20.500.12556/RUL-171926 Vloga socialnih delavk v procesu urejanja zasvojenosti z alkoholom magistrsko delo The role of social workers in the process of overcoming alcohol addiction Zasvojenost z alkoholom je v Sloveniji razširjena problematika, ki zadnja desetletja samo narašča. Obstajajo različni načini za urejanje zasvojenosti z alkoholom, sama pa želim z raziskavo pridobiti vpogled v vlogo socialnih delavk pri urejanju zasvojenosti z alkoholom. Želela sem pridobiti informacije o tem, kdaj in zakaj posamezniki, ki imajo težave z zasvojenostjo z alkoholom, poiščejo pomoč pri socialnih delavkah. Cilj magistrskega dela je bil pridobiti uvid v to, kako same socialne delavke ocenjujejo svojo vlogo oz. zakaj menijo, da je njihova vloga v procesu urejanja zasvojenosti z alkoholom pomembna ter kakšni so glavni izzivi pri njihovem delu. Spoznati sem želela, katere metode in tehnike uporabljajo socialne delavke pri svojem delu z ljudmi, ki imajo težave z zasvojenostjo z alkoholom. Želela sem tudi raziskati, kakšen je pomen multidisciplinarnega sodelovanja pri delu z ljudmi, ki imajo težave z zasvojenostjo z alkoholom. Eden glavnih namenov je prikazati, da ima socialno delo pomembno vlogo na področju urejanja zasvojenosti z alkoholom. Raziskava je sestavljena iz teoretičnega uvoda in raziskovalnega dela. V teoretičnem delu najprej predstavim problematiko zasvojenosti z alkoholom, opredelim njen pomen in razsežnost, nato pa osvetlim trenutno stanje na tem področju v Sloveniji. Poseben poudarek namenim posledicam, ki jih zasvojenost z alkoholom prinaša tako posamezniku kot širši družbi. Nadalje predstavim zakonodajni okvir in politiko na področju obravnave alkoholizma v Sloveniji. V naslednjem poglavju se osredotočim na obstoječe pristope k obravnavi zasvojenosti, pri čemer izpostavim vlogo različnih društev, ki so ključni akterji v zadnjih fazah procesa urejanja zasvojenosti, pa tudi delovanje centrov za socialno delo. Na kratko orišem, kako se je pristop k obravnavi zasvojenosti spreminjal skozi desetletja. Pomemben del teoretičnega uvoda je namenjen vlogi socialnega dela na tem področju, kakšna je ta vloga ter zakaj je ta poklic pri obravnavi zasvojenosti ključen. Opišem tudi nekatere pristope, ki jih socialni delavci lahko uporabljajo na področju urejanja zasvojenosti. Na koncu primerjam stanje urejanja zasvojenosti z alkoholom z nekaterimi drugimi državami. V raziskovalnem delu sem opravila pogovore s socialnimi delavkami (in delavcem), ki delajo na področju urejanja zasvojenosti. Raziskava, ki sem jo izvedla, je kvalitativna, empirična, uporabna in eksplorativna. Kot metodo zbiranja podatkov sem uporabila spraševanje. Podatki so bili zbrani z delno standardiziranim intervjujem, pri tem sem kot merski instrument uporabila smernice za intervju. Populacijo raziskave so predstavljale socialni delavci in delavke ki na področju urejanja zasvojenosti z alkoholom delajo že vsaj pol leta. Vzorec je bil neslučajnostni, priložnostni, z mano je sodelovalo osem socialnih delavk in delavcev. Podatke sem obdelala in analizirala na kvalitativen način. Naredila sem transkripcijo, sledilo je odprto, osno in odnosno kodiranje. Ključne ugotovitve raziskave sem tudi povezala z relevantno teorijo. Socialne delavke, ki so sodelovale v raziskavi, opažajo, da večina uporabnikov poišče pomoč, kadar se že pojavijo hujše težave na področju zdravja, delovnega mesta in družinskih odnosov. Pomoč običajno poiščejo zaradi zunanje prisile ali ker so napoteni s strani drugih strokovnjakov. Socialne delavke, ki se ukvarjajo s področjem urejanja zasvojenosti, večinoma to počnejo poleg redne (primarne) zaposlitve, v popoldanskem času, v obliki vodenja skupin za urejanje pripravljalno motivacijskih skupin ali skupin za svojce. Nekatere se s tem področjem ukvarjajo tudi na CSD. Večina oblik pomoči, ki jih socialne delavke nudijo, je namenjenih uporabnikom, ki so že zaključili bolnišnično urejanje zasvojenosti, kar nakazuje na tradicionalno medicinsko psihiatrični model, kjer ima osrednjo vlogo zdravstvo in bolnišnično urejanje zasvojenosti. Vloga socialnih delavk pa je ključna, saj je večina posledic, ki jih zasvojenost pusti, prav takih, s katerimi se ukvarja socialno delo (družinski odnosi, materialne stiske, otroci …). Pri svojem delu se socialne delavke poslužujejo različnih pristopov (skupinsko in individualno delo, soustvarjanje, perspektiva moči, motivacijski intervju …) in se soočajo z izzivi, kot je časovna stiska, pomankanje kadra, nizko plačilo, pro bono delo, gre za delo, ki zahteva veliko dodatnega časa in truda. Izkazalo se je, da multidisciplinarni pristop ocenjujejo kot nujen na področju urejanja zasvojenosti, je pa sodelovanje z drugimi strokovnjaki zelo redko ali pa ga sploh ni. Socialne delavke se pri svojem delu soočajo tudi z občutki nespoštovanja in pokroviteljstva s strani drugih strokovnjakov. Alcohol addiction is a common problem in Slovenia, which has only been growing over the past decades. There are different ways to overcome alcohol addiction, and my research aims to gain insight into the role of social