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Substance use disorders (SUD) and mental health disorders are often thought of as completely separate problems even though these disorders commonly co-occur. Among adolescents who seek treatment for substance use problems, co-occurring mental health problems (MHP) are common. This is concerning because co-occurring disorders among adults have been associated with more severe MHPs, relapsing to substance use sooner, being less likely to maintain abstinence, and other problems. Despite the awareness that co-occurring disorders are problematic for adolescents, few studies have been conducted to understand these problems with an adolescent sample. The purpose of this study was to understand if factors commonly related to co-occurring disorders among adults were the same for adolescents and to examine two measurement models for the dependent variable, substance use. This secondary analysis of data first examined characteristics that are related to MHPs among a sample of adolescents (N=801) who use substances. Factors in three domains were examined: demographics, substance use, social factors. The results indicated that among these adolescents, MHPs were common. Two key factors related to having a MHP were gender and the severity of the SUD. Females and adolescents with more severe SUDs, like dependence, were more likely to have MHPs. Furthermore, severity of the SUD partially mediated the relationship between several of the other factors and MHPs. The type of substance an adolescent reported using was also important. In addition, adolescents who had more peers and more family members who participated in deviant activities had more severe substance use problems and were more likely to have a MHP. In addition to examining the factors related to mental health problems among a substance using population, this study modeled the dependent variable in two different ways which had not been done before and allowed for variance in the measure to be accounted for in the model. MHPs were measured both continuously and categorically. The results of the comparison indicated that there were not major differences between the two models. Implications for social work practice, policy and research are discussed.

BACKGROUND: Suicide is a leading but preventable cause of death and is preceded by domains of thoughts, plans, and attempts. We assessed the prevalence of suicidality domains and determined the association of suicidality domains with sexual identity, mental health disorder symptoms, and sociodemographic characteristics. METHODS: We used the 2019 National Survey on Drug Use and Health (NSDUH) data to perform weighted multivariable logistic regression and margins analyses to examine between and within-group differences in suicidality by sexual identity among adults aged ≥ 18 years. RESULTS: About 4.89%, 1.37%, and 0.56% of the population experienced suicidal thoughts, plans, and attempts, respectively. Those aged 18-25 years old had a higher odds of suicidality compared to those aged 26 years or older. Compared to those who reported having no alcohol use dependence, illicit drug use dependence, and major depressive episodes (MDEs), those who reported alcohol use dependence, illicit drug use dependence, and MDE had higher odds of suicidal thoughts, plans, and attempts. Between all sexual identity groups, bisexuals who experienced MDEs had the highest probability of having suicidal thoughts while lesbians and gays who experienced MDE showed a higher probability of suicidal plans and attempts compared to heterosexuals. Within each sexual identity group, the probability of having suicidal thoughts, suicidal plans, and suicidal attempts was higher for those who had experienced MDEs compared to those who had not experienced MDEs. CONCLUSION: Substance use disorder and MDE symptoms were associated with increased suicidality, especially among young adults and sexual minority people. This disparity underscores the need for tailored interventions and policies to enhance the provision of prompt mental health screening, diagnosis, and linkage to care for mental health services, particularly among the most vulnerable in the population.

This Graduation work dealth with the observance of quality standards of social services for people wiht health disorder in rezidence facilities in South Bohemia. The goal of this work was observance of the Standard 2 and Standard 3. It was ascertained that the standard 2 {--} Protection of rights of personae isn´t the best breaking standard. The Hypothesis 1 isn´t confirm. Standard 3 {--} Conducting with applicant abouth social service isn´t the best observance standard. The Hypothesis 2 isn´t confirm too. All the rezidence facilities are observancing of quality standards of social services.

