Šiame darbe apžvelgiamas asmenų, sergančių narkomanija, ilgalaikės socialinės reabilitacijos paslaugų prieinamumas ir veiksmingumas. Darbo tikslas - ištirti ir įvertinti socialinės psichologinės reabilitacijos paslaugas asmenims, sveikstantiems nuo narkotinės priklausomybės Lietuvoje. Teorinėje darbo dalyje nagrinėjami efektyvios socialinės psichologinės reabilitacijos principai, teisinė bazė, reabilitacijos organizavimas bei strategija. Pateikiama teorinė bei statistinė medžiaga apie užsienyje ir Lietuvoje veikiančių reabiltacijos bendruomenių skaičių, jų veiklą bei vykdomas programas. Praktinėje darbo dalyje apžvelgiami ir analizuojami atlikto socialinės psichologinės reabilitacijos bendruomenių teikiamų paslaugų veiksmingumo ir prieinamumo tyrimo rezultatai. Tyrime dalyvavo 6 socialinės psichologinės reabilitacijos bendruomenės. Taikant anketinės apklausos metodą, apklausti reabilitacinių centrų darbuotojai bei asmenys, besigydantys nuo narkotinės priklausomybės. Išanalizavus ir ištyrus anketinius duomenis apie socialinės reabilitacijos pobūdį Lietuvoje, galima teigti, kad šiuo metu teikiamos reabilitacijos paslaugos yra prieinamos ir gana veiksmingos. Reabilitacijos programas sėkmingai baigia apie 40% asmenų, besigydančių dėl priklausomybės nuo narkotikų. Socialinės reabilitacijos paslaugų prieinamumui gerinti ateityje turėtų būti didinamas reabilitacijos bendruomenių skaičius bei jų finansavimas. Socialinės reabilitacijos paslaugų veiksmingumą pagerintų didesnis skaičius... [toliau žr. visą tekstą] / This research covers affordability and effectiveness of long-term social rehabilitation services provided to the persons with drug addiction. The goal of the research is to study and assess social psychological rehabilitation services to the convalescent persons from drug addiction in Lithuania. Theoretic part of the research investigates principles of effective social psychological rehabilitation, legal basis, rehabilitation planning and strategy. Presented theoretical and statistical data about number of functioning rehabilitation communities, their activities and carried programs. Practical part of the research reviews and analyzes results of provided social psychological rehabilitation services by communities. 6 social psychological rehabilitation communities were visited. Questionnaire form was used to get the answers from workers of rehabilitation centers and persons who cure from drug addiction. After having researched and analysed, social rehabilitation nature in Lithuania analysis, we can state that today‘s rehabilitation services are affordable and effective. About 40% of persons with drug addiction are passing rehabilitation programs successfully. In order to get even more affordable social rehabilitation services in the future, the number of rehabilitation communities should be increased as well as their financing should be increased. Efficiency of social rehabilitation services would be increased by involving more professional workers and increase their... [to full text]

Lithuanian soldiers volunteers are well evaluated for their participation in international missions: in Serbia and Montenegro, the province of Kosovo, the Republic of Bosnia and Herzegovina, Iraq, Afghanistan, etc. Their professionalism is positively evaluated by the high officials of other foreign states thus physical health and healthy state of mind of every soldier volunteer as well as appropriate rehabilitation after the return from mission is very important. Hypothesis. When in mission soldiers volunteers experience various reactions caused by stress events (e.g. dizziness or faintness attack, sleeping disorders, muscular convulsion, difficulties in decision making, low self-confidence, alcohol addiction, etc.), thus they require psychological and medical rehabilitation that would result in quicker and more effective return of the soldiers volunteers back to their service, work, family and society. The object of the research is the social rehabilitation of the soldiers volunteers who returned from missions. The aim of the research is to analyze the peculiarities of social psychological rehabilitation of the soldiers volunteers who returned from missions. The following are the objectives of the research: 1) Discuss the concept of soldiers volunteers and the aspects of historical development in Lithuania. 2) Reveal the peculiarities of social psychological rehabilitation in the rehabilitation process of soldiers volunteers. 3) Analyze the social psychological... [to full text]

