European Psychiatry - Volume 41 - April 2017

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S308 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
EW0590
Integrated regional autism program:
The IRAP multidisciplinary model
N. Varrucciu ∗, M. Manfredini , A. Di Santantonio , P. Roversi ,
R. Di Sarro
1 Local health authority, health and disability integrated program,
Bologna, Italy
2 Local health authority, department of mental health and addictions,
Bologna, Italy
∗ Corresponding author.
Introduction Receiving an autism spectrum disorder (ASD) diag-
nosis often is daunting for individuals and families because of the
life-long difficulties with functioning, health and quality of life
“Casa del Giardiniere” is the reference facility for ASD at the Local
health authority. The multidisciplinary team is composed by child
psychiatrist, psychiatrist, psychologist, behavior analyst, educator,
speech therapists, neuropsychomotor therapist, and social worker.
Following the international guidelines for the neurodevelopmental
disorders, patients’ age changed from 0–18-year-old to lifespan.
Objectives This work aims to illustrate our model, resulting from
the integration of family, social and health services, and school.
Methods Data on demographic, family, and clinical factors were
gathered among subjects admitted to our ASD unit along 2015. All
participants underwent to the following process: diagnostic assess-
ment, Functional assessment of speech, communication, cognitive
and adjustment skills, treatment, and parent training.
Results Data showed a general improvement of skills. The best
results were achievedwhen a full sharing of methods and strategies
in all areas of life were possible. Results will be discussed in details.
Conclusions This model allows to realize efficient individualized
treatment programs and to benefit of specific training both on
intervention programs and approach with families. Furthermore,
parents learn to “see” their child not only within its limits.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Reference
[1] Roberts JMA, Prior M. A review of the research to identify
the most effective models of practice in early intervention
of children with autism spectrum disorders. Brisbane, Austra-
lia: Australian Government Department of Health and Ageing;
2006.
EW0591
Development and evaluation of a
psychosocial model for children who
experience trauma from low and
middle-income countries
P. Vostanis
College of medicine, biological sciences & psychology, psychology,
Leicester, United Kingdom
Introduction Despite fragmented evidence on individual inter-
ventions, good practice and child welfare programmes in low and
middle-income countries (LMIC), there is no comprehensive model
for early interventions, particularly for children who experience
complex trauma.
Objective The objective of the World Awareness for Children in
Trauma (WACIT: ) is to develop an evidence-based
psychosocial model for vulnerable children in low and middle-
income countries with limited or no access to specialist resources.
Methods The aim of the preliminary evaluation was to establish
stakeholders’ views on the extent of need, socio-cultural context,
service gaps, and recommendations for improvement and creation
of working partnerships. This consisted of four studies:
– 1. Participatory workshops in six countries (Turkey, Pakistan,
Indonesia, Kenya, Rwanda, Brazil) with a total 250 strategic and
operational stakeholders;
– 2. Quantitative evaluation in two of these countries (Turkey, 32
participants; and Brazil, 80 participants);
– 3. Interviews with 17 stakeholders from the six countries;
– 4. Focus groups with 7 children, 7 parents, 9 teachers and 11 other
professionals in one country (Kenya).
Results Findings indicated that lack of resources (funding, facili-
ties, training and personnel), poor collaboration (between church,
families, government, schools and community), impaired paren-
ting, socio-economic challenges and limited knowledge on child
mental health as key factors that impede interventions.
Conclusions The findings have informed the next phase of the
WACIT programme in developing sustainable networks, training,
and culturally appropriate interventions in the participating LMIC.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0592
Startle habituation depends on
selective attention in schizophrenia
patients and cannabis users
E. Wehmann ∗, K.K. Kedzior , M. Martin-Iverson
1 University medical center Hamburg-Eppendorf, university of
Hamburg, psychiatry, Hamburg, Germany
2 Institute of psychology and transfer, university of Bremen,
psychology, Bremen, Germany
3 Pharmacology, pharmacy & anaesthesiology unit, school of
medicine & pharmacology, faculty of medicine- dentistry & health
sciences, Perth, Australia
∗ Corresponding author.
Introduction Schizophrenia is associated with cannabis use and
deficits in selective attention.
Objectives/aims This study investigated these relationships using
habituation of the startle reflex in schizophrenia patients relative
to cannabis users during selective attentional tasks.
Methods Participants included 12 healthy controls (CON), 16
healthy cannabis users in the last 12 months (THC), and eight
schizophrenia patients (SCZ). Auditory startle reflex was recorded
from orbicularis oculi muscle while participants were attending
to (Attend Task) or ignoring (Ignore Task) 100 dB startling pulses.
Startle habituation was measured as the absolute reduction in
startle magnitude on block 2 (last nine trials) vs. block 1 (first nine
trials) on each attentional task and in each group.
Results All three groups were matched on demographics, alco-
hol, and caffeine consumption. ANCOVA with two within-subject
factors (attention and habituationwith 2 levels each), one between-
subject factor (group with 3 levels), and one covariate (nicotine
use which was higher in SCZ vs. CON or THC) showed a significant
startle habituation with moderate to large effect sizes in all three
groups on the Ignore Task (Cohen’s d = 0.67 in CON, d = 0.59 in THC,
d = 0.90 in SCZ) but not on the Attend Task. Attentional modula-
tion of the startle reflex occurred only in CON (d = 1.33) and THC
(d = 1.17), but not in SCZ.
Conclusion Auditory startle habituation depends on selective
attention but is not affected by schizophrenia or cannabis use. Defi-
cient attentional modulation of the startle reflex suggests that a
more severe deficit in selective attention occurs in schizophrenia
relative to cannabis use.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.