Pastarųjų metų Europos tyrimai rodo, kad psichologinis smurtas ir priekabiavimas sukelia didesnę grėsmę daugumai darbuotojų, nei fizinis smurtas. Priekabiavimas sukelia stresą, padidina psichologinę įtampą bei riziką darbe, įtakoja ligų atsiradimą. Darbo tikslas. Išanalizuot Kauno miesto sveikatos priežiūros įstaigos darbuotojų patiriamo priekabiavimo darbe paplitimą ir jų sąsajas su subjektyviu savo sveikatos vertinimu. Tyrimo metodika. Tyrime iš viso dalyvavo 226 sveikatos priežiūros įstaigų darbuotojai. Iš jų 176 Kauno miesto sveikatos priežiūros įstaigos darbuotojai ir palyginamosios grupės 130 sveikatos priežiūros specialistų. Tyrimas atliktas anoniminės apklausos būdu 2008-2009 m. rugsėjo - balandžio mėnesiais. Duomenų analizei naudotos programos SPSS 15,0 for Windows ir MS Excel. Rezultatai. Kauno miesto sveikatos priežiūros įstaigos darbuotojai statistiškai reikšmingai dažniau patyrė dažną priekabiavimą (5,8 proc.), nei palyginamoji grupė (3,8 proc.) (p=0,022). Pagal pareigas, dažną priekabiavimą patyrė 4,4 proc. slaugytojų ir 8,6 proc. kitas personalas. Gydytojai priekabiavimo darbe nepatyrė. Nustatytas ryšys tarp dažnai patiriamo priekabiavimo ir diagnozuotų sveikatos sutrikimų: kaklo/peties skausmų (p=0,047); traumų, lūžių, išnirimų, žaizdų, sužalojimų (p<0,000); plaštakos/rankos skausmų (p=0,028). 50 proc. slaugytojų, patyrusių dažną priekabiavimą, turėjo minimalių psichinės sveikatos sutrikimų (p=0,015). 28,6 proc. slaugytojų, dažnai patyrusių priekabiavimą... [toliau žr. visą tekstą] / Recent researches in Europe have shown that workplace bullying induces more intense threat in comparison with physical violence. Aim of the study. To make analysis of prevalence of undergoing bullying by the workers of Kaunas health care institutions and find out the links with self-reported health. Methods. The survey was conducted in one of the health care institutions in Kaunas and 96 workers of that institution were interviewed. Additionally, 130 nurses were randomly selected form the Kaunas district as control group. The questionnaire was composed of seven parts and 59 questions overall. The Negative Acts questionnaire, developed by S. Einarsen and H. Hoel, was used. The statistical software SPSS 15.0 for windows was used in the data analysis. Results. Less than one quarter of Kaunas health care institution workers admitted about undergoing bullying in the work place. Moreover, workers of Kaunas health care institution statistically significant more often have undergone bullying in workplace (5.8 %) in comparison with control group (3.8 %, p=0.022).Depending on position, repeated bullying have undergone 4.4% of nurses and 8.6% other staff. Occasional bullying have undergone 24.4% of nurses and 2.9% other staff. Medical doctors have not undergone any bullying in the workplace. Conclusions. Bullying in the workplace was common in both comparative groups of health care workers. Workers who have undergone repeated bullying in the workplace more often complained about... [to full text]

This diploma thesis called 'Unemployment and its influence on health' consists of theoretical and empirical part. In the theoretical part, important terms that are connected to unemployment and labour market are summarized. The definition of the term 'health' is specified and the factors and determinants that influence it are stated as well. The term 'health disorder' and problematics of psychosomatics are discussed too. The practical part is concentrated on examination of the influence of unemployment on health. A quantitative research, method of questioning and questionnaire technique were applied here. The collection of data took place at a regional office of The Jobcentre in České Budějovice. Job seekers registered under this office formed the body of the research. This work has two aims. The first one be the influence of unemployment on health of the unemployed and the second be the finding about the influence of unemployment on development of mental and somatic disorders. The following hypotheses were set up regarding the aims of the work: H1: The unemployed state their health declines during the period of unemployment, H2: Unemployment has a negative effect on mental health of the unemployed, H3: Unemployment has a negative effect on somatic health of unemployed. The hypotheses were not verified during the course of statistical testing. Based on the results of the research, we can deduce that the duration of unemployment doesn't have an impact on the subjective evaluation of physical and mental health. While the duration of unemployment increases, we don't observe any physical or mental heath decline of the unemployed. The conclusions of this research may, however, not be generalized due to the number of respondents and region which was chosen for the research. Statistical testing, however, revealed some interesting facts. These are, for example, the connection between the duration of unemployment and the evaluation of the impact on individual's areas of life, the relation between the duration of unemployment and health state evaluation during the last employment. The research itself could possible serve as a source material or starting point for future studies in this field. The above mentioned findings could after wider research bring knowledge which would be applicable to further practical works with the unemployed.

Hoarding disorder is a relatively new diagnosis in the DSM-5, only just included in the most recent edition. The disorder has piqued the interest of many in the community, in part because of the hit TV show called “Hoarders.” Although there is interest, there continues to be relatively few research studies into the causes, treatment, and management of this disorder specifically in adolescences. Yet, in the research that has been published, it often sites the disorder first appearing in adolescents. This paper will discuss the following elements of adolescent hoarding disorder: The potential etiology and risk factors noted in the literature, the DSM-5 criteria for the diagnosis of hoarding disorder, and the characteristic signs and symptoms found in the adolescent presentation, as well as treatment. Finally, it will also include recommendations for healthcare professionals for early screening and treatment.