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Users of addictive substances as victims of criminal activities - research among clients and patients of addiction services in Prague
Kosařová, Hana ; Fidesová, Hana (advisor) ; Šťastná, Lenka (referee)
Background: The topic of crime is interconnected with substance abuse users. While most studies and statistics focus on primary criminal activities and economically motivated crimes, the chapter on criminal activities committed against clients is underrepresented. Crime victimization statistics are brief, and limited information is available about them. Victimization studies, which provide some information in this field, often exclude substance abuse users, or their substance use is not the subject of inquiry. Literature suggests that victimization of substance abuse users is a complex issue that is linked to many other problems. Objectives: The aim of this bachelor's thesis is to map the prevalence of criminal activities committed against substance abuse users and to examine the relationships between general victim characteristics and the crimes committed against them. Another objective is to determine whether and how often they report these crimes, under what circumstances, and conversely, what obstacles prevent them from reporting. A significant goal is to create at least a rough understanding of the mentioned issues, which could then serve as a foundation for further research and investigation. Methods: The research was conducted using a quantitative questionnaire in paper format. It was...
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The use of acupuncture in addiction treatment at the Department of Addictology 1.LF and VFN: the patients' point of view
Kozová, Johana ; Šťastná, Lenka (advisor) ; Hynková, Tereza (referee)
Backround: Acupuncture is classified as complementary and alternative medicine. It is a medical discipline that deals with the prevention, diagnosis and treatment of various diseases, including addictive diseases. In foreign clinics, especially in the USA, acupuncture is part of the treatment. According to foreign studies, acupuncture can help reduce cravings, improve coping with unpleasant withdrawal symptoms, reduce stress and anxiety, or improve sleep. Aim: The aim of the diploma thesis is to describe the subjective experiences of acupuncture sessions and their subjective significance in the recovery process. The research questions are focused on the experiences of acupuncture, how the respondents feel the influence of acupuncture on themselves and how this method can be used according to their experience in the treatment of addiction. Methods: A qualitative research method, a semi-structured interview, was chosen for data collection. The research group consists of 5 respondents. An interpretative phenomenological analysis was used to analyze the obtained data, which focuses on understanding the lived experience of a person and helps to examine more closely what meaning a certain person attributes to his experience. Results: The results from interviews with respondents are in the form of themes....
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Attitudes of patients towards the smoking ban in inpatient addiction treatment units
Brejchová, Jabira ; Vacek, Jaroslav (advisor) ; Šťastná, Lenka (referee)
Background: Cigarette smoking is one of the main causes of high mortality and morbidity rates in addiction patients. The prevalence of smoking among patients in addiction treatment is many times higher than in the general population. Addiction treatment centres in the Czech Republic and abroad do not have the same strategy in treating tobacco dependence. The priority for professionals working in addiction treatment centres is the treatment of primary addiction, therefore treating tobacco dependence in the context of treating other addictions is often considered burdensome. Aim: The aim of this bachelor thesis was to describe the experiences and attitudes of patients in inpatient addiction treatment towards smoking prohibition in addiction treatment units. Methods: The research is based on a questionnaire research conducted in six wards of 144 respondents within six wards of the Bohnice Psychiatric Hospital in Prague, Czech Republic. All of these participates were being treated for substance abuse disorder in the Hospital. It is a quantitative research. A questionnaire was used to collect data for the purpose of the bachelor thesis, which patients received in hard copy. The Fargeström nicotine dependence test was used to assess the degree of tobacco dependence. The data in this thesis are analyzed...
