Socialinės rizikos šeimų problematika yra aktuali daugelyje pasaulio valstybių, o pastaruoju metu, tebeišgyvenant socialines permainas, tai būdinga ir Lietuvai. Socialinės rizikos šeimose pastebėtini dideli vaikų priežiūros, ugdymo ir elgesio kontrolės trūkumai, kurie neigiamai veikia paauglių elgseną. / Adolescence is a period of lifetime when personality is forming. In this period teenagers meet a lot of problems and they can`t solve them on their own. The main problems are named as delinquency, drunkenness, drug addiction, aggression and so on. If a teenager can`t solve those problems, after-effects have influence on people living with him and on all society. In this respect the social work becomes more and more urgent.

The beginning of the XX century brought many changes in distinct spheres of life including the women movement which in Lithuania rezultated into the social care for children and their mothers as one of the women organizations’ work field. The notion care in this work is treated as the work done by Lithuanian women organizations to decrease the rate of infant mortality though this process in Western countries was noticed much earlier still in Lithuania this problem became serious at the examined period. The main aim of this work is to analyze the basic public social care features in the First Republic of Lithuania disclosing them trough the aspects of the social care work done by the Lithuanian women organizations. The geographical area – Lithuania without the Vilnius and Klaipeda territory, the chronology is 1918 – 1940 – the period of the First Republic of Lithuania. There are few methods used: analytical and comparison. Work deals with these problems: 1. the preconditions for the women organizations’ social work, 2. the preconditions and functioning of the social welfare centers, 3. the types and work for patronage houses, 4. relationship between the women organizations and the State, 5. education of the women in villages and towns. There are two women organizations that are being examined: “The Lithuanian Catholic Women Association” and “The Association for the care for Lithuanian Women”. These organizations belonged to the different Unions. “The Lithuanian Catholic Women... [to full text]

Brister i äldreomsorgen och vanvård av omsorgstagare är idag ett hett ämne som dagligen diskuteras i samhället. Syftet med denna studie är att undersöka och analysera hur arbetsledning och omsorgsgivare upplever användandet av de verktyg och riktlinjer äldreomsorgsorganisationen har att följa inom äldreomsorgsorganisationen, för att möjliggöra omsorgskvalitet för omsorgstagare. Studien har genomförts med en metodtriangulering med både kvantitativ och kvalitativ ansats i en medelstor kommun i Sverige. Vi har i kombination med organisationsteori med inriktning på social struktur valt att utgå från det salutogena perspektivet och helhetssynen om människans omsorgsbehov. Resultatet visar på flertalet brister och förbättringsområden. Från omsorgsgivarnas sida visar resultatet att de inte får gehör från ledningen gällande kvalitetsförbättringar samt saknar visst stöd från ledningen för äldreomsorgsarbetet. Omsorgsgivarna visar positiva resultat i kännedomen om äldreomsorgsorganisationens mål samt om sin egen uppdragsbeskrivning. Från ledningens sida framkommer att organisationen är under ett fortlöpande förbättringsarbete och att det finns en medvetenhet gällande organisationens brister. De brister som tydligast framträder är frånvaron av det salutogena förhållningssättet samt bristande tillgång till utbildade omsorgsgivare. Slutsatsen är att inom organisationer som handskas med människor krävs att det hela tiden finns en strävan efter ökat samarbete inom organisationsnivåerna och en medvetenhet inom kommunikationen för att säkerställa en god kvalitet, med omsorgstagaren i fokus. / Deficiencies in elderly and neglect of care are currently a hot topic that is discussed daily in society. The purpose of this study is to examine and analyze how management and caregivers experience the use of the tools and guidelines that elderly care organization has to follow to enable quality care to care recipients. The study was conducted with a triangulation of both quantitative and qualitative approach in a medium-sized municipality in Sweden. We have chosen to combined organizational theory with focus on social structure with the use of the salutogenic perspective and comprehensive view of the human care needs. The results show the majority of gaps and areas for improvement. From caregivers point of view the result shows that they do not get response from management regarding quality improvement and less support from management for the elderly work. Caregivers show positive results in awareness of elder care organization's objectives and on their own mission statement. From the management side, it appears that the organization is under continuous improvement and that there is an awareness of the organization shortcomings. The shortcoming that clearly emerges is the absence of the salutogenic approach and lack of access to educated caregivers. The conclusion is that in organizations that deal with people requires that there is always a desire for increased cooperation within the organization levels and an awareness of communication to ensure a good quality, with the care taker in focus.

