European Psychiatry - Volume 33 - March 2016

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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.
Migration and Mental health of Immigrants
EW335
Gender and immigrant status
differences in the treatment of
substance use disorders among US
Latinos
K. Alvarez ∗, B. Cook , F. Montero Bancalero , Y. Wang ,
T. Rodriguez , N. Noyola , A. Villar , A. Qureshi , M. Alegria
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.
EW336
Correlates of depression, anxiety and
stress among foreign medical students
studying general medicine in Romania
A.D. Buzoianu ∗ . Popescu uciu . Armean
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.
EW337
Traumatic pre-migration experiences:
A population-based study of Russian,
Somali and Kurdish origin migrants in
Finland
A. Castaneda ∗ 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