IntroductionIt is well known the high rate of alcohol abuse and dependence in Spain. Specifically, in Castilla and Léon as a wine region, the risk of developing alcoholism is 1 of 10 men and 1 of 15 women [1].ObjectiveThe aim of the study is to assess the efficacy of nalmefene in reducing alcohol consumption and its complications, in a sample of patients with alcoholism.Materials and methodsIt is an open, naturalistic, observational and descriptive study in a sample of 18 patients with alcohol dependence diagnosis.We collected standard demographic variables, but also living alone, social support and work.In addition, clinical variables as SD (standard drinks) per day, time of illness, concomitant diseases, number of admissions, periods of abstinence, abstinence longer duration, nalmefene doses and other treatments were collected. These variables were reassessed at first, 3th and 6th month.ResultsIn our sample the average profile is a man (75%) with an age of 46, who lives alone (68%), in urban area and with poor social support.Average SD consumed at the beginning was 53, one month later was 26, after three months was 14 and 6 months later was 5, with a total abstinence rate of 65% at the end of the period. Logically there was also a dramatic reduction in somatic and social complications.ConclusionsNalmefene is demonstrated as a useful drug in reducing alcohol consumption and its complications.Nalmefene also proves to be effective for achieving complete alcohol abstinence starting with a reduction plan.Reference not available.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Background and Aims:Describe and analyze the sequence of facts that families and patients have to cope with during the admission process at the hospital.Methods:Based on a simple questionnaire applied to patients and relatives at the entrance of the hospital we obtain some interesting information about expectations and fears that may interfere in the relationship between users and staff. This information is very useful in order to plan not also the sequence of persons that may talk to the patient and/or their relatives but the content of the conversation to aim the best relationship and minimize stressors during hospitalization.Results:We list the main fears that appear in the process classified in four topics:Fears previous to admissionFears at first contactFears in proper admission processFears in relationship with the therapistsWe also list main expectations in two topics:Relative's expectationsPatient's expectations: related to diagnosis, therapeutic process, staff, structures and rooms of the hospital and other circumstances.Conclusions:Fears and expectations of patients and relatives interfere in admission process but also in hospitalization and post discharge period.It is very useful to know those fears and expectations in order to plan the hospitalization process.This information is also useful to plan staff training and edit an information guide given at the entrance. This may also improve quality care parameters at Hospital.

Background and Aims:The activities planning in a Residential Psychiatric Unit depends on psychopathological and biopathological profile of patients, and so we have to focus our therapies on three main items: Cognitive Impairment, Social Skills and Psychomotor Loss. In this work we propose an Activity Plan for those aging and psychiatric patients.Methods:Psychiatric residential units show an usually old, poor collaborator, apathetic and cognitively impaired patient. We evaluated by psychological, medical and physical tests our residents in an attempt to change or palliate these conditions. According to results we assigned patients to activities. A new evaluation after six moths was planned to control real achievements.Results:Plan has four items:Cognitive Stimulation: List of activities to enhance memory, attention, concentration, logical and abstract thinking, gnosia and praxia.Psychomotor Training: we propose a plan overcoming usual apathy of these patients. It is also useful to improve social interaction.Creative Stimulation: A plan focused on fine psychomotor skills taking into account personal abilities as knitting, embroidery, painting or writing.Leisure Time: play therapy, dancing, singing, trips and similar activities are proposed to complete leisure time. These are voluntary activities instead of three previous sections.Conclusions:Residential Psychiatric Units are needed to plan some activities in order to palliate deficits and impairments proper of aging and psychiatric pathology.Program shows to improve or stabilize social and cognitive skills, autonomy and environmental interaction.After some initial resistance, our plan was well accepted and positively evaluated by patients and staff.