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S144

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

reduction of aggression and anxiety, increased motivation for the

successful development of new activities and problem-solving

skills and conflict situations with peers and family members.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.199

EW82

From Child and Adolescent to Adult

Mental Health Services: The Intrepid

Journey

M. Nascimento

1 ,

, C .C

. Santos

2 , G.

Bastos Martins

3

1

Centro Hospitalar Psiquiátrico de Lisboa, Clínica 5, Lisbon, Portugal

2

Centro Hospitalar Lisboa Central, Psiquiatria da Infância e da

Adolescência, Lisbon, Portugal

3

Hospital Fernando Fonseca, Psiquiatria, Amadora, Portugal

Corresponding author.

Background

The move from Child and Adolescent Mental Health

Services (CAMHS) to adults’ services (AMHS) is likely to coincide

with other transitions in the adolescents’ life. Barriers affecting this

transition have been referred in most countries, but there is a lack

of studies on this matter.

Aims

To evaluate the transitional process from CAMHS to AMHS

in Portugal, focusing on four criteria: continuity of care, parallel

care, a transition planning meeting and information transference.

The continuity/discontinuity of the diagnosis and therapeutic plan

made at CAMHS has also evaluated.

Methods

Identification from a sample of adolescents transferred

from Clínica da Juventude (adolescents’ clinic) to 3 major AMHS,

collecting information regarding the quality of the transition

between these services.

Results

Fifty-nine adolescents were discharged in 2014, average

of 16.5 years old, after being followed in our clinic for an average

of 7.44 months. Ten continued being followed in adult psychiatric

services (17.5%), with different disorders: 4 depressive, 2 personal-

ity, 1 anxiety, 1 bipolar, 1 addiction to psychoactive substances, and

1 oppositional defiant disorder. Even in those cases the transition

was far from optimal, with 4 of those presenting the need to use

adult emergency facilities.

Conclusions

Several barriers between CAMHS and AMHS might

account for the ongoing problem with the transition between ser-

vices. In addition, considering that the onset of severe and recurring

mental disorders begins generally before the age of 25, this raises

the discussion around the present distinction between child and

adolescent mental health services and adult services at 18 years

old.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.200

EW83

Assessment of behavior and sleep

pattern in school age children with

generalized epilepsy

M. Negm

Suez Canal University, Neuropsychiatry, Ismailia, Egypt

Background

Epilepsy affects 1% of the human population. Sleep

disorders frequently coexist in patients with epilepsy. Whether

sleep affects epilepsy or epilepsy modifies sleep has been exten-

sively evaluated, but very little literature exists on the mutual

interaction of epilepsy and sleep problems.

Objective and aims

To assess the sleep pattern and behavior in

school age children with generalized epilepsy.

Methods

The current study was comparative case control study

was carried on 60 school aged children 30 of them had generalized

epilepsy on carbamazepine presented to neuropsychiatry depart-

ment in suez canal university hospital and other 30 healthy children

had no chronic illness, The Children’s Sleep Habits Questionnaire

and Vanderbilt assessment scale were applied on both groups.

Results

the current study showed that epileptic children have a

statistically significant difference in breathing problem like snoring

(

P

= 0.001), epileptic children had more common daytime sleepi-

ness problem (

P

= 0.002). Behavioral problems were more common

in epileptic children like ADHD (

P

-value = 0.001), anxiety and

depression were highly frequent in epileptic children than normal

children (

P

-value = 0.001) and schoolastic achievement was more

problematic in epileptic children.

Conclusions

Epileptic children are more vulnerable to sleep

problems, behavioral problems and poor schoolastic achieve-

ment is more common in epileptic children. Controlled fits and

monotherapy decreased the effect of epilepsy in all aspects.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.201

EW84

Predicting clinical outcome of

stimulant medication in pediatric

attention, deficit/hyperactivity

disorder (ADHD): Single-dose changes

in event-related potentials (ERPs)

J.F. Brunner

6 Department of Physical Medicine and Rehabilitation, St Olav’s

Hospital, Trondheim, Norway

Introduction

One of four children and adolescents with ADHD

treated with stimulants are considered non-responders (non-REs).

So far clinically useful predictors of medication response do not

exist.

Objectives and aims

In this study, we examined if changes in event

related potentials (ERPs) induced by a single dose of stimulantmed-

ication were different in responders (REs) and non-REs.

Methods

Nineteen channel electroencephalography (EEG) was

recorded twice during performance of a cued visual go/no-go task

in 82 medication-naïve ADHD patients aged 8–17 years (26 girls).

The second recording was completed within 12 weeks after test 1

on a single dose of stimulant medication, followed by a system-

atic trial on stimulant medication lasting at least 4 weeks. Based

on data from daily ratings, the patients were categorized as REs

(

n

= 58) or non-REs (

n

= 24). The two groups were then compared

on ERPs reported to be associated with ADHD.

Results

REs and non-REs differed significantly with a large effect

size in their medication induced changes in the P3 no-go compo-

nent. This was also found for ERP component contingent negative

variation (CNV). A quartile based scale combining changes in P3

no-go amplitude and reaction time variability in the task showed

26% probability of a positive response in quartile-group 1, and 95%

probability in group 4.

Conclusion

A single dose of stimulant medication induced a sig-

nificant increase in P3 no-go and CNV amplitudes in REs, but not in

non-REs; probably reflecting improvements in aspects of executive

function.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.202