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Substance-use related psychiatric comorbidity among clients of aftercare programme
Horová, Eva ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Mental illness is a risk factor for the development of addiction, e.g. as a result of self-medication, and vice versa, addictive behavior can contribute to the development of mental illness. Disorders from the use of addictive substances concurrently with another mental disorder, the so-called "dual diagnosis", has a high prevalence among users of addictive substances. Clients with psychiatric comorbidity have a higher incidence of risky behavior or suicide and a higher need for services and care. Objective: The objective of this work was to determine the prevalence of psychiatric comorbidity associated with the use of addictive substances in clients using the services of a aftercare center and to describe the factors that accompany its occurrence. Methods: A secondary analysis of data was performed from the provided anonymized database of clients actively using the services of the aftercare center as of March 1, 2023. In addition to the sociodemographic data of the clients, data on the use of addictive substances, the nature of the addiction disorder, the presence of disorders in the field of mental health and factors, were analyzed which could influence their occurrence and clinical severity in the client. Results: The research group consisted of 79 clients of the outpatient and...
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Providing nursing care of patients with mental disorders during the pandemic.
MARKOVÁ, Monika
Current status: In January 2020, the World Health Organization declared an outbreak of a new coronavirus disease, covid-19, a public health threat. Two months later, it was determined that it could be classified as a pandemic. Social isolation, anxiety, fear of contagion, insecurity, chronic stress and economic hardship can lead to the emergence of mental disorders in vulnerable populations or the worsening of pre-existing disorders (e.g. depression, anxiety). Psychiatric conditions related to stress, mood changes and substance use may also be associated with suicidal behaviour. The covid-19 disease may increase suicide rates during and after a pandemic. Therefore, providing nursing care to patients is a constant challenge not only because of the increasing need for it but also because of the increased mental health burden and limited social contact. Aims of the study: 1. To investigate the impact of the pandemic on the provision of nursing care to patients with a mental disorder. 2. To investigate nurses' experience of providing nursing care to patients with a mental disorder during a pandemic. Methodology: The empirical part of the study was done through qualitative research inquiry. A survey method was used, and a semi-structured interview was the data collection technique. The data collected was analyzed by open coding, pencil and paper method. Based on this analysis, four categories and seven sub-categories emerged. The research part: The research population consisted of 17 nurses from different regions in the Czech Republic. Specifically, eight nurses worked in inpatient care, five worked in outpatient care, and four worked in community care. The selection of nurses was deliberate. Results: The research showed that the pandemic had a widespread impact on providing nursing care to patients with mental disorders. Due to anti-epidemic measures, care was limited, some wards were closed entirely, and there was also a risk of deterioration in the quality of care. Nurses consider the benefits of the pandemic to be the newly gained experience and an even more close-knit team. Among the specifics of the care provided during the pandemic, nurses mentioned wearing protective equipment, limiting contact, testing staff and increased disinfection of areas. Complications and shortcomings in care delivery most frequently cited included inadequate amounts of protective equipment, poor communication with clients, little support from management, and lack of additional staff. Tele-nursing was also used in providing nursing care, especially by nurses in outpatient care. Application to practice: The findings will contribute to mapping the specificities in providing nursing care to patients with mental disorders during a pandemic. The thesis results can be used as study material for non-medical students and practising nurses.
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Mental disorders from the contemporary society point of view
HAJSÁK, Radek
The bachelor's thesis deals with the issue of attitudes and stigmatization towards selectedmental disorders, specifically schizophrenia and depression. The work is divided into a theoretical and a practical part. The theoretical part first deals with the overarching topic of stigmatization and its consequences for the mentally ill. Furthermore, this part is gradually devoted to individual mental disorders and their comprehensive description. In the concluding chapter, these stigmatizations are connected with a specific mental disorder. The empirical part, which is due to the quantitative differential of the semantic method. The main goal of the work is to find out what attitudes contemporary society takes towards individual mental disorders. Furthermore, it focuses on identifying the differences between the perception of these two disorders, the differences in the responses of the respondents based on their socio-demographic characteristics such as gender, age, highest level of education and the size of the residence (permanent residence). In conclusion, I get to the differences in the answers based on personal experiences with individual disorders.
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Activation of Users with Mental Disorder
SPÁLENKOVÁ, Zuzana
This bachelor thesis focuses on the activation of clients with mental disorders, as well as on the motivation strategies secured by social workers and other professionals. It aims to analyze ways of providing activation to clients of the Czech non-profit organization Fokus České Budějovice, South Bohemia. Additionally, the thesis discovers motivations of clients with mental health conditions to participate in activating activities. The thesis is divided into two parts. The theoretical part describes relevant mental disorders and specific strategies of social work with clients with mental conditions. In the practical part, the author seeks to answer the main research question: How is activation of clients with mental disorders performed? Secondary research question 1: How are clients motivated to participate in activation and what motivates them? Secondary research question 2: What obstacles restrict the activation? Secondary research question 3: Which benefits are identified by clients and professionals? The research reveals that activating activities is provided in the Fokus organization within the frame of modern community care, but family should be involved deeper. The motivation is developed through a close relationship between the client and the worker, in which unconditional acceptance is present. This bachelor thesis will serve as a feedback to the Fokus organization, as well as a study to other providers of care to clients with mental conditions, comparing services and strategies for activation and motivation of clients.
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Gamers fighting depression - Strategies of video game players against feelings of depression
Ováry, Šimon ; Šalanda, Bohuslav (advisor) ; Vávra, Martin (referee)
This thesis examines the motivation of players of video games for their playing, and the strategy of these players for overcoming feelings of depression, using the methods of grounded theory. The first part deals with the approach of sociology and selected studies towards the issue of video games and mental disorders, to which I then relate the findings of my own research at the final chapter. In the second part of this work I present what methodology has been used and how. In the final part I lead a discussion about the findings and outcomes of my research.
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Ethical aspects of guardianship
ŠIMKOVÁ, Petra
This thesis discusses the issues of public guardianship in the current practical and legal context. It deals with human rights, the question of the limitation of incapacitation, and the conditions that must be met. I present here, what the different types of guardians are, or what are the rights and obligations of a guardian. I think about the ethical issues in conjunction with guardianship, that relate to human dignity and freedom. In conclusion, through talks I'm trying to look into practice of public guardianship and determine what problems the public guardians deal with.
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