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The bachelor thesis focuses on the issue of availability of psychotherapy in the Czech Republic. The work analyzes the possible causes of unavailability of psychological services for their users and interprets the future of the system of providing mental health care with special emphasis on psychotherapy. To answer the research questions, semi-structured interviews were conducted with actors with different perspectives on the issue. The interviews provided not only a description and evaluation of the current and future state of the mental health care system, but also suggestions for its improvement. The conceptual and theoretical framework of the work consists of a model of actors generating the agenda in arenas (also known as the A-A- A model) and policy analysis. As the main factor influencing the availability of psychotherapy, respondents mentioned the generally poor systemic setting of its provision. However, respondents agreed that the Czech Republic is well placed to improve the overall system of mental health care through the ongoing Psychiatric Care Reform, which should respond to the shortcomings of the system through the strategy document Psychiatric Care Reform Strategy (2013). The National Action Plan for Mental Health is a document expanding the Strategy for the Reform of Psychiatric...

The subject of this diploma thesis is the involvement of users of psychiatric care in the process of planning and realization of psychiatric care reform at the macro level of policy making. The aim of the research is to describe and understand this involvement. In the research are describer possibilities of participation in the phases of involvement, its form, purpose, formal regulation of opportunities, expectations of respondents, perceived power and barriers in involvement. The data was collected during interviews with key actors and studies of relevant documents. The results relate to the theoretical concepts of coproduction, patient-oriented care, strategic and human rights documents (the Convention on the Human Rights of People with Disabilities). The element of power is described through the typology of Sherry Arnstein's participation ladder. Evidence of interviews indicates elements of tokenism and disadvantages. There is a low (one-person) representation of users in reform bodies, lack of time for discussion in consultative bodies, lack of information and lack of capacity (people, time, resources) for greater development of patient organizations. Respondents have identified barriers as the socio-economic situation, lack of capacity for macro-level involvement, mental health constraints or...

The bachelor thesis deals with mental health as a specific and significant part of the health in general. The thesis analyzes mental health determinants and contemporary socioeconomic factors, which are negatively affecting the state of mind and are increasing the probability of occurence of mental disorder. Based on analyzis, the thesis is finding out that the current state organizational structure in mental health care in the Czech Republic mismatches with The World Health Organization's recommendations. Despite some notable efforts trying to restructure the system, changes leading to community service based model are very slow. The crucial part of the thesis is focused on analyzing the mental health expenditures of the General Health Fund during years 2006 to 2012. The major part of mental health expenditures lead to specialized hospitals. The results are confirming the dominant role of the psychiatric hospitals within the mental health care in the Czech Republic.

Problems of mental health care in the Czech republic have been defined in the early nineties. Yet after nineteen years of progress in this area, these problems are still major topics in mental health care policy documents. Main purpose of diploma paper is therefore to analyse mental health care problems and at the same time also might-be solutions. Mental health care problems definitions as conceptualized in mental helth care policy documents are found to be plausible. Though the amount of supportive data is sufficent, there are differences in decisiveness of some arguments. Available solutions are brought up and described in various manners in order to show their own logic, rules and after all their usability. Final conclusions consider the roles and responsiblities of various policy actors.