European Psychiatry - Volume 41 - April 2017

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S568 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582
Funding EEA Grants, Programa Iniciativas em Saúde Pública.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0503
Mental health and human rights in
Morocco: The urgent need for new
policy
C. Aroui ∗ houbila , K. Mchichi Alami , M. Agoub , O. Battas ,
D. Moussaoui
Faculté de Médecine et de Pharmacie, Hassan II University,
Neuroscience Laboratory, Casablanca, Morocco
∗ Corresponding author.
Introduction All over the world, there is global emergency when
it comes to respecting human rights in providing good mental
health services. Morocco as an African and a developing country
has always had a mental health policy defined by several glitches
and failures, which had not helped him improve its mental health
services quality. Nevertheless, huge improvements were achieved
through time.
Objectives This report, aims to draw attention on how compul-
sory it is to think and act all together to promote mental health and
provide patients with better health services in Morocco.
Methods The National Human Rights Council conducted an infor-
mation and investigation mission in Morocco’s main mental health
hospitals and facilities between March 27 and July 6, 2012.
Results Structures are insufficient and inadequate in terms of
geographical distribution, architecture and equipment. There is a
big shortage of medical and paramedical staff and little interest is
given to vulnerable groups. Nevertheless, huge improvements have
also been achieved through time with mental health issues becom-
ing a cornerstone of the ministerial program, the involvement of
the NGOs, the construction of newer facilities, the implementation
of an information gathering systemand the presence of a substance
use policy.
Conclusion Psychiatry in Morocco has come a long way since
it was firstly implemented in the country as a medical specialty.
Undoubtedly, a lot has been done but much more remains to be
achieved. The current situation requires relevant actions and that
clearly includes the implementation of a new mental health policy
and the update of the legal framework.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0504
Epidemiological study of disability
from mental disorders in children and
adolescents population in Saratov
region in 2000–2014
Y. Barylnik ∗, V. Popkov , N. Filippova , Y. Abrosimova ,
E. Kolesnichenko , S. Pakhomova , D. Samoilova , A. Antonova ,
E. Bachilo , M. Deeva , S. Sizov
Saratov State Medical University, Department of psychiatry,
narcology, psychotherapy and clinical psychology, Saratov, Russia
∗ Corresponding author.
Introduction Children and Teenager’s disability is an extremely
important medical and social problem, being very characteristic
of the state of public health in the country and the level of social
well-being of society.
Objectives An epidemiological study of the structure of disability
due to mental disorders in children and adolescent population of
the Saratov region for the period from 2000 to 2014.
Methods The analysis of the statistical data reporting forms
“Information on the health care system” and “Information on the
groups of the mentally ill” in the Saratov region in 2000–2014
by epidemiological, demographic and mathematical-statistical
methods.
Results Number of children and adolescents (0–17 years), rec-
ognized as disabled by mental illness, increased both in absolute
numbers (growth rate-12.86%), and the intensive indicators
(49.88%). Increasing the number of disabled children and ado-
lescents registered in schizophrenia, schizoaffective psychosis,
schizotypal disorder, affective psychosis with delusions incongru-
ent the affect. Themost significant increase is observed in the group
of chronic nonorganic and childhood psychoses. In epilepsy and
mental retardation in the analyzed period was a slight decrease in
total disability.
Conclusions The most significant increase in disability in the
group of chronic nonorganic and childhood psychosis, most likely
due not only to a true increase in morbidity and disability, but
also with a great attention of both the public and the country’s
health services to the problems of childhood autism and, as a
consequence, greater detection of children with this category of
disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0505
The psychiatric services of Saratov
region and directions of its’
improvement (Clinical, statistical and
epidemiological aspects)
Y. Barylnik ∗, D. Samoylova , S. Pakhomova , J. Abrosimova ,
E. Kolesnichenko , N. Filippova , M. Deeva , E. Bachilo ,
A. Antonova , S. Sizov
Saratov State Medical University, Department of Psychiatry,
Narcology, Psychotherapy and Clinical Psychology, Saratov, Russia
∗ Corresponding author.
Introduction The determining of the actual number of people
withmental disorders and their spreading by nosology still remains
actual, especially according to different regions.
Objectives The determining of the psychiatric services effective-
ness in Saratov region on the basis of comprehensive analysis of its’
clinical, statistical and epidemiological characteristics.
Methods The analysis of mental state indicators based on the
example of adults’ schizophrenia Saratov region in dynamics for
10 years (2005–2015) in comparison with Russian Federation.
Results Over the past 10 years the number of clinically super-
vised patients with schizophrenia decreased at 0.9% in the city
and 2.2% in region population. This is consistent with the ten-
dency of schizophrenia morbidity in Russian Federation over the
same period. The number of supervised adult patients with pri-
mary diagnosed schizophrenia in Russia remained at the same
level and amounted to 10.8 per 100 thousand population. At
the same time the noticeable fluctuations in the number of this
patients’ category were observed in Saratov and Saratov region.
Over the past 10 years, the proportion of patients with primary
diagnosed schizophrenia disability in the class structure of men-
tal disorders is quite high, averaging of 41.1% in Saratov region.
Analyzing the number of patients with re-confirmed disabilities
the gradual decline from 1846 to 755 people (at 59.1%) was
found.
Conclusions The mental health analysis of Saratov region popu-
lation allows to suggest the long-term forecast of mental disorders’
morbidity, to analyze the level of disability due to schizophrenia,
to develop recommendations for the optimal regional model of
psychiatric services.