European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S621
Conclusion Despite growing research in Psycho-oncology and
growing interest among clinicians and researchers, there is still
some shortcomings, warning that the psychological support is also
scarce in some Portuguese institutions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV849
Experience: Liaison program
S. Goretti ∗ hinchilla Rodriguez
M.C. Sanchez Sanchez . Lorente Molina
M.D. Hurtado Montiel
1 Almeria, Spain
2 USMI-J, Almeria, Spain
3 Spain
∗ Corresponding author.
Introduction Multiple factors make children with oncological
processes-and their families-as a population with a special psycho-
logical risk. Because of this matter, they are likely to benefit from
an integrated approach in their assessment and treatment. Under
this premise, for the last year it is been implemented a Consultation
and Liaison Program between Clinic Psychology and Oncohemato-
logical Pediatry at the Torrecardenas Hospital in Almería (Spain).
Objective To facilitate the adaptation of the child and his family
to the disease process; and to prevent possible future changes in
the developmental and socioemotional development of the child.
Method It is a coordinated effort between the pediatric ward
and mental health services, and it is conducted by a clinical psy-
chologist. It is performed in a hospital setting, and is directed
to all pediatric patients that may require admission to the onco-
hematology plant and its closest relatives.
Results During the time of application, it was possible to make an
initial assessment of each of the new revenues with cancer diag-
nosis and developed an initial plan of psychological intervention.
The interventions have been individually designed, based on the
needs identified in each case, including: family interventions, coor-
dination and direction to health professionals, direct approachwith
children.
Conclusions Throughout this year we have seen the emotional
impact of a cancer diagnosis means for a child and high psycholog-
ical wear that brings the long process of treatment. There is a clear
need presented by this population to receive a specialized care that
takes into account the psychological and contextual aspect.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV850
A brief exploration of the
psychological support available for
cancer victims/survivors and relatives
in health system in Riga, Latvia
S. Kumar ∗, E. Stengrevica
1 Liverpool, United Kingdom
2 NA, Psychology, Riga, Latvia
∗ Corresponding author.
Introduction In Riga, Latvia, people who have been diagnosed
with cancer at various stages, are not offered any group or indi-
vidual psychological intervention. This applies for the immediate
relatives as well.
Aim The aim of the study was to collate a homogenous under-
standing of the resources and standards of extant practice in
psychological needs of patients and their family diagnosed with
cancer. Further aims include to identify any deficiencies in the ser-
vice delivery and make appropriate recommendations.
Method The collective survey tool is devised to reflect the psy-
chological needs of the aforementioned patients were devised by
the authors, one a practicing psychiatrist in UK and the other with
background in groupwork and support in Riga. The tool extended to
ask coping skills, understanding, impact on relationship, work and
general well-being of patients and carers and their familymembers
alike. The collated survey was distributed and results collated.
Discussion The results of the survey indicate number of deficien-
cies in the organization and service delivery. There is also a huge
lack of psychological support to family members who have been
affected by a diagnosis of cancer or loss to cancer in the family. We
also discuss means of improving service delivery in groups for this
sample.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV851
Influence of family dynamics in the
development and recovery of patients
with cancer diagnosis. Report of two
cases
L. Leon-quismondo ∗, M.F. Dieguez-porres
“Principe de Asturias” University Hospital, Psychiatry, Alcala de
Henares, Spain
∗ Corresponding author.
Introduction Nowadays, it is well known that a cancer diagnosis
has an important impact on the patient and his family. Given a
stressful life event, such as cancer, the family is in crisis, so it is
crucial how they facing the process. Two families with different
adaptation process at the time of diagnosis are presented and the
differences are analyzed.
Cases Family 1: Woman, diagnosis of breast cancer. She lives
with her husband and she has two children. Troubled family rela-
tionships before the diagnosis. Following the cancer diagnosis,
family conflicts increase, bothwith their children andwith her hus-
band. The family is not able to adapt to the new situation and the
patient perception is that her family do not care what is happening
to her.
Family 2: Woman, diagnosis of breast cancer. She lives with her
boyfriend, she has no children. She has a good relationship with
her family before the diagnosis, without unresolved conflicts in
the past. Since cancer diagnosis the whole family has turned to
the patient, being more available for her needs, physically and
emotionally. She is feeling supported by them and this is making
the adaptation process and family adjustment easier, feeling the
patient stronger to cope with illness.
Conclusions In families with unresolved crisis before the disease,
the psychological stress increases after diagnosis. The family finds it
difficult to react and adapt to the changes caused by the disease and
the relationships between its members deteriorate. Conversely, if
the family dynamic is good, it is a positive factor in the recovery.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV852
Psychiatric presentations of central
nervous system tumors
L. Maia ∗, A. Sofia Coutinho , G.C. Irina , L. Carneiro
1 Vila Nova de Gaia, Portugal
2 Hospital Center of Vila Nova de Gaia e Espinho, Mental Health
Service, Vila Nova de Gaia, Portugal
∗ Corresponding author.