Problems of mental health care in the Czech republic have been defined in the early nineties. Yet after nineteen years of progress in this area, these problems are still major topics in mental health care policy documents. Main purpose of diploma paper is therefore to analyse mental health care problems and at the same time also might-be solutions. Mental health care problems definitions as conceptualized in mental helth care policy documents are found to be plausible. Though the amount of supportive data is sufficent, there are differences in decisiveness of some arguments. Available solutions are brought up and described in various manners in order to show their own logic, rules and after all their usability. Final conclusions consider the roles and responsiblities of various policy actors.

[pt] A presente dissertação traz como tema central o processo de implantação do principal serviço de atenção à saúde voltado para os servidores da administração pública federal, o Subsistema Integrado de Atenção à Saúde do Servidor (SIASS), tendo como referência o paradigma da Saúde do Trabalhador. O estudo se voltou para o processo de implantação de uma unidade do SIASS em uma instituição federal de ensino localizada no Rio de Janeiro, procurando cotejá-lo com a análise das legislações que estruturam o SIASS e a Política de Atenção à Saúde do Servidor (PASS). Como forma de subsidiar esta análise também foram utilizados dados coletados do Sistema de Informações de Saúde e Segurança do portal do SIASS, pertencente ao Sistema Integrado de Administração de Pessoal (SIAPE), da unidade da instituição pesquisada no período que contempla os anos de 2016 a 2019, com o devido preenchimento do Termo de Solicitação de Relatórios de Pesquisas Gerenciais do SIAPE-Saúde. As principais reflexões obtidas mostram que há desigualdades no que se refere à efetivação de ações que devem ser contempladas pelo SIASS, com grande ênfase na realização de atos periciais em detrimento dos outros dois eixos previstos no decreto de criação do SIASS: a assistência à saúde do servidor público e a promoção e vigilância à saúde dos servidores. Observou-se também dificuldades de registros de ações em saúde no sistema informacional constituindo-se ainda como um desafio para o serviço público federal a elaboração de um boletim epidemiológico, de âmbito nacional, que contemple as informações referentes à saúde dos servidores públicos federais. / [en] This dissertation brings as its central theme the main health care service aimed at public servants of the federal public administration implementation process, the Civil Servant Health Care Integrated Subsystem (SIASS), having as reference the Worker s Health paradigm. The study focused on a federal educational institution inserted SIASS unit implementation process, located in Rio de Janeiro, seeking a SIASS structuring laws and the Civil Servant Health Care Policy (PASS) analysis collation. As a way of supporting this analysis, data were collected from the Health and Safety Information System of the SIASS portal, appertaining to the Personnel Administration Integrated System (SIAPE), of the institution unit studied in the period that encompasses the years from 2016 to 2019, with the due SIAPE-Health Management Research Report Request Term filling. The main reflections obtained show that there are inequalities regarding the actualization of actions that should be contemplated by SIASS, with a great emphasis on personal expertise acts over the two other axes foreseen on the SIASS creation decree: the civil servant health care and the civil servant health promotion and alertness. Difficulties in registering health actions in the information system were also noticed, still posing the elaboration of a national epidemiological bulletin, which includes information related to the health of federal civil servants, as a challenge to the federal public service.

<p>A historical study on the inflince of private foundations in American political history.</p>

The purpose of this study was to determine the impact of unemployment on the mental well-being of the South African working age population. The implication of exploring this relationship is to indicate the importance of good mental health among persons who are not employed. The present study also aimed atinvestigating the role that government can play in mitigating the impact of unemployment on mental health. This part of the research assessed the effectiveness of government’s social security system. The current study employs a mixed research design whereby both quantitative and qualitative methods of data analysis are used. The relationship between unemployment, mental well-being and government intervention is investigated using a cohort group in which the mental health of persons not employed, aged between 15 and 64 years, are followed over the period, 2004 to 2008. The results are presented using two types of data. First, secondary data from Statistics South Africa’s General Household Survey (GHS) were used to measure the impact of unemployment on mental health and to ascertain the impact of government social assistance on affected individuals’ mental well-being. Secondly, in order to explore individual perceptions around government intervention, the research employed a qualitative phenomenological design. This involved conducting semi-structured personal interviews with four unemployed women residing in Gauteng. The results showed that incidences of self-reported mental health illnesses were most likely to be found among individuals who were not employed as compared to those that were employed. This finding proved to be consistent using both descriptive and multivariate statistics which included predictive models. In terms of government intervention, positive mental well-being was shown to be positively related to access of social welfare services (in the form of social grants). This finding was true for all the years of reporting (i.e., 2004 to 2008). In conclusion, although unemployment was found to have a negative impact of mental well-being, government intervention was shown to positively mitigate this impact, thereby giving hope to an otherwise hopeless situation. Unemployment and its impact on mental well-beingalso proved to be a complex subject, requiring multidisciplinary intervening strategies to solving it. / Psychology / D. Litt. et Phil. (Psychology)

The purpose of this study was to determine the impact of unemployment on the mental well-being of the South African working age population. The implication of exploring this relationship is to indicate the importance of good mental health among persons who are not employed. The present study also aimed atinvestigating the role that government can play in mitigating the impact of unemployment on mental health. This part of the research assessed the effectiveness of government’s social security system. The current study employs a mixed research design whereby both quantitative and qualitative methods of data analysis are used. The relationship between unemployment, mental well-being and government intervention is investigated using a cohort group in which the mental health of persons not employed, aged between 15 and 64 years, are followed over the period, 2004 to 2008. The results are presented using two types of data. First, secondary data from Statistics South Africa’s General Household Survey (GHS) were used to measure the impact of unemployment on mental health and to ascertain the impact of government social assistance on affected individuals’ mental well-being. Secondly, in order to explore individual perceptions around government intervention, the research employed a qualitative phenomenological design. This involved conducting semi-structured personal interviews with four unemployed women residing in Gauteng. The results showed that incidences of self-reported mental health illnesses were most likely to be found among individuals who were not employed as compared to those that were employed. This finding proved to be consistent using both descriptive and multivariate statistics which included predictive models. In terms of government intervention, positive mental well-being was shown to be positively related to access of social welfare services (in the form of social grants). This finding was true for all the years of reporting (i.e., 2004 to 2008). In conclusion, although unemployment was found to have a negative impact of mental well-being, government intervention was shown to positively mitigate this impact, thereby giving hope to an otherwise hopeless situation. Unemployment and its impact on mental well-beingalso proved to be a complex subject, requiring multidisciplinary intervening strategies to solving it. / Psychology / D. Litt. et Phil. (Psychology)