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Analysis of dual diagnoses in the Outpatient Service for children and adolescents of the Department of Addictology
Jandáč, Tomáš ; Šťastná, Lenka (advisor) ; Harsa, Pavel (referee) ; Čerešník, Michal (referee)
Univerzita Karlova 1. lékařská fakulta Studijní program: doktorský Studijní obor: adiktologie Mgr. Tomáš Jandáč Analýza duálních diagnóz v provozu Ambulance dětské a dorostové adiktologie (abstrakt v anglickém jazyce) Analysis of dual diagnoses in the Outpatient Service for children and adolescents of the Department of Addictology (abstract in English) Disertační práce Školitelka: Mgr. Lenka Šťastná, Ph.D. Konzultant: doc. MUDr. et PhDr. Kamil Kalina, CSc. Praha, 2023 Abstract Background - With the emergence of the new concept of child and adolescent addiction medicine and the Czech Guidelines in Addiction Medicine, there is a need to describe the target population of children and adolescents with dual diagnoses. Although this issue is well described in the adult population, there is insufficient support in the czech literature for the pediatric population. Aims - The aim of the study is to determine the prevalence of dual diagnoses in patients of the Outpatient Service of Children and Adolescent Addictology of the Department of Addictology of the 1st Faculty of Medicine, Charles University and General University Hospital in Prague. Another aim is to determine whether and what relationships exist between the type of substance used or between non-substance dependence and other mental illnesses. The third...
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Nurse roles on department of children psychiatry
BRYCHTOVÁ, Barbora
Current state of affairs This diploma thesis deals with the roles of a nurse in child inpatient psychiatry, how the roles are perceived by the nurses themselves, how they are perceived by their pediatric patients and how much these views differ. Objectives of the work Two research goals were set in this paper. Objective 1: To find out how the nurses' roles in the department of child psychiatry are perceived by the nurses themselves. Objective 2: To find out how the roles of a nurse in the department of child psychiatry are perceived by child patients. The methodology During the implementation of the research survey for this diploma thesis, a qualitative research survey in the form of a semi-structured interview was used. The interviews were recorded on a dictaphone, transcripts were created and these were then keyed. The sample group consisted of a total of 12 nurses and 10 patients. The entire research was carried out in the Children's Psychiatric Hospital. Results The obtained data were divided into a group of nurses and a group of patients. Three categories were determined in each of these groups, within which subcategories were created. It was found that nurses and patients have a clear idea of the ideal nurse working in child psychiatry, but they only partially agree. The roles of the nurse were perceived significantly differently when comparing the interviews of nurses and patients. The conclusion The research shows that there is a conflict in the perception of the roles of nurses in the perspective of nurses and their pediatric patients. Nurses perceive their roles positively, while patients perceive their roles they perceive them rather negatively. This conflict can be a major obstacle to providing sensitive care to pedopsychiatric patients.
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The Problem of Child Mental Health Services Inaccessibility in the Czech Republic
Stodola, Marek ; Angelovská, Olga (advisor) ; Tušková, Eva (referee)
This diploma thesis deals with the issue of inaccessibility of child mental health services in the Czech Republic. Despite the growth of public interest in child mental health the child mental health services face significant structural problems, such as a lack of medical staff, low quality and inaccessibility. On top of that, these problems are getting constantly worse and potentially endanger the entire system of child mental health services with immense negative impact on society. Despite these trends, there is no coherent and systematic policy precisely dealing with the problems in child mental health care in the Czech Republic. The aim of the thesis is to describe particular problems of child mental health services in depth and then explain what caused fact the agenda has not been set yet. Kingdon's Multiple Streams Framework (MSF), together with the concept of public policy actors were applied. The thesis is based on the qualitative research design using the semi-structured expert interviews complemented with the public policy documents study. The thesis focuses on the period beginning with the passing the Strategy of Mental Health Care Reform in 2013 where the first effort to reform mental health care services was established in an explicit and systematic way. However, the agenda focusing...
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Neurotic Disorders of Early-school Age Children
ZÍKOVÁ, Lucie
The thesis deals with neurotic disorders problems, which can, due to different causes, affect children in the early-school age. The theoretical part defines the basic concepts and their characteristics (neurotical disorder, history of the concept, early-school age, neurotical symptoms of children, disorders such as: sleep, somatic, food-intake, excretion, adaptation and anxiety, obsessional-compulsive, communication and speaking, sadness and depression, suicidal tendencies and behaviour). Further on it describes a number of internal and external factors, which can participate in the originating of child{\crq}s neurotic disorders. The end of this part is dedicated to the treatment by means of psychotherapy, psychopharmacotherapy, eventualy by means of relaxation. These therapeutical procedures end with preventive aspects and advices how to communicate with neurotic children. The practical part contains four briefly case reports of neurotic children, which lead to the understanding of the problem described on concrete example. Simultaneously it refers to the fact, that in many cases the disorders are a result of dysfunctional family environment.
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