Thesis topic is "Protecting the population in a social care institution with a large number of people". The theoretical part deals with issues of self-help and simple human assistance perception, which is a cornerstone of protecting the population. It is important to realize that the experience and the memory makes us ready and durable, but also vulnerable and fearful, and that prevention and preparedness are not identical. The thesis describes the history of the civil protection and its current status. These issues are constantly evolving and it is necessary to constantly respond to current threats not only in the area of law-making, but also preventatively and practically. The aim of the thesis is to identify the readiness of the staff in the Home for the elderly in Blatná to a possible outbreak of an emergency or crisis situation. The result of this thesis is to design measures to improve the readiness of personnel in social care institutions with applications for the Home for the elderly in Blatná. To clarify the objectives of the thesis a questionnaire construction was used focused on finding out the level of awareness of the personnel in the field of civil protection. Office staff, technical support, nursing and health care personnel have participated in the research. The research was conducted in June 2015. Collected data are sorted in the chapter "Results" and the results of these investigations are clearly displayed using graphs. The questionnaires were evaluated by descriptive and mathematical statistics. After evaluating the results of the level of awareness of the personnel in the field of protecting the population and after a consultation with the management of the Home for the elderly, a set of measures has been suggested and implemented to improve awareness using presentation. Preparedness and awareness of the staff in the Home for the elderly in Blatná to emergency and crisis situations, identified by questionnaire research was only partial, according to the documents related to protection of the population, and its level should be increased. The thesis can be an inspiration to the desired upgrade of the improving the preparedness of the personnel in the area of civil protection in social care institutions and to desirable change of the inappropriate name of the document dealing with emergency and crisis situations in the Home for the elderly in Blatná. Updates proposal and recommended development of the document are also parts of the thesis. The thesis also suggests measures to deal with the possible emergence of a fire in the clients' kitchenette. By a verification of information obtained from the presentation, which has been held in the Home for the elderly in Blatná in order to increase the level of personnel awareness of the people in the field of civil protection, it was found by identical questionnaires that staff awareness in the social care institution increased very positively. The readiness of social care institution for different emergencies is a very important factor in the managing these situations. By managing or mismanaging one event people are going to manage or mismanage following events.

I focused on the topic of activation of seniors in social care facilities in my diploma thesis. The aim of the diploma thesis was to describe possibilities regarding the activation of seniors in social care facilities and to find out how much the activation services in selected types of social care facilities differ. I conducted a research survey through interviews with social and activation workers from four types of social care facilities: homes for the elderly, special regimes homes, hospice care and social beds in long-term hospitals. The questions for the interviews were semi-structured and aimed at finding out the possibilities and differences in the activation of seniors in these facilities. All social care facilities are legally obliged to activate their clients. However, on the basis of this research, I have come to the conclusion that not all facilities follow this requirement. Some entities activate their clients very little, and for this reason, these people are suffering and their life feels meaningless. On the other side, in facilities where activation is provided, seniors are more satisfied, feel they have a meaningful life, and they enjoy their life. As a result of the research, I found that the differences in activation of seniors in social care facilities are really significant.

