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S226

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

were only treated by general practitioners/somatic specialists, had

significantly lower rates of sick leave and early retirement. Thismay

indicate that cases with more favourable prognoses are found with

this care pathway.

Conclusions

Analyses of care pathways using secondary data

can contribute to identify potential for optimizing mental health

care services and provide information about intersectoral interface

problems, which should be considered in the quality management

of mental healthcare.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.440

EW323

Trajectories of health-related quality

of life among family caregivers of

individuals with dementia:

A home-based caregiver-training

program matters

L.M. Kuo

Taipei Medical University, School of Gerontology Health

Management- College of Nursing, Taipei, Taiwan

Aim

To chart distinct courses of changes in health-related quality

of life (HRQoL) among family caregivers of individuals with demen-

tia and how the probability of belonging to each coursewas affected

by participating in a caregiver-training program.

Background

No studies have exploredwhether these family care-

givers’ HRQoL follows multiple distinct trajectories, nor whether

the effect of a given intervention varies across different trajectories.

Design

Single-blinded randomized clinical trial.

Method

Suitable family caregiverswere recruited fromJune 2009

to March 2012. Of 116 individuals with data available for analysis,

57were in the intervention group, and 59were in the control group.

A 4- to 6-hour training program with monthly telephone follow-

ups to help family caregivers of adults with dementia detect and

decrease environmental stimuli for a specific behavior problem.

Caregivers’ HRQoL was assessed using theMedical Outcomes Study

36-Item Short Form Survey over 18 months following completion

of the training program.

Result

For all dimensions of HRQoL, two distinct trajectorieswere

identified: a well-functioning trajectory and a poor-functioning

trajectory. Caregivers who received the training program had a

greater chance of being in the good-functioning HRQoL group than

in the poor-functioning HRQoL group. The odds ratios varied by

HRQoL dimension from 2.621 for bodily pain to 9.058 for vitality.

Conclusion

Participating in a brief training program improved

caregivers’ HRQoL over 18 months, especially in mental health-

related dimensions. Caregiver training should be seriously

considered as part of the protocol for managing patients with

dementia and their caregivers.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.441

EW324

The effect of the reductions in social

interactions due to the economic

crisis on the subjective well-being of

non-insurance health care seekers in

Greece

G. Lyrakos

1 ,

, M. Grigoriadou

1

, T. Zacharis

2

, M. Grigoraki

1

,

D. Menti

3

, N. Tsioumas

3

, A. Georgiadis

1

, I. Spyropoulos

1

,

V. Spinaris

1

1

General Hospital Nikaia “Ag. Panteleimon”, Psychiatric, Nikaia,

Greece

2

Center for Mental Health, Social Department, Piraeus, Greece

3

City Unity College – MSc Health Psychology, Psychology

Department, Athens, Greece

Corresponding author.

Background

Social interactions have an important effect on the

subjective well-being of individuals. However, in periods of finan-

cial crisis these interactions are reduced, affecting thus the mental

health of the individuals as well.

Aim

To investigate the effect of the reduction in social interac-

tions, as a result of the economic crisis, on the subjective well-being

of non-insurance health care seekers in Greece.

Method

Two hundred and sixty-six individuals participated in

this study, 90 (35.6%) males and 163 (64.4%) females, with a mean

age of 47. Analysis of data was conducted with Anova, using the

SPSS software.

Results

The findings showed that reductions in social interac-

tions, caused by the financial crisis, led to significant reductions in

the subjective well-being of individuals as well (F(1.259) = 13.276,

P

< 0.001 for social activities and F(1,258) = 14.531,

P

< 0.001 for

peer socialization). More specifically, individuals whose social

interactions were greatly affected by the financial crisis reported

significantly lower subjective well-being than individuals who

reported a medium effect (M=

2.952, SD = .764,

P

< 0.001). Fur-

thermore, individuals who reported that the economic crisis had

a great effect on their peer socialization reported significantly

lower subjective well-being compared to both those who reported

a medium (M=

1.868, SD = .658,

P

< 0.015) or low (M=

2.77,

SD = .809,

P

< 0.001) effect of the crisis.

Conclusion

The results of this research showed that the finan-

cial crisis reduced the well-being of affected individuals through

reductions in their social interactions. Further research is needed

to investigate appropriate interventions to reduce the negative

impact that the financial crisis has on the well-being of affected

individuals.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.442

EW325

Factors affecting restraint practices in

psychiatric inpatient units: A sample

from a mental health hospital in

Turkey

U. Ozer Ceri

1 ,

, U. Uzun

1

, B. Sancak

1

, V. Ceri

2

, S. Ozen

1

1

Prof Dr Mazhar Osman Mental Health and Neurological Disorders

Research Hospital, Psychiatry, Istanbul, Turkey

2

Dumlupinar University-Evliya Celebi Training and Research

Hospital, Child and Adolescent Psychiatry, Kutahya, Turkey

Corresponding author.

Introduction

New guidelines aimed to minimize restraint in psy-

chiatry clinics due to ethical reasons.

Objectives

Further studies investigating factors affecting the

decision of restraint and its potential benefits and harms are

needed.

Aims

We aimed to determine current rates of restraint in psychi-

atric clinics and sociodemographic/clinical variables which may be

related with restraint practices.

Methods

The study was conducted in 64-bed male and 28-bed

female psychiatric inpatient units, between March 1–May 31

2015. Sociodemographic and clinical data forms were completed

using case files and restraint records.

Results

In a total number of 481 inpatients (351 males, 130

females), number of restrained patients was 98 (20.3%) (90 (25.7%)

males, 8 (6.2%) females). There was no significant difference in

sociodemographic characteristics between restrained and unre-

strained patients, but duration of the illness and electroconvulsive