European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237 S199
accordance with the study’s aim, visual and motor functions had
different impact on symptom dimensions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0274
Spanish adaptation of the recovery
enhancing environments (REE)
measure: Preliminary results
P. Penas ∗ Uriarte idgway C. Moreno aurgi
1 University of Deusto, Department of Personality, Assessment and
Psychological Treatment, Bilbao, Spain
2 Osakidetza, Mental Health Services Organization of Bizkaia, Bilbao,
Spain
3 Independet Scholar, Research Consultant, Wichita, USA
∗ Corresponding author.
Introduction During the last decades, the recovery from severe
mental illness has shifted from a focus on reducing symptoms to
a more holistic approach of emphasizing consumer-centered goals
and subjective wellness (Anthony, 1993). The implementation of
this controversial new model it has not had an easy path. In that
sense, Ridgway (2004, 2011) developed the Recovery Enhancing
Environments (REE), an instrument to gather information on per-
sonal mental health recovery and the elements that people feel are
important to their recovery; staff activities and an organizational
climate that encourages resilience.
Objective To present the preliminary results of the Spanish adap-
tation.
Method English to Spanish translation of REE was carried out.
The REE interview and Euro-Qol5d, HoNOS, EEAG and CGI scales
were completed by 312 patients in Mental Health Services organi-
zation of Bizkaia (Spain), 189 men and 123 women (age = 48.89).
The interviewers of the REE were service users trained and hired
for this task.
Results The alpha de Cronbach was .98, and for its dimensions:
program performance indicators (.97), organizational climate (.92)
and recovery markers (.93). The concurrent validity with others
scales have resulted in correlations coefficients superiors to r= .35
(P < .001).
Discussion As the different indicators are adequate and the
instrument has a similar structure to other theoretical studies, it can
be conclude that Spanish REE is an appropriate measure to fill the
gap between the knowledge in the recovery model and what ser-
vices can do to supports this model. All of this information gathered
from people who receive mental health services.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0275
How is evaluated mental health
recovery?
P. Penas ∗ . Moreno Uriarte idgway aurgi
1 University of Deusto, Department of Personality- Assessment and
Psychological Treatment, Bilbao, Spain
2 Osakidetza, Mental Health Services Organization of Bizkaia, Bilbao,
Spain
3 Independent Scholar, Research Consultant, Wichita, USA
∗ Corresponding author.
Introduction There is an increasingly recognition of the concept
of recovery in the treatment of mental illness. Recovery defined as
living a fulfilling, rewarding life, even in the ongoing presence of a
mental illness. Consequently, a number of instruments have been
designed to assess recovery-oriented outcomes.
Objective The objective of the study was to conduct a systematic
revision of the instruments used to assess recovery with appropri-
ate psychometric properties.
Method A systematic review of the literature has been realized.
The adequacy of the instruments utilization, the content validity
and psychometrics properties were gathered and analyzed.
Results/discussion After a systematic review, it has been obtained
25 different instruments for measuring personal recovery and 17
for assessing the orientation of recovery in mental health services.
As a consequence of the lack of consensus that exists in the concep-
tualization of recovery; several instruments have been developed
and used to assess the different recovery domains. But it is essential
to select scales that match with the recovery model and assess ade-
quately the individual’s recovery, and also, the recovery orientation
of services. Moreover, those instruments should have appropriate
psychometric properties and should be suitable to be introduced in
routinely clinical settings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster walk: Substance related and addictive
disorders–part 1
EW0276
Clinical variants of
psychopathological disorders in users
of synthetic cannabinoids (spices)
N. Bokhan ∗, G.Y. Selivanov
1 Mental Health Research Institute, Tomsk National Research Medical
Center of Russian Academy of Sciences, Administration, Tomsk, Russia
2 Siberian State Medical University, Psychiatry, Addiction Psychiatry
and Psychotherapy Department, Tomsk, Russia
3 Siberian State Medical University, Tomsk, Russia
4 Seversk Clinical Hospital, Psychiatry Department, Seversk, Russia
∗ Corresponding author.
Introduction The problem of mental health of synthetic
(“designer”) drug or “spice” users draws the increasing atten-
tion of experts of various areas in psychiatry, addiction psychiatry
and psychotherapy.
Research objective To classify and describe the psychotic states
arising after the use of “spice”; to define the personality changes
and probable consequences of the use observed in patients in the
conditions of a hospital.
Material and methods One hundred and one patients (93 men
and 8 women; mean age 27.8± 7.6 years) with dependence on
“spice” revealed between 2014 and 2015 were examined. History
taking, clinical-psychopathological investigation and experimental
psychological testing were used.
Results and discussion As a result of research the patients were
divided into 5 groups according to criteria of ICD-10:
– group 1: acute intoxication with delirium (n = 16; 15.84%);
– group 2: residual and late-onset psychotic disorders like flash-
backs (n = 9; 8.92%);
– group 3: withdrawal state with delirium (n = 32; 31.68%);
– group 4: psychotic disorder, mainly hallucinatory (n = 30;
29.70%);
– group 5: paranoid schizophrenia (n = 14; 13.86%).
The use of synthetic cannabinoids (“spice”) can initiate transient
psychotic episodes, serve as the contributing factor of development
of paranoid schizophrenia, continuous type of the course, leads to
“accentuation” of schizoid, paranoid and psychopathic traits of the
personality. It is proposed to make up a question of the possibility