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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
S419
EV217
Educating, implementing and
auditing nice standards for bipolar
disorder
M. Tremblay
∗
, S. Palin
Cheshire and Wirral Partnership NHS Foundation Trust, Mental
Health, Winsford, United Kingdom
∗
Corresponding author.
Introduction
The National Institute for Health and Care Excel-
lence (NICE) sets standards of clinical practice in the UK. An
extensive update on guidance regarding bipolar disorder was
released in September 2014. Practitioners face the challenge of
translating this guidance into practice. NICE suggests that interven-
tionsmight be better delivered by bipolar specialist clinics. Updated
NICE standards were integrated into a Bipolar Clinical Effective
Practice Screen (BICEPS), allowing existing community psychiatric
teams to deliver these revised clinical standards in bipolar care.
Purpose
To assess the effectiveness of the BICEPS in delivering
interventions aligned with NICE clinical standards.
Method
Three psychiatric community teams were audited; two
teams (1 and 2) used the BICEPS to support their interventions
whilst a third team provided management as usual. Team 1 was
previously familiarized with the concept.
Results
Table 1 .Conclusion
The teams using BICEPS show better concordance
to NICE standards. Superior outcomes by the team previously
acquainted with the concept suggest longer-term benefits and
adaptability. Using BICEPS may offer a cheaper alternative to devel-
oping specialist clinics.
Table 1
Team 1
(familiar
with
concept),
n
= 47
Team 2
(newly
adopted),
n
= 16
Team 3
(control),
n
= 13
Information sharing
with carer
44/47
6/16
4/13
In mania/hypomania
Offering
recommended
medication
4/4
9/10
4/5
Consideration of
removing
antidepressant
1/1
2/4
0/1
Checking lithium
levels in
Mania/hypomania 2/2
4/4
N/A
Depression
2/2
1/1
1/2
Offering
recommended
medication in
depression
3/4
0/10
1/6
Psychological
intervention
42/47
6/16
4/13
Long term use of
lithium
40/47
6/16
3/13
Physical care
monitored
47/47
7/16
8/13
Concordance
average (%)
92
44
32
Disclosure of interest
The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.1202EV218
Psychological experiences reported by
offsprings of mothers with bipolar
disorder: A clinical-qualitative study
in a Brazilian university outpatient
service
L.K.S. Campos , A. Santos Jr , C. Garcia Jr , E.R. Turato
∗
University of Campinas, Laboratory of Clinical-Qualitative Research,
Campinas SP, Brazil
∗
Corresponding author.
Introduction
Children of patients with bipolar disorder are at
increased risk of developing psychopathology and psychosocial dif-
ficulties.
Objectives
To understand the emotional experiences of adult
children of mothers with bipolar disorder.
Method
Qualitative study, using in-depth semi-directed inter-
views with open-ended questions, sample closed by saturation
information criteria, content analysis, discussion under psychody-
namic concepts.
Results
From interviewees’ reports, it can be seen that offspring’s
experiences emotional vulnerability, such as directions given by
early exposure to self injurious behaviour, psychiatric hospitaliza-
tions, routine absences from home and consequent perception of
helplessness, especially in periods of the mother’s crisis. The find-
ings suggest that for the children the insecurity to assume the
precociously inverted responsibility regarding the need of care to
mother seems to experience by them as an entrapment to the care
of the mother, for the effort they make to keep them alive, with an
emotional burden due to both impaired childhood and adolescent.
Conclusion
It was analyzed the assumption that the evolution
of reactive psychological stages regarding the mother affected by
a mental illness marked by bipolarity manifestations, alternating
with phases of the normality of psychic manifestations, would fol-
low the evolution of the oscillating psychological stages of his/her
ownmother, whichminimizes often both the disease and the treat-
ment during the phases of remission of manifestations.
Disclosure of interest
The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.eurpsy.2016.01.1203EV219
Fecundity and bipolar spectrum
disorder
J. Vieira
1 ,∗
, M. Salta
1, B. Barata
1, J. Nogueira
1, R. Sousa
1,
R. Costa
2, L. Madruga
1, R. Mendes
1, S. Mendes
1, B. Ribeiro
1,
R. Ribeiro
1, A. Gamito
11
Centro Hospitalar de Setúbal, Departamento de Psiquiatria e Saúde
Mental, Setubal, Portugal
2
Unidade de Saúde Familiar Castelo, Centro de Saúde de Sesimbra,
Sesimbra, Portugal
∗
Corresponding author.
Introduction
Fertility and fecundity are usually considered signs
of social and emotional well-being. Bipolar disorder (BD) is a preva-
lent psychiatric disease that influences the individual’s life style
and behaviours. Some studies have addressed the issue of fecun-
dity among women with bipolar disorder but few have focused
on determining the differences between disease subtypes, which
is expected, taking into account the studied differences in demo-
graphic measures.
Objectives
To examine the fecundity of a population of women
with bipolar disorder.
Aim
The aim of this study is to compare the fecundity among
womendiagnosedwith subtypes I to IVof BD, according toAkiskal’s
bipolar spectrum disorder classification.
Methods
A total of 108 female outpatients were divided into
four groups. We analyzed number of offspring and demographic