European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644 S623
Introduction The needs of refugees are of pivotal concern inter-
nationally. Relational trauma, in particular, is an area that is
under-emphasised and under-researched. The strength to strength
program (STS) was a rare, innovative relationship and family coun-
selling service for recently-arrived refugees in Sydney, Australia
during 2006–2014. The service model built on post-Milan sys-
temic family therapy principles to include innovative cultural and
trauma-informed aspects of care.
Objectives We were interested in the experiences of staff who
delivered the program, and the ways in which more traditional,
Western-informed modes of family therapy were transformed by
the needs of refugee clients.
Aims To identify and describe transformations to the delivery
of relationship and family counselling with refugees that enabled
care, from the perspective of staff.
Methods A thematic analysis, guided by interpretive description,
of individual interviews and focus groups with STS service staff
(n = 20), including family therapists, bicultural workers and man-
agers.
Results Key themes pertaining to innovative aspects of the rela-
tionship and family counselling service provided by STS staff will
be outlined and lessons for future service provision in this space
considered.
Conclusions STS is an example of staff-driven innovation to the
therapeutic care of refugee families resettling inWestern countries,
taking into account the unique and complex set of cultural, prac-
tical and psychological needs. Important and timely lessons for
future service delivery can be drawn from qualitative inquiry into
the experiences of staff who deliver such programs, with refugee
numbers continuing to increase internationally.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0675
Interdisciplinary treatment and
complex rehabilitation of internally
displaced persons in University Clinic
V. Korostiy ∗, O. Platynuk
Kharkiv National Medical University, Psychyatry- narcology and
medical psychology, Kharkov, Ukraine
∗ Corresponding author.
Introduction Over 1,5 million of them are Ukrainians who were
forced to leave their home after Crimea annexation and military
conflict in the East of Ukraine.
Objectives By 2015, the University Clinic asked 156 people dis-
placed from Lugansk and Donetsk regions. Reasons treatment: all
patientswere somatic complaints. In screening: using the scale hos-
pital, all patientswere found higher rates of anxiety and depression.
Overall, 48% of patients abandoned psychiatric examination, even
24% of psychological counseling.
Aims Screening of IDPs’ mental health who sought medical help
in somatic clinic (University clinic KhNMU) and estimation of effi-
ciency of interdisciplinary treatment and complex rehabilitation.
Methods Psychodiagnostical, clinical-psychological, clinical-
psychopathological.
Results Clinical examination during the period of acute stress
reactionswas observed, dominated by anxiety disorders, prolonged
depressive reaction. Anxiety disorders were found in 56.5%, pro-
longed depressive reaction in 32.0%, post-traumatic stress disorder
in 10.5% of patients. The treatment of the underlying disease,
complex psychological and physical rehabilitation. Psychological
rehabilitation included CBT, relaxation, art therapy. Physical reha-
bilitation includes kinesiotherapy and TRE. A set of measures of
physical rehabilitation led to reduction of anxiety to physiolog-
ical levels in all mentally healthy patients, reduce the severity
of psychosomatic symptoms in the structure of the underlying
disease, increased satisfaction with the results of treatment by
28.5%.
Conclusions Analysis of mental health study of IDPs and evalu-
ation of comprehensive rehabilitation in terms of the University
Clinic show the need for screening mental state when applying
for medical assistance and the desirability of psychological and
physical rehabilitation of patients during hospital stay somatic
profile.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0676
Epidemiological study between Greek
people and immigrants with regard to
diagnosis in a Greek hospital in Athens
G. Lyrakos ∗, D. Menti , A. Dimitriou , I. Spyropoulos ,
V. Spinaris
1 General Hospital Nikaia “Ag. Panteleimon”, Psychiatric, Nikaia,
Greece
2 City Unity College- Cardiff MU, Master in Health Psychology,
Athens, Greece
∗ Corresponding author.
Introduction Differences between the most frequently reported
diagnoses of Greek people and immigrants in Greece are expected
due to the different underlying factors which are associated with
mental health issues.
Objectives Examine differences in diagnoses between Greek peo-
ple and immigrants.
Aims To investigate whether Greek people and immigrants had
significant differences with regard to reported diagnoses in a Greek
hospital.
Methods The patients who participated in this study are
5551, among them 2760 (49.7%) were males and 2791 (50.3%)
were females. The mean age of the sample was 45.54. The
sample consisted of 455 (8.3%) immigrants and 5,042 (91.7%)
Greek people. Convenience sampling method was used and
the sample was collected at the General Hospital of Nikaia,
“Ag. Panteleimon” in Athens, Greece, between 01/01/2012 and
31/12/2015.
Results There were significant differences between Greek peo-
ple and immigrant with regard to diagnosis as 2 (20): 136.875,
P < 0.001. More specifically, among Greek people, the most
frequently reported diagnosis was psychotic disorder (26.2%), fol-
lowed by depression (24.7%), general anxiety disorder (9.9%) and
substance abuse (8.4%). Among immigrants, the most frequently
reported diagnosis was psychotic disorder (22.9%), followed by
substance abuse (21.3%), depression (17.4%) and general anxiety
disorder (12.1%).
Conclusions The differences between Greek people and immi-
grants with regard to diagnoses showcase the different needs
between the two populations with regard to mental health. Espe-
cially, the higher prevalence of anxiety disorders and substance
abuse problems among immigrants highlight the need for protec-
tive measures to improve their well-being and reduce their risk of
mental health issues.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.