IntroductionElectroconvulsive therapy is nowadays one of the most useful treatments for severe mental disorders. A lot of patients refer an improvement or even a remission of their psychopathology after this treatment.ObjectivesTo demonstrate how cinema has favoured the creation of a social stigma against mental health professionals, against the treatments we use and, most of all, against the people we treat.We based this project on the portrait cinema has meade of electroconvulsive therapy (ECT).MethodsECT appears in more than thirty films. We take into account the most representative ones shot from 1948 to 2008.ResultsECT makes its debut in cinema in 1948, ten years after its first use as a psychiatric treatment. During 60 years, ECT comes on stage in more than 30 films. The main indication in cinema to use ECT is to control and punish antisocial behaviors. Medical consent is not asked in most of the films. The ECT modified procedure doesn’t appear.ConclusionsCinema has contributed to stigmatize mental illness, psychiatrists and treatments we use, specially electroconvulsive therapy.

Aims:The medium stay unit of the hospital of Zamudio is a psychiatric hospitalization unit where serious patients are admitted, specially those with psychotic and affective disorders. The complexity of the pathology extends the average stay of hospitalization with an average of 60 days to improve.There are 2 derivation units from which medium stay takes patients:•Short stay unit from the Hospital of Cruces;•Short stay unit from the Hospital of Zamudio.Methods:It is analyzed, retrospecitvely, the profile of patients in a medium stay unit comparing the derivation unit they come from in 2007.Results and conlusions:There are no statistically significant differences in the number of patients derived from the diverse units.The sociodemographic and administrative profile of the patients is similar in both groups: a single middle aged (between 45-50 years old) that is hospitalized knowlingly (63%). The average stay at hospital is 55 days.Attending to the clinical profile we concluded that patients derived from the Hospital of Zamudio suffer from Bipolar disorder as main diagnosis. The rest of disorders remain similar comparing both units.

Conclusion: These findings let researchers assess cue induced craving as the main predictor of treatment failure. Personality characteristics and addiction severity differences between responder and non-responders to cue induced craving demonstrate underlying structures of substance abuse.

Objectives: Comorbidity between a substance use disorder (SUD) and another psychiatric disorder is known as dual diagnosis. The relevance of SUD with mental illness owe to his influence in the clinical practice, evolution and costs of care.

ObjectivesThe European Foundation for Quality Management (EFQM) Excellence Model is a non-prescriptive framework based on nine criteria. The aim of this work is to describe the implementation of the EFQM model as a quality framework for the improvement of an inpatient medium-stay psychiatric unit.MethodsIn 2005 a multidisciplinary performance improvement work group was convened to begin a project with these aims:The definition of the unit's mission.The identification of the unit's main processes.The identification of performance and quality results.The establishment of an audit period of clinical outcomes.The creation of a protocol for admissions.ResultsBetween 2005 and 2008 the group designed the following:A map showing the medium-stay unit process as well as the main processes.The key performance indicators.An ECT protocol.The Quality Indicators.A patient satisfaction survey.Every year we decide the objectives of each indicator and revise them every month. Efficiency in the use of resources improved, due to an increase in annual admissions (from 190 in 2005 to 213 in 2009) as well as a decrease in length of hospital stays (from 62 days in 2005 to 48 days in 2009).ConclusionsThe management through processes according to the EFQM model is an instrument for the improvement of the quality of assistance. This type of management allows for the definition of the unit's mission, the measure and analysis of results and for the establishment of areas of improvement.