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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2102

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

1 ,

, S. Popovic

2

, B. Rosic

2

, S. Grujic Timarac

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2103

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2104

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