Tiriamasis darbas, skirtas regos negalią turinčių asmenų situacijai dabartinėje visuomenėje ištirti. Nagrinėjami jau atlikti šioje srityje tyrimai, ir bendros darbines gyventojų nuostatas tiriančios apybraižos. Gilinamasi į regos negalės specifiką, įstayminės bazės teikaimas galimybes, jos pritaikymą, istorinę regos negalią turinčių asmenų įdarbinimo raidą, jų ugdymo paradigmas, teorines neregių ugdymo nuostatas, neregių ir silpnaregių mokinių rengimą gyvenimui, profesinį orientavimą. Kadangi šiuolaikiniame darbe labai svarbus yra kūrybinis darbuotojų potencialas - nagrinėjamos regos tiriamųjų meno suvokimo ir jų kūrybiniai sugebėjimai. Teorinį šio darbo pagrindą sudaro prof. R. Grigo įtampos laukų teorija. Apžvelgiamos ir kitos sociologinės bei ugdymo teorijų paradigmos, jų pritaikomumas tirti problemą. Tyrime naudota kiekybinė anketinė Lietuvos Respublikos RNT (regos negalią turinčių) asmenų apklausa ir kokybinio metodo giluminis interviu su sėkmingiausiai įvairiose veiklos srityse dirbančiais RNT žmonėmis. Nagrinėjamos pagrindinės problemos: RNT asmenų ugdymo ir rengimo darbo rinkai potencialios galimybės, visuomenės pasiruošimas priimti RNT darbuotojus, aplinkos pritaikymas, pačių neįgaliųjų nuostatos ir pasirengimas darbui atviroje darbo rinkoje, problemos, iškylančios darbiniuose kolektyvuose. Tyrimo duomenys leidžia daryti išvadas, kad visuomenė turi per mažai žinių apie RNT asmenų darbines kompetencijas. Specializuotos šalies ugdymo įstaigos nepakankamai parengia... [toliau žr. visą tekstą] / This study examines the situation of people having sight disability in modern society. It analyses the data of various researches in this area and general outlines in residents’ attitudes towards employment. Theoretical background of this paper is a theory of tension fields by professor R.Grigas. In this study societal paradigms and their applicability to analysis of issues are reviewed. Disability is a physical or mental condition that makes it difficult for someone to use a part of their body properly, or to learn normally. It can be caused by physical, mental or sensory disorders, or by inappropriate therapy. These disorders, states or illnesses can be chronic or transient. Integration is systematic meeting of people who have different abilities for purposeful activity. Social integration is characteristics of the unity of different social groups’ and individual aims. Rehabilitation is coordinated and complex use of medical, social, pedagogical and professional means to achieve one’s maximal functional activity. Attitude is a way of thinking or acting. Attitude can be formed immediately or during a longer period of time acquiring special experience. In the study is used quantitative interviewing of people who live in Lithuania and have sight disability and deep interviewing of those who are successful in their activities. The main issues that are analyzed: how our society is prepared to accept workers having sight disability, how surrounding is adapted for them, how... [to full text]

