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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364


Integrated regional autism program:

The IRAP multidisciplinary model

N. Varrucciu

1 ,

, M. Manfredini


, A. Di Santantonio


, P. Roversi



R. Di Sarro



Local health authority, health and disability integrated program,

Bologna, Italy


Local health authority, department of mental health and addictions,

Bologna, Italy

Corresponding author.


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

[1] .

“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.


This work aims to illustrate our model, resulting from

the integration of family, social and health services, and school.


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.


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.


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.


[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;



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


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.


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.


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).


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.


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.


Startle habituation depends on

selective attention in schizophrenia

patients and cannabis users

E. Wehmann

1 ,

, K.K. Kedzior


, M. Martin-Iverson



University medical center Hamburg-Eppendorf, university of

Hamburg, psychiatry, Hamburg, Germany


Institute of psychology and transfer, university of Bremen,

psychology, Bremen, Germany


Pharmacology, pharmacy & anaesthesiology unit, school of

medicine & pharmacology, faculty of medicine- dentistry & health

sciences, Perth, Australia

Corresponding author.


Schizophrenia is associated with cannabis use and

deficits in selective attention.


This study investigated these relationships using

habituation of the startle reflex in schizophrenia patients relative

to cannabis users during selective attentional tasks.


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.


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.


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.