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Willingness to pay for ski passes in Slovakia
Bakošová, Diana ; Polák, Petr (advisor) ; Šťastná, Lenka (referee)
The aim of this thesis is to analyze the willingness to pay for ski passes of consumers in Slovakia. Ordinal logistic regression is utilized on data collected by a self-developed online questionnaire. The dependent variable, Resort, rep- resents four resort types categorized from the least to the most expensive. The length of a usual ski resort visit in days, the length of the slopes in km, the difficulty of the slopes, the resort's locality, and the option to buy ski passes online were shown to have a positive effect and be statistically significant in the final model. The presence of a ski lift for kids in the resort and the ability to arrive at a resort by car in less than an hour were shown to be statistically significant with a negative effect. The only statistically significant demographic variable was shown to be the consumers' income in thousands of euros with a positive effect. JEL Classification C25, D12, L83, Z32 Keywords Willingness to pay, ski pass, ordinal logistic re- gression, Slovakia Title Willingness to pay for ski passes in Slovakia
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Evaluation of client satisfaction with the Managed Alcohol Program of the Drop-in center Vlhká
Liďák, Jan ; Šťastná, Lenka (advisor) ; Vacek, Jaroslav (referee)
Drop-in center Vlhká, operated by the organization Podané ruce, implements the Managed Alcohol Program as the only organization in the Czech Republic, inspired by similar programs abroad. In this work, I utilize satisfaction evaluation as a research method with the intention of providing clients an opportunity to express their views on the program and the operation of this center. The aim of the research was to conduct a satisfaction survey among clients of the Drop-in center Vlhká, involved in the Managed Alcohol Program. The objective was to evaluate clients' satisfaction with this program, as well as other interventions provided by the center, the approach of the staff, the environment, facilities, and opening hours. The intention was to provide the results of the work to the service management as a potential inspiration for further changes and development, as well as feedback on the changes that have already been implemented. The research sample consisted of 17 respondents, clients of the Drop-in center Vlhká, participating in the Managed Alcohol Program, who correspond to the target group of the service. These are individuals experiencing homelessness and alcohol use disorders. Respondents were selected for the research using purposive sampling through the institution. They were approached...
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The influence of the institutional treatment on the phenonemon of self-esteem of patients in recovery from addiction diseases at the department of addictions of the Psychiatric Hospital Kosmonosy
Filipová, Zdeňka ; Šťastná, Lenka (advisor) ; Jandáč, Tomáš (referee)
Baseline: Self-esteem is often perceived as an indicator of emotional and mental well-being and life satisfaction. How we perceive ourselves is also important for our environment. Addiction disrupts the attitude towards oneself, and self-esteem becomes problematic. Therefore, it is important to focus on strengthening self-esteem in therapy. Goals: To determine the change in self-esteem of patients undergoing inpatient treatment for addiction at the Department of Addiction Treatment of the Kosmonosy Psychiatric Hospital. To demonstrate the influence of the studied categories (education, occupation, number of treatments and length of addiction) on self-esteem. To compare the change in the subjective perception of psychological quality of life in relation to self-esteem. To analyze the change in psychological and physical health. To recommend possible interventions based on the findings. Methods: This is a quantitative research conducted using questionnaires administered at the beginning and at the end of treatment. The Rosenberg Self-esteem Scale was used to assess self-esteem. The Schwartz Therapy Assessment Scale measuring the psychological aspect of quality of life was used as an additional measure. To assess treatment outcome, the Maudsley Addiction Profile questionnaire was administered,...
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High risk drug use among arab immigrants in the Czech Republic
Tibová, Aza ; Šťastná, Lenka (advisor) ; Vacek, Jaroslav (referee)
Background: In recent years, a constant number of people from other countries have moved to the Czech Republic, who, unlike in the 1990s, no longer continue west, but increasingly want to settle permanently in the Czech Republic. People migrate because they are not happy in the place where they were born. Natural disasters, epidemics, political unfreedom, unfavorable economic conditions, war conflicts drive people away or attract people to migrate. Diploma thesis deals with the topic of high risk drug use of addictive substances among immigrants of Arab ethnicity. In the Czech environment, there is a lack of sources focusing on the use of drugs in specific groups of the population and their treatment, and there is also a lack of examples of good practice. A number of foreign authors draw attention to the urgency of this phenomenon, which has an impact on the overall health status of the population. Objective: The goal of the work was to come into contact with as many drug users as possible and to reach those who are not in contact with any addiction service. The thesis maps the specifics of the problem drug use of addictive substances by the selected respondents. Another goal was to map the specific problems of Arab immigrants that may be a predictor of risky behavior and to determine the...
