Background: Intravenous way of drug application is the most common between problem drug users at Prague. Due Mravčík et al. (2015), the estimate is, that there was a 15 700 intravenous drug users at Prague in 2014 (7 500 pervitin users, 2 500 heroin users and 5 700 buprenorphine users). And that they spend about 15,5 millions of syringes every year (Švůgerová, 2015). But the data in Annual report on drug situation 2014 says, there was only 2, 6 millions of syringes distributed (Mravčík et al., 2015). This means, that Prague intravenous drug users spend many more syringes, that are distributed by low-treshold services and pharmacies. That is a reason of charting of the behaviour of drug users in connection with application of addictive substance, especially how the consuption of injecting material is connected with single type of drug user. Aims: The main aim of the thesis is to find out the frequency of drug application in intravenous drug users and to estimate the total consumption of injecting materialial depended on single of users typology (used drugs, frequncy of contact with harm reduction services…) Research sample: The sample consists of 155 clients of harm reduction services at Prague (3 contact centers and 3 streetwork programs). All of the respondents stated the intravenous drug using in...

Orientador: Rubens Venditti Júnior / Resumo: Esta dissertação é fruto das experiências enriquecedoras vividas do projeto de extensão “Dançando no Escuro”, um programa de Atividades Rítmicas e Expressivas inclusivas para pessoas com deficiências variadas. O projeto de extensão foi o objeto desta pesquisa, sendo investigado pelo método de Pesquisa-ação. Uma análise crítica das práticas corporais rítmico expressivas na abordagem da Cultura Corporal de Movimento da pessoa com deficiência. Com o objetivo de ampliar as habilidades expressivas e o protagonismo da pessoa com deficiência, auxiliando na capacitação profissional em Educação Física Adaptada dos monitores do projeto de extensão. Estimulando o trabalho em equipe, a autoconfiança e promovendo a inclusão social dos participantes, com práticas corporais orientadas nos elementos estruturantes da Ginástica para Todos. No decorrer das 39 intervenções da pesquisa, os participantes, pessoas com deficiência e monitores forneceram relatos de suas perspectivas das situações problema. Os debates coletivos durante os seminários trouxeram as possíveis soluções para os problemas encontrados. Foram esses relatos que transformaram o plano de ação deste estudo, tornando os monitores do projeto de extensão peças fundamentais para alcançar os objetivos da pesquisa. Os laços criados entre os participantes da pesquisa auxiliaram no desenvolvimento de composições coreográficas coletivas, no sucesso do programa de Atividades Rítmicas e Expressivas inclusivas, e desta pesquisa. / Abstract: This dissertation is the result of the enriching experiences of the community outreach program “Dancing in the Dark”. An inclusive Rhythmic and Expressive Activities program for people with different disabilities. The community outreach program was the object of this research, being investigated by the Action Research method. A critical analysis of the Rhythmic and Expressive practices addressed Body Culture of Movement of persons with disabilities. As a main objective of this research to expand the expressive skills and protagonism of the person with disabilities, helping in the professional capacitation in Adapted Physical Education of the monitors of the community outreach program. Stimulating teamwork, self-confidence and promoting the social inclusion of participants, with body practices guided by the structuring elements of Gymnastics for All. Throughout the 39 interventions of this research, participants with disabilities and monitors provided reports of their perspectives on problem situations. The collective debates during the seminars brought possible solutions to the problems encountered. It was these reports that transformed the Action Plan of this study, making the extension project monitors fundamental to achieve this research objectives. The bonds created between the research participants helped to develop collective choreographic compositions, and the success of the inclusive Rhythmic and Expressive Activities program and of this research. / Mestre

Au printemps 2020, une équipe interdisciplinaire (travail social, médecine et psychologie, notamment) et intersectorielle met sur pied la Clinique Mauve, un point de services intégrés pour personnes LGBTQI+ migrantes à Montréal (Canada). Parmi les services offerts, on trouve le programme de liaison, un projet innovateur d’intervention collective ayant pour but de réduire les impacts de la crise sociosanitaire sur cette population. Dans le cadre de ce mémoire, je cherche à 1) documenter l’expérience réalisée et 2) déterminer les leçons qu’on peut tirer de cet usage de méthodologies d’intervention collective dans un contexte de crise sociosanitaire. Pour y arriver, j’utilise principalement deux cadres théoriques : la typologisation de l’intervention collective de Bourque et al. (2007) et le modèle de résilience communautaire de Kirmayer et al. (2009). J’inscris ma démarche de recherche dans deux approches évaluatives : l’évaluation axée sur l’utilisation (Patton et Campbell-Patton, 2022) et l’évaluation descriptive en contexte de développement (Marceau, 2022 ; Rey et al., 2022). L’analyse des résultats met en lumière les forces et les limites de l’intervention collective, de l’intervention multilingue et culturellement adaptée et du soutien socio-économique et matériel en contexte de crise sociosanitaire de la COVID-19. Elle permet aussi de découvrir les nombreux défis qui ont ponctué la réalisation de cette expérience dans un contexte hors du commun. Une série de recommandations visant les responsables de la Clinique Mauve conclut ce mémoire. / In spring 2020, an interdisciplinary and intersectoral team (including social work, medicine, and psychology) established the Clinique Mauve, an integrated service point for LGBTQI+ migrants persons in Montreal, Canada. Among the services offered is the outreach program, an innovative collective intervention project aimed at mitigating the impacts of the socio-health crisis on this population. In the context of this thesis, I am seeking to 1) document the experience undertaken and 2) determine the lessons that can be drawn from the use of collective intervention methodologies in a socio-health crisis context. To achieve this, I primarily employ two theoretical frameworks: Bourque et al.'s typology of collective intervention (2007) and Kirmayer et al.'s community resilience model (2009). My research approach aligns with two evaluative approaches: utilization-focused evaluation (Patton and Campbell-Patton, 2022) and descriptive evaluation in a development context (Marceau, 2022; Rey et al., 2022). The analysis of the results highlights the strengths and limitations of collective intervention, multilingual and culturally adapted intervention, and socio-economic and material support in the context of the COVID-19 socio-health crisis. It also reveals the numerous challenges encountered during the implementation of this experience in an extraordinary context. A series of recommendations for the leaders of the Clinique Mauve concludes this thesis.