European Psychiatry - Volume 33 - March 2016

32 / 812

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.
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.
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: 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 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 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.
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.