European Psychiatry - Volume 41 - April 2017

618 / 916

S614 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644
Aims and method To show positive trends and practices in BH as
well as obstacles in some fields of the reform.
Results For the last six years are made positive national men-
tal health policies, established case management model in work
with people with severe mental disorders, broad spectrum of ser-
vices recognized by health insurance (validation of the work for all
team members), user initiatives (organization), active role of pri-
mary mental health care, reduction of hospitalization, etc. On the
other way, yet are not established protected housing, early inter-
ventions services and universal methodology or team structure in
all CMHC.
Conclusions Community based mental health care shown as a
good choice in the reform of the mental health in BH, confirming
positive results from other countries. That is a reason to continue
with improvements based on daily practices of the teams in CMHC.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0648
Access to mental health services
among internally displaced persons in
Ukraine: Results from a nationwide
survey
B. Roberts ∗, N. Makhashvili , J. Javakhishvili
1 London School of Hygiene and Tropical Medicine, Health Services,
London, United Kingdom
2 Global Initiative on Psychiatry, Tbilisi, Mental Health, Tbilisi,
Georgia
∗ Corresponding author.
Background There are an estimated 1.4 million internally dis-
placed persons (IDPs) in Ukraine as a result of the armed conflict in
Ukraine.
Objectives (i) Measure the burden of key mental disorders (PTSD,
depression and anxiety); (ii) examine rates of utilization of health
and psychosocial support services; (iii) examine the patterns of
utilisation of services.
Methods The study used a cross-sectional survey design and was
conducted throughout Ukraine betweenMarch and May 2016 with
2203 IDPs aged 18 years and over. Time-location sampling was
chosen as a probabilistic sampling method. Outcome measures
were the PCL-5 for PTSD, the PHQ-9 for depression and the GAD-7
for anxiety. Descriptive and multivariate regression analyses were
used.
Results Of the 2203 respondents, 703 reported experiencing a
mental health or emotional problem over the previous 12 months
and were also screened positive with PTSD, depression or anxi-
ety. Of these 703, 180 had sought care (with sources of care to be
given in the presentation). Therefore, 523 respondents did not seek
care, equating to an overall treatment gap of 74%, (74% for PTSD,
71% for depression and 70% for anxiety). Key reasons for not uti-
lising treatment included preferring to use their own medications
(n = 176); unaffordability of health services (n = 118) ormedications
(n = 140); poor understanding by health care providers ( n = 123);
poor quality of services (n = 78) and stigma/embarrassment
(n = 41).
Conclusions The findings support the need for a scaled-up, com-
prehensive and trauma informed response to provision of the
mental health care of IDPs in Ukraine.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0649
Taking care of people suffering from
neuropsychiatric illness living at
home
T.M. Sæterstrand
Sykepleie og helsefa, Nursing and Health, Bodø, Norway
Content background People suffering from neuropsychiatric ill-
ness are often in need of caring and nursing over a long period of
time. Research shows that patients suffering from such illness do
not very often get enough care in practice.
Aim To gain knowledge about nurses experiences from taking
care of older people living at home and suffering from chronic and
neuropsychiatric illness.
Method Qualitative analysis: fieldwork and qualitative inter-
views with 11 nurses who worked in four units in two different
municipalities in Norway.
Results Challenges in clinical nursing explain the process nurses
work in when they take care of people with neuropsychiatric ill-
nesses living at home. This is caring for patients, taking care of
family members, managing complex patient situations and the
need for coaching and cooperation.
Conclusion To gain a good cooperation with other health person-
nel to strengthen the competence is important, especially when
the goal is caring. Nurses with education in neuropsychiatric care
can strengthen the competence maybe and reach a better patient
care. The organization of the community health system needs to be
studied.
Keywords Home care; Nursing; Elderly; Neuropsychiatric
illness
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0650
Linguistic validation of a battery for
measurement of affirming attitudes
about mental illness
B. Saguem∗, A. Ben Romdhane , B. Ben Hadj Ali
CHU Farhat Hached, Psychiatry, Sousse, Tunisia
∗ Corresponding author.
Introduction Stigma restrains the life opportunities of individ-
uals with serious mental illness. This study aimed at performing a
linguistic validation of a battery for measurement of affirming atti-
tudes; a battery that might be used to test the impact of anti-stigma
and socially inclusive programs.
Methods Three measures were considered: the Recovery Scale,
Empowerment Scale and Self-Determination Scale. Two native Ara-
bic speakers, bilingual in English, independently translated the
original measures into Arabic. A collaborative pooled version of the
questionnaires was then obtained from the two translations. The
pooled version was back-translated into English by a professional
translator. A draft Arabic version of the battery was obtained from
the comparison between the original questionnaires and the back-
translation andwas tested on 30 Arabic-speakingmedical students.
We also discussed the existence of other wording that enables the
meaning of statements to be expressed clearly.
Results The test of the different items allowed the detection of
three typing errors. It also highlighted mistranslating two terms
to one term that does not distinguish between them in term of
the meaning: “Goal” and “Purpose”. Comments were reported on
the wording of certain items in the questionnaire. These comments
referred to the problems related to the grammatical and syntactical
construction of certain expressions. The translation from English
into Tunisian dialect is different from our dialect.