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Background: The diploma thesis deals with the method of equine facilitated psychiatry and psychology and its use in the treatment of addictions. The theoretical part is the starting point of the whole work. It presents the basic methods of treatment used, the method of Equine facilitated activities and therapies itself and its inclusion in traditional methods of addiction treatment. The research part is based on qualitative data collection. Aims: The aim of the diploma thesis is to describe the use of equine facilitated activities and therapies in residential addiction treatment. Find out how patients and therapists evaluate this method, what areas of life are affected by equine facilitated activities and therapies and how it fits into current treatment methods. Data: The research group consists of eight patients from the addiction treatment department at a psychiatric hospital who met the selection criteria. And two therapists who work with the method of equine facilitated psychiatry and psychology in addicted clients / patients and met the selection criteria. Methods: The chosen type of research was process evaluation. Patients were focused on the focus using a semi-structured interview and a semi-structured interview on the therapists. Results and Conclusion: Research has shown that horses have...

Research supports that social connection is important in both humans and animals. In humans, having a cohesive support/social network system and healthy attachments in childhood predict low risk of later addiction (i.e. substance use disorder), as does perceived support from a religious or other cohesive community. Moreover, personal characteristics such as identifying as religious or spiritual can predict low risk for addiction, but little is known about the intersection of neuroscience and religion/spirituality in this regard. Conversely, adverse childhood experiences (ACEs) have repeatedly been shown to predict later addiction. However, the role of the body’s neuro-hormonal responses, such as the endogenous opioid and oxytocin systems in this process merits further exploration, such as how the production or deprivation of endogenous opioids impact later substance use patterns. Existing research also provides evidence that individuals decrease pursuit of interpersonal connections and social bonds when they use substances that activate opioid receptors. This has been found with both substances of abuse and medications used to treat addiction (e.g., methadone, buprenorphine, naltrexone). Research has also demonstrated that addiction often results in situations of social isolation. However, it remains to be elucidated whether the substances of abuse physiologically meet that need for connection. Importantly, research across numerous fields indicates that intentionally increasing interpersonal connection may be an effective treatment for addiction. However, less is known about how specific characteristics of communities impact the quantity, quality, or effectiveness of care and support for a person with addiction [...] / https://dc.etsu.edu/etsu_books/1292/thumbnail.jpg

This thesis is a continuation of research and scholarly writing that the author completed for a published article that appeared in Volume 5 of the University of Central Florida Undergraduate Law Journal, Spring 2022. The rising rate of attorneys with a self-reported substance abuse disorder, chemical or alcohol dependency, as the data reveals, is the highest in our country’s history. Although the notion of attorney addictions and dependency issues may come as a surprise to those outside of the legal community, these issues are not breaking news. Rather, the data has been slowly emerging due to the increasing number of law students utilizing performance-enhancing substances and attorneys’ pleas for addiction assistance and support from the legal community. But where does the foundation for dependency lie? How did it begin and what fuels that continuum? Are addicted attorneys merely victims of circumstance? Are the consequences more or less severe than those for non-attorney civilians? Are the current resources available adequate to provide proper assistance for attorneys in need? The cornerstone here is access to the resources prior to making precarious decisions of deceit and wrongdoing, coupled with proper support and rehabilitative systems. This thesis will explore addiction and dependency issues of law students and lawyers alike by providing analyses of the triggers, aggravating factors, and consequences whilst contemporaneously evaluating currently available resources. Perhaps a current exploration of this data will result in a reimagining of the protocols surrounding publicized disciplinary actions against lawyers stemming from a dependency or addiction. Alternatively, the research results may lead to an expansion of the existing Lawyer Assistance Programs (LAP) to include mandatory therapy, specialized group sessions, monitored sponsorships and additional Continuing Legal Education (CLE) courses. Additionally, the research explores how disciplinary proceedings are handled in an arguably unfair forum, such as inconsistencies involving judicial discretion. Further, arguments will be made to bolster reasons as to why returning to the practice of confidential disciplinary proceedings would benefit those in need, including an analysis of current substance abuse confidentiality regulations seen in California and Louisiana.

