Overall, knowledge levels in relation to the sub scale breastfeeding difficulties and positioning and attachment were highest with 93.1% and 95.2% respectively achieving 50% or higher. Knowledge of who breastfeeds and the challenges to breastfeeding scored the lowest with 54.5% and 46.4% respectively scoring less than 50%. In six out of the eight categories 30% or more staff scored less than 50%. T tests showed scores relating to positioning and attachment, difficulties, challenges, support and total scores were significantly higher for those who had received training within the last year whereas no differences were found by length of service. Midwives had significantly higher mean scores for supporting breastfeeding and practices compared to health visitors. Integration of mental health and primary care services has made impressive strides in the past decade. Over the past three years, MH/PC integration has received unprecedented support within Veterans Affairs. This poster will detail how collaboration among primary care and mental health services at one VA has evolved into a successful integration program. The presentation/poster will include information about co-location, integration, and open-access as well as data regarding efficacy and model fidelity. Quantitative data will be presented regarding our universal suicide/homicide risk screening practice in primary care, our substance use co-integration initiative, and our integration project to address diabetes, HTN, and dyslipidemia. Qualitative data addressing primary care staff satisfaction with the program will also be presented. Four indicators of efficiency will be offered: (1) promptness of mental-health consultant availability, (2) market penetration (i.e., what percentage of patients seen are new patients), (3) brief visits to ensure rapid availability, and (4) efficient/ cost-effective utilization of specialty mental health resources (e.g., psychiatry, psychology, social-work clinics). With regard to efficiency/ cost-effectiveness, an integration program is considered more effective when more mild-moderate cases are treated in primary care, fewer referrals are sent to specialty mental health care and a greater proportion of specialty referrals are completed. These efficiency/cost-effectiveness markers offer an indication of whether a patient was appropriately triaged within primary care. This study examined the modifying role of psychosocial resources in the impact of life stress on psychosomatic symptoms in a 10-year follow-up period using a dynamic model of psychosocial resources in the stress coping framework. Subjects (N=1262) were participants in two follow-up surveys (1989/22yrs; 1999/32yrs) of a Finnish cohort study. The self-report measures included life stress (number of negative life events), psychosomatic symptoms (index of 17 somatic and mental complaints), and psychosocial resources (self-esteem, meaningfulness, locus of control). Analyses were done using change scores of life stress and psychosocial resources in structural equation modeling and regression analysis. Increase in life stress across 10 years was inversely related (standardized regression weight=-.25, p<.001) to the change in psychosocial resources. Further, increase in psychosocial resources was inversely related (-.38, p<.001) to psychosomatic symptoms at 32 years controlling for the baseline symptom level. The total effect of change in life stress on psychosomatic symptoms at follow-up was decomposed to a significant direct effect (.12, p<.001) and a significant indirect effect through changes in psychosocial resources (.10, p<.001), indicating a case of partial mediation. The resource change moderated the effect of increasing life stress on psychosomatic symptoms (p=.001), the effect being significantly smaller among those with increasing resources as compared to those with resource losses. The results lend support to the conservation of resources theory and emphasize the importance of dynamic conceptualization of psychosocial resources in the stress process: resource losses and gains form an important mediational path between life stress and health. The results also suggest that resource gains can compensate or buffer the negative effects of life stress on health even in the case of increasing life stress. The medical experience of intensive care unit (ICU) is associated with many negative conditions such as isolation, loneliness, immobility or dependence, which have significant impact on patient status. Therefore, it is not surprising that patients report worse quality of life in both physical status and depression, anxiety and discomfort once being discharged from the unit (Garcia et al, 2003) . Taking into account this fact and the importance of quality of life related to health, the aim of this study was to evaluate the differences in perception of quality of life reported by patients before and after admission to ICU. The study was based in 57 patients admitted to the ICU at General Hospital in Castellón. Of these patients, 70.5% were male and 29.5% female, with a mean age of 53.6 years. From this study, we excluded people who had any communicating problem, and also people who suffer a prior psychological disorder. The participants, whilst staying in ICU and after giving their consent, were administered various questionnaires. One of them was the Euro-Qol in its Spanish version (Badia et al, 1999 Background: Illness behavior in schizophrenia patients implies illness denial (lack of insight). Different studies of insight in schizophrenia have led to inconsistent findings and conflicting results alternatively stating that acknowledgement of one's mental illness is a detriment and a key to successful adaptation. Objective: This cross-sectional study investigates the relationship between illness denial in schizophrenia and its influence on frequency of hospitalization and relapse, as well as the way insight relates to other important variables, such as depression, quality of life and optimism, patient's social context and available support system in Romania