European Psychiatry - Volume 41 - April 2017

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S626 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644
first period in Italy. They are given hospitality until the possibility
of their permanence is verified. We created a survey asking for gen-
eral information. Participants also received PTSD Checklist (PCL-C).
In our analysis, we adopted 45 as cut-off for diagnosis. Question-
naires have been delivered house-to-house and collected when
completed.
Results In this pilot study, we collected 61 questionnaires. The
majority of answers came from male subjects (46). The prevalence
of PTSD was 44% (47% among men and 53% among women, not
statistically different).
Conclusions So high rate of PTSD depicts a reality that cannot be
left apart. Our attention toward immigrantsmust focus also on their
mental health. European Union should consider new solutions to
take care of these critical aspects of those.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0683
The impact of EU political ambiguity
towards migrant crisis on the mental
health of migrants
S. Veceric Kulovic
Private psychiatric practice, psychiatry, Zagreb, Croatia
For last couple of years, EU is facing migrant crisis that is chal-
lenging its capacity to help and its unity to decide the modes of
assistance. Such political context brings additional uncertainty and
insecurity into migrants’ lives which causes extreme experiences
that are often damaging migrants’ mental health. In humanitar-
ian plans regarding assistance for migrants, mental health is a
cross cutting issue. Status of mental health is a result of complex
intertwining of genetics, developmental and current life experi-
ences. The experience of migration is a current life event which
highly determines migrants’ mental health. Hardships of travel
along migration route are worsened by often hostile reception by
authorities at borders of countries that are on the way to desired
rich EU countries. On migrants’ way to desired safety, there are
countries like Slovenia and Hungary which protect their borders
with wire. Therefore, migrants are stuck in countries, like Greece
and Croatia, which are not their desirable destination. While wait-
ing to get free passage, migrants are exposed to various political
rhetoric of politicians of EU countrieswho hold their destiny in their
hands. Migration experience does not make migrants mentally ill
but it does make them vulnerable in that respect. Migrants’ vul-
nerability is highly challenged by ambiguity of political decisions,
media coverage influenced by the same policies and concomitant
changes in immediate surrounding. It is crucial to make publicly
clear that political decisions mean life or death, health or mental
disorder to migrants and that therefore they at least carry ethical
responsibility.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0684
Mental health paraprofessional
training for filipina foreign domestic
workers in Singapore: Feasibility and
effects on knowledge about
depression and cognitive behavioral
therapy skills
M.H.M. Wong ∗, S.L. Keng , P.J.B. Buck , T. Ostbye ,
A. Wessels , S. Suthendran
1 National University of Singapore and University of Melbourne,
Department of Psychology, Singapore, Singapore
2 National University of Singapore, Department of Psychology,
Singapore, Singapore
3 Portland DBT Institute, Portland DBT Institute, Portland, USA
4 Duke University, School of Medicine, North Carolina, USA
5 Humanitarian Organization for Migration Economics,
Humanitarian Organization for Migration Economics, Singapore,
Singapore
∗ Corresponding author.
Introduction Approximately one in every five Singaporean
households employs Foreign Domestic Workers (FDWs) (Human-
itarian Organization for Migration Economics [Home], 2015).
Mental health problems, especially depression, are prevalent
among FDWs in Singapore (HOME, 2015). Yet, there is a lack of
empirically-supported interventions to address theirmental health
needs.
Objective To train FDWs as mental health paraprofessionals with
selected CBT skills for depression, which may enable them to
provide basic assistance to their fellow domestic workers with
depressive symptoms.
Aims To present and assess the effectiveness and acceptability
of a 4 weekly 3-hour group CBT-based paraprofessional training
program for FDWs.
Methods Participants were randomized into either an interven-
tion or a wait-list control group. Participants in the wait-list group
received the training after the intervention group completed the
training. Both groups completed questionnaires assessing attitudes
towards seeking psychological help; stigma towards people with
depression; self-confidence in delivering CBT; general self-efficacy;
knowledge of depression and CBT before, immediately after, and
two months following the training.
Results Thirty-eight out of 40 participants completed the pro-
gram. Both groups did not differ on changes in any of the outcome
variables. However, within-group analyses showed improved atti-
tudes towards seeking professional health for mental health issues;
greater depression literacy; and CBT knowledge following the
training. These changes were sustained at 2-month follow-up. All
participants indicated high level of satisfaction with the program.
Conclusions These preliminary results highlight the potential
effectiveness and feasibility of implementing the training as a
stepped-care mental health service to address the high rate of
depression among the FDW community.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0685
Identity, culture and psychosis:
A non-systematic review
S. Xavier ∗ . Correia , S. Barbosa , V. Dindo , T. Maia
Hospital Prof. Doutor Fernando Fonseca, Psychiatry, Amadora,
Portugal
∗ Corresponding author.
Introduction Given the results of multiple epidemiological stud-
ies showing a greater incidence of schizophrenia in migrants,
especially in second-generation migrants, many researchers tried
to investigate which factors could be associated to these findings,
in order to have a better understanding of the migration pro-
cess itself and simultaneously to contribute to improve knowledge
about schizophrenia. In linewith the research suggesting that social
factors are important contributors to psychological suffering and
vulnerability to psychosis, several authors pointed cultural identity
as a possible mediator between migration and psychosis.
Objectives To review different perspectives on the current litera-
ture about the relationshipbetween cultural identity andpsychosis.
Methods Non-systematic reviewsearching on the databaseMED-
LINE and additional searches through secondary references.