European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S335
Aim To describe the implementation and dissemination expe-
rience of DBT in Egypt.
Methods The implementation of DBT is examined quantitatively.
Numbers were calculated retrospectively from the records at the
implementation start in December 2013 and after 3 years in Sep-
tember 2016.
Results Number of therapists increased from one team of 2 the-
rapists and one observer to 16 therapists organized in 3 teams plus
4 observers. The initial team, 7 psychiatrists and 2 clinical psycho-
logists, could host and attend the first DBT Intensive Training in the
middle east in 2014. DBT intensive training is the official training
model developed by Dr. Linehan. We started with 8 clients one
group for adults in Alexandria at 2013, increasing to 150 clients
in 12 groups for adults, adolescent and SUD patients in 2016 with
an average increase of 18.75 folds. The team participated and pre-
sented about DBT in 23 local and regional scientific meetings and
hosted two workshops in collaboration with BehavioralTech, the
official training institute.
Conclusions Although the DBT implementation in Egypt repre-
sented a great challenge, results are showing a promising increase
in the number of trained therapists and participating clients.
Keywords Dissemination; DBT; Egypt; Borderline personality
disorder
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0670
Physical examination of psychiatric
patients who presented at emergency
department in a tertiary care hospital
in Sultanate of Oman
S. Alhuseini
Oman medical speciality board, Psychiatry, Muscat, Oman
Objective To examine the completeness of physical assessment
of patients presenting with psychiatric problems to the emergency
department (ED).
Methods This was observational study based on a retrospective
review of the medical records of patients who attended the ED
of Sultan Qaboos university hospital and referred to the on-duty
psychiatrist for assessment over a 12-month period. All patients
aged 16 years and above, who presented to the ED with a psy-
chiatric complaint were included in the study. A data collection
sheet was designed to gather each patient’s demographic data such
as age and gender, past psychiatric history, nature of the presen-
ting complaints, thoroughness of physical assessment, medications
prescribed by the ED doctor prior to psychiatric assessment, and
whether the patient was discharged, admitted to a psychiatry.
Results A total of 202 patients met the inclusion criteria. The
mean age of the patients was 34.2 years. Females represented
56% of the sample. The majority of the study group (60.4%) were
patients with a documented past psychiatric history. Physical exa-
mination was conducted in the ED for 61.4% of the patients, while
vital signs were recorded for 68.8% of them. Approximately, 31% of
the patients required injectable psychotropic medications as tran-
quillizers in the ED. Patients with an isolated psychiatric complaint
coupled with a documented past psychiatric history were more
likely to be referred to the on-call psychiatrist without a physical
examination by the ED doctors.
Conclusion In our institution, not all patients with psychiatric
presentations had a complete physical examination by the ED doc-
tors.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0671
National child developmental and
mental health disorders screening
policy in Thailand
A. Benjaponpitak
Rajanukul institute, department of mental health, Bangkok, Thailand
Background Developmental disorders and mental health pro-
blems result in less optimal outcomes in children. Although
awareness among the public had been improving, there was pau-
city of early identification frameworks, care pathways as well as
the process of monitoring and evaluation in Thailand.
Objective To develop appropriate National child mental health
policy in Thailand.
Aim To promote developmental and mental health outcomes of
children.
Method Current child development and mental health research
as well as policy development were reviewed. The framework
of development together with major mental health disorders
screening and intervention among children has been studied and
established as a major policy in Thailand since 2014. The National
developmental screening has been implemented in children aged
9, 18, 30 and 42 months. District level hospitals have been coa-
ched to facilitate Health promotion schools to screen and provide
early intervention for grade 1 students with mental health pro-
blems. Annual data has been collected and analyzed to reflect the
milestones of child development and mental health prevention-
promotion policy in Thailand.
Result The coverage of National developmental screening ranges
from 70–80% of children. About 20% of preschoolers are at risk of
language delay while nearly 20% of grade 1 children are at risk of
emotional, behavioral and learning problems. Parental awareness
is the major challenge for those with limited financial resources.
Conclusion Investments in early childhood development are nee-
ded. The pathways to develop the appropriate intervention requires
further collaboration among stakeholders.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0672
A RCT of a staff training intervention
to promote quality of care in
long-term residential facilities–the
PromQual study
G. Cardoso∗, A. Papoila , J. Caldas-de-Almeida
Faculdade de Ciências Médicas Universidade Nova de Lisboa, chronic
diseases research centre CEDOC, Lisbon, Portugal
∗ Corresponding author.
Introduction The shift of hospital-based to community-based
mental health care, introduced the need to assess and promote
quality of residential services.
Objectives This RCT aimed at assessing the effectiveness of a staff
training intervention to improve quality of care in residential faci-
lities.
Methods Twenty-three units with at least 12-hour on-site staff
support per day in Portugal were assessed with the quality instru-
ment for rehabilitative care (QuIRC) filled online by the manager.
A random sample of service users were interviewed using standar-
dised measures of autonomy, experiences of care, quality of life,
and the time user diary (TUD) for level of activity. The intervention
group units (n = 12) received workshops and a four-week hands-
on training of the staff versus TAU in the control group (n = 11). All
units and users were reassessed at 8-months. The staff knowledge
gained during the workshops was assessed using pre- post-test.
Generalized linear mixed effects models were used.