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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.2016.01.1202

EV218

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.2016.01.1203

EV219

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

1

1

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