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Smoking as a maladaptive strategy in overweight and obese women
Zdeňková Kroužková, Pavlína ; Kulhánek, Adam (advisor) ; Šťastná, Lenka (referee)
Introduction: Smoking and obesity (overweight) together represent a significant risk factor for a number of diseases. So far, not much has been published about the effect of weight reduction on smoking. Aim: The aim of the work was to map the most significant risk factors that lead women, tobacco smokers, overweight and obese to maladaptive behavior based on a comparison of a series of case studies. A partial goal was to find out whether compliance with the reduction program does not affect the number of cigarettes smoked. Methods: This is a case series, prospectively followed for three months (December 2022- March 2023), in which 21 female tobacco smoking patients undergoing a weight reduction program were followed. Monitoring the effect of weight reduction on the number of cigarettes smoked was complemented by structured interviews with female respondents on the topic of the most significant risk factors leading to smoking. The results were evaluated using the rapid assessment method. By searching for common psychosocial factors between individual case studies, individual types of clients were supplemented. Sample: The research sample of 21 female smokers was selected using a simple purposive sampling method based on availability and voluntariness. The age composition of the research sample...
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Estimating willingness to pay for increasing probability to conceive
Kolářová, Natálie ; Ščasný, Milan (advisor) ; Šťastná, Lenka (referee)
The purpose of the thesis is to analyze preferences for increasing the probability of conceiving. Willingness to pay for increasing the probability of conceiving is estimated using the private good scenario and a new complex of vitamins and minerals as the contingent product. Specifically, we use the discrete choice experiment with three attributes: the increase in the probability of conceiving, the number of months of trying to conceive from when this probability will be increased, and the cost to be paid for this product. Data are obtained through a stated preference survey conducted in 2014 in four European countries (the Czech Republic, the United Kingdom, Italy, and the Netherlands). We estimate a mixed logit model, allowing for unobserved preference heterogeneity. We find that people are willing to pay to increase a female's probability of conceiving, and their willingness to pay is higher after 12 months of trying to conceive when one is becoming infertile. Respondents are willing to pay for increasing the chance to conceive even during the period when they are not diagnosed as infertile, i.e., from 6 months of trying to conceive, except in the Netherlands. Italians are willing to pay the most, while Dutch are willing to pay the least. By controlling for the main characteristics of...
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Process Evaluation of an Outpatient Care with Extended Care for Patients witch Substance Use Disorder as a Pilot Project Focused on Case Management and Multidisciplinary Approach
Špinar, Vojtěch ; Vacek, Jaroslav (advisor) ; Šťastná, Lenka (referee)
BACKGROUND: In the system of addictology care, the outpatient sector is being strengthened and pilot programs of outpatient clinics with extended care for patients with substance use disorder (ARP-AD) are being created. ARP-AD clients are users of all types of addictive substances, including non- substance addictions, in various stages of addiction and motivation to change, often with comorbid illness. Services are provided by a multidisciplinary healthcare team that works together intensively. Case management approaches and work in the client's natural environment are applied. One of the main goals is the coordination of the current network of addictology (and other) services based on the individual needs of clients. OBJECTIVE: Qualitative evaluation of the ARP-AD pilot programs with a focus on case management and a multidisciplinary approach. METHODS: The original intention was to carry out a process evaluation of all ARP-AD. Due to the failure of the recruitment strategy, the evaluation of only one pilot program - ARP-AD at the Department of Addictology (KAD) - was completed. Therefore, this is a case study. The data sources were implementation reports and semi-structured interviews with ARP-AD staff. The last data source was the ARP-AD Methodology. Implementation reports and interviews were...
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