European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55 S27
limited due to a lack of capacity but also internal hurdles and stigma
especially among young males. The web creates a new environ-
ment for them, which is defining a new culture of communication
and interaction. The majority is using smart phones to access the
Internet and make that their main communication device.
Walkalong is a web-based platform, which aims to provide a
range of opportunities and tools for youth with especially mood
challenges. These tools include screening and assessment, online
resources and all kind of orientation and interaction for informed
decision-making.
We are working on that to develop a framework for better online-
based mental health care including useful tools beyond crisis based
on the principles of empowerment and strength based approaches.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S29
Treatment of schizophrenia using
tablet and smartphone based
applications (Polish Study)
M. Krzystanek , D. Krzeszowski , K. Jagoda , B. Radzio ,
K. Krysta ∗
1 Medical University of Silesia, Department of Rehabilitation
Psychiatry, Katowice, Poland
2 Specialistic Outpatient Clinic, Ku ˙zaja 57, Radzionków, Poland
3 Specialistic Outpatient Clinic, Zuchów 3, Wodzisław ´Sl˛aski, Poland
4 Medical University of Silesia, Department of Psychiatry and
Psychotherapy, Katowice, Poland
∗ Corresponding author.
Relapses, deterioration of cognitive functioning, negative symp-
toms, neuroleptic resistance are the examples of many conse-
quences of noncompliance in schizophrenia. In order to improve
the compliance, schizophrenic patients treated in an outpatient
department in a traditional way have been given an additional
possibility of contacting their doctors with the use of a special
application on a portable electronic device. Other functions of this
application are possibilities of PANSS, Calgary and CGI measure-
ments and cognitive trainings for the patients. This type of a remote
contact with patients can be an effective tool in the work in an
outpatient setting. The compliance was assessed using a telepsy-
chiatric system, sending reminders: 1 hour before the planned dose
to remind them that drug intake is approaching, and at themoment
of intake to check if they took the drug. In general the compliance
in the group of schizophrenic patients in remission is very low,
however the telemedicine system improves the compliance in this
group of patients, in which the compliance is the worst.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
E-psychiatry: From acceptability to effectiveness!
S30
A study on the effectiveness of
E-Mental Health in the treatment of
psychosis: Looking to recovery
F. Gucci ∗ armo
Clinica Villa Camaldoli, Naples, Italy
∗ Corresponding author.
Introduction An integrated program (Institutional Psychiatric
Open Light Treatment) for psychosis and personality disorder was
enriched with audiovisual functions provided through a dedicated
website.
The aimof the present study was to observe how and if these added
functions support the patients in their daily living, influencing the
quality of the recovery process.
Recent studies highlighted how telemental health services are
effective to provide access, improve basic outcome, facilitate
empowerment of patients and be well-accepted (Hilty, 2013; Hai-
ley, 2008) and how integrated community-based treatment, such
as Community-Based Psychodynamic Treatment Program (Chiesa
and Fonagy, 2009) or Assertive Community Treatment (Veldhuizen
and Bahler, 2013) are effective in SMI.
Telemental health services may become factors improving real-life
functioning, integrating community-based treatment for psychosis
and bettering social cognition, functional capacity, resilience, inter-
nalized stigma and engagement with mental health services, so
positively affecting outcomes of psychosis treatment.
Methods All patients admitted (May 2010–April 2015) were
included. Aged between 18 and 65, with schizophrenia, psychosis,
schizoaffective disorder, bipolar disorder, personality disorder.
Some troubles with the website use (Voice2Voice) led to a second
version, more friendly and simple to use (app2gether).
App2gether provided several functions: audio/video conference
rooms for patients or family (synchronous virtual space to inter-
act, at scheduled time, with a psychologist, a psychiatrist or a peer
support worker, in free groups); chat (asynchronous virtual space
for any question or information).
We considered primary outcomes proposed by Cochrane Collabo-
ration (Shek, 2010): hospital admissions, days of hospitalization,
day-hospital admissions, day-program attendance (e.g. weekly),
treatment compliance (voluntary discharge or missing scheduled
date).
We considered, as secondary outcomes, variables closely associated
with real-life functioning (Galderisi, 2015): global functioning (Ital-
ian translation of Global Assessment of Functioning Scale), quality
of life (Short Form36 item), social relationships (Personal and Social
Performance), internalized stigma (Internalized Stigma Mental Ill-
ness Inventory), empowerment (Empowerment Scale).
Patients were divided into four cohorts:
– 1-using “app2gether” functions in the follow-up, attending day
treatment program (n = 35);
– 2-attending day treatment program (n = 52);
– 3-attending transitional day-hospital program (n = 171);
– 4-not included in the IPOLT-program (n = 188).
Patients were included in the first group only based on their basic
computer skills and fast Internet availability.
Results At first, we compared (2) and (3) with (4), as control
group. For each patient, we considered an identical observation
period before and after day-hospital admission (ANOVA, P < 0.05).
We found a significant improvement in primary outcomes and
global functioning, but not in other secondary outcomes, for the
groups (2) and (3) compared with (4).
Over 6-months observation, patients using “app2gether” functions
in the follow-up showed:
– a significantly decrease in hospital admissions and hospitaliza-
tion length, compared to non-IPOLT-program group;
– a reduction in day-hospital admissions and day-hospital atten-
dance, compared to (2) and (3) groups;
– a notable effect on secondary outcomes, compared to all other
groups.
Conclusion A dedicated website in the IPOLT-program supports
patients in their living’s place, does not interfere with daily activi-
ties, decreases social costs, encourages community integration and
reduces stigma.
Synchronous telepsychiatry allow a professionally modulated
intervention in “here and now”; asynchronous contacts with
specialists combine professional intervention with chances of