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

S227

therapy rates were significantly different. Substance abuse (44.4%)

was higher in restrained male patients. Also, restraint rates were

higher in patients having a diagnosis of substance-related disorder

compared to other diagnoses. Restraints occurred most commonly

in the first day (48%) of hospitalization.

Conclusions

The studies carried out in psychiatric hospitals sug-

gested major differences in the rates and types of restraints among

different countries and institutions. In our study, a higher restraint

rate is obtained compared to other studies. Consistently with the

literature, substance abuse was higher in restrained patients, and

restraints occurred most commonly in the first day of hospitaliza-

tion. Many factors including substance abuse should be considered

to reduce restraint rates, which are still quite high in mental health

hospitals in Turkey.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.443

EW326

Assessment of functional status in

oldest old: The OARS/QAFMI model for

care planning

R. Rodrigues

, S. Crespo , C. Silva , I. Mendes

Escola Superior de Enfermagem de Coimbra, UICISA-E, Coimbra,

Portugal

Corresponding author.

Introduction

The geriatric assessment should include the phys-

ical, cognitive, emotional and social functional status, allowing a

concrete understanding of the oldest old realities for a better health

planning.

Objectives

To assess the functional status in main areas of the

elderly’s life: social resources, economic resources, mental health,

physical health and activities of daily living (ADL).

Aims

Provide information to health and social policy makers and

improve the quality of care, adapting the training of nurses to this

new social and health reality.

Methods

The randomized, stratified (age and gender) sample

consisted of individuals aged

75, randomly selected and rep-

resentative of Coimbra’s (Portugal) elder residents (

n

= 11,279;

n

= 1128). The instrument for data collection was the Questionário

de Avaliac¸ ão Funcional Multidimensional para Idosos/Older Amer-

icans Resources and Services (QAFMI/OARS).

Results

In the social resources, there are significant differences

between gender (

P

< 0.001), withmen presenting better scores than

women. In the areas of economic resources, mental health and

physical health are revealed significant differences between gen-

der and age groups (

P

< 0.001), with the women and the age group

of

85 presenting the worst results. In ADL, area is also observed

significant differences between age groups (

P

< 0.001), with the old-

est old individuals presenting the worst results.

Conclusions

The results will play an important role in the deci-

sions of the technicians at Health Centres to the planning of older

care services and will be disseminate among the responsible enti-

ties aiming the improvement of the current policies.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.444

EW327

Mental health and functional status in

oldest old: The use of QAFMI/OARS in

Chamusca (Santarém – Portugal)

Elder Residents

M. Martins

1 ,

, M .

Nunes

1 , P. C

unha

1 , C. B

runido

1 , S. C

respo

2 ,

R. Rodrigues

3

1

UCC Chamusca/Golegã, ACES Leziria, Santarém, Portugal

2

Escola Superior de Enfermagem de Coimbra, UICISA-E, Coimbra,

Portugal

3

Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal

Corresponding author.

Introduction

Population aging and changes in the epidemiologi-

cal pattern and the social and family structure, observed in Portugal,

with a particular focus at the local level, determine new needs for

which it is urgent to organize appropriate and active responses. The

Community Care Unit (UCC Chamusca/Golegã) and the Municipal-

ity of Chamusca decided to carry out this project in order to make

the diagnosis of the situation in social and health of the elderly

population.

Objectives

Assess the use/need of health and social services by

the elderly, related with their functional status in social resources,

economic resources, mental health, physical health and activities

of daily living.

Aim

Assess the functional status in mental health to implement

an individual monitoring plan.

Methods

Quantitative methodology using the Questionário de

Avaliac¸ ão Funcional Multidimensional para Idosos/Older Ameri-

cans Resources and Services (QAFMI/OARS). The sample consisted

of individuals aged

65, randomly selected and representative of

Chamusca’s elder residents (

n

= 2768;

n

= 1868).

Results

Results showed that inmental health, there isn’t a signifi-

cant difference classification between genders in the different aged

groups. There is only statistically significant difference between

age groups, with the group of 85 and over who have worse

results.

Conclusions

The work developed with QAFMI/OARS lead us to

consider this instrument very useful to define functional status of

the elders in specific evaluation areas as mental health, becoming

right to the planning of older care services.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.445

EW328

The effect of stress management

program on mental health of the

mothers of the children with

attention deficit hyperactivity

disorder, Shiraz-Iran

F. Sharif

1 ,

, S . Z

arei

2 , A.

Alavi Shooshtari

3 , M.

Vossoughi

4

1

Shiraz University of Medical Sciences, Psychiatric Nursing, Shiraz,

Iran

2

Shiraz University of Medical Sciences, Psychiatric Nursing, Shiraz,

Iran

3

Shiraz University of Medical Sciences, Psychiatry, Shiraz, Iran

4

Shiraz University of Medical Sciences, Biostatistics, Shiraz, Iran

Corresponding author.

Background

Attention deficit hyperactivity disorder is one of the

most common psychiatric disorders in children.

Aim and Objective of the study

The study aimed to evaluate

the effectiveness of stress management program using cognitive

behavior approach on mental health of the mothers of the children

with attention deficit hyperactivity disorder.

Methods

In this interventional study, 90 mothers of the chil-

dren with attention deficit hyperactivity disorder were randomly

allocated into three intervention, placebo, and control groups. The

general health questionnaire was used to measure mental health.

Besides, stress was assessed through the depression-anxiety-stress

scale. The two instruments were completed at baseline, imme-

diately, and one month after the intervention by the mothers.