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

S229

care demands in settings with shortages of qualified health per-

sonnel.

Aims

To explore the reasons for task-shifting and the healthcare

settings in which task-shifting are successfully applied as well as

the challenges associated with task shifting.

Methods

Literature searches were conducted on PubMed and

Google Scholar using the search term – ‘Task shifting’ and Task-

shifting’.

Results

Reasons for task-shifting including: a reduction in the

time needed to scale up the health workforce, improving the

skill mix of teams, lowering the costs for training and remu-

neration, supporting the retention of existing cadres by reducing

burnout from inefficient care processes and mitigating a health

system’s dependence on highly skilled individuals for specific ser-

vices. Clinical settings in which task-shifting models of care have

been successfully implemented, include: HIV/AIDS care, epilepsy

and tuberculosis care, hypertension and diabetes care and mental

healthcare. Finally, challenges which hinder the successful imple-

mentation of task-shifting models of care, include professional

and institutional resistance, concern about the quality of care pro-

vided by lower lever health cadres and lack of regulatory and

policy frameworks as well as funding to support task-shifting pro-

grammes.

Conclusion

The reviewbrings to light important health policy and

research priorities which can be explored to identify the feasibility

of using task-shifting models of care to address the critical short-

age of health personnel in managing emerging communicable and

non-communicable diseases, including opportunities for expand-

ing mental health care in conflict and under-resourced regions

globally.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.449

EW332

Public mental health policies:

A comparison between Argentina,

Brazil and Uruguay

R. de Albuquerque Costa

1 ,

, A. Milani de Oliveira Araujo

1

,

L. Oliveira da Silva

2

1

Universidade Estacio de Sá, Psychology, Nova Iguac¸ u, Brazil

2

Universidade Federal do Rio de Janeiro, Psychiatry, Rio de Janeiro,

Brazil

Corresponding author.

At the expense of historical and social stigma of madness, peo-

ple with mental disorders suffered over the centuries to acquire

a decent treatment. This study aims to get an overview of public

policies on mental health among the three neighbouring countries:

Argentina, Brazil and Uruguay, proposing a comparison between

these three realities. The methodology used was a literature review

in the ISI Web of Science and PubMed databases; Articles related

to the topic were selected. With the enactment of Law 10,216 of

April 2001, Brazil guaranteed rights and protection to patients with

mental disorders redirecting the care model, with users referred

for outpatient services, Psychosocial Support Centers, Psychiatric

Units in General Hospitals and others. In Argentina, Law 26,657

of December 2010 has proposals similar to the Brazilian’s law.

Living a period of great upheaval to suit the reality of the ser-

vices with the proposals of the law dealing with limited financial

resources. In contrast, Uruguay lives difficult times as the struc-

turing of public policies on mental health, with the Pan American

Health Organization required changes by 2020. The current law

is the 9581 August 1936 being totally incongruous to the neigh-

boring countries and the guidelines of World Health Organization.

This study became important because it highlights the discrepancy

between the realities in neighboring countries mentioned above

and open new discussions on the topic proposed worldwide.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.450

EW333

Overview of psychiatry in Poland,

2000–2015

A. Kiejna

, P. P

iotrowski , T.M. Gondek

Wroclaw Medical University, Department of Psychiatry, Wroclaw,

Poland

Corresponding author.

At the beginning of the 21st century, psychiatry in Poland was

functioning in themodel basedmostly on the network of large insti-

tutions localised outside of the main city centres. Due to Poland’s

accession to the European Union, it was necessary to change the

mental health care system. This need was legally sanctioned when

the Law on Protection of Mental Health was passed in 1994. The

solutions were included in the National Programme on Mental

Health Care (NPOZP). NPOZP comprised the guidelines on the

mental health care system shift to community-based health ser-

vices, including a roadmap for its implementation in 2011–2015.

According to the evaluation of the NPOZP, including the infor-

mation gathered by the Ministry of Health, the programme was

implemented to a small extent. The number of large psychiatric

institutions and the number of in-patient beds were reduced, the

numbers of day wards as well as psychiatric wards in the multi-

disciplinary hospitals were increased. The training of the staff for

the new system beginned. A serious challenge for the continuation

of the reforms being carried out is the provision of the sufficient

number of mental health professionals, particularly in the face

of economic migration. A short duration of the proposed NPOZP

implementation period did not allow for a full application of the

new mental health care solutions, however the awareness that its

implementation may be at risk led to a public and media discourse

which definitely will have an impact on the improvement of the

execution of the programme.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.451

EW334

Mental health policy implementation

assessment: 8 years after inception

P. Mateus

, Á. Carvalho , M. Xavier

Directorate General of Health, National Programme for Mental

Health, Lisbon, Portugal

Corresponding author.

Introduction

In 2007, Portugal started the implementation of a

new National Mental Health Plan (NMHP). The main objectives of

the plan included: assure equal access, promote and protect human

rights, reduce the impact of mental health disorders, promote the

decentralisation of mental health services, and the integration of

mental health in primary care, general hospitals and community

networks. In the last years, the fulfilment of these objectives was

hindered due to economical factors.

Objectives

To assess the degree of implementation of the main

priorities included in the 2007–2016 NMHP, considering levels of

low, medium and high implementation.

Methods

A full assessment of the NMHP was conducted by the

National Mental Health Programme, by means of a cross-sectional

evaluation, requested by the National Health Regulatory Agency.

Results

High degree of implementation: development of new

services, continuing care law, workforce training, programme to

fight stigma, programmes for vulnerable groups. Medium degree

of implementation: reorganisation of emergency services, involve-

ment of users and families, suicide prevention plan and grants