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S598

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

identification and systematization of outcome domains in men-

tal healthcare. This will provide a basis for identifying important

outcome domains from the perspectives of both, patients and

professionals. In a next step, appropriate and important outcome

measures can be identified.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1759

EV775

Collaborative space using the

andalousian integrated care process of

anxiety, depression and somatization

M. Guerrero Jiménez

1 ,

, J.A. Rodrigo Manzano

2

,

C.M. Carrillo de Albornoz Calahorro

2

, B.M. Girela Serrano

2

1

University Hospital San Cecilio, Psychiatry, Granada, Spain

2

Santa Ana Hospital, Mental Health, Motril, Spain

Corresponding author.

Introduction/objectives

The Integrated Care Process of Anxiety,

Depression and Somatization (ICP-ADS) lays out the coopera-

tion between primary care (PC) and mental health (MH) as

basic premises. Showing this model improves patient detection,

inadequate patient referrals, adherence and response to medical

treatment.

Aims

The Therapeutic Program (TP) established in PC includes

low intensity psychological and psychosocial interventions, phar-

macological treatment, and use of collaborative space with MH

combining consultations, case tracking and educational activities.

Our rotation as MH residents in the Community Mental Health Unit

(CMHU) has focused on this framework, encouraging the use of a

collaborative space.

Methods

Three training sessions were used to deal with the pro-

cess as a whole. PC professionals were given self-help handbooks

for low intensity interventions and clinical practice handbooks for

psychopharmacological treatment. The referral space was estab-

lished afterwards, where we took part in the TP founded by the PC

doctor. In case the demand would continue, we opened consulta-

tion one day a week for co-therapy. With brief interventions of 3–4

sessions we continued the work with self-help guides, which also

optimized psychopharmacotherapy.

Results

Referrals were sufficient in many cases. Sixteen pro-

cedures were completed in co-therapy, half of which required

referrals to encourage adherence. Only a referral to MH had to be

done. Three months later, a follow-up showed that no patient in

co-therapy had to be referred to specialized care.

Conclusions

The amount of referrals was reduced in comparison

to previous months, adherence to interventions of low intensity

was improved and was useful in both detection and prevention of

new cases.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1760

EV776

The burnout severity level was

significantly higher amongst Imams

in Republic of Srpska than amongst

Imams in Federation of

Bosnia-Herzegovina in the postwar

Bosnia-Herzegovina

L. Mehmedi´c

1

, M. Hasanovic

2 ,

, P. Izet

1

, A. Isi´c

1

1

University of Zenica, Department of Social Pedagogy, Islamic

Pedagogical Faculty, Zenica, Bosnia and Herzegovina

2

Tuzla, Bosnia and Herzegovina

Corresponding author.

Introduction

Modern researches suggested that the burnout syn-

drome of workers employed in the social services increased and this

term is taken as a working diagnosis to indicate a particular form of

psychological (mental and emotional) exhaustion due to overload

at work.

Objective

To investigate the differences of burnout syndrome

severity amongst Imams (Islamic priests) in the Republic of Srpska

(RS) and amongst Imams in the Federation of Bosnia-Herzegovina

(FBH) in the postwar Bosnia-Herzegovina (BH).

Methods

The sample was consisted from 148 Imams (68

from RS) of age (mean

±

standard deviation) 40.2

±

10.7 years

(RS = 39.7

±

11.1 years and FBH= 40.6

±

10.2 years,

t

-test = 0.5,

P

= 0.6). We used the standardized – Burnout test of Archibald Hart

from 2009.

Results

The obtained results indicate that the level of burnout

syndrome severity was significantly higher amongst Imams in the

Republic of Srpska (mean

±

standard deviation = 3.0

±

1.5 on the

Lickert scale 1–5) than amongst Imams i the Federation of Bosnia-

Herzegovina (2.2

±

1.3) (Student’s

t

-test = 4.757,

P

< 0.001) in the

postwar Bosnia-Herzegovina.

Conclusion

The level of burnout syndrome severity was signif-

icantly higher amongst Imams in the Republic of Srpska than

amongst Imams i the Federation of Bosnia-Herzegovina in the post-

war Bosnia-Herzegovina.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1761

EV777

Fifteen-month follow-up of an

assertive community treatment

program for chronic patients with

mental illness

J.H. Jeong

1 ,

, K .H

. Lee

2 , D.I

. Jon

3

1

St. Vincent’s Hospital The Catholic University of Korea, Psychiatry,

Suwon, Republic of Korea

2

College of Medicine, Dongguk University, Psychiatry, Gyeongju,

Republic of Korea

3

Sacred Heart Hospital, College of Medicine- Hallym University,

Psychiatry, Anyang, Republic of Korea

Corresponding author.

Objective

This study was to evaluate the effect of an assertive

community treatment (ACT) program on psychiatric symptoms,

global functioning, life satisfaction, and recovery-promoting rela-

tionships among individuals with mental illness.

Methods

Thirty-two patients were part of the ACT program and

32 patients matched for age, sex, and mental illness were in a stan-

dard case-management program and served as a control group.

Follow-up with patients occurred every 3 months during the 15

months after a baseline interview. Participants completed the Brief

Psychiatric Rating Scale (BPRS), Global Assessment of Functioning

(GAF) Scale, Life Satisfaction Scale, and Recovery-Promoting Rela-

tionship Scale (RPRS).

Results

According to the BPRS, the ACT group showed a signif-

icant reduction in symptom severity, but the ACT program was

not significantly more effective at reducing psychiatric symptoms

from baseline to the 15-month follow-up compared to the case-

management approach. The ACT group showed more significant

improvement than the control group in terms of the GAF Scale. Both

groups showed no significant differences in the change of life sat-

isfaction and in the change of recovery-promoting relationships.

We observed a significant increase in recovery-promoting rela-

tionships in the control group, but the group

×

time interactions

between groups were not statistically significant.

Conclusions

In this study, we observed that ACT was significantly

better at improving the GAF than case management. However, ACT

did not demonstrate an absolute superiority over the standard