Pregled dela v varovanih oddelkih

Autor: Podgorelec, Teja
Přispěvatelé: Mesec, Bojana
Jazyk: slovinština
Rok vydání: 2021
Předmět:
Popis: V magistrski nalogi je središče preučevanja analiza stanja v varovanih oddelkih in pregled dela z osebami, nameščenimi v varovanih oddelkih socialnovarstvenih zavodov. V teoretičnem uvodu predstavim pojem duševnega zdravja, čemur sledijo zakonske podlage za izvajanje institucionalnega varstva v varovanih oddelkih. Preko literature obravnavam metode in koncepte socialnega dela z osebami s težavami v duševnem zdravju ter bolj podrobno sestavo individualnega načrta, ki je podlaga za izvajanje aktivnosti, namenjenih zasledovanju ciljev nameščene osebe. V raziskavo sem vključila socialnovarstvene zavode (domove za starejše in posebne socialnovarstvene zavode), ki imajo varovane oddelke po Zakonu o duševnem zdravju (2008). Raziskava, ki sem jo izvedla, je deskriptivna in kvantitativna raziskava. Odgovore sem pridobila s pomočjo anketnega vprašalnika ter jih obdelala in prikazala z grafi in tabelami. Naloga vsebuje devet sklopov: splošne informacije, sprejem in sprejete osebe, kadre, koncept dela, individualni načrt, dnevne aktivnosti, sodelovanje med institucijami, odpuste in predloge socialnovarstvenih zavodov. Izkazalo se je, da so socialnovarstveni zavodi z oddelki za osebe s težavami v duševnem zdravju bolj zasedeni kot oddelki za osebe, ki zaradi posledic upada kognitivnih funkciji potrebujejo delno ali popolno pomoč in nadzor. V varovane oddelke so večinoma nameščene osebe s sklepom sodišča, pri čemer socialnovarstveni zavodi v večini primerov pri nameščanju sodelujejo z zunanjimi deležniki. Socialnovarstveni zavodi v manjši meri izražajo potrebo po dodatnem kadru v varovanih oddelkih. Socialnovarstveni zavodi sodelujejo na izobraževanjih, posvetih in kongresih enkrat letno, pri izmenjavi informaciji o uporabnikih zelo različno od tedensko do enkrat letno in pri medinstitucionalnem sodelovanju večinoma od enkrat do dvakrat letno. Večina socialnovarstvenih zavodov deluje po konceptu normalizacije. Več kot polovico socialnovarstvenih zavodov evalvira individualni načrt vsaj na pol leta. Samo v polovici socialnovarstvenih zavodov se dnevne aktivnosti razlikujejo med bivanjem na oddelki in pred odpustom. Večina oseb je po odpustu iz varovanega oddelka odšla v odprt oddelek istega zavoda. Predlogi vključujejo verifikacijo vseh varovanih oddelkov, razmislek o prihodnosti varovanih oddelkov, povečanje vpliva oseb na osebnostni razvoj, druženje zunaj zavoda in na spolno življenje. Individualni načrt bi bilo smiselno uporabljati delno strukturiranega oziroma odprtega, pri čemer je potrebno v načrt vključevati širši krog oseb prav tako bi lahko socialnovarstveni zavodi pri pripravi načrta v večji meri vključevali makro raven življenjskega sveta uporabnika. Okrepiti bi bilo potrebno možnost izvajanja dnevnih aktivnosti zunaj zavoda smiselna bi bila bolj redna udeležba socialnovarstvenih zavodov na izobraževanjih, posvetih in kongresih, kot tudi bolj redna izmenjava informaciji o uporabnikih in bolj redno medinstitucionalno sodelovanje prav tako se je izkazalo, da bi bila potrebna obravnava demence v posebnem poglavju Zakona v duševnem zdravju (2008). The focus of the study in the master's thesis is the analysis of the situation in the protected wards and the review of work with people admitted in the protected wards of social welfare institutions. In the theoretical introduction, I present the concept of mental health followed by the legal basis for implementing institutional care in protected wards. Through related literature, I discuss methods and concepts of social work with people with mental health problems. Furthermore, I discuss a more detailed composition of the individual plan which is the basis for the implementation of activities aimed at pursuing the goals of the admitted person. In the research, I included social welfare institutions (retirement homes and special social welfare institutions) with protected wards under the Mental Health Act (2008). The research I made is descriptive and quantitative. I obtained the answers with the help of a questionnaire and processed and presented them with graphs and tables. The thesis contains nine sets: general information, admission, and admitted people, staff, the concept of work, individual plan, daily activities, cooperation between institutions, dismissals, and proposals. It turned out that social welfare institutions with departments for people with mental health problems are busier than departments for people who need partial or complete help and supervision due to the consequences of a decline in cognitive functions. In most cases, people are placed in protected wards by a court decision. In most cases, social welfare institutions cooperate with third parties in the placement. Social welfare institutions express a small need for additional staff in protected wards. Social welfare institutions participate in training, consultations, and congresses once a year. They exchange information about users very differently – from once a week to once a year. In inter-institutional cooperation, most times once to twice a year. Most social welfare institutions operate according to the concept of normalization and more than half of them are evaluate individual plans at least every six months. Only half of the social welfare institutions provide different activities during the stay in the wards and before the dismissal. Most of the people went to the open ward of the same institution after being released from the protected ward. Proposals include verification of all protected wards, consideration of the development of protected wards, the increase of the influence of people on personal development, socialization outside the institution, and sexual life. There should be an individual plan in a partially structured or open manner. Social welfare institutions could also include the macro level of the user's life when preparing the plan. The possibility of carrying out daily activities outside the institution should be improved. Social welfare institutions should participate in training and consultations more regularly. They should also exchange information on users more regularly and be more consistent with inter-institutional cooperation. Above all, it turned out that dementia should be addressed in a special chapter of the Mental Health Act.
Databáze: OpenAIRE
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