The diploma thesis deals with finding optimal size for model of residential facilities providing social services. The thesis is divided into two parts. The first part deals with social services in general context, presents actual legislation and publishes the view of experts who handle with issues in providing social services. The second research part is focused on data analysis and quantitative survey of social services users. Quantitative research is made by interrogation method through questionnaire. Secondary data analysis is specified on financial costs those facilities and its differences. The aim of diploma thesis is to create optimal model of residential facilities providing social care services. Diploma thesis works with two hypotheses. Hypothesis 1 is : ?The capacity of residential facility providing social services for more than 70 clients do not guarantee providing better services than facilities with lower capacity of clients. ? This hypothesis was confirmed. Hypothesis was statistically tested through working hypotheses and shown in contingency tables and also graphically by descriptive statistics. Hypothesis 2 is : ?Operating costs of residential facility providing social services for less than 70 clients are higher than residential facility providing social services for more than 70 clients.? This hypothesis was also confirmed. Hypothesis was statistically tested by statistic tests and summarized in charts. Results were statistically processed by using multi-scale classification of data in contexts with obtained nominal, ordinal, and cardinal variables. To analyse categorical data were used two statistical tests ? chi square test of independence and t-test. Questionnaires were distributed to the registered providers of social services after their written agreement. Total of 290 questionnaires were sent out and 214 of them returned. Return the sample reached 74%. Importance of this thesis is to get a better insight into the optimal size of residential facility providing social services from the perspective of clients and operating costs. The gathered data from quantitative survey could be useful for students, social workers and in general for all people profesionally focused on the area of building, providing and improving residential facilities providing social services.

