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S700

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

2

Instituto Munipal Philippe Pinel, Psiquiatria, Rio de Janeiro, Brazil

Corresponding author.

Introduction

Somatization Disorder is more prevalent in females

and is historically known as Briquet Syndrome. It is characterized

by complaints in several systems, has early onset and chronic fluc-

tuating course, but without organic substrate. When the duration

of symptoms is less than two years or they are less obvious, it is

called Undifferentiated Somatoform Disorder.

Objectives

This study reports the case of a female patient, pre-

viously healthy and with no psychiatric history, which abruptly

presented lush somatic symptoms without organic origin.

Case Presentation

Case report of a previously healthy woman of

32 years, followedup for 14months, by a suddenonset frame of pro-

fuse diarrhea, tenesmus, fecal incontinence, vomiting, anorexia and

weight loss (18 kilos in 2months), associated with headache and

autonomic signs of anxious origin, without clear physical and/or

psychogenic trigger. She had only a mild response to drug therapy

and excellent improvement in symptoms after psychotherapy.

Results

Unconscious triggers came to light only after psychother-

apy starts, justifying that the magnitude of autonomic somatoform

symptoms surpasses the time period established by ICD-10 for

SomatizationDisorder. Therefore, the rapid resolutiondidnot allow

a diagnosis of SomatizationDisorder, according to ICD-10. So, it was

diagnosed as Undifferentiated Somatoform Disorder.

Conclusion

It is suggested that the grandeur of clinical symptoms

in this case is caused by psychogenic factors.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2084

Quality management

EV1100

The challenge of Vitamin D deficiency

in an inpatient ward

I. Adamidou

1 ,

, I. Udo

2

1

A & E, Blackpool, United Kingdom

2

Merseycare, Psychiatry, Liverpool, United Kingdom

Corresponding author.

Aims and hypothesis

We set out to determine standards that

would enable the identification of persons at risk of Vitamin D

(VitD) deficiency in our ward; the prevalence of deficiency in at

risk patient group on a 25-bedded ward (Brunswick). Deficiencies

were identified, managed according to local guidelines and care

plans were updated to reflect this change.

Background

Low VitD levels have been associated with depres-

sion, psychosis, schizophrenia, suicidality, treatment resistance

and poor coping. However, serumVitD levels is not a routine inves-

tigation on inpatient psychiatric admissions. Factors associated

with VitD deficiency include prolonged stay in inpatient units with

limited exposure to sun; Inpatients’ diet; Self-neglect and social

isolation.

Methods

Criteria for identifying patents whomay be at increased

risk was agreed.

These patients were approached, and consented to screening.

Results of the investigation were discussed with patients and

actioned according to need. Study period May 2015–July 2015.

Results

We were unable to identify any criteria in use for identi-

fying persons at risk in psychiatric services. The following criteria

were agreed: Hospital stay for > 2months and limited opportunities

of leaving the ward (Detention); Transfer from another unit with

a total of hospital stay > 2months; Admission from the community

with severe depression or history of social isolation.

7 patients (28%) were identified to be at increased risk. Of this, 6

patients (85.7%) were deficient and another 1 (14.3%) had insuffi-

cient level. Management was instituted.

Conclusions

If indicated, psychiatrists ought to considermonitor-

ing VitD levels during inpatient stays and managing as appropriate.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2085

EV1101

Auditing of discharge summaries

Contet at Al Amal medical complex

N. Al Solami

Al Amal Medical Complex, Pharmacy, Riyadh, Saudi Arabia

Introduction and aims

Patient’s records are the most important

clinical assets and tools which are required in consultations. Patient

records also support the accurate continuity of care when patients

return to other health providers.

Objective

Understand the extent of Discharge Summaries, which

conform to the set best practise guidelines on the Mental Health

Service.

Method

A cross-section retrospective study on Discharge Sum-

mary contents was conducted at Al Amal Medical Complex. Chart

reviewof randomly selected patient files (200 of a total 495), of Dis-

charge Summaries for Psychiatric Patients in 2014 was performed.

The data was statistically analysed using descriptive statistics tak-

ing into account proportions and frequencies. Pearson chi square

and Fisher’s test methodologies were used.

Result

This study found of the 200 randomly selected Discharge

Summaries that documented data of mental health examination

94% (

n

= 188), data of discharge date 100% (

n

= 200) while data of

social investigation and family work up 82% (

n

= 164). The above

three categories were the only categories to conform to standard

discharge guidelines. The other thirteen items studies were found

not conforming to the defined standard guidelines.

Conclusion and recommendation

There is an active challenge for

clinicians to introduce good clinical practice inMental Health. Stan-

dard guidelines must be followed by clinician’s in order to reduce

potential areas of concern and achieve a good clinical practise. Reg-

ular recurring audits are highly needed& recommended to ensure

the alignment with standard guidelines for the writing of Discharge

Summaries.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2086

EV1102

Blackburn with Darwen mental health

assessment and treatment team – A

service evaluation report

V. Damle

, N. Bhandary

Lancashire Care Mental Health NHS Foundation Trust, Psychiatry,

Blackburn, United Kingdom

Corresponding author.

Introduction

Assessment and Treatment Team (ATT) was devel-

oped to manage mental health referrals within the borough of

Blackburn with Darwen (BwD). The ATT became the main point

of initial referral and assessment for adults presenting with mental

health needs. It acts as the gateway service for access to specialist

mental health services.

Aim

To evaluate the effectiveness of ATT against the key perfor-

mance indicators.

Methods

Quantitative data was collected using electronic

database from June 2014–May 2015. Feedback was obtained from