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Historical development of alcohol addiction treatment in the Psychiatric Hospital in Dobřany until 1989
Talpa, Radek ; Šejvl, Jaroslav (advisor) ; Miovský, Michal (referee)
Background Abstract: Medical care for addicts began to develop in the territory of the Czech Republic after 1911. The foundation of the Apolinar established a pivotal treatment procedure. Subsequent medical facilities did not start blindly copying it, but partially deviated from it and sought their own paths. The Psychiatric Hospital in Dobřany was such a facility. Objective: The aim of the thesis is to map and present the development of alcoholism treatment in the Psychiatric Hospital in Dobřany in a closed historical unit. In the period from its creation to 1989. To find key moments in the development of new therapeutic-treatment approaches. Find and map any deviation from the original model of treatment in Apolinar. Method: The work is conceived as a qualitative study based on the analysis of the searched documents related to the topic of the work. Results: Through the conducted research, it was possible to compress a comprehensive picture of the development of alcoholism treatment in the Psychiatric Hospital in Dobřany until 1989. To find the key moments in the development of treatment and its deviation from the original model of treatment in Apolinar. Conclusion: The residential addiction treatment model in the Psychiatric Hospital in Dobřany follows on from the treatment in the Psychiatric...
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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,...
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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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Suicide Risks in Connection with Depressive Symptoms of Non-alcoholic Substance Addicts - men in Some Health-service Institutions in the Czech Republic
Rotreklová, Anna ; Šťastná, Lenka (advisor) ; Reichelová, Lenka (referee)
Starting point: Risk factors associated with suicidality are, for example, severe depressive phase in anamnesis, low self-esteem, feelings of hopelessness, aggressiveness, impulsivity, suicidal thoughts during depressive phase, severe anxiety, personality disorders (border, narcissistic, histrionic personality), nicotine abuse, alcohol or other substance abuse, stress, problems at work, sexual or psychical violence, conflicts with relatives or life partners, absence of the person who the pacient can trust (Látalová, & Praško, 2009). These risk factors can undoubtedly occur in non-alcoholic substance addicts, patients in hospitals or those without treatment. Thaťs why the work has been devoted to the topic of suicide, depression and addiction. In the research part I wanted to verify connection of depressive symptoms and suicidal risks in patients - men in some psychiatric hospitals in The Czech Republic. Aims: The main aim of my work was to map the topic of suicide and depression and connect it with the theme of addiction. The thesis has been compared suicidal risks and depressive symptoms in non-alcohol substance addicts - men in some psychiatric hospitals in The Czech Republic. Methods: We used Beck Depression Inventory and Pöldinger questionnaire for comparison of depressive symptoms and...
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The Quality of life for drug dependent clients before and after the institutional treatment in Prague
Brachtlová, Veronika ; Šťastná, Lenka (advisor) ; Novotný, Miroslav (referee)
BACKGROUND: Quality of life is defined by WHO as an individual perception of one's own position in life, taking into account cultural aspects of the society and a system of values in which the individual lives, as well as his/her goals, standard of living and interests. Because quality of life measure is strongly a subjective measure, it can only be assessed by the individual himself/herself. AIMS: The aim of this thesis was to compare of the quality of life of drug users before and after institutional treatment. SAMPLE AND METHODS: WHOQOL- BREF questionnaire was employed to collect the data. A research sample consisted of all clients (both men and women) in the institutional treatment at the department of treatment of dependencies at the Clinic of Addictology, The clients filled the questionnaire in before treatment entry or within the first week after treatment entry, and at the release from the treatment. RESULTS: None of the clients was very satisfied with his/her quality of life before treatment. After treatment, the quality of life was perceived as positive rather by women. After treatment, 44% of women found their quality of life good, whereas it was assessed as very good by 13% of women. The overall perception of the quality of life in the male population has not changed much. Regarding the...
