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S228

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

Afterwards, within group comparisons were made using one-

sample repeated measurement Anova. One-way Anova was used

for inter-group comparisons. Mothers in the placebo group only

participated in meetings to talk and express feelings without

receiving any interventions.

Results

At the baseline, no significant difference was found

among the three groups regarding the means of stress, anxiety,

depression, and mental health. However, a significant difference

was observed in the mean score of stress immediately after the

intervention (

P

= 0.033) and themean score of mental health among

the three groups (

P

< 0.001). One month after the intervention, the

mean difference of mental health score remained significant only

in the intervention group (

P

< 0.001).

Conclusions

The study findings confirmed the effectiveness of

stress management program on mental health of the mothers of

the children with attention deficit hyperactivity disorder.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.446

EW329

Domiciliary care service in

psychiatry – Impact on hospital

admissions and follow up in patients

with bipolar and schizophrenia

disorders

G. Sobreira

1 ,

, F. Gomes

1

, I. Capeto Coelho

2

, J. Oliveira

3

1

Centro Hospitalar Psiquiátrico de Lisboa, First Psychotic Episode

Unit, Lisboa, Portugal

2

Centro Hospitalar Psiquiátrico de Lisboa, Bipolar and Obsessive

Compulsive Disorders Unit, Lisbon, Portugal

3

Centro Hospitalar Psiquiátrico de Lisboa, Neuropsychiatry and

Dementia Unit, Lisboa, Portugal

Corresponding author.

Introduction

Several community psychiatry projects have been

developed in Lisbon; nevertheless, there are patients whose needs

are not fulfilled by the existing structures. For this reason, our insti-

tution created a domiciliary care unit (PreTrarCa).

Objectives

To assess if this program has an impact in admission

rates, length of stay and follow-up appointments.

Aims

To improve the quality of care provided by PreTrarCA.

Methods

All active patients followed by PreTrarCA in 2015 were

selected (

n

= 90); only those with F20 and F31 (ICD-10) diagnoses,

admitted to the program after 2013, and who had information

regarding duration of illness were chosen (

n

= 21). A control group

with similar characteristics (age, gender, ICD-10 diagnosis, dis-

ease duration) was paired to our sample. Information concerning

social/demographic data, disease duration, hospital admissions and

appointments, before and after the patients started the program

was retrospectively collected. All data and statistical analyses were

performed via SPSS program.

Results

Our patients were mostly female (

n

= 12); mean age

54,92; 10 and 11 had F-20 and F-31 diagnosis respectively. The

test patients had fewer admissions (

P

= 0.027). No statistical sig-

nificance was found concerning number of appointments, missed

appointments or length of stay, between the groups before or after

the patients had started the program.

Conclusions

Results suggest that domiciliary care may reduce

costs associatedwithmental health care due to a decrease in admis-

sion rates. Our sample was paired to a similar group, which can

account for the similar length of stay in both groups. Further studies

should take into account other confounding variables.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.447

EW330

Partial psychiatric hospitalization and

differences in clinical outcome

J. Vázquez Bourgon

1 ,

, F. Hoyuela Zatón

1

, E. Gómez-Ruiz

1

,

E. Cortazar Lopez

1

, B. Agüeros Perez

1

, J. Cuetara Caso

1

,

M.J. Gutierrez Ajenjo

1

, C. Alvaredo Rodriguez

1

,

P. Rodríguez-Rodríguez

2

, P. Pelayo Reventún

3

,

B. Crespo-Facorro

1

1

University Hospital Marqués de Valdecilla-IDIVAL, CIBERSAM,

Psychiatry, Santander, Spain

2

Centro Hospitalario Benito Menni, Psychiatry, Santander, Spain

3

General University Hospital Alicante, Psychiatry, Alicante, Spain

Corresponding author.

Introduction

Intensive treatment in partial hospitalization unit

may represent an efficient alternative to traditional inward hospi-

talization. However, there is evidence suggesting that this clinical

resourcemay not be equally effective for every psychiatric disorder.

Objectives

We aimed to study possible differences in the effec-

tiveness of treatment in a partial hospitalization regime for

different psychiatric disorders.

Methods

Three hundred and thirty-one patients were admitted

to the Valdecilla acute psychiatric day hospital between January

2013 and January 2015. Clinical severity was assessed using BPRS-

E and HoNOS scales at admission and discharge. Other relevant

clinical and socio-demographic variables were recorded. For statis-

tical comparisons, patients were clustered into 4 wide diagnostic

groups (non-affective psychosis; bipolar disorder; depressive dis-

order; personality disorder).

Results

We observed a significant difference in the status of

discharge (

2

= 12.227;

P

= 0.007). Thus, depressive patients were

more frequently discharged because of clinical improvement, while

patients with a main diagnose of personality disorder abandoned

the treatment more frequently (23% vs. 4,0%)

When analysing the clinical outcome at discharge, we found that

patients with a diagnosis of bipolar disorder showed greater

improvement in BPRS (

F

= 5.305;

P

= 0.001) than those diagnosed

of psychosis or depressive disorder. Interestingly, we found no sig-

nificant differences between diagnoses in hospital re-admission in

the following 6 months after being discharged.

Conclusions

Our results suggest that acute treatment in par-

tial hospitalization regime may be more effective for bipolar

and depressive disorder, and particularly less effective for those

patients with a personality disorder.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.448

Mental health policies

EW331

Task-shifting within health care

systems – a general review of the

literature and implications for mental

healthcare

V. Agyapong

University of Alberta, Department of Psychiaty, Fort McMurray,

Canada

Background

There have been a growing interest in the effective-

ness of task-shifting as a strategy for targeting expanding health