Studiens syfte var att identifiera de verkningsfulla komponenterna i 12-stegsprogrammet för minskad användning av beroendeframkallande substanser eller uppnå nykterhet i behandlingen. Detta gjordes genom en integrativ litteraturstudie innehållande 10 vetenskapliga artiklar där de verkningsfulla komponenterna samt andlighetens betydelse för 12-stegsprogammet analyserades med hjälp av KASAM och existentialism. Genom att undersöka dessa verkningsfulla komponenter samt andlighet redogör denna studie för hur dessa bidrar till 12- stegsprogrammets framgång som behandling för missbruk. Studien fann att de verkningsfulla komponenterna i 12-stegsprogrammet för minskad användning av beroendeframkallande substanser eller uppnå nykterhet var följande: grupp, tjänstgöring och sponsring samt andlighet. Vidare fann studien att andlighet spelar en betydande roll för att dels kunna tillgodogöra sig behandlingen, dels för att kunna uppnå antingen minskad användning av beroendeframkallande substanser eller för att uppnå nykterhet. / The purpose of the study was to identify the effective components of the 12-step program for reducing the use of addictive substances or achieving sobriety in treatment. This was done through an integrative literature review containing 10 scientific articles where the effective components and the significance of spirituality for the 12-step program were analyzed using SOC (Sense of Coherence) and existentialism. By examining these effective components and spirituality, this study explains how they contribute to the success of the 12-step program as a treatment for addiction. The study found that the effective components of the 12-step program for reducing the use of addictive substances or achieving sobriety were as follows: group, service and sponsorship, as well as spirituality. Furthermore, the study found that spirituality plays a significant role in both benefiting from the treatment and achieving either reduced use of addictive substances or sobriety.

Addiction Severity Index (ASI) är tänkt att användas både för klientarbete på individnivå och för forskning på gruppnivå. Denna studie undersöker i vilken omfattning ASI-Uppföljning genomförs samt vilka individ- och organisationsfaktorer som påverkar användningen. Studien är kvantitativ dvs presenterar statistiska analyser. Data samlades in på två sätt. Tillgång till ASI-data gjordes möjlig genom en avidentifierad fil från databasen ASI-Net och omfattade data från elva kommuner i Jönköpings län. ASI-data bestod av 1964 intervjuer från ASI-Grund och ASI-Uppföljning och behövdes för undersökningen av individfaktorerna. Data angående organisationsfaktorerna samlades in genom webbenkäter till cheferna inom Individ- och Familjeomsorg (IFO) i samma elva kommuner. Resultatet visar att andelen uppföljningsintervjuer ökar för varje år och att det föreligger stora skillnader mellan kommuner i genomförande av andelen uppföljningsintervjuer. Analysen av individfaktorerna tyder på att de äldre, med högre utbildning och ett yrke återintervjuas i högre utsträckning. Klienterna med stora problem och hjälpbehov med alkohol genomgår i högre grad en uppföljningsintervju, medan mer problem med narkotika och rättsliga problem tenderar att följas upp i mindre grad. Analysen av organisationsfaktorerna kunde ej på meningsfullt sätt signifikansprövas då populationen för webbenkäten var liten. Dock upptäcktes korrelation mellan andelen uppföljningsintervjuer för varje kommun och två organisationsfaktorer, befolkningsmängd i kommunerna samt personalomsättning. Organisationsfaktorerna visar tvärtemot förväntat att små kommuner följer upp en högre andel, och att faktorer som personalomsättning, utbildning och ärendemängd inte förklarar de skillnader som finns.  Studiens slutsats visar att andelen genomförda ASI-Uppföljning ökar kontinuerligt. Även om ASI-Uppföljning ökar så är det långt kvar till dess att ens hälften av alla ärenden med ASI-Grund återintervjuas. För att öka motivationen att genomföra uppföljningsintervjuer kan det vara viktigt att socialsekreterarna får mer tillbaka i form av sammanställningar och analyser på gruppnivå. / Addiction Severity Index (ASI) is thought to be used both for client work at the individual level and for research at a group level. This study examines the extent to which the ASI Follow-up is carried out, and the individual and organizational factors influencing the usage. The study is quantitative, i.e. presents statistical analyzes. Data were collected in two ways. Access to ASI data was made possible by an anonymous file from the database ASI-Net and included data from eleven municipalities in Jönköping County. ASI data consisted of 1,964 interviews from ASI Basic and ASI Follow-up and was needed for the investigation of individual factors. Data regarding organizational factors was collected through web surveys to managers in Individual and Family Care (IFO) in the same eleven municipalities. The result shows that the percentage of follow-up interviews is increasing every year and that there are large differences between municipalities in the usage of the percentage of follow-up interviews. The analysis of individual factors suggest that the elderly, with higher education and a profession are interviewed to a greater extent. Clients with serious problems and in need of help with alcohol also undergo follow-up interviews more frequently, while more problems with drugs and legal problems tend to be followed-up to a lesser degree. The analysis of organizational factors could not in a meaningful way be tested for significance since the population for the web survey was small, however, correlation was discovered between the percentage of follow-up interviews for each municipality and organizational factors of population in municipalities and employee turnover. Organizational factors show the contrary as expected that small municipalities follow up to higher degree, and that factors such as staff turnover, training and case quantity does not explain the existing differences. The study's conclusions are that the percentage of ASI Follow-up is continuously increasing. Although the ASI follow-up is increasing, it is a long way until the even half of all cases with ASI Basic are re-interviewed. To increase the motivation to carry out follow-up interviews, it may be important for the social workers to get back more in the form of summaries and analyzes at the group level.

