European Psychiatry - Volume 33 - March 2016

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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.
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.
EV691
Co-responsibility of the victim in
maintaining violent interactions in
the parental couple
M. Loi ∗, P. Brambilla
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.
EV692
Results of forensic assertive
community treatment in Belgium
after 33 months
T. Marquant ∗, K. Goethals
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.