European Psychiatry - Volume 33 - March 2016

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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.
Quality management
EV1100
The challenge of Vitamin D deficiency
in an inpatient ward
I. Adamidou ∗, I. Udo
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.
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.
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