Made available in DSpace on 2016-06-02T20:30:59Z (GMT). No. of bitstreams: 1 6781.pdf: 1060045 bytes, checksum: 44dd78f66094315ba519c95c465d4469 (MD5) Previous issue date: 2015-03-26 / Financiadora de Estudos e Projetos / Rheumatic diseases have been defined as those relating to musculoskeletal and connective tissues. Through the analysis of the literature it is observed a significant prevalence among patients with these pathologies, and both depression and anxiety. The present study investigated, in two different studies, the relations between rheumatic diseases and mental disorders. The Study 1 presents a literature reviews organized in the form of article. The manuscript presents the product of a literature review in brazilian and foreign databases, in the last 25 years, examining the results on the prevalence of mental disorders in rheumatic diagnoses patients, particularly anxiety and depression. The review was organized to systematize the principal addressed rheumatologic diseases, the countries where the investigations were implemented, the populations investigated in these studies, and the prevalence observed between depression and anxiety in each case. In Study 2 indicators of depression and anxiety in users of rheumatology ambulatory are described, in a health and teaching unit, with exclusive service to users of the Social Health System. It was evaluated 85 patients, 76 women and 9 men, aged between 41 and 70 years. In the evaluation, the following instruments were used: 1) The questionnaire for survey of general information; 2) Beck Depression Inventory (BDI); 3) Beck Anxiety Inventory (BAI); 4) Inventory of Stress Symptoms of Lipp (ISSL); and; 5) Brazilian Economic Criteria of the ABEP. The results showed that 51.8% of the sample had a education equal or less to complete primary, and 31.8% are retired or removed by social security provision. In addition, 68.2% of them were identified as inserted into economic classes with power consumption equal or less than to Class C1; 37,6% of users had two or more diagnosis of rheumatic diseases. Indicators showed that 43.5% of users were under medical treatment with at least one psychotropic substance, with treatment duration ranging from 2 to 21 years. Users under psychotropic drug prescription had significantly higher scores of depression (Mann-Whitney: z = 6.513, p <0.000), anxiety (Mann- Whitney: z = 6.083, p <0.000) and stress (Mann-Whitney: z = 6.119; p <0.000). The rheumatics diseases most frequently found in the population were Fibromyalgia (n = 33), Osteoarthritis (n = 33) and Rheumatoid arthritis (n = 24). In the general population, there was a prevalence of 43.5% of depression, 57% anxiety and 31.4% of stress. Considering the prevalence of depression in the Fibromyalgia, Osteoarthritis and Rheumatoid Arthritis were observed respectively values of 87.9%, 60.6% and 37.5%. Anxiety showed a prevalence of 72.7% in Fibromyalgia, 36.4% in Osteoarthritis, and 29.2% in Rheumatoid Arthritis. It was discussed the importance of evaluation and multidisciplinary intervention, in particular the psychologist role, for the care of rheumatic diseases. / As doenças reumatológicas têm sido definidas como aquelas relativas ao sistema musculoesquelético e tecidos conectivos. Através da análise da literatura observa-se uma prevalência significativa entre indivíduos acometidos por estes quadros, depressão e ansiedade. O presente trabalho investigou a relação entre doenças reumáticas e transtornos mentais em dois diferentes estudos. O Estudo 1 apresenta uma revisão bibliográfica organizada na forma de artigo. O manuscrito apresenta o produto de uma revisão bibliográfica, em bases de dados brasileiras e estrangeiras, nos últimos 25 anos, examinando os resultados referentes à prevalência entre diagnósticos reumatológicos e transtornos mentais, em particular, ansiedade e depressão. O levantamento foi organizado de forma a sistematizar os principais quadros reumatológicos endereçados, os Países onde as investigações foram implementadas, as populações analisadas nestes estudos, além da prevalência observada entre depressão e ansiedade em cada caso. No Estudo 2 é descrita uma avaliação de indicadores de depressão e ansiedade em usuários de ambulatórios de reumatologia, numa Unidade Saúde-Escola de uma instituição de ensino superior, com atendimento exclusivo a usuários do Sistema Único de Saúde (SUS). Foram avaliados 85 usuários, sendo 76 mulheres e 9 homens, com idade variando entre 41 e 70 anos. Na avaliação foram utilizados os seguintes instrumentos: 1) Questionários para levantamento de informações gerais; 2) Inventário Beck de Depressão (BDI); 3) Inventário Beck de Ansiedade (BAI); 4) Inventário de Sintomas de Stress da Lipp (ISSL); e; 5) Critério Econômico Brasil da ABEP. Os resultados evidenciaram que 51,8% da amostra apresentaram uma escolaridade igual ou inferior ao fundamental completo, sendo que 31,8% encontram-se aposentados ou afastados pela previdência. Além disto, 68,2% deles foram identificados como inseridos em classes econômicas com poder de consumo igual ou menor à Classe C1; 37,6% dos usuários apresentavam dois ou mais diagnósticos de doenças reumatológicas. Indicadores apontaram que 43,5% dos usuários estavam sob tratamento medicamentoso com pelo menos uma substância psicotrópica, com tempo de tratamento que variou de 2 a 21 anos. Usuários sob prescrição medicamentosa psicotrópica apresentaram escores significativamente maiores de depressão (Mann-Whitney: z=6,513; p<0,000), ansiedade (Mann-Whitney: z=6,083; p<0,000) e estresse (Mann-Whitney: z=6,119; p<0,000). As doenças com maior frequência na população foram Fibromialgia (n=33), Artrose (n=33) e Artrite Reumatoide (n=24). Na população geral, observouse uma prevalência de 43,5% de depressão, 57,% de ansiedade e 31,4% de estresse. Considerando especificamente a prevalência de depressão, na Fibromialgia, Artrose e Artrite Reumatoide foram observados, respectivamente, os valores de 87,9%, 60,6% e 37,5%. A ansiedade obteve prevalência de 72,7% na Fibromialgia, 36,4% na Artrose, e 29,2% na Artrite Reumatoide. Discute-se a importância da avaliação e intervenção multiprofissional, em particular do psicólogo, para o cuidado das doenças reumatológicas.

