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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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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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Subjective evaluation of the life satisfaction of clients of the case management program in the organization SANANIM z.ú.
Vejrychová, Lucie ; Fidesová, Hana (advisor) ; Šťastná, Lenka (referee)
Backgound: Case management began to develop in the Czech Republic in 1995 at the level of regional projects. Indicated clients are persons who are unable to resolve their situation on their own, persons who have experienced a social decline and persons with a dual diagnosis. Studies show positive effects of case management, and in the area of psychosocial functioning there is a need to focus on the magnitude of effects and the range of change over time. Studies further show that positive effects in people with a dual diagnosis are achieved only in the case of very intensive case management, and clinical case management has good results in the area of alcohol and drug use. The study follows on from the project "Case management for mentally ill and socially excluded persons" and its results (1st and 2nd wave of the questionnaire survey). Aim: The main aim was to describe the development of changes in subjective life satisfaction among clients of the case management program over a longer period of time. Methods: The study is designed as a quantitative questionnaire survey (this is the 3rd wave of the questionnaire survey). The Life Satisfaction Questionnaire (authors J. Fahrenberg, M. Myrtek, J. Schumacher and E. Brähler) was used in a modified version and data analysis was carried out with the help...
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Relationship between the frequency of patient's visits to the Outpatient Addiction Treatment Clinic for Children and Adolescent depending on the presence of dual diagnosis
Svobodová, Barbora ; Jandáč, Tomáš (advisor) ; Rolová, Gabriela (referee)
BACKROUND - The area of addictological care, which focuses on children and adolescents, has moved forward considerably in recent years, yet this target group is still insufficiently described in comparison with, for example, the adult population. The presented thesis deals with the issue of dual diagnoses in patients of the Outpatient Addiction Treatment Clinic for Children and Adolescents. AIMS - The aim of the diploma thesis is a more detailed view of the types of diagnoses occurring among patients of the Outpatient Addiction Treatment Clinic for Children and Adolescent and the search for the possible regularity of the occurrence of the same pattern of these diagnoses (psychiatric diagnoses of patients associated with the use of addictive substances or non-substance dependence). Furthermore, the thesis focuses on the number of patient visits, i.e. the number of visits to the facility achieved by patients with different diagnoses. METHODS - The obtained data were processed using correlation analysis and descriptive statistics. The research included all patients who visited the outpatient clinic in 2015-2021. RESULTS - The most common major diagnoses in ADDA patients are pathological gambling (F63.0) and cannabinoid dependence (F12.2), the most common associated diagnoses are behavioral disorders,...
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Dual diagnosis from a social work perspective
Čermáková, Judita ; Angelovská, Olga (advisor) ; Janečková, Hana (referee)
The goal of this bachelor thesis named Dual diagnosis from the standpoint of social work is to shed light on what role a social worker has in the process of a patient's recovery and social rehabilitation from dual diagnosis. In addition to that, this thesis should clarify the position of a social worker in a multidisciplinary team and to describe dual diagnosis as a complex problem from the biopsychosocial standpoint. Both primary and secondary literature (printed and in the form of internet resources) were used as the theoretical framework of this thesis. The theoretical framework should primarily act as a guide to help better understand the phenomenon that is dual diagnosis in the context of social work. Qualitative interviews and case studies were then used as the practical framework for this bachelor thesis. The group of respondents is made up mainly by social workers, psychiatrists, adiktologists, and psychologists that work in the respective field. Keywords Social work, dual diagnosis, psychiatric comorbidity, addiction, mental health, multidisciplinary team.
