This diploma work examines the family role of seniors in today's world. The theoretical part describes the phenomenon of the quality of life with an emphasis on the quality of life of seniors. Furthermore, the work focuses on old age, its definition and characteristics, on seniors in the Czech Republic and the description of the elderly in relation to the family. The last chapter deals with the care for the elderly. The empirical part is motivated by the main research question: What is the family role of seniors living in residential facilities of social services from their own perspective like? To answer this question I conducted a qualitative research using a test of family system - FAST and the interview. The whole research is focused on seniors living in residential facilities of social services. I worked especially with retirement homes. The empirical part includes the research objectives and questions, the detailed description of the methods I used, the research sample and the description of the whole process of research. The complete research, its process and its results are then subjected to a critical examination in the discussion.

The thesis of my dissertation is an urban design of waterfront of Jihlava river in Třebíč, which runs through the center of the city and becomes its part. The inner city and the river basin are wedged into the valley, which is formed by a rocky terrain. The territory I am dealing with concerns several parts of Třebíč – Stařečka, the Inner Town, Zámostí and Podklášteří. This area is defined from the south by an arterial road and the bus station across the Suchniova street, and the main road on the Smila Osovského street. From the north, this area is lined by a rocky terrain, conservation area – the Jewish town which is registered on a UNESCO World Heritage List, under chateau meadow, continuing up to the summer swimming area Polanka. The outcome of this thesis is a total revitalization of described area and transformation of this town into an attractive Down structure that would offer a wide range of leisure activities, not only for people living in this territory but for tourists as well. The described territory is divided into several parts – the part in proximity to the outdoor swimming pool Polanka, then the part concerning the bus station and the right riverside. The main idea is to interconnect these parts and to komplete the urban structure following the original structure of the buildings. The new buildings would be mostly residential, with commercial and administrative areas on the first three floors. This administrative part also creates some sort of noise barrier from the arterial road. Clean areas intended for living are localized along the riverside in the western part of Stařečka. The flat orientation responds to the calm potential of Jihlava river, which creates a pleasant visual perception. Therefore, the quiet rooms are orientated to the north. Along the banks of the Jihlava river is proposed a quiet zone with both sport and recreational character, which helps changes of passive and active zones. In a close proximity of these

1 Name of paper / Name of work The implementation of social services quality standards in residential facilities for elderly people - Ethical aspects Abstract The changes in the approach to the clients and adjustments of the run of the facility to their needs are one of the biggest long-term challenges for the service providers. The basis for the correct setting of all the parameters of service (process, personnel and operating) are standards in the quality of social services which involve certain principles and ethical values altogether. One of the essential tools in the changes in approach to clients is the principle of individualization of care, which can be achieved by setting the services to each client individually so that the service provided reflects their real need as much as possible. This dissertation focuses on the individualization of care as a significant indicator in the changes of approach to clients. We tried to figure how the individualization of care reflects in the attitudes of organizations to implement quality standards and how it affects the worker's personality and chosen organizational aspects. An interim goal of this paper was also to identify the ethical aspects which can accompany the introduction of quality standards into practice. We have chosen a method of quantitative...

1 Name of paper / Name of work The implementation of social services quality standards in residential facilities for elderly people - Ethical aspects Abstract The changes in the approach to the clients and adjustments of the run of the facility to their needs are one of the biggest long-term challenges for the service providers. The basis for the correct setting of all the parameters of service (process, personnel and operating) are standards in the quality of social services which involve certain principles and ethical values altogether. One of the essential tools in the changes in approach to clients is the principle of individualization of care, which can be achieved by setting the services to each client individually so that the service provided reflects their real need as much as possible. This dissertation focuses on the individualization of care as a significant indicator in the changes of approach to clients. We tried to figure how the individualization of care reflects in the attitudes of organizations to implement quality standards and how it affects the worker's personality and chosen organizational aspects. An interim goal of this paper was also to identify the ethical aspects which can accompany the introduction of quality standards into practice. We have chosen a method of quantitative...

