European Psychiatry - Volume 33 - March 2016

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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.
EW332
Public mental health policies:
A comparison between Argentina,
Brazil and Uruguay
R. de Albuquerque Costa ∗, A. Milani de Oliveira Araujo ,
L. Oliveira da Silva
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.
EW333
Overview of psychiatry in Poland,
2000–2015
A. Kiejna∗ 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.
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