European Psychiatry - Volume 33 - March 2016

564 / 812

S560 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
mental health specialists be part of case management teams. The
teams managing EVD patients should be trained on recognition of
common psychological distress.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV658
Epidemic of conversion disorder in
Janaozen, the Northern Kazakhstan
E. Molchanova
American University in Central Asia, Psychology, Bishkek, Kyrgyz
Republic
Janaozen, a small city in the Northern Kazakhstan is an oil town,
where 8%of all Kazakhoil has been extracted since 1950s. Due to the
harsh climate and uncomfortable living conditions on the one hand,
and relatively high salaries on the other, the city became a “Mecca”
for ethnic Kazakhs (oralmans), who migrated from the other coun-
tries of the former USSR. The strict division between “ours” and
“oralmans” created a variety of predispositions for the existence of
a recurrent intro-city conflict, which served as a background for the
tragic events of December 2011. The strike of oil workers ended in
a bloody carnage with long-lasting consequences. The high level
of traumatic stress, secondary gain of traumatization, and relative
isolation of oralmans created plausible conditions for explosion of
mass conversion disorder, which in social consciousness was asso-
ciated with measles vaccination.
On 16th of February, 20 teenagers were hospitalized with seizures
of unknown aetiology, 60 girls got sick during the next three days,
and 195 were hospitalized during the next three weeks. More than
100 were receiving an outpatient treatment. Foggy diagnosis of
“post-vaccine reaction” led to panic among citizens, and a small
city hospital became overcrowdedby relatives of patients. The diag-
nosis of conversion disorder had been supported according to the
criteria of ICD-10.
The results of numerous focus groups, archival research and indi-
vidual interviews showed up the precise connections between oil
workers’ strike in 2011 and mass conversion disorder in 2015.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV659
Mental and behavior disorders among
combatants in Ukraine
B. Mykhaylov
Kharkov Medical Academy of Postgraduate Education,
Psychotherapy, Kharkov, Ukraine
In Ukraine, the significant participants of the “anti-terroristic
operation” (ATO) need to provide a system of psychiatric, psy-
chotherapeutic assistance.
The 6 groups of disorders:
– non-pathological reaction (Z65.5);
– pathological reactions (F43.0);
– neurotic disturbances (F45);
– psychotic disturbances (F44);
– PTSD (F43.1);
– chronic personality changes (F62.0).
The system of complex assistant was provided. Step 1: emergency
psychological assistance. It is carried out on the basis of crisis inter-
vention, that is defined as the emergency and urgent medical and
psychological first aid, aimed at the return of the victim to the
adaptive level of functioning, preventing progredient development
of mental disorders, reducing the negative impact of a traumatic
event.
Step 2: medical and psychological support. The purpose is the relief
of mental and behavioral disorders, prevention (secondary and ter-
tiary), psychological maladjustment, progressive course of mental
disorders, with the purpose, rational, suggestive, cognitive behav-
ioral (CBT), and others. The aim of psychotherapy is to support the
patient’s assistance, processing traumatic material revaluation of
the crisis, a change of attitude, increased self-esteem, develop real-
istic perspectives and active life position. It is important to restore a
sense of competence and design future in which you can use a good
past experiences. Step 3: the primary goal of treatment is relief of
anxiety and fear, stress, adaptation to the human life and activity in
conditions of continuing psychogenic. The most effective method
of psychotherapy in these cases is CBT. Step 4: supportive. All steps
developed by multimodal model of psychotherapy.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV660
Community mental health:
Description of the patients concerning
the ULS Guarda department of
psychiatry and mental health area
J. Nunes ∗, J. Feliz , D. Brigadeiro , T. Ventura Gil , A.F. Teixeita ,
P. da Costa
Hospital Sousa Martins, Department of Psychiatry and Mental Health
of Sousa Martins Hospital, ULS Guarda, Guarda, Portugal
∗ Corresponding author.
The World Health Organization (WHO, 2004) stresses the impor-
tance of home patient visiting as an answer to the epidemiologic,
demographic, social and economic challenges that the world is fac-
ing.
The severe psychiatric patients are a risk group and often need
domicile consultation and visiting. The domicile consultation
approach favors the clinical, social and familiar support as well as
promotes the integration and the recovering of the patients with
mental problems, preventing the relapses and the hospital admis-
sions of these patients.
This study, of descriptive nature, is based on the observation and
consultation of 287 clinical processes of patients inserted in the
domicile consultation programdesigned by the Department of Psy-
chiatry and Mental Health of Sousa Martins Hospital, ULS Guarda,
which covers the 7th biggest district in Portugal (in a universe of
18), between July and September 2015.
The main goal of this study is to characterize and analyze the pro-
file of the population, which is followed by the community mental
health team of our Department, namely, the socio-demographic
and clinic features, in order to improve the assistance practice in
the future.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV661
Social-stress disorder. What does it
mean for the people?
O. Pityk ∗ Pityk uzhda
1 Ivano-Frankivsk National Medical University, Department of
Psychiatry, Narcology and Medical Psychology, Ivano-Frankivsk,
Ukraine
2 Ivano-Frankivsk National Medical University, Department of
Neurology, Ivano-Frankivsk, Ukraine
3 Ivano-Frankivsk Regional Children Hospital, Department of
Ophthalmology, Ivano-Frankivsk, Ukraine
∗ Corresponding author.