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The risk of alcohol and drug dependence among healthcare workers as a result of excessive stress.
Chudá, Romana ; Popov, Petr (advisor) ; Randák, Dušan (referee)
Charles University in Prague First Faculty of Medicine Department of Psychiatry, Center for Addictology School Year: 2007/2010 Abstract of the bachelor work Name: Romana Chudá Specialization: Adiktologie Matriculation year: 2007 Supervisor: MUDr. Petr Popov Opponent: MUDr. Dušan Randák Pages: 61 The title of the bachelor work: The risk of alcohol and drug dependence aminy healthcare workers as a result of excessive stress Abstract: The author has several times seen medical staff, who had been affected by use of addictive drug, while they had been performing their demanding profession. The drug used most often was alcohol. Addiction of medical staff seemed to be so often, that the author decided to prove the existence of greater risk of addiction ín this proffesion. The author supposed, that the addiction could be caused mainly by excessive stress. The first part of the bachelor thesis is a research in available literature on topics of addiction formation, kinds of addictive drugs, stress and burn-out effect in medical environment. Second part is a research based on questionnaire survey. Main objective was to confirm hypotheses and achieve research goal A group of respondents from certain wards in hospitals in Prague and ambulance was chosen for the survey. The position within the ward was not taken into...
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Harm Reduction methods of fieldwork programs Drop in, o p.s.
Novák, Ondřej ; Kodymová, Pavla (advisor) ; Randák, Dušan (referee)
Zájemcům o činnost terénních HR služeb, ale i novým pracovníkům tato práce poskytuje shrnutí zkušeností z praxe a nabízí srovnání jejich přístupu a východisek s jedním z nejstarších programů v HR službách. Práce se dá využít jako podklad při přípravě školících materiálů, nebo koncepce nízkoprahových terénních služeb pro intravenózní uživatele drog ve větších městech s otevřenou drogovou scénou. Jako koncepce je aplikovatelná i v menších sídelních lokalitách specifických uzavřenou scénou. Jako důležitý se jeví fakt, že v rámci zkvalitňování sociálních služeb probíhá certifikace kvality protidrogových programů a oba terénní programy Drop in jsou úspěšně certifikovanou službou, která může poskytnout příklad dobré praxe při zachování specifického přístupu společnosti Drop in. Cílem práce je podat ucelené a prakticky orientované informace pro nově vznikající programy a zároveň sloužit jako podpůrný informační materiál pro pracovníky v terénních protidrogových službách. Těžištěm práce je příklad dobré praxe, její konkrétní využitelnost pro stávající i nově vzniklá zařízení. a reflexe deseti let osobních zkušeností (1997-2007) s fungováním a prací v terénních programech Drop in, o.p.s. v pozici "streetworkera" a vedoucího těchto programů.
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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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The prevalence of driving under the influence of alcohol among the clients from department 19 for the treatment of addictive disorders in Psychiatric Hospital Brno in the period September-December 2016
Bartoňová, Petra ; Popov, Petr (advisor) ; Randák, Dušan (referee)
Bachelor thesis describes the prevalence of driving under the influence of alcohol in case of clients of unit 19 for addictive illnesses treatment in Psychiatric hospital Brno, in the period of September - December 2016. Based on availability, all the clients who were diagnosed with alcohol addiction, and who concurrently started with medium-term residual treatment, were chosen. The research sample consisted of 94 respondents - 62 men and 32 women. Driving under the influence of alcohol has been current and serious problem in Czech Republic. The goal of my thesis is to determine the basic characteristics of the clients who drive under the influence of alcohol. We used the structured questionnaire for the data collection. The questions were suggested according to research questions to verify hypothesis using the questionnaire data. Collected data were analyzed and after that evaluated using descriptive statistical method. The investigation has shown that men drive more frequently under the influence of alcohol compared to women; also younger drivers drive under the alcohol influence more often. It has not been shown that drivers without driving license drive more often under the alcohol influence. The research results provide data on drivers driving under the alcohol influence and represent only the...
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Substance abuse as compensation for stress factors involved in the performance of helping professions
Markusová, Monika ; Popov, Petr (advisor) ; Randák, Dušan (referee)
THE ABSTRACT It has been shown recently that workload, stress, and burnout syndrome among the staff of the medical rescue service may be major risk factors in terms of triggering the use of psychoactive substances. Representing what is understandably a delicate issue, substance use among emergency medical staff has not been thoroughly studied in our country. Emergency medical workers' difficult working conditions and the chronic stress they are exposed to, in combination with a lack of support and care on the part of their employers, result in exhaustion and general distress, accompanied by the development of symptoms associated with both physical and mental disorders. This condition may lead to the use of psychoactive substances as a negative coping strategy. Consisting of both theoretical background and case studies, the paper points out the relationship between the chronic effect of stressors pertaining to the job of emergency medical workers and the use of psychoactive substances as a way of coping with and compensating for the implications of work-related stress and fatigue. Thorough case studies are presented to demonstrate the onset and development of addictive behaviour within a wider context, with special emphasis being placed on its association with coping with both acute and chronic occupational...
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Substance abuse as compensation for stress factors involved in the performance of helping professions
Markusová, Monika ; Popov, Petr (advisor) ; Randák, Dušan (referee)
THE ABSTRACT It has been shown recently that workload, stress, and burnout syndrome among the staff of the medical rescue service may be major risk factors in terms of triggering the use of psychoactive substances. Representing what is understandably a delicate issue, substance use among emergency medical staff has not been thoroughly studied in our country. Emergency medical workers' difficult working conditions and the chronic stress they are exposed to, in combination with a lack of support and care on the part of their employers, result in exhaustion and general distress, accompanied by the development of symptoms associated with both physical and mental disorders. This condition may lead to the use of psychoactive substances as a negative coping strategy. Consisting of both theoretical background and case studies, the paper points out the relationship between the chronic effect of stressors pertaining to the job of emergency medical workers and the use of psychoactive substances as a way of coping with and compensating for the implications of work-related stress and fatigue. Thorough case studies are presented to demonstrate the onset and development of addictive behaviour within a wider context, with special emphasis being placed on its association with coping with both acute and chronic occupational...
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Quality of life in clients of the substitution program according the duration of treatment at the Department of Addictology, 1.LF UK a VFN in Prague
Kudrnová, Martina ; Vacek, Jaroslav (advisor) ; Randák, Dušan (referee)
Goals: to focus on the Quality of life in clients of the substitution program according the duration of treatment at the Department of Addictology, 1. LF UK a VFN in Prague. Background: The topic of dissertation was chosen on the basis of a 16-year clinical experience of the author with the target group of clients in methadone substitution. I realized based on long-term observation, that clients go through certain stages of satisfaction with their lives. This may correspond with their functioning in the program. The theoretical part describes the substitution treatment for opiate dependence and quality of life concept. Methods: A total selection method was chosen. Data are collected using a standardized questionnaire World Health Organization - WHOQOL-BREF (short version). File: The research sample consists of 39 patients (out of total of 65 clients of Substitution centre, Department of Addictology First Faculty of Medicine, Charles University and General Teaching Hospital in Prague. Results: There were no significant differences in the quality of life in relation to the duration of treatment. The highest quality of life had clients in the category 2-5 years in the program. The lowest score gained clients in category over 5 years. Patients in category of 2 years received an average score. The...
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