European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644 S615
Conclusion We proposed an Arabic version of a battery of meas-
ures that reflect affirming attitudes. This is a step for reliable
measures that assess stigma in Arabic countries.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0651
The assessment of a drama therapy
process for patients with severe
psychiatric patients
F. Sancar ∗ ¸ ahin S¸ ahin Eren
1 Istanbul University Medicine Faculty, Social Psychiatry Service,
Istanbul, Turkey
2 Istanbul University Medicine Faculty, Art Therapy Program,
Istanbul, Turkey
∗ Corresponding author.
Introduction Drama therapy is a useful therapy method for
improving the life quality of psychiatric patients. Drama therapy is
a rehearsal of everyday life. In this therapy method, clients actively
join the creative process in order to better understand their life
experiences.
Objectives Drama therapy may improve patients’ ego functions,
psycho-social and self-expression abilities, problem-solving skills,
real-life adaptations and contribute to patient’s psychiatric treat-
ment.
Aim Themain aimswere to examine the curative effects of drama
group therapy and the effects of drama therapy on functionality in
psychiatric patients.
Method The study was performed at the Istanbul University
Faculty of Medicine. Patients were referred from the Psychiatry
Polyclinic of this university to Art Therapy and Rehabilitation Pro-
gram. Drama therapy is an applied drama-based art group therapy.
The 10 subjects in our study, ranged from 20 to 50 years old. This
therapy group gathered once a week for a ninety minute session.
Subjects continued their medical care and received psychother-
apy throughout the 24-week study. The therapy plan included an
introduction, a warm-up session, a drama therapy work and a shar-
ing session. Patients were assessed in pre and post-treatment with
Global Assessment of Functioning and Wilcoxon Signed Ranks Test
was used for statistical analysis. Yalom’s Group Curative Factors
Scale was applied.
Result There was a significant decrease in loss of functioning
(P < .05). In Group Curative Factors, the means of hope, identifica-
tion, group cohesion and altruism were determined high.
Conclusion Our study demonstrates that drama therapy has pos-
itive effects on patients with severe psychiatric patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0652
Comprehensive care for inpatients
with mental disorders: Working
towards service developments
N. Semenova ∗ ostyk
1 Moscow Research Institute of Psychiatry MoH RF, Outpatient
Psychiatry, Moscow, Russia
2 Psychiatric Hospital No 3 named after VA Hilyarovsky,
Administration, Moscow, Russia
∗ Corresponding author.
Introduction Over the past 20 years, considerable progress was
made in understanding the multiple and complex needs of patients
with mental disorders and ways to organize comprehensive care.
However, organizing care in inpatient, pathology-focused settings,
where patients were seen increasingly as consumers of ‘inpatient
psychiatric’ services is challenging.
Objectives and aims Inspired by modern trends, we are more
able to integrate recent developments in psychosocial treatments,
broadly defined, into progressive treatment framework within
inpatient setting.
Methods Results of an audit of our service (psychosocial treat-
ments) over the previous 5 years will be compared to published
results of other services with a range of service delivery methods.
Results Excerpts from mental health care practice in Moscow
based Psychiatric Hospital No 3 named after VA Hilyarovsky – are
provided. The pathways of care as well as the basic principles gov-
erning the treatment (careful attention to referral sources; optimal
patient-treatment matching; and psychosocial, rather than medi-
cal supremacy) are outlined. Training and development is central
to the effective and efficient working of any staff group. As part of
the service developments, a number of inductions (on psychosocial
treatments) were provided on regular basis to all staff joining the
service.
Conclusions Though the opportunity for future reform remains
on the horizon, some of the strengths andweaknesses of our current
health care practice will be presented.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0653
Documenting the decision-making
process for initiation of
pharmacological VTE prophylaxis in
patients admitted to an adult
psychiatry ward background
G. Sikka ∗, N. Mistry
1 Tameside General Hospital, Psychiatry, Ashton-Under-Lyne, United
Kingdom
2 Macclesfield General Hospital, Psychiatry, Macclesfield, United
Kingdom
∗ Corresponding author.
Background Venous thromboembolism (VTE) is a condition that
causes a blood clot to form within the venous blood system. If
this blood clot forms in the peripheral venous system, it can cause
symptoms such as calf pain and swelling. If this clot becomes dis-
lodged, it may travel through the vessels into the pulmonary artery
which can have much more severe consequences.
Objectives There has been a great deal of effort in recent years to
increase the percentage of in-patients receiving a VTE assessment;
and for those patients to receive appropriate VTE prophylaxis. VTE
is a significant cause of inpatient deaths. This audit aims to compare
current working practice to local standards and identify learning
points.
Method VTE assessment data were collected from two acute psy-
chiatric in-patient wards within a specified, random date range in
2016. Data was collected by checking paper admission documenta-
tion. NICE guidelines also state that all patients should be assessed
for VTE on admission, with a standard of 100%.
Results Overall, 6.25% of general adult psychiatry patients had a
VTE assessment done within 24 hours of admission.
Conclusion This audit shows that the necessary standards are not
met. Importance of these assessments will be communicated dur-
ing induction programmes for all staff and the results of this audit
communicated to current staff on all in-patient psychiatry wards.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.