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Acute hospitalization

The inpatient acute care unit is one of the most important parts of the mental health care at the Mental Rehabilitation Center. The inpatient acute care unit helps where outpatient treatment or crisis intervention may not provide sufficient help.

Our first priority is always to make patients feel comfortable and safe. A welcoming attitude and positive motivation is a given for us. Patients can contact our staff at any time, who are always ready to help and work with them.

Oddělení, kde se léčí pacienti se závažnějšími psychickými potížemi, kteří proto potřebují vyšší dohled, klade na první místo bezpečnost pacientů a jsou koncipována k minimalizaci rizika jakéhokoli nebezpečí. Program zahrnuje individuální a především skupinové terapeutické aktivity. Jedná se neodkladné hospitalizace jako jsou například akutní psychotické stavy, těžké depresivní obtíže, manické stavy, akutní stavy v rámci závislosti na návykových látkách, stavy po sebevražedných pokusech a jiné naléhavé potíže.

Oddělení s nižším stupněm dohledu jsou určena pro pacienty, kteří se již dokážou zapojit do intenzivního terapeutického programu. Ten je složen především ze skupinových psychoterapií a komplementárních terapií, mezi které patří muzikoterapie, arteterapie či dramaterapie. K dalším možným léčebným metodám se řadí pokročilé neurostimulační techniky využívající stimulaci stejnosměrným proudem slabé intenzity (tDCS) a magnetickým proudem (rTMS). Za strukturou celého terapeutického programu stojí přední český psychiatr prof. MUDr. Ján Praško Pavlov, Csc.

Hlavním cílem tohoto typu akutní péče je základní stabilizace duševního stavu pacientů, a edukace týkající se jejich další léčby. Léčebný plán se snažíme každému pacientovi přizpůsobit tak, aby co nejlépe reflektoval specifika a závažnost jeho duševních problémů.

Patients are accommodated in double rooms, which have their own sanitary facilities. Each of the patients thus has enough peace and privacy for effective and successful treatment. On the ward they will also find community areas and a special room designed to de-escalate tension and provide an opportunity to release aggression or tension.

In addition, those patients who are referred by their physician may use other CDR facilities such as the swimming pool, fitness center or library as part of their therapy program.

Each day starts with a wake-up call at 7:20. After the morning hygiene, it is time for a warm-up with a story and after that a breakfast combined with the dispensing of medication. This is followed by a rounding session where patients can discuss their health status with the attending physician. There is also a more extensive rounding once a week, which is attended by the CDR Chief Medical Officer. The morning program concludes with a community meeting for all patients and staff.

Patients fill the rest of the morning with therapeutic activities such as physical or creative activities. After these activities, lunch is served along with the dispensing of medication.

The afternoon is then marked by therapy sessions, either group or individual. There is also space for leisure time or visits from relatives. It all depends on the specific treatment plan and the patient's state of health.

The administration of dinner and medication marks the transition of the day into its evening phase. From quarter to eight, a two-hour block runs with relaxation, a community meeting and a club, an activity organised by patients that helps to relax and bring the team together.

Fifteen minutes before ten o'clock, the nightly medication is dispensed. The nightly rest period starts at 10 pm, during which everyone goes to sleep to recharge their batteries for the next day.

MUDr. Boris Dvořáček

/ doctor

Highest education attained

- name of school: 3rd Medical Faculty of Charles University in Prague

- place: Prague

- date of completion: 2011

 

Postgraduate education, including certified courses

2015 - present: 3rd Medical Faculty of Charles University in Prague

Postgraduate studies in Neuroscience.

06/2019.

2024 Sleep Medicine Course, Brno, Czech Republic.

 

Practice

07/2023 - present: Mental Rehabilitation Centre Beroun, Head of Acute Psychiatric Ward

09/2011 - 06/2023: Psychiatric Clinic, General University Hospital and Charles University in Prague

02/2021 - present: Head of the acute women's ward

2018 - 01/2021: Deputy Head of the Acute Male Ward

06/2017 - Specialized competence in psychiatry

During my internship at this department, I gained experience in treating patients with eating disorders, gerontopsychiatric patients, completed my internship in a day hospital for adolescents and adults, and gained experience in biological stimulation therapy (ECT, rTMS, tDCS) and phototherapy, among others.

2014 - 2023: 1. Faculty of Medicine, Charles University in Prague, Teaching Assistant

Teaching of medical students and undergraduate students within the Czech curriculum of the 1st Faculty of Medicine of Charles University, teaching of English curriculum students.

2014 - present: Institute of Neuropsychiatric Care Prague, Outpatient Psychiatric Care

Care of Czech, English and Portuguese speaking patients.

2015 - 2023: National Institute of Mental Health Klecany

Recruitment and scaling up of patients in the ESO study.

2015 - 2021: National Institute of Mental Health Klecany

Junior researcher within the social cognition department under the supervision of Yulia Zaytseva, MD.