AAI) and the Current Relationship Interview (CRI), were used for the data generation. AAI is focused on childhood and early relationships between the respondent and his parents, CRI is focused on...
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Ability to assess the severity of personality psychopathology based on the Structured Interview of Personality Organization (STIPO) in master students of addictology
Riegel, Karel Dobroslav ; Kalina, Kamil (advisor) ; Miovský, Michal (referee)
Background: With the development of multidisciplinary addictology teams, the ability of an addictologist to reliably assess personality psychopathology can be considered an important prerequisite that significantly enters the process of treatment planning. Because the addictologist is often the first professional to come into contact with the client, verification of the accuracy of clinical judgment seems to be one of the key indicators of addictologist competence. Aims: Verification of the reliability and validity of the clinical assessment of personality psychopathology in master students of addictology based on the course on scoring the Structured Interview of Personality Organization (STIPO). Methods: 31 master students of addictology independently evaluated 7 protocols of the STIPO on the basis of recordings. The presented patients were unknown to the students. Data was collected as part of the STIPO scoring course. The resulting scores of students were compared with: 1. the expert scores of a clinical psychologist with many years of experience with the STIPO; 2. the scores of 4 other psychologists without previous experience with the STIPO who attended the course; 3. information on previous clinical experience and previous education of the students. The comparison of scores was performed by...
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Psychedelic experience and the afterglow effect from the perspective of healthy volunteers in an experimental study: a qualitative analysis
Červenková, Agáta ; Kalina, Kamil (advisor) ; Vacek, Jaroslav (referee)
Background: Psilocybin is today the most studied psychedelic substance in neuroscience for its psychotomimetic and therapeutic effects. One of the institutions in the Czech Republic that studies this substance is the National Institute of Mental Health, where a clinical evaluation of its effects and safety is underway. The action and safety of this substance is examined here in terms of acute intoxication, but also in terms of long-term effects. Aim: To determine how volunteers perceive the experience with psilocybin administered in a controlled experimental study environment and whether they have experienced any afterglow effects after the cessation of acute intoxication for 28 days after administration, as well as how these effects occur and how long they persist. Methods: Data was obtained using semi-structured interviews. The research group consists of 20 interviews with 10 healthy volunteers of the clinical study at NUDZ. Interviews were conducted on day 28 after administration of an active dose of psilocybin or placebo. A qualitative thematic analysis of these interviews was performed in order to identify topics within the framework set by the research questions. Results: The results showed that for the respondents, the experience with the active dose of psilocybin was significant in terms of...
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