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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.794

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.795

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.796

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