European Psychiatry - Volume 33 - March 2016

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S278 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
record and score of the Quality of Life Scale QLS at base line before
psychotherapy. After 3 months, no difference as regards abstinence
rate between both arms (X2 = 1.763; P = 0.288), also no difference
between both groups as regards change in QLS score after 3 months
(t = 0.039; P = 0.969).
Conclusion Shifting focus approach shows no difference in terms
of abstinence or quality of life improvement compared to classical
CBT in non inferiority study.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW467
Student’s strategies to cope with
stressful situations
M. Theodoratou ∗, M. N avarinou , E. Stratoudaki-chondrou ,
M.P. Xiga , I. Nikolopoulou , P. Kloni , A. Psychogiou
Technological institute of Western Greece, social work, Patras, Greece
∗ Corresponding author.
Introduction It is well known that students have several stressful
situations to cope with and their coping strategies are of a wide
range (Brougham et al., 2009, Zi et al., 2011, Pierceall and Cane,
2009).
Objective The purpose of the study was to investigate how stu-
dents coped with various stressful situations they faced.
Aims One hundred participants, 60 men and 40 women, study-
ing at TEI of Patras, Greece, were randomly selected and asked to
describe their stressful situations and the ways they dealt with
them.
Method The questionnaire used was based on “Échelle Toulou-
saine de Coping” (Tap et al., 1993) adjusted by Theodoratou et al.
(2006).
Results Forty-five percent of the students could not control their
feelings, while facing a difficult situation and might feel panic, but
the majority of the students (63%) did not use medication to cope
with a difficult situation. When facing a problem, the 45% of the
students did not amuse themselves and 35% of the participants
avoided communicationwith other peoplewhen they faced a prob-
lem. Moreover, 29% of the students chose to pray to face a difficult
situation. Finally, 58% of the participants estimated that a counsel-
ing center in TEI of Western Greece would be necessary.
Conclusions In conclusion, many students were overwhelmed by
a negative emotion and most of them chose social withdrawal.
Thus, they might feel helpless and suggested that a counseling cen-
ter in their College and university might help them to overcome
difficulties during their studies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Quality management
EW468
Canadian psychiatry utilization trends
G. Radu ∗ arris essen owler
S. Pickett enhui Ren . Harris
1 Memorial university, department of psychiatry/Saint-Clare’s Mercy
hospital, Saint-John’s, Canada
2 Eastern health, psychology, St. John’s, Canada
3 Memorial university, faculty of education and department of
psychology, St. John’s, Canada
4 Memorial university, psychology, St. John’s, Canada
5 Memorial university, faculty of education, St. John’s, Canada
∗ Corresponding author.
Introduction The number of psychiatrists continues to grow in
Canada. Patient psychiatry utilization statistics, including reasons
for termination of such services, are important factors that have
the potential to impact future Canadian and international psychi-
atry service policies and practices. In addition, understanding the
reasons for psychiatry service termination is necessary to improve
service quality and effectiveness.
Aims This study focused on utilization trends, perceived effec-
tiveness of psychiatry services, and reasons for termination of
psychiatry services in Canada.
Method Prevalence of psychiatry service use, perceived effective-
ness, and reasons for termination of such serviceswere investigated
in a Canadian sample (n = 25,113). Prevalence rates were inves-
tigated by geography, sex, and age. Data were self-reported and
collected through a national Canadian phone survey focused on
mental and physical health.
Results Results highlight that a small percentage of participants
reported utilizing psychiatry services. The majority of participants
using such services perceived them as useful. Across geographical
regions, reasons for discontinuing services were most often related
to completing treatment, feeling better, or not seeing the treatment
as helpful.
Conclusions This study explored psychiatry utilization trends,
perceived psychiatry effectiveness, and reasons for patient termi-
nation of such services. Results are explored through a geographical
region breakdown, sex differences, and age stratification. Implica-
tions for policy, practice, and training are discussed froma Canadian
and international perspective.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Rehabilitation and psychoeducation
EW469
How we can enhance treatment
adherence? Perspective of patients
and clinicians
A. Cardoso ∗, P. Aguiar , M. Byrne , M. Xavier
1 Faculty of medical sciences, mental health, Lisbon, Portugal
2 National school of public health, public health, Lisbon, Portugal
3 University of Wollongong, psychology, Wollongong, Australia
4 Nova medical school, mental health, Lisbon, Portugal
∗ Corresponding author.
Introduction Non-adherence to antipsychoticmedication is com-
monly found in mental health disorders (MHD), thus forming a
major obstacle to long-termmaintenance treatment and contribut-
ing to high relapse rates and also can influence the attitudes and
beliefs of mental health professionals (MHP).
Objectives –assess the beliefs of MHP;
–assess perception of illness in patients with MHD.
Aims Contribute to treatment adherence of patients with MHD,
through developing adequate strategies to their needs.
Methods In this cross-sectional study, we use a convenience
sample of patients with MHD attending in the mental health
departments of three general hospitals in Lisbon great area.
Data is being collected through individual interviews. We have
applied clinical and socio-demographic questionnaire and addi-
tional measures to assess symptom severity, treatment adherence
and attitudes towards medication. For MHP, we used a optimism