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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1642

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1643

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1644

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1645

EV661

Social-stress disorder. What does it

mean for the people?

O. Pityk

1 ,

, M .

Pityk

2 , I. K

uzhda

3

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.