European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S225
after the training to explore their prior knowledge and expecta-
tions. A semi-structured topic guide was developed for this. All the
focus groups were audio-recorded. The data were analysed using
framework analysis principles.
Results Four key themes emerged fromthe focus groups; the psy-
chosocial context these women live in (poverty, work-overload,
interpersonal conflicts, lack of support from family, lack of aware-
ness of depression and scarcity of mental health services) CHWs
perception of depression (role of negative thoughts in depression),
the impact of maternal depression on children and the impact of
training for CHWs (improvement in CHWs knowledge related to
children).
Conclusion Training CHWs improves their knowledge about child
development and psychological therapies. This can contribute to
improving access to maternal healthcare services and improving
child development outcomes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW320
600 Greek people’s attitudes towards
family hosts for mentally ill persons
P. Kloni ∗, D. Angelopoulou , E. Vardari , A. Zotos , A. Psychogiou ,
M. Theodoratou
Technological Institute of Patras, Social Work, Patras, Greece
∗ Corresponding author.
Introduction Family hosts for people with mental diseases is a
quite new institution in Greece
Objectives The study investigated Greek people’s attitudes
toward mentally ill people and their institutionalisation
Aims The survey investigated Greek society’s attitudes and bias
concerning Family Host Programs for the mentally ill.
Methods Questionnaires were administered to a sample of six
hundred (600) people in the cities of Patras, Pyrgos and Mesologgi,
Southern Greece from May the 27th to June the 12th
Results Of the respondents, 47.3% were men while 52.7% were
women. Most citizens were not familiar with the term “Host Fam-
ily” and were not aware of this new institution (62.7%). However,
many knewa person that suffered frommental illness environment
(35.7%), but they thought that mentally ill people would be rather
a “burden” to foster families (32.2%).
Conclusions Although many people knew well a person with
mental illness, they were not aware of psychiatric reforms and
community based programs. In conclusion, psycho-educational
programs contributing to repel bias towards psychiatric patients
should be implemented.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
References
[1] Goldstein J, Godemont M. The legend and lessons of Geel,
Belgium: a 1500-year-old legend, a 21st century model. Com-
munity Ment Health J 2003;39:441–58.
[2] Madianos MG, Zacharakis C, Tsitsa C, Stefanis C. Geographical
variation inmental health discharges in Greece and socioecono-
mic correlates – a nationwide study. Soc Psychiatry Epidemiol
1999;34:477–83 [9 p].
EW321
Elderly person’s connection of family
relations with quality of life and
shame in the context primary
healthcare
E. Kotrotsiou parka atzoglou Gouva ∗
1 Post Graduate Programme Primary Health Care, Nursing
Department, Larissa, Greece
2 Post Graduate Programme Primary Health Care, Medicine, Larissa,
Greece
3 University o Thessaly, Post Graduate Programme Primary Health
Care, Medicine, Larissa, Greece
∗ Corresponding author.
Objectives The elderly persons continue to invest substantially in
emotional relationships.
Aim The overall objective of this research study was to investi-
gate the attitudes of elderly persons towards family relations.
Method One hundred and ninety-seven healthy elderly individ-
uals participated to the present study from different region in
Greece. The age range was 66–93 years old. The questionnaire
included: (a) the Family Environment Scale (Family Environment
Scale, Form R-FES), (b) The Experience of Shame Scale (ESS), (c) the
Other As Shamer Scale (OAS), (d) Quality of Life (SF-36).
Results Univariate and multivariate analysis was applied for the
statistical analysis of the data, which showed that: the elderly per-
sons who are satisfied with their lives in past, they exhibit lower
overall price external shame feelings of emptiness (empty – OAS)
(P = .002), they perceived reaction of others when they make mis-
takes (Mistakes – OAS) (P = .000), conflict (Conflict – [Form R-FES])
(P = .000). Elderly persons who are satisfied with their life in this
time show higher levels of orientation towards active recreational
activity (Active-Recreational Orientation – R-FES) (P = .000). Elderly
persons who declared that family relation is important for them
exhibit lower levels of feeling vacuum (empty – OAS) (P = .009), and
higher levels of orientation for achievements (Achievement Orien-
tation) (R-FES) (P = .010), social role (SF – SF36) ( P = .000), Mental
Health summary Scale (SF MCS-SF36) (P = .000).
Conclusion From the findings of this study, it is apparent how
important is the study of the quality of life in old age.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW322
Patients with anxiety disorders:
Pathways of care and their outcomes
in Germany – A secondary data
analysis
S. Kowitz∗, J. Zielasek , W. Gaebel
Heinrich-Heine-University Duesseldorf, Department of Psychiatry
and Psychotherapy, Duesseldorf, Germany
∗ Corresponding author.
Introduction Anxiety disorders are among the most common
mental disorders in Germany. Different sectors and disciplines par-
ticipate in mental healthcare of these patients, but there is a lack of
empirical evidence of the treatment outcomes in different settings.
Objectives The study focuses on analyzing the care pathways of
patients with anxiety disorders and the effects of such pathways
on critical events like sick leave, early retirement and mortality.
Aims The analysis aims at developing recommendations for opti-
mizing treatment with a view to minimize the rate of occurrence
of critical events during the care pathway.
Methods Secondary data of three statutory health insurance
companies and of the German Pension Funds of the years
2005–2007. The analyses are based on 744,742 personswith at least
one diagnosis of an anxiety disorder.
Results The analyses reveal a low rate of changes between pri-
mary and specialized care. There was a high number of care
pathways (n = 2.608).The most common type was care by primary
care physicians/somatic specialists only (60.5% of patients), fol-
lowed by a treatment by a psychiatrist only (9.5%). Patients, who