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S570

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

Method

Due to the paucity of published academic literature ‘ad

hoc’ Internet searches were utilised to collect source material and

identify advocates. A range of conferences, seminars and continued

professional development (CPD) events revealed the background

for some of the persistent problems.

Results

The suppression of the trauma-centric approach to men-

tal health issues and its re-emergence are central to understanding

the trajectory and how to improve professional practice.

Organised Ritualised Crime Abuse Networks (ORCANs) seem to be

at work infiltrating institutions that are supposed to uphold law

and order.

Inadequate psychometric instruments appear to beguile some

mental health professionals into wrong diagnosis and testimony.

Conclusion

The standard of UK family court assessments must

improve. Scrapping ‘forced adoption’ legislation that drives the

‘child snatching’ culture in UK social services department would

benefit society including citizens from abroad whose governments

vocally criticise the removal of their children through clandestine

UK ‘child protection’ procedures.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1674

EV690

Prevalence and nature of mental

disorders among young offenders in

custody and community: A

meta-analysis

M. Livanou

, V. Furtado , S. Singh

University of Warwick, Warwick Medical School Division of Mental

Health and Well-being, Coventry, United Kingdom

Corresponding author.

Introduction

Prevalence studies show that nearly 80% of young

offenders present psychiatric comorbidity. Juvenile offenders are

at 3 times higher risk of being diagnosed with a psychiatric disor-

der. Recent systematic reviews have mainly focused on youth in

detention neglecting youth in the community. Females and ethnic

minorities have been overlooked in the literature in spite of the

increasing rates of psychiatric disorders striking these groups.

Objective

To perform a meta-analysis on the prevalence rates

of various mental disorders including depression, psychosis, PTSD,

conduct disorder, ADHD, learning disabilities and personality dis-

orders among young offenders. Self-harm and suicidal behaviour

are examined too.

Aims

To compare the prevalence of psychiatric disorders among

young offenders across custody and community and to emphasise

on gender, age, and ethnic variations.

Methods

Relevant studies have been identified with computer-

assisted searching and scanning of reference lists. Prevalence of

mental disorders based on gender, age and ethnicity along with

potential moderating factors are extracted from the included stud-

ies. Meta-regression is performed to test covariates that might have

contributed to differences in prevalence rates across studies.

Results

After searching the relevant literature, 99 studies were

determined to be eligible for data extraction.

Conclusions

Young offenders with ongoing mental health prob-

lems comprise a vulnerable group within forensic psychiatric

services that needs special attention. More prevalence studies

should be conducted to improve mental health provision. Eth-

nic, gender, and age variations across young offenders should

be addressed and turn interventions into a tailored process that

responds to the young person’s particular treatment needs.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1675

EV691

Co-responsibility of the victim in

maintaining violent interactions in

the parental couple

M. Loi

1 ,

, P. Brambilla

2

1

Private practice, Psychiatry, Milan, Italy

2

Private practice, Psychology, Milan, Italy

Corresponding author.

The few international studies that dealt with the characteristics of

the victim, suggest the possibility that, in certain circumstances,

psychological, psychopathological and behavioral variables, may

increase the risk of violence within a couple relationship (or also

inhibit the possibility that the victim falls outside the violent inter-

action).

We would liked to better comprehend violence within a parental

couple relationship, which is considered as a dynamic and two-way

system, and understand how violent interactions are triggered and

maintained by both partners, and, therefore, by the victim too.

Our aim is consequently pinpoint those factors, which, on several

levels, make the victim become one, within a dynamic and vicious

collusion with the aggressor.

We have analyzed 30 forensic court consultancies carried out in

separation and divorce conflict, within which violence, acted out

by one partner against the other, was detective.

The data obtained from descriptive profiles of personality (derived

from biographical data, clinical observation and psychological

assessment) of the victims suggest that some variables can trig-

ger and maintain the violence within the couple. Among these are

reported: masochism, learned helplessness, depression, low self-

esteem, primary attachment disorders, emotional dependency, ego

disorders, depression, anger, passivity, submission, lacking social

and communication skills, low problem solving ability, violence in

the family of origin, substance use.

The identification of these variables seems particularly useful

to prevent victim’s intrapsychic and interpersonal dysfunctional

dynamics, and can suggest interventions aimed at correcting these

dynamics, with a consequent risk reduction even in separation and

divorce conflicts.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1676

EV692

Results of forensic assertive

community treatment in Belgium

after 33 months

T. Marquant

1 ,

, K. Goethals

2 , 3

1

CAPRI collaborative Antwerp Psychiatric Research Institute, forensic

psychiatry, Antwerp, Belgium

2

Collaborative Antwerp Psychiatric Research Institute, CAPRI

University of Antwerp, Antwerp, Belgium

3

Mental Health Care Westelijk Noord-Brabant, Halsteren, the

Netherlands

Corresponding author.

Introduction

Forensic adaptations of assertive community treat-

ment (ACT) remain understudied in Europe, whereas promising

results emerge from the United States. There is a need for research

into the effectiveness of ForACT outside the United States, as Europe

differs greatly in terms of organisation of mental health and judicial

system.

Objective

Investigating effectiveness of forensic adaptations of

ACT in the area of Flanders, Belgium. Outcomemeasures are divided

into forensic, like arrests or incarcerations, and non-forensic, like

admissions and length of stay.

Aims

Investigating effectiveness of ForACT on forensic and non-

forensic outcome measures as well as factors related to outcome.