European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S497
EV463
Religion, spirituality, culture, and
mental health: Is it a ‘taboo’ or ‘to be’
in modern-age psychiatry
M.F. Moosa∗, T. Sandhu
Birmingham Children’s Hospital, Forward Thinking Birmingham,
Birmingham, United Kingdom
∗ Corresponding author.
Introduction Religion, Spirituality and Culture are considered to
play a significant and influential part in people’s lives, and are
deemed to be both risk and protective factors in the context of
mental health. Given the diversity that exists within communities,
worldwide, exploring and unpicking these issues will help Psychia-
trists, with equally diverse backgrounds, share and learn from each
other, the focus being on improving the outcomes for patients and
carers in need of help and support.
Aim/s To raise awareness and understanding of the concepts
of religion, spirituality, culture, custom and practice, and their
influence in the context of mental health in multi-ethnic and
multi-cultural communities, so as to better inform mental health
practitioners.
Objective To define the terms religion, spirituality and culture.
To critically appraise the influence of religion, spirituality and
culture on mental health. To incorporate faith-based beliefs and
practices, spirituality, culture and customs into the therapeutic
environment and relationship, ensuring positive outcomes for all
concerned–patient and therapist. To develop ourselves as reflective
practitioners.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV464
The challenges of post conflict
reintegration in Africa
S. Okpaku
Nashville, USA
Introduction In the past 50 years, the continent of Africa has wit-
nessed major conflicts ranging from civil wars and liberation wars
to chaos fromfailed States. Increasingly in these political upheavals,
kidnapping and abductions of women and young persons have
become more prominent.
Aims/objectives/methods In this paper the consequences of polit-
ical upheavals will be discussed. For the community there are
economic, political and social disruptions. For the individuals there
are family disruptions and improvements. For the abducted and
kidnapped individuals there are physical, psychological and cogni-
tive impairments, as well as consequences of sexual injuries.
Findings There is controversy as to prevention, reduction, and
management of young victims of war and conflicts. Some workers
have suggested that:
–the imposition of peace agreements by foreign powers may not
be strictly relevant to the parties engaged in the conflicts;
–culturally appropriate rituals have efficiency in the readjustment
of boy soldiers and abducted girls. Nevertheless the guidelines sug-
gested in international disagreements provide a basis for there
adjustment of young war conflict victims.
Conclusion –Traditional healing rituals have a place in the healing
and reintegration in person’s abduction in post conflict situations.
– Community approaches are superior to individual approaches.
Disclosure of interest The author has not supplied their declara-
tion of competing interest.
EV465
Newer substances and their effects: A
case report
I. Pe˜nuelas Calvo ∗, J. Sevilla Llewellyn-Jones , A. Sareen ,
C. Cervesi , A. González Moreno
1 Hospital Universitario Virgen de la Victoria, Psychiatry, Málaga,
Spain
2 Hospital Universitario Virgen de la Victoria, Psychologist, Malaga,
Spain
3 The Zucker Hillside Hospital–North Shore–Long Island Jewish
Health System, Psychiatry Research, New York, USA
4 Institute for Maternal and Child Health- IRCCS “Burlo Garofolo”,
Psychiatry, Trieste, Italy
5 Hospital Universitario Virgen de la Victoria, Psychiatry, Malaga,
Spain
∗ Corresponding author.
Introduction Due to constant flow of people in and out of Europe
several drugs are now days appearing in European markets that
were previously unknown. There is a need to gain awareness and
knowledge about these new substances and to recognize their use
and learn about their effects and management.
Aims/objectives Ayahuascais commonly called yagé is a tradi-
tional spiritual medicine in ceremonies among the Indigenous
peoples of Amazonian Peru. It is undetected in urine or blood and
therefore it is important to understand and ask about its usage
during clinical assessment.
Methods/results Thirty-six years old woman immigrant from
South America came to us with auditory hallucinations. About
three years ago she was introduced who introduced her to a com-
munity of Euto poeple that performed daily rituals of spiritual
awareness involving the use of Ayahuasca. She became a part of
it and started consuming Ayahuasca daily. She started becoming
socially isolated accompanied by delusional and mystical religious
ideations. She later began having persecutory delusions and audi-
tory hallucinations that Archangels speak to her about how to
create music. Patient was involuntary admitted in a mental health
unit and started on risperidone. Gradually her condition improved
and she stopped having auditory hallucinations. After being dis-
charged from the hospital, patient was followed on an outpatient
basis with injectable risperidone.
Conclusions Due to the blend of different cultures in Europe, it is
necessary to have a better understanding about the cultures, rituals
and the substances that are relatively new and are currently been
used.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV466
EV466Characterization of the refugee
population in a psychiatry clinic in
Lisbon
H. Prata-Ribeiro ∗, A. Bento , A. Ponte , B. Costa Neves , L. Gil
1 Centro Hospitalar Psiquiátrico de Lisboa, General and Transcultural
Clinic, Lisbon, Portugal
2 Centro Hospitalar Psiquiátrico de Lisboa, Servic¸ o de Tratamento e
Estabilizac¸ ão de Agudos, Lisbon, Portugal
3 Centro Hospitalar Psiquiátrico de Lisboa, Servic¸ o de Esquizofrenia,
Lisbon, Portugal
∗ Corresponding author.
Abstract The refugee population has been a growing concern to
the developed countries in general and to Europe in particular.
The recent mass migrations are changing the population that is
getting to the psychiatric hospitals, not only culturally but also
pathologically. The aim of this study is to characterize the refugee
population that contacts with the clinic of transcultural psychiatry