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Women with personal disorder and substances use
Robovski, Katalin ; Richterová-Těmínová, Martina (advisor) ; Minařík, Jakub (referee)
Introduction: Addictological clients have often comorbid personality disorder. Each disorder has its specifics and gender also has an impact on substance use. So far, there has not been sufficient research focused on female psychoactive substance users with one of the most frequent personality disorders - borderline personality disorder. Objectives: The aim of this research was to describe in detail and explore women with BPD in their twenties in connection with their substance use experience - in particular prevalence, patterns of use, reasons for use and substance use impacts on BPD symptoms. Sample: The sample was collected with the help of self-selection sampling. It consisted of 8 women in the age between 20 and 30, who have been diagnosed with emotionally unstable personality disorder of the borderline type. Methods: A qualitative and exploratory descriptive research in the form of a collective case study was carried out. The data was retrieved with the help of semi-structured interviews, that were recorded on a dictaphone. The data was mostly analyzed by descriptive and partially theoretical content analysis. Results: The respondents used alcohol and cannabis mostly. Problem use of any addictive substance was present with more than half of the respondents and persisted around 2 years....
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Role of addictologist in services specialized in treatment of eating disorders
Hindová, Anna ; Lososová, Amalie (advisor) ; Broklová, Lada (referee)
Eating disorders are getting more and more attention in today's society. Mental anorexia and bulimia are considered to be widely spread problems among adolescent girls and young women. Studies estimate anorexia and bulimia to be present in around 4,5 % and 1,5 %-5 % of women population. There is a strong correlation between presence of any addictological disorder and eating disorder. If addictological disorder is to be present eating disorder is to be present in 35 % of all cases. Addiction treatment of both phenomena is usually separate although integrated treatment seems to be the most efficient. The goal of the study is to test the possible employment of an addictologist in eating disorders treatment services and outline possible role of and addictologist in therapeutic team. The goal is to be achieved through semi-structured interviews with employers of three therapeutic clinics Anabell in Prague, Brno and Ostrava. The semi- structured interviews were divided into specific areas. All the interviews were recorded and analysed afterwards. Open, axial and selective coding was used as a method of data analysis. Ethical matters were always observed. The results indicate that there is a strong difference of perception of an addictologist. If addictologist is to be viewed as a specialist in addictions...
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The arteterapy of people with mental illnes. The casuistry of client
MACH, Jiří
The aim of this thesis is to present in the general part of the thesis in the context of other mental disorders of schizophrenia and schizoaffective disorder and related problems of dual diagnosis. The arteteraphy section will present the artistic expression of people with the above-mentioned mental disorders. The possibilities of artetherapeutic approach to these target groups will be described, based in particular on Eva Syřišťová's texts. Conclusion of the theoretical part is devoted to the demands of the personality of a therapist working with people with mental disorder. In the practical part are presented two case reports of clients, where different arteterapeutical approaches were applied and their own therapeutic practice was reflected.
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Influence of eating habits on psychopathological symptoms should present clients with mafestations in therapeutic community for treatment of addiction.
Košťáková, Martina ; Miovský, Michal (advisor) ; Minařík, Jakub (referee)
ABCTRACT BACKGROUND: Currently, the diagnosis of ADHD is highly debated. Symptoms pass from childhood to adulthood. It turns out that people who according to the questionnaire YFAS meet the diagnostic criteria for dependence on food, show more comorbidity of other disorders such as binge eating, depressive, or ADHD. OBJECTIVE: The research problem and the aim of the diploma thesis is to find out what effect the regular diet regimen has on the diagnosis of food dependence in clients who are being treated in residential treatment in the treatment community of NL dependence. Assess whether a food addiction is more likely to suffer from ADHD symptoms and symptoms of psychopathology according to the SCL - 90 questionnaire. METHODS: The thesis is based on data from the GAČR ADHD project. The research was conducted in 5 therapeutic communities in the Czech Republic. The YFAS, DIVA and SCL- 90 questionnaires were used for the research. Test cells were collected in 4 waves of data collection, but only the first and second wave of data collection are used in this work because we are interested in data about clients on arrival and during the stay. Of the other questionnaires used in the GAČR ADHD project, very short case studies were developed and only for people who were addicted to food. RESEARCH FILE: The thesis is...
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