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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

S207

unnecessary tension as it imposes legal principles over clinical and

moral ones. Deeper analysis of possible mediators of the duration

of hospitalization are identified and presented.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.384

EW267

Long-stay in high and medium secure

forensic psychiatric care – Prevalence,

patient characteristics and pathways

in England

R. Edworthy

, B. Vollm

University of Nottingham, School of Medicine Division of Psychiatry

and Applied Psychology, Nottingham, United Kingdom

Corresponding author.

Introduction

Forensic psychiatric services are costly and highly

restrictive for patients. Clinical experience and the limited research

available indicate some patients stay for too long in these settings.

A proportion of patients may, however, require long-term (poten-

tially life-long) secure forensic psychiatric care but their needs

may not be met by existing service provision designed for faster

throughput.

Objectives

We conducted a national, multi-centre, cross sectional

study exploring the prevalence of long-stay and characteristics of

long-stayers in high and medium secure forensic psychiatric care

in England.

Aims

(1) Estimate the prevalence of long-stay in secure settings

in England (length of stay over 5 years in medium secure care or 10

years in high secure care); (2) describe the characteristics, needs

and care pathways of long-stay patients. Develop recommenda-

tions following the exploration of international models for this

patient group.

Methods

We employed amixed-methods approach including the

analysis of administrative data, case file reviews, patient inter-

views, consultant questionnaires, interviews with clinicians and

commissioners and a Delphi survey.

Results

Twenty-five percent (

n

= 401) of our sample were expe-

riencing long-stay. This patient group has a heterogeneous set of

characteristics and needs relating to their diagnosis, offending his-

tory, risk and therapeutic need and have experienced a variety of

care pathways through secure care.

Conclusions

We found a greater number of long-stay patients

than originally estimated with a set of characteristics and needs

that are arguably different to that of the general forensic popu-

lation, therefore calling for a specific care pathway and service

provision for this patient group with a greater focus on autonomy

and quality of life.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.385

EW268

Legal problems and substance use

among HIV-infected patients

C. Parro Torres

1 ,

, D . H

ernández Huerta

2 , E. O

choa Mangado

3 ,

A. Madoz Gúrpide

3 , A.M

. Moreno Zamora

4

1

Hospital Gregorio Mara˜nón, Psiquiatria, Madrid, Spain

2

Hospital Provincial de Toledo, Psiquiatría, Toledo, Spain

3

Hospital Ramón y Cajal, Psiquiatría, Madrid, Spain

4

Hospital Ramón y Cajal, Enfermedades Infecciosas, Madrid, Spain

Corresponding author.

Introduction

There are many studies of HIV-infected patients

where have found higher prevalence of substance use disorders

than in general population. Moreover some factors, like presence of

legal problems, substance abuse and HIV are also frequently related

with poorer clinical results.

Objectives/aims

The aim of this study is to analyze the rela-

tionship between substance consumption and presence of legal

problems among HIV-infected patients.

Methods

Our study is a cross-sectional case-control survey. Cases

were defined as HIV-infected patients who referred presence of

legal problems in a sociodemographic questionnaire. Controls were

defined as HIV-infected patients who denied presence of legal

problems. Both groups were interrogated about illegal substance

use (cocaine, heroin, cannabis, stimulants or benzodiazepines) and

alcohol problematic use during previous year. Logistic regression

was employed as statistical analysis. Results were adjusted for age,

gender and race.

Results

Our sample was compound by 63 patients: 44 controls

and 19 cases. A statistical signification was found between illegal

substance use variable and presence of legal problems (

P

= 0.003)

but not with alcohol problematic use. The condition of illegal sub-

stance use during previous year increased the risk to have legal

problems 5.353 times. Another important result was found in gen-

der, the condition of male increased the risk to have legal problems

2.32 times than female condition.

Conclusions

In our sample, substance use (cocaine, heroin,

cannabis, stimulants or benzodiazepines) during previous year was

related to have more legal problems. Gender, specifically male con-

dition, also was linked with more risk to have legal problems.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.386

EW269

When residents are assaulted

N. Nuria

1 ,

, A. San Román

2

, N. Gómez-Coronado

3

,

I. Sevillano

4

, P. Hervias

5

, V. Prieto

6

, C. Llanes

7

, S. Puertas

8

,

A. González-Pinto

1

1

Hospital Universitario de Alava, Psychiatry, Vitoria-Gasteiz, Spain

2

Complejo Hospitalario de Zamora, Psychiatry, Zamora, Spain

3

Hospital Universitario Virgen del Rocío, Psychiatry, Sevilla, Spain

4

Hospital Clínico de Valladolid, Psychiatry, Valladolid, Spain

5

Hospital Dr R. Lafora, Psychiatry, Madrid, Spain

6

Complejo Hospitalario de Zamora, General Medicine, Zamora, Spain

7

Complejo Asistencial de Zamora, Psychiatry, Zamora, Spain

8

Hospital 12 de Octubre, Psychiatry, Madrid, Spain

Corresponding author.

Introduction and objective

Description through a survey of phys-

ical aggressions suffered by Spanish Medical Trainees of all

specialties.

Methods

We developed a survey through an online platform that

was distributed to all Spanish trainees of all medical specialties.

In that survey, we ask residents if they ever have been physi-

cally assaulted, for how many times, the year of residence when

it occurred, if they have in their hospital an aggression protocol,

and if it included a specific topic for trainees. We also asked them

about their feelings after they have been assaulted.

Results

We collected 282 answers from the survey. We could

observe that 12.9% of respondent trainees had been assaulted as

least once. Fifty-one percent of times, it occurs during the first

year of residency. Among assaulted residents, 25.5% were psychi-

atric trainees, and 44.4% were medical trainees, but no psychiatrist.

Twenty-three percent were psychiatric trainees, and the 35% of

themhad been assaulted once. Only 25.2% of the residents knew the

aggression protocol of their work center, but the majority (65.5%)

did not know it. About how do they feel after being assaulted, most

of them responded that they felt anxiety, helplessness, fear and

they had even thought of leaving de residency or change it.

Conclusions

Aggressions during the trainee period seems to be

prevalent (12,9%). Most trainees don’t even know if there is a