According to projections from the Czech Statistical Office there will be a significant change in the structure of the population in the Czech Republic in coming years. It is estimated that the share of individuals over 65 years of age will increase by more than 50% by 2025 and by an additional 30% between 2025 and 2050. The aging of the population will be accompanied by a significant increase in the need for social services, especially for individuals over the age of 80, as these make up the majority of clients of in-house social care services. While the Czech Republic is one of the countries with the highest number of residential social care facilities, with respect to demographic development the number of these facilities is insufficient. The de-institutionalization of social care services is an emerging trend that involves efforts to provide maximum social care in the natural home environment of clients; the services provided are focussed on maintaining the standard way of life for clients through the provision of field and outpatient social care. The selected topic captured my interest for two reasons: its topicality and the lack of awareness among the general population, and the need for the expansion of social services due to the growing number of elderly. The aim of the work, with regard to anticipated demographic development, is to draw attention to the issue of accessibility and financing care for seniors who have lost self-sufficiency. I chose quantitative research utilizing the survey method and data analysis for the practical part of the work. The study group is composed of 310 respondents from the areas of Prague, České Budejovice and Trutnov. The data for analysis was taken from Czech Statistic Office data from 2007 for the Prague, South Bohemian and Hradec Králové regions. While the research did not support all of the established hypotheses, the designated goals of the work were fulfilled. This work can be used in professional literature and lectures, and could become the subject of a grant program that would serve to raise awareness among the general population and help spread this research to additional regions.

Thesis in Healt Care Administration, C-level. Author: Madelaine Kjellström. Supervisor: Alf Sundin. Autumn semester 2017. Title: Management system as a Planning Instrument in Health Care Services -        A Study of Management System for Systematic Quality Work in three swedish municipalities in Värmland; Karlstad, Sunne and Storfors – In the year 2011 the Swedish authority Socialstyrelsen published a prescription (SOSFS 2011:9) and also a recommendation who where adressed to the municipalities, who are responsible for  the public servises in Sweden, to implement a Management System for Quality Work within Health and Social Care Services. The aim of this study is to examine how municiapilities in Sweden is planning for implementation and evaluation of the Management system for Quality Work within Health and Social Care Services. The question for approaching the thesis choice of subject are: Is the Management System for Quality Work Work within Health and Social Care Services more likely to succed in the municipality of Karlstad which is a bigger municipality comparing to Sunne and Storfors municipalities, which is smaller municipalities comparing to the size of budget and population? Is there any similarities and/or differences between the different municipalities capacity to planning for implementation and evaluation of the Management System for Quality Work within Health ans Social Care Services? As mentioned above there are three municipalities that has been selected as cases in this comparative case-study. All three municipalities is located in the region of Värmland, Sweden. The main findings and the result of this comparative case-study is that; all of the three municipalities independent of their respective sixe have capacities to fullfill the prescription and recommendation according to the authority Socialstyrelsen intentions concerning the planning of implementation and evaluation of the Management System.                                            Keywords: Planning, implementation, evaluation, Mangagement system, quality work, health and social care service.

The diploma thesis is aimed at availabilitymapping and analysing of social services in the Zlín region. Special attention is devoted to the Vsetín area with an aim to evaluate a scope, structure of providers and availability of social services in this peripheral area of the Czech Republic. The thesis is divided into a theoretical and a practical part. At introduction of the theoretical part there are defined elementary terms and then a research focused on running of social systems of Slovakia, Germany and Great Britain follows. Subsequently there is social policy of the Czech Republic described together with related law, structure of social service providers and engagement of non-governmental sector. In the theoretical part there is a comparison of social system of the Czech Republic with above mentioned states of Europe. A conclusion contains issues of community planning, creation and advantages which are connected with its process. The practical part of the thesis deals with social services in the Zlín region. Attention is focused on structure and typology of social services and their availability for local inhabitants, a community plan and its application within whole Zlín region as well as in individual districts. A part of the practical section is a detailed analysis of social services in Vsetín district and presentation of its community plan, specification of provided services in this area, structure of these services and problems connected with the offer. Methods used in the diploma thesis are analysis, research, comparison, methods of field research and synthesis of obtained findings.