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S230

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

for innovative services. Low degree of implementation: new mod-

els for budgeting and management, new continuing care network,

workforce recruitment, inpatient services for children and ado-

lescents, collaboration with the primary care, substance use and

justice sectors.

Conclusion

The scarce degree of autonomy of the implemen-

tation team at the Ministry and the economical crisis hindered

the fulfilment of key objectives. Dimensions including the mental

health financial andmanagement systems and the implementation

of a continuing care network must be considered top priorities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.452

Migration and Mental health of Immigrants

EW335

Gender and immigrant status

differences in the treatment of

substance use disorders among US

Latinos

K. Alvarez

1 ,

, B. Cook

2

, F. Montero Bancalero

3

, Y. Wang

1

,

T. Rodriguez

1

, N. Noyola

1

, A. Villar

4

, A. Qureshi

4

, M. Alegria

1

1

Massachusetts General Hospital, Disparities Research Unit, Boston,

USA

2

Cambridge Health Alliance, Health Equity Research Lab, Cambridge,

USA

3

Escuela Universitaria de Osuna, Department of Psychology, Sevilla,

Spain

4

Vall d’hebrón University Hospital, Department of Psychiatry and

Forensic Medicine, Barcelona, Spain

Corresponding author.

US Latinos have higher rates of substance use disorders (SUDs) than

Latinas, but Latinas face substantial barriers to treatment and tend

to enter care with higher SUD severity. Immigrant Latinas may face

greater barriers to care than native-born despite lower overall SUD

prevalence. This study aimed to identify how SUD treatment needs

of Latinos are addressed depending on patient gender and immi-

grant status within an urban healthcare system serving a diverse

population.

Methods

Data from electronic health records of adult Latino/a

primary care patients (

n

= 29,887 person-years) were used to iden-

tify rates of SUD treatment in primary and specialty care. Treatment

characteristics and receipt of adequate carewere compared by gen-

der and immigrant status.

Results

Tobacco was the most frequently treated substance fol-

lowed by alcohol and other drugs. Forty-six percent of SUD patients

had a comorbid psychiatric condition. Treatment rates ranged

from 2.52% (female non-immigrants) to 8.38% (male immigrants).

Women had lower treatment rates than men, but male and female

immigrants had significantly higher treatment rates than their non-

immigrant counterparts. Receipt of minimally adequate outpatient

care varied significantly by gender and immigrant status (female

non-immigrants 12.5%, immigrants 28.57%; male non-immigrants

13.46%, immigrants 17.09%) in unadjusted and adjusted

analyses.

Discussion

Results indicate overall low prevalence of SUD treat-

ment in the healthcare system. Low rates of minimally adequate

care evidence the challenge of delivering integrated behavioral

healthcare for Latinos with SUD. Results also demonstrate gen-

der and immigrant status disparities in an unexpected direction,

with immigrant women receiving the highest rates of adequate

care.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.453

EW336

Correlates of depression, anxiety and

stress among foreign medical students

studying general medicine in Romania

A.D. Buzoianu

1 ,

, C .A

. Popescu

2 , S. S

uciu

3 , S.M

. Armean

1

1

UMF Cluj Napoca Iuliu Hatieganu, Pharmacology, Cluj-Napoca,

Romania

2

UMF Cluj Napoca Iuliu Hatieganu, Social Sciences, Cluj-Napoca,

Romania

3

UMF Cluj Napoca Iuliu Hatieganu, Physiology, Cluj-Napoca,

Romania

Corresponding author.

Introduction

Several studies suggest that medical students have

relatively high levels of emotional disturbance, such as mental dis-

tress, anxiety, depression, suicidal thoughts, and burnout. Studying

abroad is a growing trend in higher education. Culture shock is

a form of psychological distress associated with migration. Given

the increased mobility for study registered within the EU, there

are studies investigating the processes of acculturation of the stu-

dents as temporary migrants, with particular attention to the field

of medicine. However, in Romania there is virtually no research

addressing processes of acculturation of temporary immigrants.

Aims

The aim of this study was to examine the correlates of

depression, anxiety and stress in foreignmedical students studying

at University of Medicine “Iuliu Hatieganu” Cluj-Napoca, Romania.

Methods

A total of 300 foreign students from English and French

Section, completed 5 self-administered questionnaires: Culture

Shock Questionnaire, Social Support Questionnaire, STAI, NEO-FFI

and a questionnaire about alcohol, smoking and illicit drug use.

150 Romanian students were used as controls. Data on socio-

demographic, family characteristics and living arrangement were

also obtained.

Results

The scores for psychological distress symptoms (stress,

anxiety and depression) were significantly higher among foreign

medical students. Both individual factors, such as previous prob-

lems and personality, and more contextual stress arising from

medical school and negative life events, combine to determine

whether medical students experience mental health problems.

Conclusions

Preventive measures should be taken by medical

schools to support foreign medical students, who are at risk for

stress, anxiety and depression.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.454

EW337

Traumatic pre-migration experiences:

A population-based study of Russian,

Somali and Kurdish origin migrants in

Finland

A. Castaneda

, L. J

unna , S. Rask , P. Koponen , S. Koskinen ,

J. Suvisaari

National Institute for Health and Welfare, The Department of

Welfare, Helsinki, Finland

Corresponding author.

Introduction

Ongoing mass conflicts and the resulting flow of

displaced persons have increased interest on pre-migration expe-

riences of migrants, but population-based studies of entire migrant

groups are still scarce.

Objective

We aim to assess the prevalence of a variety of possibly

traumatic pre-migration experiences among Russian, Somali and