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S28

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55

autonomy and autoregulation. These services reduce costs, in terms

of FTE (Full Time Equivalent), but not the efficacy.

Future advances in the websites should be designed, simplifying

the contact surface with the treating-team and reducing the social

impact of therapeutic practice.

A better understanding of the complex variables influencing real-

life functioning and new sensitive tools to detect it are needed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.846

S31

The impact of E-Mental Health on

prevention and early detection of

illness

D. Hilty

Keck School of Medicine at USC and LAC + USC Medical Center, Los

Angeles, USA

Our current healthcare system in the United States is characterized

by problems with access to timely and evidence-based care, par-

ticularly for mental disorders. Telemental health improves access

to care regardless of the point-of-service or barriers involved. Its

effectiveness across age, population and disorders is as good as

in-person care, though adjustments for some populations in the

approach is necessary. Early intervention is an example of “Cadillac”

care or a best evidence-based approach that is easier to distribute

via telemedicine. Cadillac care delivered via TMH has the poten-

tial to bring evidence-based early intervention modalities to very

young children and their families. However, early access to care is

also critical for all populations, particularly those with cultural or

medical disadvantages. It appears that telemental health may be

preferable or better than in-person care in some instances.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.847

S32

The acceptability of web-care for

patients with major depressive

disorder

M. Ladea

, M. Bran

University of Medicine and Pharmacy “Carol Davila”, Psychiatry,

Bucharest, Romania

Corresponding author.

Introduction

With the extraordinary rate of development of E-

health and widespread internet access in Romania, Inomedica

decided to create a platformdedicated primarily to the patients and

their families:

depresiv.ro.

According to Internet Live Stats there

were 11,178,477 Internet users in Romania (representing 51.66%

of the population) in 2014. Inomedica is a non-governmental

organization founded by a multidisciplinary team (psychiatrists,

sociologists, IT specialists).

The platforms provide rigorous and quality online information

about depression as well as self-assessment tools and Q&A section.

The presentation will explore the development and effects of the

first 16 months of operation of a web platform about depression.

Methods

The

depresiv.ro

platform design is simple and user

friendly. Mental health specialists contributed to the development

of the content, which is easy to access and understand.

The platform also provides access to a self-evaluation tool, the

Hospital Anxiety and Depression Scale (HADS), and thus helps the

users identify possible problems and encourage them to seek pro-

fessional help. The web application also included a demographic

questionnaire, and a medical history questionnaire. A native iOS

version of the application is available to download free onAppStore.

The platform is supported by a Google grant program.

Results

The platform traffic increased from a few users per day at

launch to more than 1000 unique visitors per day. Since 1st January

2015, about 178,000 unique visitors accessed the platform. All the

metrics improved significantly during the last months: bounce rate

(66.3%), average session duration (02:17minutes), number of pages

per session (2.4).

About 25,000 users accessed the HADS application since its release,

from August 2014 until September 2015, showing the increasing

need for free online self-evaluation tools.

The Q&A section is one of the most visited on the platform since

many users try tofind answers for their questions regarding depres-

sive or anxiety symptoms.

Conclusions

As new technologies are introduced and become

more accessible, mental health specialists are developing newways

of providing services and collecting data. The traffic data/usage for

both the

depresiv.ro

platform and the app are evidence for the

widespread acceptability of web-based delivery methods.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.848

S33

Digital healthcare: Fools gold or a

promised land?

M. Wise

Wiser Minds Ltd, Adult, London, United Kingdom

Digital healthcare is the use of technology to deliver healthcare.

There are many facets of it. The paradigm of care at a distance e.g. a

live interface is themost understood, whether it is the old fashioned

analog phone call or that of todays Millenial who ‘get’ Skype or see

video calling as a day to day reality.

This hasmoved to non-live uses, asynchronous, themodern version

of written communication, email, videomessage, Instagram, twitter

or any one of a multitude of social media.

It has progressed beyond that though to a plethora of devices, apps

and cross breeds that promise to maximise your patients health,

and often your practice income! Grand claims, if not ones supported

by the evidence.

They have broadened the range of providers from the plain vanilla

(group) therapist to the Cyber support groups; from patient infor-

mation sheets, to sophisticated hyperlinked, video embedded ‘hope

box’, or manual on your phone. They have changed in vivo expo-

sure from what was limited by travel time, to what is limited by

the programmers imagination.

Telemdecine can connect patients and providers worldwide – how

can that not be an amazing promise, today’s truly outstanding goal

– tomorrow commonplace event.

The promise of near infinite data; if only we can measure enough,

we can treat better, may hold true for a physical paradigm such as

mobile ECG or BP monitoring, but is it true for mental health?

Science is not a door to infinitewisdom, but a rescue fromunending

ignorance. The evidence is that technological innovations are not a

magic solution but tools widening access, they are to travel what

themotorway is to the dust track. They are an equaliser in thatmore

people can be reached than ever before–but they do not replace

human skill and ability.

By December 2015, 500 million smartphone users worldwide will

be estimated to be using a health care application. Yet, there is no

evidence of a systematic evaluation of a fraction of these apps. They

may not be snake oil salesman, but has the placebo effect graduated

from molecules to ones and zero’s?

We will explore the evidence to understand some of the promises

and the realities of what was once Tomorrows World, here today.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.849