European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S677
wide economic crisis. There exists a positive correlation between
the evolution of homelessness in Girona and unemployment both
in Spain (r = 9.4, P < .001) and in Girona (r = 9.5, P < .001).
Conclusion The effect of the economic crisis affects the people
who are socially excluded in a direct way. These results prompt the
investigation of the causes of homelessness, which in many cases
are attributed to the responsibility of the individuals.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0837
“It is safer to sell marihuana than
heroin or cocaine and you make more
money” qualitative study about drug
traffic and consumption in Girona
(eastern sector)
F. Calvo∗, C. Giralt
Institut D’assistencia Sanitaria, Cas Girona, Girona, Spain
∗ Corresponding author.
Introduction Font de la Pólvora is a neighbourhood located on
Catalonia, which has been one of the most important points of sale
of heroin and cocaine in the country. The sale of drugs was also
affected by the economic crisis, changing the behaviour pattern of
patients with drug dependence.
Objective To describe the changes in drug trafficking in this
region and how these influence their consumption.
Methods The investigation is carried out by the harm reduction
outreach team, who selected, with a non-probabilistic method, a
sample of 6 drug users. An in-depth semi-structured interviewwas
conducted.
Results From 2006 to 2012, there existed up to 19 points of drug
sale of heroin and cocaine. There are currently 2. The reasons behind
the decrease are:
–the demand for cocaine decreases;
–the sporadic consumption of heroin decreases;
–with the decrease in demand, drugs lose quality.
With the housing bubble in Spain and the rise in foreclosures on
behalf of banks, empty flats proliferated in the area, which were
eventually occupied illegally. This fact prompts the production of
cannabis.
Conclusion Many of the strictly punitive actions in the control of
narcotics lead to the dealers coming up with new ideas and new
patterns of consumption which complicate the intervention of the
teams working in the territory.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
The inverted commas refer to a sentence uttered by an interviewee
during the investigation.
EV0838
Characteristics of 23 cases of animal
hoarding in Catalonia (Spain)
C. González alvo ∗ owen Bulbena irac
A. Holloway atjó
1 Universitat Autonoma de Barcelona, Psychiatry and Forensic
Medicine, Barcelona, Spain
2 Royal Veterinary College, Behavioural Medicine, London, United
Kingdom
∗ Corresponding author.
Introduction Animal hoarding is considered an under-reported
problem, which affects the welfare of both people and animals.
Few reports on animal hoarding are available in scientific literature,
particularly outside North America.
Objectives We designed a study to analyse cases of animal hoard-
ing in Catalonia.
Aims We wanted to expose the presence and consequences of
this disorder in our area and to check for cross-cultural similarities
with previous studies in other countries.
Methods Data was obtained retrospectively from 23 case reports
of animal hoarding in Catalonia collected by city councils and the
Catalonian police from 1992 to 2015.
Results Thirty-three people (20 women and 13 men) and 1521
animals, mainly dogs and cats, were involved. Most cases (n = 13)
involved a sole animal hoarder. Most cases (n = 14) were chronic
(lasting longer than 5 years). Object hoarding co-morbidity was
found in most cases (n = 17). All hoarders were over 40-years-old,
with half of them aged over 65. Only in 4 cases was an interven-
tion by the healthcare system reported. Most of the hoarders (9 out
of 13) actively opposed animal removal. In more than 50% of cases,
the hoarder’s personal care, health and financial situationwere pre-
carious. No awareness of the impaired welfare of the animals was
found in most cases.
Conclusions To the author’s knowledge, this is the first study on
animal hoarding in Catalonia and one of the fewavailable in Europe.
Our results are aligned with previous research, adding evidence of
cross-cultural common elements of animal hoarding.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0839
Huntington disease, to have or not to
have: That is the question – the
importance of psychiatric symptoms
L. Carvalhão Gil ∗, M. Lázaro , L. Queiroz
Centro Hospitalar Psiquiátrico de Lisboa, Psychiatry, Lisboa, Portugal
∗ Corresponding author.
Introduction Huntington’s disease (HD) is an autosomal dom-
inant inherited neurodegenerative disorder, beginning in adult-
hood. HD represents the majority of patients who present the triad
of motor, cognitive and psychiatric symptoms. The last two may be
early manifestations, but the clinical diagnosis is based on motor
symptoms and a positive genetic test for CAG repeat extension. The
remaining patients that are negative for the HD genetic mutation
may have HD phenocopies.
Objectives Illustrate the role of psychiatric assessment, discuss
the psychiatric and behavioural manifestations, and management.
Aims Illustrate the challenge of diagnosing HD in psychiatry.
Methods A literature searchwas performed on PubMed database.
The patient clinical record was reviewed.
Results We report a case of a 49-year-old male with a family
history of HD (mother, uncle, cousin). He was diagnosedwith a psy-
chotic disorder fifteen years ago, hospitalised twice and thereafter
treated as an outpatient with fluphenazine long-acting injection.
He was a symptomatic for ten years. During the last year, he started
showing dysphoria, marked irritability, stammering, inappropri-
ate behaviour, poorly structured paranoid delusions, mild cognitive
impairment and lack of insight. This was correlated with the begin-
ning of functional impairment, both professionally and socially.
Further assessment was performed: neurological evaluation, head
CT scan and the genetic test was negative. He is clinically stable
under haloperidol long-acting injection.
Conclusions HD is a rare condition which is frequently under
diagnosed, especially in early stages, due to lack of recognition of
psychiatric symptoms. HD-like disorders should be considered if
the clinical picture is obvious, but HD gene test result is negative.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.