WORK The aim of this work is to explore and describe the problem of nicotine clients of residential facilities voluntarily hospitalized for alcohol dependence. Learn whether it is on their side for such treatment if they are interested or might acquire in the course of his treatment of alcoholism motivation to quit smoking if they were offered such treatment if they were on a method of treating at least generally aware and if you know the benefits of such léčby.První stage research will consist of obtaining the basic sample. To obtain the respondents will choose the method of choice through deliberate purpose institutions. The population intended for actual research facility which clients will be allowed to participate in such research and who will be able to participate in research. Through the simple purpose a selection, Fagerström test for all survey respondents. Based on the results of this test determine how many people hospitalized for alcohol dependence with the diagnosis F10.2 simultaneously diagnoses F17.2-behavioral disorders due to use of tobacco. This finding generates the sample with which I will continue to work. To work with a sample of clients will be the main data collection method used questionnaire method. The questionnaire will be represented in both open and closed questions...

The aim of this qualitative study was to map the preparation and process of relapse prevention programs in therapeutic community for treating addictions in Czech republic called Magdaléna o.p.s.. The next aim was to describe the specifics of these programs and analyse methods that are mostly applied. For fullfilling these aims, four methods were chosen: analisys of documents, semistructured interwiews with the members of the team of therapists, observation of the researcher in the specific relapse prevention program during her internship and one semistructured interview with client of this therapeutic community. The final number of respondents for this research was four therapists and one client. Three metodic relapse prevention documents were analysed and for setting the final outcomes of this research were also used the outputs from the observation of the researcher from the specific relapse prevention program. Based on this research it was found out, that the specific relapse prevention programs in Magdaléna have been part of the long-term structured schedule of the treatment. This program is on the schedule once per week in duration of one hour and it is managed by one of the therapists. The program have been carried out in group and it is always based on one specific topic. Educational and...

Title: Application and Verification of a Self-defence Program for Patients in a Psychiatric Hospital Objectives: The aim of this thesis is application of a self-defence program, created in a bachelor thesis, during an addiction treatment in Červený Dvůr, a psychiatric hospital. The thesis surveys the suitability of the educational program during addiction treatment, verification of acquired motoric skills and its possible integration in patients' free time, recommendation of the exercise to friends, and last but not least it surveys a possible interest in the program in other psychiatric hospitals. Methods: There are several methods used in the thesis. Content analysis is used for working with literature, interview is used in the conversation held with the department head and the custodian. Observation is used for watching the participants doing the exercise. Comparing is used for evaluation of the final outputs. Opinion poll is used for finding the asset of the educational program. Basic statistic methods are used for evaluating the answers in the opinion polls. Results: The suitability of the program was confirmed by two department heads in two psychiatric hospitals which are focused on addiction treatment. An interest in follow-up self-defence or martial arts exercise was found out in the...

This thesis is about clients who are in treatment in therapeutic communities for drug addicts and suffer with a mental illness alongside drug addiction. The theoretical part summarizes the definition and description of dual diagnosis, the prevalence of people with dual diagnosis and discusses the possibilities of therapeutic approaches to clients with these specific demands. Finally, attention is paid to the theory of self-medication for symptoms of mental illness through addictive substances which supports the theoretical model of addiction as a result of reactions to psychiatric illness. The research was carried out at the research group, which was formed by all clients currently in treatment in two therapeutic communities for drug addicts in July 2015. The research was conducted as a quantitative design through non-standardized questionnaire. This research shows that from the total number of respondents, 79% had a psychiatric diagnosis in addition to substance abuse. Most often these were methamphetamine users and multiple substance users. From psychiatric disorders were most strongly represented personality disorders, depressive disorders and disorders from psychotic spectrum. With respondents who reported substance abuse to suppress psychopathological symptoms occurred reduction of most of...