European Psychiatry - Volume 33 - March 2016

710 / 812

S706 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Aims To determine the efficacy of the So.C.I.A.L in improving
SC by a comparison with a validated cognitive remediation (CR)
intervention: the Social Skills And Neurocognitive Individualized
Training (SSANIT).
Methods Nine stabilized patients accepted to participate in this
pilot study. Five were randomized to So.C.I.A.L. and 4 to SSANIT.
The two programs were matched for the overall treatment dura-
tion (20weeks), as well as frequency and duration of the sessions.
Both interventions included individual sessions of neurocognitive
individualized training; So.C.I.A.L included group sessions on Emo-
tion Recognition and Theory of Mind, while SSANIT group sessions
of Social Skills Individualized Training.
Results No group difference was found for changes in neurocog-
nition, while a significant group effect was observed for changes in
SC, due to improvement only in the So.C.I.A.L. group.
Conclusions The study results showed a specific effect of the
So.C.I.A.L. on SC, beyond the effect on neurocognition. Further
studies are needed to assess the impact of So.C.I.A.L. on real-life
functioning in a larger group of subjects.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1118
Advantages and obstacles for
community based approach using
case management method in the work
with users that have psychotic
disorders – Case study
G. Racetovic ∗, S. Popovic , B. Rosic , S. Grujic Timarac
1 Public Health Institution Health Center, Community Mental Health
Center, Prijedor, Bosnia and Herzegovina
2 Public Health Institution Health Center, Health Center, Prijedor,
Bosnia and Herzegovina
3 Public Health Institution Hospital, Psychiatry Department, Prijedor,
Bosnia and Herzegovina
∗ Corresponding author.
Introduction Case management (CM) is accepted as the most
recommended approach for the treatment of people with severe
mental illnesses (SMI) in Community Mental Health Centers
(CMHC) in whole Bosnia and Herzegovina (BH) in the last 3 years.
Objective All team members of CMHC Prijedor are certificated
case managers. Part of our daily activities is work with and for
the users included in CM (mostly with schizophrenia or similar
disorders) using multidisciplinary approach to find best possible
solutions of both treatment and rehabilitation for users that we are
in charge. In this moment CMHC cares for 12 mostly younger users
involved in the CM.
Aims To show advantages as well as obstacles of the CM.
Methods Case study of young user with schizoaffective disorder
included in the CM in the last 2 years.
Results Improvements in user’s daily activities and using of the
remaining capacities with confrontation of partial or entire poor
responses of most other community services.
Conclusions CM has many advantages for the user involved in it,
mostly medical and psychological (adequate treatment followed
by users wishes, avoidance of hospitalization, improving existing
or building newskills, use of remaining capacities, planed activities,
minimize of the psychopharmacological treatment, social skills and
more new contacts with people, etc.). But, still are existing the
obstacles in the community mostly considering employment and
social care as an part of the stigmatization of the people with SMI.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1119
Crisis in the psychiatric patient: A
structured
illness-management-oriented group
intervention
G. Fucci , N. Ratti ∗, R. Gattamorta , R. Godoli , S. Randi ,
M.P. Riccipetitoni
AUSL Romagna, Dipartimento di Salute Mentale, DSMDP, Ravenna,
Italy
∗ Corresponding author.
Introduction Crisis prevention and management of the psychi-
atric patient have obtained a central role in the policies of Mental
Health Services. In this context, Mental Health Centre of Ravenna
has launched a “Crisis Center”, a rehabilitation group project
applied to three types of users: users in an early stage of crisis,
users in a post-critical stage and users at high risk of crisis. Interven-
tion was based on the Illness Management and Recovery practice,
an evidence-based program which consists in social skills training
activities, emotions management, symptom management, coping
skills training, psycho-education and, more generally, supporting
users in their personal recovery process.
Objective Objectives of this project is to prevent crisis and hos-
pitalization and to provide an alternative to institutionalization for
mental health users.
Aims The aims of this study was to analyze and show effects and
results of the project, in its first three years of life.
Methods Through the database “Infoclin”, we analyzed data of
94 users who took part in the project between January 2012 and
December 2014.
Results Analysis showed, primarily, that out of 94 users, 64 (68%)
have not needed hospitalization in the following two years after
intervention. Furthermore, out of 39 users with a history of one or
more hospitalizations at time of entry, 22 (56.4%) have not needed
hospitalization in the next two years.
Conclusions Despite the low number of users analyzed, it is
believed that this study should be considered a further evidence
of the positive effects of the IMR practice within mental health
services.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1120
The post-traumatic growth: The
wisdom of the mind, its clinical and
neuropsychoanalytic vicissitudes
I. Rozentsvit
Object Relations Institute for Psychotherapy and Psychoanalysis,
Parent-Child Development Program, Fresh Meadows, USA
The purpose of this symposium is to bring awareness about and to
promote knowledge of the phenomenon of posttraumatic growth
(PTG) and its neurobiological mechanisms. The other purpose is
to explore neuro-psycho-education as an important tool in under-
standing trauma and in promoting PTG.
The idea of PTG was pioneered by Calhoun and Tedeschi (1999),
who addressed positive psychological change (as they compared
it with the “mind’s wisdom”), which occurs in some individuals
after trauma. PTG happens in the context of and despite of pro-
cessing traumatic pain and loss. This phenomenon includes five
main factors: relating to others with greater compassion; finding
new possibilities, personal strength, spiritual change, and a deeper
appreciation of life.
Both neuropsychoanalysis and neuro-psycho-education offer us
the knowledge of neurobiology and its mechanisms of “action”
(such as neuroplasticity, neurointegration, mind-body integration,
connectomes, ‘triune brain’, ‘bottom up processing’ and ‘top-down