Ce projet de recherche revisite la conceptualisation du logement et des ressources résidentielles pour les adultes avec un trouble mental. Les objectifs visent : (1) à identifier les attributs, dimensions et domaines ; (2) à développer un nouveau modèle ; (3) à concevoir un instrument de mesure pour décrire l’éventail des ressources résidentielles en santé mentale. Méthodologie : Phase 1: Le devis de recherche s’articule autour de la cartographie de concepts, caractérisée par une méthodologie mixte. L’échantillonnage, par choix raisonné, a permis de recueillir une pluralité de perceptions et d’expériences (p.ex. personnes utilisatrices de services, proches, responsables de ressources résidentielles, gestionnaires). Les participants proviennent de cinq régions du Québec (nombre total de participations = 722). Au cours des six étapes de la cartographie de concepts, les participants ont généré des attributs décrivant le logement (n = 221), leur ont accordé une cote numérique (n = 416) et les ont regroupés en catégories (n = 73). Douze participants ont interprété des cartes conceptuelles produites par des analyses multivariées, soit l’échelonnage multidimensionnel (MDS) et la typologie hiérarchique. Des analyses par composantes principales (PCAs) ont été utilisées pour raffiner la conceptualisation (n = 228). Phase II: L’instrument a été développé, utilisé et ajusté à la suite de deux groupes de discussions (n = 23) et d’une étude transversale auprès de ressources résidentielles (n = 258). La passation se fait via une entrevue téléphonique semi-structurée enregistrée, d’une durée moyenne de 130 minutes. Résultats : Les participants ont généré 1382 idées (99.5% de saturation). Les cartes conceptuelles issues de la cartographie de concepts comprennent 140 idées (attributs du logement), 12 dimensions et cinq domaines (indice de stress MDS = 0.2302, 10 itérations). Les analyses PCAs ont permis de retenir quatre domaines, 11 composantes (α = 0.600 à 0.933) et 81 attributs. Les domaines sont : (1) environnement géophysique; (2) atmosphère et fonctionnement du milieu; (3) soutien et interventions offerts; (4) pratiques organisationnelles et managériales. L’instrument développé comprend quatre domaines, 10 dimensions et 83 attributs. À cela s’ajoutent des variables descriptives. L’instrument résulte des Phases I et II de ce projet. Conclusion : L’instrument a été développé en collaboration avec diverses parties prenantes, à partir de considérations ontologiques, réalistes, causales et statistiques. Il dresse le profil détaillé d’une ressource résidentielle sous ses différentes facettes et s’appuie sur la prémisse qu’il n’existe pas de milieu résidentiel idéal pour tous. / It is still a challenge to systematically describe housing for adults with severe mental illness and identify attributes that differentiate between facilities. While revisiting housing conceptualization, this research project objective is threefold: (1) identify common and commensurate housing attributes, dimensions and domains; (2) generate a new housing model; (3) develop an environmental instrument to describe housing ranging from 24-hour staffed congregate settings to apartment with no onsite support. Methods: Phase 1: A mixed-methods participatory approach as well as a purposeful sampling strategy designed to gather a mixture of relevant viewpoints were used. Participants were from five regions of Quebec and included multiple stakeholders (e.g. consumers, family members, operators of facilities, managers). As part of a six-step group concept mapping process, participants brainstormed (n = 221), rated (n = 416) and sorted (n = 73) into categories housing attributes. Participants (n = 12) were also involved in the interpretation of the conceptual maps produced using two-dimensional multidimensional scaling (MDS) and hierarchical cluster analysis (total incidents of participation = 722). These maps and the rating data obtained from a subgroup of participants (n = 228) were used to conduct principal components analyses (PCAs) to refine the conceptualization. Phase II: An instrument was designed, used and adjusted. The study design included two focus groups with experts (n = 23) as well as a cross sectional survey with 258 residential facilities. The instrument was administered using audio-taped semi-structured telephone interviews (130 minutes in average). Results: Participants brainstormed 1382 statements (99.5% saturation). The conceptual maps (MDS stress value = 0.2302, 10 iterations) comprised 140 selected statements (housing attributes), 12 dimensions and five preliminary domains. Corroboration and refinement using PCAs retained four domains, 11 components (α = 0.600 to 0.933) and 81 attributes. The domains are: (1) geo-physical environment; (2) milieu atmosphere and functioning; (3) provision of services and support; (4) organizational and managerial practices. Based on Phase I and II results, the environmental instrument comprises 4 domains, 10 dimensions and 83 attributes. It also includes descriptive variables. Conclusion: The instrument was designed with stakeholders’ inputs and based on conceptual, statistical and empirical considerations. It provides a multifaceted facility profile based on multiple levels attributes. It covers several elements of healthcare quality assessment starting from the assumption that there is no ideal setting for all.