European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S8–S11 S9
Symposium: psychiatry in humanitarian
emergencies – Joint symposium with the WHO
JS03
Internally displaced persons in
Ukraine
V. Korostiy
Kharkiv national medical university, Psychyatry – narcology and
medical psychology, Kharkov, Ukraine
As of May 21, 2015 UNHCR has information about 1,299,800 IDPs,
the data provided by the Ministry of Social Policy of Ukraine. Since
the process of establishing a centralized system for registration is
still pending, the actual number of persons displaced within the
country may be higher.
We have a complex psychopathological and clinical research psy-
chodiagnostic 97 internally displaced people in volunteer center,
located at the central train station in Kharkiv to study the clinical
features of neurotic disorders.
The results showed that 75.9% of IDPs observed have violations of
adaptation: long-term depressive reaction (F 43.21) and predom-
inant disturbance of other emotions (F 43.23). The clinical picture
is dominated by the depression, anxiety, inner tension, inability to
relax, asthenic symptoms, various fears and paroxysmal autonomic
instability.
The results of the diagnostic psychological studies have found
that men reactive alarm indicators (average – 37,7 ±3,0) were
higher than trait anxiety (average – 32,6 ±2,9). On the contrary,
women figures trait anxiety (average – 38,6 ±2,9) were higher
than reactive anxiety (average – 34,7 ± 3,0). Severity of depressive
symptoms also slightly prevailed in women. The mean score on the
Hamilton scale for men was 17,0 ±2,3 points, women – 18,0 ±2,3
points.
Disclosure of interest The author has not supplied his declaration
of competing interest.
JS04
A new humanitarian emergency:
Refugees and mental health in Turkey
L. Küey
Psychology Department, Istanbul Bilgi University, Istanbul, Turkey
Warfare in different parts of the world has led to a humanitar-
ian emergency: forced displacement of millions of people. Global
forced displacement in 2014 was the highest displacement on
record since WW 2. By the end-2014, 59.5 million individuals
forcibly displaced worldwide, as a result of persecution, armed
conflicts, general violence, wars, or human rights violations. The
number of individuals forced to leave their homes per day reached
to 42,500 in 2014, hence, increased 4 times in the last 4 years. Top
five refugee hosting countries are Turkey, Pakistan, Lebanon, Iran,
Ethiopia and Jordan. While Turkey hosted 1.6 million forced dis-
placed people in 2014; it is estimated that this number reached 2.5
million by the end of 2015.
Forced displacement of people due towarfaremay be considered as
a psychosocial earthquake. Especially after the deaths of thousands
of them in the Mediterranean in the last couple years has brought
this issue sharply into the focus of the whole world. While the
deaths of the forced displaced people on across the borders of
the whole world in the first nine months of 2014 were slightly
over 4000; it reached the same number of human loss only in the
Mediterranean region in 2015.
Refugees fleeing with few possessions leading to neighboring or
more developed countries face many life-threatening risks on the
way, as they have nowhere to turn. A refugee is a person who has
lost the past for an unknown future. Experiences of loss and danger
are imprinted in their selves. It is shown that, in the short/medium
term, 60% suffer from mental disorders, e.g., posttraumatic stress
disorder (PTSD), depressive disorders, anxiety disorders, psychosis,
and dissociative disorders. In the long term, existing evidence sug-
gests that mental disorders tend to be highly prevalent in war
refugees even many years after resettlement. This increased risk
may not only be a consequence of exposure to wartime trauma but
may also be influenced by post-migration socioeconomic factors.
In fact, “we are seeing here the immense costs of not ending wars,
of failing to resolve or prevent conflicts.” Once more, psychiatry
and mental health workers are facing the mental health conse-
quences of persecution, general violence, wars, and human rights
violations caused by the current prevailing economy-politics and
socio-politics. So, a serious challenge here is avoiding the medi-
calization of social phenomena. This presentation will discuss the
issue of forced displaced people considering it as a humanitarian
tragedy with some examples of its mental health consequences
from Turkey.
Disclosure of interest The author has not supplied his declaration
of competing interest.
JS05
Overview of European refugee mental
health situation
M. Muijen
WHO Regional Office for Europe, Mental Health, Kopenhagen,
Denmark
This presentation will offer information about latest number of
refugees and internally displaced people across Europe, their (men-
tal) health problems and activities and interventions coordinated
by WHO. It will also suggest ways by which EPA and WHO could
continue their effective partnership to assist countries.
Disclosure of interest The author has not supplied his declaration
of competing interest.
Symposium: advancing implementation – Joint
symposium with European mental health
programmes
JS06
Implementing the mental health
action plan – experiences and
challenges
M. Muijen
WHO Regional Office for Europe, Mental Health, Kopenhagen,
Denmark
The WHO European mental health action plan was adopted by all
countries in the European region in Izmir in September 2013. Its
6 objectives cover promotion and prevention, human rights, ser-
vices and partnerships. Since its adoption, the WHO mental health
programme is working in some 25 countries, supporting policy
development and implementation. Priorities are the introduction
of health promotion programmes for vulnerable groups; the com-
petence of primary care to identify, diagnose and treat people with
mental disorders; and the implementation of community-based
service models sensitive to the culture and resources of countries.
Particularly successful have been countries where a consensus was
established between policymakers and professional leaders, and
where different levels of government worked together. Obstacles