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Harm Reduction as a Pillar of the Anti-drug Policy of the Czech Republic
PRŮDKOVÁ, Táňa
The writing is concerned with the anti-drug policy with a special emphasis on the harm reduction, because even nowadays it is a controversial theme. It emphasises the benefit of harm reduction services for the drug users and for the whole society and it also does not conceal the arguments of the opponents. The theoretical part briefly defines the drug policy and its pillars. The conception of harm reduction, its targets and methods of that approach are described particularly. The components of harm reduction and the appropriate providers are defined there. The conclusion of the theoretical part deals with the possibility of the provision of harm reduction services to imprisoned persons. The practical part is an excursion to the contact centre Drug Azyl in Brno, where the staff does provide the harm reduction services and has thanks to this lot of experience with them. As an illustration there are some examples of the information given to clients as a part of harm reduction. The practical part is concluded by the reflection of the stuff and the reflection of the author of the writing.
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The satisfaction evaluation of the drop-in centres clients within the area of Zlín region of pandemic COVID-19
Hanáková, Karla ; Šťastná, Lenka (advisor) ; Jandáč, Tomáš (referee)
ITRODUCTION: Worldwide pandemic COVID-19 and enforcement of restriction measurements necessary to limit the virus spreading in area of public health has affected entire aspects of modern life and impacted inter alia also the area of using drugs, the drug trade including social and medical reactions to the drug phenomenon. As a result of taking the measurements the pressure on addictology services, their operations, the employees and last but not least the clients was getting stronger and stronger. AIM: The purpose of the work was to determine the scale of satisfaction/ dissatisfaction of the clients within the area of Zlín region contact centers with the interventions and services offered during the period of time in context of pandemic COVID-19 and maintaining anti-pandemic measures in order to minimize the impact of pandemic upon the clients and the contact centers' employees and to check this way the ability of the Drop-in centers to react and adjust flexibly to the current situation. METHODS: The respondents were chosen by intentional selection via the institutions. The mean of feedback represented the satisfaction evaluation. A questionnaire was used as a tool of data collection. The whole file consisted of 40 respondents in total. Acquired data were evaluated by STATA® 15.0, Statistic Data...
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Estimation of the consumption of injecting equipment by clients of Prague contact centers and outreach programs
Provazníková, Radka ; Vacek, Jaroslav (advisor) ; Gabrhelík, Roman (referee)
Background: Intravenous way of drug application is the most common between problem drug users at Prague. Due Mravčík et al. (2015), the estimate is, that there was a 15 700 intravenous drug users at Prague in 2014 (7 500 pervitin users, 2 500 heroin users and 5 700 buprenorphine users). And that they spend about 15,5 millions of syringes every year (Švůgerová, 2015). But the data in Annual report on drug situation 2014 says, there was only 2, 6 millions of syringes distributed (Mravčík et al., 2015). This means, that Prague intravenous drug users spend many more syringes, that are distributed by low-treshold services and pharmacies. That is a reason of charting of the behaviour of drug users in connection with application of addictive substance, especially how the consuption of injecting material is connected with single type of drug user. Aims: The main aim of the thesis is to find out the frequency of drug application in intravenous drug users and to estimate the total consumption of injecting materialial depended on single of users typology (used drugs, frequncy of contact with harm reduction services…) Research sample: The sample consists of 155 clients of harm reduction services at Prague (3 contact centers and 3 streetwork programs). All of the respondents stated the intravenous drug using in...
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The drop-in centre Drug-OUT Club from Usti nad Labem substitution programme clients' quality of life
Šulcová, Ilona ; Janíková, Barbara (advisor) ; Matoušek, Petr (referee)
The thesis focuses on one of the possible methods of the opioid addiction treatment, on the substitution therapy. It also describes specific form of substitution therapy in Ústí nad Labem, part of the particular low-threshold facility for drug users. The paper also briefly discusses opioid addiction and the options of its substitutional therapy in Ústí nad Labem (e.g. methadone therapy, buprenorfine therapy). The aim of this thesis is to evaluate life quality of substitutional therapy's clients in the low-threshold facility in Ústí nad Labem and compare those results with life quality of clients who are using buprenorfine obtained on the black market. Another goal is to use these findings to improve and expand services for this target group. The theoretical part briefly describes the opioid addiction and possible methods of its treatment, mainly substitutional therapy. The research evaluates the life quality of clients who are using buprenorfine and identifies problematic parts of their lives. Data were collected using WHOQOL - BREF questionnaire - anonymous questionnaire of World Health Organization. Sociodemographic and anamnestic data of clients of substitutional therapy were involved. The sample of the clients of substitutional therapy was compared with the control group which consists of...
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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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Examples of good practise of social work with drug users from the point of view of social workers in contact centers
HRUBCOVÁ, Veronika
This bachelor work focuses on examples of good practise of social works with drug users from a view of contact workers. The theoretical part represents target group, specific methods of working with them, available equipment and provided services within low-treshold facilities. The closure is focused on direct work with clients, comunication and establishing contacst with clients. In the practical part I am trying to figure out if practice corresponds to knowledge from literature and what is good practise with users of addictive drugs at contact centres like. The research is performed trough semi-structured interviews with workers of contact centres from South Bohemian Region who already have certain experiences at contact work. The result of the research is finding examples of good practise with drug users from a view of contact workers.
