European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S421
many sessions they would recommend for the programme. After
receiving their views and analysing the results, the expert panel
will be presented with the results and they will be asked to rank
the interventions again. The expected results for the Delphi will be
available in February 2016. This study is part of a PhD study that is
funded by Shaqra University. It will help the researcher to design
an intervention that will be conducted in April 2016 using a ran-
domised controlled trial design in the same population in Riyadh,
Saudi Arabia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV223
Mental health care to children and
adolescents
R. Alonso Díaz ∗, E. Cortázar Alonso , H. Guillén Rodrigo ,
R. Remesal Cobreros , S. Fuentes Márquez
1 Huelva, Spain
2 Hospital Juan Ramón Jiménez, Salud Mental, Huelva, Spain
∗ Corresponding author.
Unit Mental Health Day Hospital Child and youthful, is a device of
tertiary health care, integrated into the UGC Mental Health, led to
intensive treatment of children and young people in the province
of Huelva, with severe mental illness and who need specialized
medical care.
To first access to this unit, the person should be referred for spe-
cialized Pediatrics; by your psychiatrist or psychologist benchmark
for mental health teams; or from the Hospitalization Unit, as it is a
third-level device.
When a patient was diagnosed with eating behavior disorder (TCA)
is derived, an initial consultation with the child and parents, a
first psychiatric evaluation, also by nutritional and Endocrinology
Nursing is performed. After evaluation of these professionals, you
can take the decision to begin an intensive outpatient treatment
in which the patient would have frequent consultations with the
psychiatrist, the nurse and endocrine.
They may also decide inpatient hospitalization and this could be
partial, to be held in the Day Hospital; or all, if the patient is under
14 years and hospitalization for psychiatric criteria indicated; the
patient would enter Pediatrics. If he is over 14 years old, would join
Hospitalization Unit.
In Child and Adolescent Hospitalization Unit of Huelva patient
it is included in a specific program for TCA where a psychiatric,
endocrine, educational approach in the classroom is done. Coor-
dination meetings with education, social services and early care
centers that are also in contact with that child are also conducted.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV224
Learning disorders and ADHD
E. Cortázar Alonso∗, H. Guillén Rodrigo ,
R. Alonso Diaz
Hospital Juan Ramos Jimenez, Salud Mental, Huelva, Spain
∗ Corresponding author.
The term learning disorders alludes to problems in reading, calcu-
late, writing and spelling. The prevalence of these disorders ranges
from 5 to 15 percent of all the children in school age. As for sex
distribution, men tend to have these problems often than women.
This summary is about a 9-year-old male with multiple eye tics
and suspected of having ADHD. He was referred by her general
pediatrician. The patient did not have a history of mental illness,
although he had a diagnosis of migraines.
J. is an only child, who lives with his parents in a district of the
city of Huelva, where he was born. His psychomotor and social
developments are within normal limits. His parents define him
as an introverted child, sensitive, with low self-esteem and very
attached to his mother.
The patient has a history of underperforming at school since he
was in third grade, without being associated with external factors.
He is going to support classes since then. He was evaluated by the
guidance team from his school and they decided to do a curricular
adaptation for him. Currently, he is repeating 4th year and he is
going to educational support.
The patient’s assessment consisted in clinical interviews with the
patient and their parents and the implementation of additional
tests likeWISC-IV, D2, CDI, TALE, SNAP IV and a reviewof his clinical
report.
The results showed us a specific development disorder comorbid
with a deficit of attention so we decided to start with the psy-
chopharmacological treatment and psychotherapy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV225
Early interventions practices in ASD –
Maternal behavior in spontaneous
interaction with their children
C. Amato ∗, M.E. D’Antino , M. Rocha , F. Fernandes
1 Mackenzie Presbyterian University, Developmental Disorders
Program, Centre for Health and Biological Sciences, São Paulo, Brazil
2 Universidade de São Paulo, School of Medicine, São Paulo, Brazil
∗ Corresponding author.
Recent studies point out that the occurrence of Autism Spectrum
Disorders (ASD) is up to 1%. In Brazil, providing services of medi-
cal diagnosis for children with ASD takes precious time. The time
spent waiting for the conclusion of the diagnostic process would
be extremely important to the child’s development. In this con-
text, the parent–children interaction is an important aspect to be
considered as a factor that has a positive impact in this process. The
aimof this studywas to explorematernal behavior during a sponta-
neous play situationwith their children. All subjectswere filmed for
30minutes during a spontaneous play situation with their mothers
that did not receive any special instructions. The subjects were 30
normal children, 3 of each age (respectively 9, 12, 15, 18, 21, 24,
27, 30, 33 and 36months) and 20 autistic children with ages vary-
ing from 2:10 to 10:6 (not expected any chronological association).
The whole corpus was analyzed considering of each subject, of each
group and the possible associations between the groups. The anal-
ysis of the maternal behavior provides data about the importance
of mother–child interaction and how everyday life activities and
routines can be used to increase the opportunities to improve the
ASD child’s communicative abilities and their creative use as an
important part of the whole development. These findings provide
further evidence that families should be included in any plan for
intervention designed towards ASD children.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV226
Depression and anxiety in Egyptian
children and adolescents with familial
Mediterranean fever
O. Amin Ismail ∗, H. Salah
1 Kasr Al Ainy, Psychiatry, Cairo, Egypt
2 Kasr Al Ainy, Pediatric, Cairo, Egypt
∗ Corresponding author.
FMF is the most common inflammatory disease that requires a life
long treatment. The aim was to evaluate depression and anxiety