European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S519
EV0354
Strategies to reduce the stigma
toward people with mental disorders
in Iran based on stakeholders view:
A qualitative study
A. Taghva
Aja university of medical sciences, Faculty of medicine, Tehran, Iran
∗ Auteur correspondant.
Introduction Stigma effects on the process of mental disorders
and many researchers consider it as the most serious risk factor
and inhibitor in promoting mental health.
Aims The aimof this studywas to explore the strategies to reduce
the stigma toward people with mental disorders in Iran.
Methods This qualitative study, using content analysis method,
was undertaken from 2013 to 2015. All participants were recruited
by purposive sampling method. They were stakeholders of mental
health in Iran. Data were collected through 16 individual inter-
views, 2 focus group interviews and 6 written narratives. The data
were collected, coded and analyzed simultaneously.
Results The major themes were: “Emphasis on education and
changing attitudes”, “Changing the culture”, “Promoting services
and support coverage”, “Role of various organizations and institu-
tions”, “Integrated reform of structures and policies to improve the
performance of custodians”, and “Evidence-based actions”.
Conclusion It seems crucial to adopt strategies that lead to reduce
the stigma of mental illnesses and increase awareness among peo-
ple, scholars and service providers in the field of mental health.
Additional studies are needed to evaluate the effectiveness of the
emerging strategies to reduce stigma.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0355
Spirituality meanings reported by
Southeast Brazilian nursing staff at
the psychiatric ward of a university
general hospital: A clinical-qualitative
study
G. Lavorato-Neto , L. Rodrigues , E. Turato∗, C.J.G. Campos
UNICAMP–State University of Campinas, LPCQ–Laboratory of
Clinical-Qualitative Research, Campinas, Brazil
∗ Corresponding author.
Introduction Despites nursing holistic trends for caring, in psy-
chiatric wards of general hospitals the spiritual dimension remains
controversy. Evidence shows spirituality rule in recovering and also
alerts about complications associated to mental disorders and spir-
ituality.
Aim To describe spiritualitymeanings attributed by a psychiatric
nursing team and discuss how they apply them on professional
cares.
Method Clinical-qualitative design is a particularization of
generic qualitative strategies brought fromhumanities to approach
symbolic research questions in clinical settings. A semi-directed
interview with open-ended question, in-depth, was carried out
with a team of 22 nursing professionals in the psychiatric ward
of a general hospital in Southeast Brazil. Data analysis was driven
under the Ricoeur understanding of Freudian symbolic mean-
ing, which affirm that a statement revels multiple meanings
overwritten.
Results Spirituality is developed from several sources of rest-
lessness and living together. The function of spirituality is to help
fulfill social roles, keep internal balance and to maintain sacred
practice attitudes towards life that brings symbolic salvation:
help or redemption to hard life times. Nature of mental illness
remains as spiritual stigma and a suspicion contradictorily to spir-
itual approach caring to patients in inpatients services, which is
described, as inappropriate or confusable.
Conclusions Even spirituality meanings are covered by symbol-
ism, which expresses human attitudes to help in life crises they
are surrounded by contradictions that situate this dimension in the
limit of reason, which approximates carriers and patients causing
weirdness. Nursing staff still needs training to deliver holistic care,
and spiritual counseling to gain clarity in this issue.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0356
Residential facilities project in Cuba:
An original working model
A. Vaccaro ∗, M.J. Brito Broche , M.I. Capote ,
C.B. Borrego Calzadilla , C. Mencacci
1 Ospedale Fatebenefratelli e Oftalmico, Neuroscienze, Milano, Italy
2 Jefa de Sección de salud mental, Ministerio de la Salud, La Habana,
Cuba
3 Vicedirectora del Hospital psiquiatrico de La Habana, Psiquiatria, La
Habana, Cuba
4 Jefa de la Sección de salud Mental, Ministerio de Salud Pública de la
República de Cuba, La Habana, Cuba
∗ Corresponding author.
Psychiatry must have among its main aims to reintegrate in their
own environment of life people with psychotic disorders, person-
ality disorders and other serious disorder of the psychic sphere. We
must be able to operate in places built ad hoc, that is, where time,
space and procedures are marked with certainty and, as much as
possible, managed firsthand. The environmentmust be constructed
or modified in such a way as to make it unlikely the failure or dis-
comfort. Patients also need to be strengthened in their ability to
integrate in their environment and in the ability to cope with vari-
ous life events. The goal is to transfer a first group of patients from
large psychiatric hospital of La Habana to the territory, specifically
in 2–3 already identified communities, to realize the rehabilitation
projects that in 3–4 years can bring patients selected at their home
or, alternatively, at self-managed apartments. The reference model
of rehabilitative interventions is multimodal. The model explains
the onset, course, prognosis and social functioning of the major
mental disorders as a complex and mutually conditioning relation
between biological, environmental and behavioural. The results
will be evaluated over the next three years and will be the sub-
ject of future publications. A good practice cannot disengage from
safe theoretical andmethodological references. To showclearly and
verifiably their work, operators must be trained before and during
all phases of work, a job training, continuing education, which has
as its primary objective the descriptive clarity and verifiability of
results.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0357
Between creativity and death:
Abstract expressionists and alcohol
use disorders
O. Vasiliu ∗, D. Vasile , F. Androne , M. Patrascu , E. Morariu
“Dr. Carol Davila” central military hospital, psychiatry, Bucharest,
Romania
∗ Corresponding author.
American Expressionists were a group of American artists who
valued free expression of unconscious elements, combining emo-