Žmogus, vieną kartą susirgęs psichikos liga, dažniausiai ja serga visą likusį gyvenimą, o ligos sukelti negrįžtami psichikos pakitimai vis gilėja neigiamai veikdami asmenybės raidą bei individo socialinį prisitaikymą, tuo sukeldami vis daugiau problemų pacientui ir jo aplinkos žmonėms. Psichikos ligoniai praktiškai visą gyvenimą yra gydomi, todėl viso jo gyvenimo palydovais tampa gydytojas psichiatras ir slaugos specialistas, besirūpinantys jo sveikata, bei užimtumo terapeutas (socialinis darbuotojas), kurio funkcija yra rūpintis psichikos ligonio grįžimu į bendruomenę ir socialine adaptacija joje. Dar sunkiau grąžinti į visuomenę ilgai psichikos liga sergančius žmones, daug metų praleidusius specialiose uždarose įstaigose – ligoninėse ar pensionatuose. Viena iš labai svarbių socialinio darbuotojo, dirbančio su psichikos ligoniais veiklos sričių yra jų užimtumo organizavimas, kuris, tinkamai organizuojamas, svariai prisideda prie šių asmenų socialinės reabilitacijos. Tyrimo objektas – socialinio darbuotojo veiklos galimybės su asmenimis, turinčiais psichikos negalią, gydymo įstaigoje. Tyrimo tikslas – atskleisti socialinės reabilitacijos galimybes gydymo įstaigoje dirbant su asmenimis turinčiais psichikos negalią. Tyrimo hipotezė. Išsiaiškinus socialinio darbuotojo veiklos ligoninėje galimybes, galima organizuoti tinkamą kliento asmenybės saviraišką, ir pagerinti psichikos ligonių gyvenimo kokybę Siekiant atskleisti socialinės reabilitacijos galimybes gydymo... [toliau žr. visą tekstą] / A person, who once suffered a mental disease, most often remains affected by it for the rest of his whole life, while mental changes continue to increasingly aggravate and affect the personal development and social adjustment of the individual thus causing more and more problems to the patient and people surrounding him. Actually, mental patients undergo treatment during the whole of their lives; therefore, a psychiatric doctor and a nursing specialist taking care of his health, and an occupational therapist (social assistant), whose function is to take care of the return of the mental patient to the society and his social integration, become his attendants for the whole life. It is even more difficult to return to the society those people who have been suffering a mental disease for a long time and spent many years in special closed-type institutions: clinics or pension houses. One of the extremely important areas of the activities of a social assistant dealing with mental patients is the organisation of their occupation, which, if organised properly, contributes a lot to the social rehabilitation of such persons. The subject of the research: The opportunities in the activities of a social assistant dealing with mentally impaired persons in a treatment institution. The objective of the research: To educe the opportunities of social rehabilitation in a treatment institution related to work with mentally impaired persons. The hypothesis of the research: When the opportunities... [to full text]

Sergančiųjų įvairiomis psichikos ligomis nemažėja tiek pasaulyje, tiek Lietuvoje, o aplinkos veiksniai, tokie kaip ekonominis nestabilumas, bedarbystė ir kita, skatina šių sutrikimų didėjimą. Be psichinio funkcionavimo problemų psichikos ligos beveik visada sukelia socialinio funkcionavimo sutrikimus. Sergančiųjų savarankiškumo atstatymui ir jų visavertei integracijai į visuomenę svarbi psichosocialinė reabilitacija, kurios pagrindiniai etapai – intensyvi klinikinė reabilitacija, kol pacientas gydomas ligoninėje, ir socialinių paslaugų teikimas bendruomenės institucijose. Šio darbo tikslas – išanalizuoti ir palyginti žmonių su psichikos sutrikimais reabilitacijos būdus ir galimybes bendruomenėje ir stacionarioje gydymo įstaigoje (Respublikinėje Vilniaus psichiatrijos ligoninėje). Pirmoje darbo dalyje pateikta psichosocialinės reabilitacijos samprata ir svarba, supažindinta su psichiatrijos ligoninėje ir bendruomenėje teikiamomis psichosocialinės reabilitacijos paslaugomis. Tiriamojoje dalyje pateikiami atlikto tyrimo rezultatai. Paaiškėjo, kad asmenys, turintys psichikos sutrikimų, gydydamiesi ligoninėje gauna pakankamai informacijos ir įsitraukia į įvairias reabilitacines užimtumo veiklas pagal saviraiškos poreikius. Tuo tarpu, užimtumo veikloje bendruomenės institucijose dalyvauja ženkliai mažiau tiriamųjų nei ligoninėje. / The number of people with mental trouble has not been decreasing in the whole world as well as in Lithuania. Moreover, the environmental factors such as economical instability, unemployment and other determine the increase of this kind of disorder. Apart from disorder of mental behavior mental diseases almost always evoke disorder of social behavior. Psychosocial aftercare is very important for reestablishment of independency and proper integration of the sick into the society. The main stages of the psychosocial aftercare are intense clinical aftercare while the patient is treated in hospital and social services in community institutions. The goal of the thesis is to analyze and compare different aftercare methods and opportunities in the community and stationary medical institutions (Republican Vilnius psychiatric hospital) for mentally disabled people. The conception and importance of psychosocial aftercare are presented in the first part of the thesis. Moreover, psychosocial aftercare services supplied in psychiatric hospitals and communities are revealed. The second part discloses the results of the research. It has been established that people with mental disability get enough information in hospitals and get involved into different activities of aftercare according to needs of self-expression. On the other hand, less people participate in aftercare activities in community institutions if compared with hospitals.