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Mapping of psychosocial interventions and attitude of workers in selected low-threshold contact center to methamphetamine users
Mištová, Anna ; Brenza, Jiří (advisor) ; Matoušek, Petr (referee)
INTRODUCTION: Despite the unique status of methamphetamine on the Czech drug scene, where the number of problem MA users accounts for 3/4 of all problematic drug users, there is a minimal amount of literature in the literature on how to work with this target group in the addictological care system. OBJECTIVE: The practical part was to monitor the work and access to methamphetamine users in the selected k-centers. Attention was paid to presenting KC clients, perception of key motives in each phases of drug use trajectories, the process of working with clients from first contact to eventual mediation of treatment and description of the specifics of access to MA users. METHOD: The chosen sample was selected on the basis of deliberate targeted selection through the institution. The data were collected by semi-structured interview, which was fixed with audio recording and subsequently transcribed. The patterns capture method as used to analyze the data. FILE: The research sample consisted of eight communication partners (four men). They were employees of selected k-centers, always one worker per facility, from different regions of the Czech Republic, with various length of experience in field (2,5 to 16 years). RESULTS: KC clients are mostly MA users, often polyvalent users, combining MA with other...
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Possibilities of providing harm reduction and therapeutic interventions to cannabis users in drop-in centres and outreach programmes: qualitative analysis of employee opinions in Prague and Central Bohemian Region
Púčiková, Dominika ; Vacek, Jaroslav (advisor) ; Brenza, Jiří (referee)
Introduction:. In 2014, there were 180 thousand problematic users of drugs in the Czech Republic. Action plan of the realisation of National strategy of anti-drug politics in the Czech Republic concentrates on lowering the degree and risk of marijuana usage, while in the first period no specific programs for target group have been realised. In 2015, 2400 marijuana consumers were using low-threshold treatment programs. Topic of cannabis related drug users in drop-in centres and outreach programs appears at the expert meetings, though there is a lack of systematically developed material, which would be include good practice of low- threshold treatment programs for the target group. Aim: Primary aim of thesis is to provide a qualitative analysis of opinions of drop-in centers and outreach programs employees in Prague and Central Bohemian region regarding the possibility of offering harm reduction and therapeutic interventions to cannabis users. Thesis could serve as a summary of good practice of harm reduction services in the Czech Republic and become a material that could help individual services in the formulation of concept, respectively in changing and evaluating the work with cannabis users. Methodology: Data were collected via semi-structured interviews and were subsequently analysed using...
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Estimation of the consumption of injecting equipment by clients of Prague contact centers and outreach programs
Provazníková, Radka ; Vacek, Jaroslav (advisor) ; Gabrhelík, Roman (referee)
Background: Intravenous way of drug application is the most common between problem drug users at Prague. Due Mravčík et al. (2015), the estimate is, that there was a 15 700 intravenous drug users at Prague in 2014 (7 500 pervitin users, 2 500 heroin users and 5 700 buprenorphine users). And that they spend about 15,5 millions of syringes every year (Švůgerová, 2015). But the data in Annual report on drug situation 2014 says, there was only 2, 6 millions of syringes distributed (Mravčík et al., 2015). This means, that Prague intravenous drug users spend many more syringes, that are distributed by low-treshold services and pharmacies. That is a reason of charting of the behaviour of drug users in connection with application of addictive substance, especially how the consuption of injecting material is connected with single type of drug user. Aims: The main aim of the thesis is to find out the frequency of drug application in intravenous drug users and to estimate the total consumption of injecting materialial depended on single of users typology (used drugs, frequncy of contact with harm reduction services…) Research sample: The sample consists of 155 clients of harm reduction services at Prague (3 contact centers and 3 streetwork programs). All of the respondents stated the intravenous drug using in...
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The drop-in centre Drug-OUT Club from Usti nad Labem substitution programme clients' quality of life
Šulcová, Ilona ; Janíková, Barbara (advisor) ; Matoušek, Petr (referee)
The thesis focuses on one of the possible methods of the opioid addiction treatment, on the substitution therapy. It also describes specific form of substitution therapy in Ústí nad Labem, part of the particular low-threshold facility for drug users. The paper also briefly discusses opioid addiction and the options of its substitutional therapy in Ústí nad Labem (e.g. methadone therapy, buprenorfine therapy). The aim of this thesis is to evaluate life quality of substitutional therapy's clients in the low-threshold facility in Ústí nad Labem and compare those results with life quality of clients who are using buprenorfine obtained on the black market. Another goal is to use these findings to improve and expand services for this target group. The theoretical part briefly describes the opioid addiction and possible methods of its treatment, mainly substitutional therapy. The research evaluates the life quality of clients who are using buprenorfine and identifies problematic parts of their lives. Data were collected using WHOQOL - BREF questionnaire - anonymous questionnaire of World Health Organization. Sociodemographic and anamnestic data of clients of substitutional therapy were involved. The sample of the clients of substitutional therapy was compared with the control group which consists of...
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