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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644

S607

care services. Piloting this model involves psychosocial rehabilita-

tion of patients with mental disorders, the help of mobile teams at

the place of patient residence, as well as psychoeducation, training,

and support to family doctors. These and other measures will help

to optimise mental health care at PHC level.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2017.01.954

EV0625

Formative exploration of the

relationship between waiting times

and attendance at general adult

psychiatry clinics, at a hospital in

pennine care NHS Foundation Trust

M. Gani

1 ,

, S. Salujha

2

1

Greater Manchester West Mental Health NHS Foundation Trust,

Chapman Barker Unit- Prestwich Hospital, Manchester, United

Kingdom

2

Pennine Care NHS Foundation Trust, General Adult Psychiatry,

Stepping Hill hospital, Stockport, United Kingdom

Corresponding author.

Introduction

An audit was done to assess new patient wait times.

As part of this project we reviewed possible relationships between

wait times and clinic attendance.

Objective

To examine available data, for possible explanations of

patients’ attendance behaviour at outpatient clinics.

Aims

To identify possible correlation between length of waiting

time for adult psychiatry appointments and status of attendance.

Method

Service Line: New patient referrals to adult outpatient

psychiatry (January–December 2015)

Sample size: 401.

Results

Fig. 1 a

nd

Table 1 s

how wait times compared with clinic

attendance outcome. Percentage attendance appeared to gradually

fall as wait times increased; while cancellation (%) by the NHS, and

DNAs (did not attend) by the patient, appeared to rise over time.

Conclusions

This review has demonstrated a possible correla-

tion between wait time for a clinic appointment and how patients

behave. The shorter a patient has to wait; it appears they are more

likely to actually attend clinic. If so, this potentially has implica-

tions for discussions around possible reorganization of services, to

improve engagement and outcomes, by coming up with innovative

ways of reducing wait times.

Fig. 1

Clinic attendance by waitband.

Table 1

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2017.01.955

EV0626

Descriptive study of adjustment

disorders in a mental health unit.

L. González

, B. Pecino , C. Gomez , M. Anibarro , C. Ortigosa

San Juan Alicante Hospital, Psychiatry, San Juan Alicante, Spain

Corresponding author.

Introduction

Adjustment disorders are a common psychiatric

disorder in primary care and mental health units, with point preva-

lence estimates ranging from 0.9% to 2.3%. These disorders have

been recently defined as a stress response syndrome in the fifth

edition of the DSM, causing emotional and social difficulties and

also a large economic burden on society.

Objectives

The aim of this descriptional study was to analyse the

socio-demographic characteristics and treatment of the patients

diagnosed with adjustment disorders in the first visit in a mental

health unit.

Methods

The study sample consisted of 128 patients admitted for

a psychiatric consultation in amental health unit in Alicante (Spain)

from their primary care physician, between February and July 2016.

Variables of gender, age, current employment status, diagnosis and

treatment were measured. Data analysis was conducted using SPSS

software.

Results

The data from 31 patients who were diagnosed with

adjustment disorders meant a 24% of the sample. The median age

was 47 years old in the adjustment disorders group. Among those

with adjustment disorders, 61% were women, and 52% of them

were unemployed. Almost 60% of themhad at least one pychotropic

prescription and only 22% were derived to psychology.

Conclusions

Adjustment disorders are considered as an interme-

diate category between no mental disorder and affective disorders.

Most authors recommend to start with a psychotherapeutic

intervention. Despite starting with medication has not proved

effectiveness in the studies, most of the patients had at least one

psychotropic prescription before the psychiatric evaluation.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2017.01.956