workers in this process. I wanted to get insight into when and why individuals who have problems with alcohol addiction seek help from social workers. The aim of the master thesis was to gain understanding of how social workers themselves assess their role, why they consider their role in the process of overcoming alcohol addiction to be important, and what the main challenges are in their work. I wanted to find out what methods and techniques social workers use in their work with people with alcohol addiction problems. I also wanted to explore the importance of multidisciplinary collaboration in working with people with alcohol addiction problems. One of the main focuses of the thesis will be to show that social work has an important role to play in the process of overcoming alcohol addiction. The research consists of a theoretical introduction and a research part. In the theoretical part, I first introduce the problem of alcohol addiction, define its meaning and significance, and then highlight the current situation in this field in Slovenia. I focus in particular on the consequences of alcohol addiction for both the individual and society at large. I then present the legal framework and policy governing this area in Slovenia. In the next chapter, I focus on existing approaches to addressing addiction, highlighting the role of various associations, which are key actors in the final stages of the addiction regulation process, as well as the work of social work centres. I also briefly outline how the approach to dealing with addiction has changed over the decades. An important part of the theoretical introduction is devoted to the role of social work in this field, what this role is and why this profession is crucial in the treatment of addiction. I also describe some of the approaches that social workers can use in the process of overcoming addiction. Finally, I also compare the situation of alcohol addiction with some other countries. In my research I interviewed social workers working in the field of help and support for people with addiction problems. The research I conducted is qualitative, empirical, applied and explorative. I used questioning as a method of data collection. The data was collected through a semi-standardised interview, using the interview guidelines as the measuring instrument. The population of the study consisted of social workers who have been working in the field of help and support for people with alcohol addiction problems for at least half a year. The sample was non-randomised, casual, with eight social workers. I processed and analysed the data in a qualitative way. I did transcription, followed by open, axial and relational coding. I also linked the key findings of the research to relevant theory. The results of the research showed that most users seek help when they are already experiencing serious problems in the areas of health, work and family relationships. They usually seek help because of external coercion or because they are referred by other professionals. Social workers working in the field help and support for people with alcohol addiction problems mostly do this in addition to their primary work, in the afternoons, in the form of facilitating recovery groups, motivational groups or groups for relatives. Some of them also work in this field at the social work centre. Most of the forms of support provided by social workers are aimed at users who have already completed inpatient addiction treatment, which is indicative of the traditional medical psychiatric model, where health care and inpatient addiction treatment play a central role. The role of social workers is crucial, since most of the consequences of addiction are the ones that they regulate (family relationships, material hardships, children, etc.). Social workers use different approaches in their work (group and individual work, co-creation, power perspective, motivational interviewing, etc.). In their work, social workers face challenges such as time pressure, lack of staff, low pay, pro bono work, work that requires a lot of extra time and effort. It has been shown that a multidisciplinary approach is seen as necessary in the field of overcoming addiction, but there is very little or no collaboration with other professionals. Social workers also face feelings of disrespect and condescension from other professionals in the course of their work. zasvojenost alkohol socialno delo socialno urejanje zasvojenosti društva addiction alcohol social work social regulation of addiction associations true false false [T. Likar] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-09-04 09:00:19 2025-09-04 09:00:25 2026-01-13 10:09:57 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 110 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 364.4-053.81 52246 264464131 17894.pdf 17894.pdf 1 01D9C9120838E37D8082197845394FEE c12cf390146e6ed13f95b088b408e2045f0ef6b2e4b8a4ed449270fa0c8c24ca b0a151e0-895c-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=215495 Fakulteta za socialno delo 0 0 0