European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846 S791
years a number of studies confirms the trend of mental pathol-
ogy of growth with an increase in the number of clinical forms
of psychotic register, including behavioral disorders in children.
In turn, this is due to the increasing number of emergency situ-
ations (antiterrorist operations on the territory of Ukraine) for the
last time. Ukraine now is an urgent need to establish a system of
psychosocial rehabilitation of childrenwith impairedmental devel-
opment. International Charity Fund “Alexander Feldman Fund” in
the Ecopark established the center for psychosocial rehabilitation of
children and adolescents with psychological, emotional and behav-
ioral disorders. The center created the conditions for the restoration
of a bio-psycho-social harmony of the child in the conditions of
modern urban-deformed medium. The aim of the center is to
restore the level of social functioning and quality of life of children
with ADHD, children with autism, cerebral palsy, Down syndrome
and other neuropsychiatric disorders. The Center based on ecother-
apy, also used animal therapy, garden therapy, play therapy, art
therapy (studio for painting, sculpting). Individual and group work
included various elements of cognitive-behavioral, rational, ana-
lytical child, relaxation, and other methods of psychotherapy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1186
Is social frustration typical of multiple
sclerosis patients?
E. Nikolaev ∗, N. Vasil’eva
1 Chuvash State University, Department of Social and Clinical
Psychology, Cheboksary, Russia
2 Chuvash Republic Clinical Hospital, Neurology Unit, Cheboksary,
Russia
∗ Corresponding author.
Introduction Psychological problems of multiple sclerosis
patients are often studied in context of distress and depression
or quality of life concept. However, analysis of social frustration
still has not been an object of research interest. Whereas ignoring
patients’ feelings of frustration and social worry may worsen the
prognosis of treatment.
Objectives and aims To study if the social frustration prevalent
among multiple sclerosis patients.
Methods We studied 104 multiple sclerosis patients during in-
patient treatment in neurological unit. Male and female patients
aged between 19 and 64 years were diagnosed relapsing-remitting
multiple sclerosis (RRMS) and secondary progressivemultiple scle-
rosis (SPMS). Psychological indicators of social frustration were
assessed by using “The level of social frustration” questionnaire.
Results Lack of social frustration was revealed only in 5% of mul-
tiple sclerosis patients. The most frequent area of social frustration
in the patients was the sphere of health and labor activity (45%).
The second area of social frustration was dissatisfaction with the
socio-economic status (37%), the third – the social status (26%).
Both male and female patients were equally dissatisfied with their
physical condition. Men were more frustrated with their material
condition, women – with their inability to work. Some differences
were also defined in clinical groups. RRMS patients weremore frus-
trated in need for their status in the society, SPMS patients with
their psychological and emotional state.
Conclusions The directions of typical social frustration inmultiple
sclerosis patients, associations with clinical and gender factors may
be considered in system of treatment and rehabilitation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1187
Building a psychosocial rehabilitation
unit: The experience of centro
hospitalar entre Douro e Vouga
V. Pais , O. Pinto ∗, J. Figueiredo , E. Larez , F. Lopes , M. Pereira ,
M. Fernandez , S. Mariano
Centro Hospitalar de Entre o Douro e o Vouga, Psychiatry, Santa
Maria Da Feira, Portugal
∗ Corresponding author.
Introduction In Portugal, the National Mental Health Plan sought
to reform the mental health care system, decentralizing mental
health care by promoting community based services. Guidelines
point to treatment of Psychotic Disorders with collaborative, per-
son directed and individualized approaches.
Objective The authors propose to describe the development of a
new psychosocial rehabilitation unit in a recently created psychi-
atric department.
Methods The CHEDV’s psychiatry department (2009) serves a
population of around 340,000. The Psychosocial Rehabilitation Unit
(2015) aims to ensure a multidisciplinary and integrated response
to users with major psychiatric disorders. The Psychosocial Reha-
bilitation Unit structures 4 axes of response: detection and initial
approach of the disease, intervention in crisis, psychosocial reha-
bilitation and management of difficult patients.
Results CHEDV’s psychosocial rehabilitation unit is responsi-
ble for the care of about 25 patients daily. Treatment activities
range from specialized consultations, home visits, medication
management and crisis telephone to social skills training, psycho-
education, neurocognitive rehabilitation, occupational workshops
and social intervention/orientation. The unit bases its work on con-
stant communication within the team but also with all other carers
of the patient (in or out of hospital).
Conclusions Bringing to the population a set of previously
unavailable responses is the most blatant success of this unit that is
helping people getting a better and closer care. To improve ourwork
we aimat integrating the quantitative and qualitative psychometric
evaluation of the patients. The lack of resources, necessity of fur-
ther training, insufficient funding, and low political priority remain
as the main barriers to community based mental health care.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1188
Early signs of crisis in the perception
of users and their family
G. Fucci ∗, N. Ratti , R. Ignarra
1 Ausl Romagna, Mental Health Center of Ravenna, ravenna, Italy
2 Ausl Romagna, Mental Health Center of Ravenna, Faenza, Italy
∗ Corresponding author.
The identification of the early signs of crisis is globally considered
one of the fundamental elements in the illness management
practice of the psychiatric user. For this reason the mental health
center of the city of Ravenna wanted to offer a personalized
questionnaire to a 15 random-selected users and their families,
with the aim of evaluating and analyzing the alarm signals in
the participant’s perception. The questionnaire has been created
on the basis of other tests in the literature. It is divided in two
parts, a “symptomatic”, related to the early signs of crisis, and an
“environmental”, focalized on the potentially stressing situations
for the individual. The administration took place within the
individual and the family talks at the center. This project was
implemented not only as a psycho-educational activity for the
users and their family’s, but also to amplify the knowledge of the
staff on these signs. The results have shown how often there are
points of difference in the perceptions of the early signs of crisis