Summary Unseeing and weak-eyed women occupational reinstatement: model construction. In the master work there is reaching to highlight a reinstatement procedure’s importance for unseeing and weak-eyed women social integration fortune. There in this work is a new view to occupational reinstatement model do not analyze the model’s constituents but unclosing interaction between separate links importance and model’s influence to seeing disabled women social integration process. According to the problem of the research, subject and object’s phrasing, there is risen an aim of the research – accounting Lithuania’s socio-cultural and socio-educational experience, to identify the luck factor seeing disabled women social integration to the work market and unclosing their content and evaluating the expression. There were realized the following research’s tasks: observed and theoretically reasoned reinstatement of the unseeing and weak-eyed women, there is done a research of seeing disabled women integration into work market, the material has been processed statistically and qualitatively, set and evaluated substantial seeing disabled women integration to the work market factor of the success and given the recommendations how to improve seeing disabled women integration to the work market. The methodological reason is made of various theoretical assumptions in the master work: 1) contemporary professional training (constant individuality education, the whole life learning)... [to full text]

Stipinkaulio lūžiai – tai vieni iš dažniausiai pasitaikančių lūžių suaugusiems. Šie lūžiai sudaro 10-15% visų lūžių. Nustatyta, kad per visą gyvenimą iš dešimties maždaug du ��monės patiria lūžius. Dėl lūžio sutrinka pirštų, plaštakos, dilbio ir iš dalies – visos rankos judėjimo funkcija. Šio darbo tikslas – įvertinti ergoterapijos poveikį ligoniams, patyrusiems stipinkaulio lūžį. Darbo uždaviniai: 1. Įvertinti plaštakos funkciją ligoniams, patyrusiems stipinkaulio lūžį, 2. Įvertinti ligonių savarankiškumą patyrus stipinkaulio lūžį, 3. Įvertinti ergoterapijos poveikį šių ligonių rankos funkcijos ir savarankiškumo pagerinimui. Tyrimas buvo atliktas Všį Kauno Kalniečių poliklinika. Tirti asmenys, patyrę stipinkaulio lūžius. Tyrime dalyvavo 100 ligonių. Ligoniai buvo suskirstyti į dvi grupes: pirmą ir antrą po 50 ligonių. Pirmą grupę sudarė ligoniai, patyrę dešinės rankos stipinkaulio lūžį. Antrą – ligoniai, patyrę kairės rankos stipinkaulio lūžį. Abiejų grupių ligoniams buvo sudaryta ir taikyta individuali ergoterapijos programa, atsižvelgiant į rankos funkcijos ir savarankiškumo sutrikimą. Ergoterapijos poveikiui įvertinti buvo naudojama: šiam tyrimui paruoštas klausimynas, plaštakos jėgos matavimas dinamometru, plaštakos funkcijos matavimas goniometru, skausmo ir sustingimo vertinimas, funkcinis judėjimo testas (Modifikuotas Keitelio indeksas), funkcinio nepriklausomumo testas (FNT). Tyrimo išvados: 1.Įvertinus plaštakos funkciją ligoniams, patyrusiems stipinkaulio lūžį, buvo... [toliau žr. visą tekstą] / Radius fractures – are one of the most likely to occur fractures for adults. From all fractures they include from 10 to 15 % of all fractures. It is examined that through whole life, two persons of ten sustain these fractures. Due to fracture fingers, hand, forearms and in part – whole hands, function becomes irregular. Aim of this work is to estimate occupational therapy influence to patients, experienced radius fracture. Tasks of this work is: 1. Evaluate patients hand function, who are experienced spoke-bone fracture, 2. Evaluate patients independence after this fracture, 3. Evaluate occupational therapy effect to these patients hand function and self-care improvement. Research was made at Všį Kauno Kalniečių clinic. Examined people had radius fracture. There were analyzed hundred patients. They were separated into two groups: first and second, both with 50 patients. First group patients had right hand spoke-bone fracture. Second – patients with left hand spoke-bone fracture. To all patients from both groups was adjusted and applied individual occupational therapy programs considering their hand function and autonomy disorder. In order to estimate impact of occupational therapy was used: specially for this research prepared questionnaire; hand strength was measured with dynamometer; hand function was measured with goniometer; also it was evaluated pain and rigor; patients were examined with function movement test (Modified Keitel index) and functional independence... [to full text]