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Attitudes of therapists from selected inpatient care facilities to spiritual topics and techniques in the treatment of addiction
Zemina, Jiří ; Vacek, Jaroslav (advisor) ; Remeš, Prokop (referee)
Spirituality is an interesting phenomenon that is hard to describe, therefore, any person may have different understanding or meaning of it. In addictology, a bio-psycho-socio-spiritual model is used, in which you can talk about the first three dimensions but the fourth is "sometimes" omitted. Many authors urge the need to involve spiritual dimension in addiction treatment, for example by inducing altered states of consciousness. Most often in addictological practice, you encounter spirituality in the therapeutic community in form of many rituals. The aim of this paper is to describe how addictologists approach spirituality from a personal and professional point of view, their experience with specific topics and clients, and finally how they perceive different spiritual techniques and tools in addiction treatment. The theoretical part deals with the definition of spirituality, altered states of consciousness and psychospiritual crisis. In the second half of the theoretical part, spirituality and its place in addictology is dealt with together with a short chapter focusing on psychadelics and their use in addictology. The practical part presents qualitative research where a semi-structured interview was used. The interview was further analyzed and coding methods were used. Then codes were...
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"The experience of alcohol-addicted clients after institutional treatment"
Andělová, Magdalena ; Libra, Jiří (advisor) ; Vacek, Jaroslav (referee)
Bases: In institutional care, the clients are taken out of their natural ambient. In safe institutional ambience, the abstinence is easier. During the institutional treatment, the client should get new overview of his addiction, enforce his decision for a change and reevaluate his lifestyle. The clients often return back to their unsatisfying living conditions. The addiction influences all domains of human existence, therefore it is important that clients get the care in accordance with their needs during and after the institutional treatment. Aims: The main aim of this thesis is to find how the alcohol addicted clients, the clients repetitively hospitalized for the relapses, lived through the retrieve into the normal life after the institutional treatment. The other aim is to find usual problems that arise after the treatment and reasons for the relapse. Moreover, the question is what the experience with the aftercare care is and what is the main support on their way to recovery. I have focused on the period between the first and the last treatment. The principal research questions: Which factors influenced the relapse of the clients? Other research questions: What are the experiences with the aftercare programs? Which factors do the clients feel as supporting on their way to recovery?...
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Life and Work of MUDr Helena Skopkova
Talpa, Radek ; Šejvl, Jaroslav (advisor) ; Popov, Petr (referee)
Background Abstract: The development of therapeutic care was systematically developing throughout the Czech Republic after 1948, especially in psychiatric facilities. Although the founding of Apolinar established a pivotal therapeutic-treatment procedure, there were also experts who were partially diverted from it and sought paths with primary concern for the good of the patient. Such a person was MUDr. Helena Škopková. Goal: The aim of the work is to present the life-long work of MUDr. Helena Škopková and to find key moments that influenced her work, access to patients and the possibilities of developing new therapeutic-treatment approaches. Method: The work is processed as a qualitative study based on the analysis of the documents found relating to the publication and other work activities of MUDr. Helena Škopková, supplemented and systematized by an interview with her. Results: Conducted research has managed to compress the complete picture of one of the most prominent figures of psychiatric and adictological care in our territory MUDr. Helena Škopková and her influence on the development in field of adictions treatment. Conclusion: MUDR. Helena Škopková has been working since 1958 in the psychiatry field and since 1963 in psychiatric hospital in Dobřany she has been working on addiction...
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Attitudes of therapists from selected inpatient care facilities to spiritual topics and techniques in the treatment of addiction
Zemina, Jiří ; Vacek, Jaroslav (advisor) ; Remeš, Prokop (referee)
Spirituality is an interesting phenomenon that is hard to describe, therefore, any person may have different understanding or meaning of it. In addictology, a bio-psycho-socio-spiritual model is used, in which you can talk about the first three dimensions but the fourth is "sometimes" omitted. Many authors urge the need to involve spiritual dimension in addiction treatment, for example by inducing altered states of consciousness. Most often in addictological practice, you encounter spirituality in the therapeutic community in form of many rituals. The aim of this paper is to describe how addictologists approach spirituality from a personal and professional point of view, their experience with specific topics and clients, and finally how they perceive different spiritual techniques and tools in addiction treatment. The theoretical part deals with the definition of spirituality, altered states of consciousness and psychospiritual crisis. In the second half of the theoretical part, spirituality and its place in addictology is dealt with together with a short chapter focusing on psychadelics and their use in addictology. The practical part presents qualitative research where a semi-structured interview was used. The interview was further analyzed and coding methods were used. Then codes were...
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