European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S339
Methods This was a cross-sectional study, which aimed to deter-
mine the interaction between situational, factors, role stressors,
hazard exposure and personal factors among 246 nurses consis-
ting most of females (78.5%) from the different wards and units in
the Philippines General Hospital (PGH).
Results Almost half (49.6%) of the respondents reported being
ill due to work in the past year, and 56.1% missed work because
of an illness. Correlation statistics using the Spearman’s rho sho-
wed organizational role stressors was most significant in burnout
among nurses in the Philippine’s largest tertiary hospital. Organi-
zational role stressors consisted of ten dimensions, namely:
– inter-role distance (IRD);
– role stagnation (RS);
– role expectation conflict (REC);
– role erosion (RE);
– role overload (RO);
– role isolation (RI);
– personal inadequacy (PI);
– self-role distance (SRD);
– role ambiguity;
– resource inadequacy (RIn).
Conclusion The contribution of the study is in advancing new
concepts in the already existing framework of burnout, and thus,
can assist nurses and hospital administration on how to control this
problem.
Keywords Burnout; Organizational role stressors; Hazard
exposures; Situational factors; Nurses
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0682
Collaborative care for treating
common mental disorders in the
community. Developing a clinical
pathway for early intervention in
Southeast Tuscany
M. Lussetti ∗ e Lilla
1 Azienda USL Sud Est Toscana, department of mental health,
Grosseto, Italy
2 Azienda USL Sud Est Toscana, Società della Salute, Area Grossetana,
Grosseto, Italy
∗ Corresponding author.
Introduction Common mental disorders (CMD) have a 12-month
prevalence over 7% in the Italian population. Only 16,9% of people
are treated by the health services, despite the high cost in disability
and loss of productivity.
Objectives To improve access to low-intensity CBT (LI-CBT) treat-
ments in primary care.
Aims To organize a clinical pathway in which general prac-
titioners (GPs) identify the early signs of CMD and promote a
collaborative care with a team of mental health practitioners
(MHPs).
Methods A small teamofMHPs outlined and implemented, in col-
laboration with a group of 9 GPs, a clinical pathway to treat CMD
in stepped care. Guided self-help was the first and main interven-
tion. Group and individual CBT were offered–when needed–as a
second and third step. If the user opted for drug treatment, a psy-
chiatrist conducted one or two sections of consultation to the GP.
The MHP team was fully integrated within the community men-
tal health center (CMHC). PHQ-9 and GAD-7 were rated at each
appointment.
Results With a mean of 5,3 appointments, 90 persons were trea-
ted in 1 year. 68% reached recovery (both PHQ-9 and GAD-7 < 10),
a result in line with the best performing English Clinical commis-
sioning groups in the IAPT project.
Conclusions A small multi-professional team of MHP can build
with GPs a simple clinical pathway able to reach high standards of
care with relatively small resources offering LI-CBT integrated with
drug treatment and high intensity care.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0683
Barriers for unaccompanied refugee
minors in accessing mental health
care: Is it the therapy or the therapist?
P. Majumder ∗, P. Vostanis , M. O’Reilly
1 University of Nottingham, medicine and health sciences,
Nottingham, United Kingdom
2 University of Leicester, psychology, Leicester, United Kingdom
∗ Corresponding author.
Introduction Refugee children, particularly unaccompanied refu-
gee minors, present with disproportionately high prevalence of
mental health and emotional difficulties. However, the mental
health service access and treatment engagement of this vulnerable
group has been consistently shown to be poorer than the general
population. Despite of this, so far there hasn’t been much research
to explore the possible underlying reasons or barriers for these
young people to accessmental health service in their host countries.
Aims and objectives This research aims to understand unaccom-
panied refugee children’s barriers to access and utilize mental
health services. To explore any potential characteristics in the ser-
vice provision that can be linked with the observed poor treatment
engagement and service access is also an objective of this study.
Methods The study was conducted by using semi-structured
interviews with 15 unaccompanied asylum seeking minors and
their carers to elicit their views, perceptions and beliefs based on
their experience of receiving treatment from a specialist mental
health service in the UK.
Results The interview transcripts were analysed using thema-
tic analysis. The main findings were categorised into two broad
themes, the participants’ perceptions of the intervention received,
and perception of the professionals involved. The different ele-
ments and pertinent issues within these two broad areas were
discussed.
Conclusions Findings will help stimulate further exploratory
research gaining better understanding of the barriers for these
young people to access treatment, and contribute in developing
innovative services that are more efficient in engaging this vulne-
rable group and suitable to meet their specific needs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0684
Time spent in retirement, health and
well-being
A.R. Lucas aniel uadalupe assano-Cardoso ∗
H. Vicente
1 Miguel Torga institute, Coimbra, Portugal
2 Miguel Torga institute, university of Coimbra, centre for health
studies and research, Coimbra, Portugal
3 Miguel Torga institute, research centre for the study of population,
economics and society, Coimbra, Portugal
4 Miguel Torga institute, faculty of medicine, university of Coimbra,
Coimbra, Portugal
∗ Corresponding author.
Introduction From a life-span developmental perspective, reti-
rement can be considered a life event that entails a complex