The scientific problem of the study Brain concussion is the most common subtype of the post-concussion syndrome in childhood. This is a mild traumatic brain injury that accounts for 80-90℅ of all cases. Individuals who have sustained brain concussion, i.e. mild traumatic brain injury, frequently complain of various symptoms that are commonly defined as the post-concussion syndrome. Such symptoms are headache, dizziness, nausea, attention disorders, memory problems, sleep disturbances, learning problems, fatigue, emotional instability, mood changes, anxiety, fear, etc. – all of these are defined in the International Classification of Diseases. The symptoms of the post-concussion syndrome are non-specific and subjective. Some patients indicate similar symptoms even without having experienced head injury; these symptoms can occur in the presence of other health disorders, such as the fatigue syndrome, neurasthenia, hyperactivity and attention disorders, as well as in cases of anxiety, mood and emotional disorders, and depression. During the last 25 years, over 500 articles on mild traumatic brain injury have been published in psychological literature, and a similar number of publications in medical literature. The results of scientific studies are quite different, and the variety of the results is still inciting heated scientific debates. Some researchers insist that brain concussion has long-tern sequelae. On the other hand, an opinion has emerged that even if... [to full text]

Background. In Lithuania, the stroke is not only medical, but social issue as well, since only 20% of patients suffering stroke remain active in work. Yearly stroke incidence in Lithuania is 7000–8000 cases. Most common outcome of stroke is unilateral paralysis (hemiplegia), followed by disorders of coordination, balance and movements. Due to dysfunctions of movements, self-care, cognition, behavior, and communication, some part of stroke patients remains disabled. They need assistance and care, provided by other people. During rehabilitation it should be applied occupational therapy sessions, since they determine improvement of patient’s independence and enable training of work skills. The evaluation of certain occupational therapy methods is integral part of complex rehabilitation development. There exist several occupational therapy methods and models, enabling to adjust motoric and cognitive dysfunctions; however, in occupational therapy practice there is still a lack of evidence-based evaluation methods for effectiveness of certain occupational therapies, and evaluation of cognitive and motoric functions and disorders of activities by stroke patients. Aim of study: To evaluate dynamics of motoric, cognitive, psychosocial functions and disorders of activities and to evaluate effectiveness of occupational therapy including related factors on early stage of rehabilitation. Goals of study: 1. To estimate dynamics of motoric, cognitive, psychosocial functions and disorders of... [to full text]

SUMMARY In this final paper the analysis of career education of Lithuanian disabled people and proffesional situation is fulfiled, but not only in context of huge political, socioeconomics alteration. Also this analysis highlights the unities of career education and professional adapation, the stress and necessity of its necessity. Social enterprises are brand-new, even not investigated appearance in Lithuania, which could solve the problem of professional rehabilitation of disabled people. Subject of final paper. The problem of professional rehabilitation in Lithuania and its solving opportunities in social enterprises. Subject of final paper. Creation suggestions and opportunities of social enterprises in Šiauliai town. Objective of final paper. After the estimation of problem perfection of professional rehabilitation in Lithuania and with reference to experience of foreign countries, the objective is to define the promising model of institution, that is social enterprises of disabled people, which would guarantee much faster limited efficiency of integration process of persons to labour market. In this final paper “Professional rehabilitation of disabled people in social enterprises”, the hypothesis – the creation of social enterprises is one of substantial factors, which makes sure the expansion of professional rehabilitation system in Šiauliai town and is one of the main conditions in pursuance of professional rehabilitation of disabled people – has... [to full text]