Poster Session
naire ASSIST, validated by the WHO in french, have been tested during the hospitalization or consultation. The questionnaire gives a score as a severity level of the addiction for each substance, corresponding with the necessity of specialized addictology cares. Its an orientation tool. Health professionals (nurses, residents, doctors, psychologists...) have used it with their patients and gave their qualitative view about it. The scores obtained for each substance by the patients tested have been collected anounymously. The main criterion was the acceptability (Likert scale) of the questionnaire by the psychiatric - non addiction specialists - professionals. The others issues concerned qualitative views of professionals and the scores of the tested patients. RESULTS: Seventeen health professionals participated and 134 patients completed the ASSIST questionnaire (78 % of the patients asked). The acceptability of this tool by professionals was good. Eighty-eight percent of the professionals found ASSIST useful and easy to use. Scores revealed that patients were 19% with a severe substance use disorder that indicates specific addictions cares and were 47% with a moderate substance use disorder that indicates brief interventions. CONCLUSION: Health professionals in psychiatry seem to be ready to use the ASSIST questionnaire and patients (adults and teenagers) were able to respond. Obtained scores remind us the necessity of a systematic screening test and the possibility to address patients to addictions specialists. Key Words: Acceptability; ASSIST questionnaire; substance use troubles; French psychiatric patients' population
PO-16. Gratification in group psychoterapies of DD patients A. Fiore and E. Vasile AAS 5 Friuli Occidentale, Pordenone, Italy, EU
INTRODUCTION: The establishment of a compulsive process of gratification supported by ritual behaviors could be the origins of abuse behaviors. In DD patients this process could be increased by control of anxiety and of mood modulations that gratification itself determines. METHODS: Two types of group psychotherapy (Cognitive- Behavioral and Transitional Analytical ) are analyzed. Both included only DD patients, the first alcoholics - psychotics, the second dependents of different substances matched with different heavy psychopathological diseases. RESULTS: In both groups abstinence increased dur-
ing the treatment period and was maintained after conclusion. We detect that self and relational awareness releases patients from unaware dependence and stimulate new decisional processes about their relational conditions themselves. CONCLUSION: It seems that stimulating the decision to eliminate dysfunctional interactions during Rituals , Pastimes and Transitional Games we obtain the of compulsion itself. Key Words: Gratification; psychoterapy; DD patients
PO-17. Characteristics of patients with dual-diagnosis in outpatient addiction treatment services in Tel-Aviv A. Fleischman Yaffo Community Mental Health Center, Tel Aviv, Israel
INTRODUCTION: Tel-Aviv metropolitan Area holds the largest number of substance use, homelessness and prostitution in Israel. The Dual-Diagnosis Unit in the Yaffo Community Mental Health Center offers the only public addiction treatment services in that area. METHODS: We present the characteristics of all patients entering our outpatient clinic in 2017. All patients were interviewed by a board certified psychiatrist. RESULTS: Hundred and sixty five patients entered our outpatient clinic in Tel-Aviv. Depression and anxiety were the most common disorders among women while schizophrenia was more common in men. Post-traumatic stress disorder was twice as common in women compared with men. Forty seven percent of women reported childhood sexual abuse compared the 9% of men. Eighty seven percent of women in prostitution reported childhood sexual abuse. Sixty three percent were unemployed, 24% of women and 12% of men were homeless. Eighty three percent of men and 40% of women were arrested at least once. Fifty one percent used opioids, 68% percent of them received opioid replacement therapy. The second prevalent substance used was cannabis (28%). Thirty three percent misused benzodiazepines and 31% misused methylphenidate prescribes by their family physician. Twenty percent were hepatitis B or C carriers and 3% were HIV carriers. CONCLUSIONS: There is an increasing number of people with dual diagnosis in the Tel-Aviv metropolitan area, many of them complicated with homelessness, prostitution, and crime. There are significant differences between men and women in our patients' population. Key Words: dual-diagnosis; outpatient addiction - 53 -