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S590

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

EV750

Challenging behaviour in people with

intellectual disabilities: The

assessment and intervention team

K. Courtenay

1 ,

, S. Jaydeokar

2

1

UCL, Department Mental Health Sciences, London, United Kingdom

2

Barnet Enfield Haringey Mental Health NHS Trust, Intellectual

Disabilities, London, United Kingdom

Corresponding author.

Objectives

People with intellectual disabilities (ID) present with

behaviours that challenge community services. Community mod-

els of care as alternatives to hospital care exist but are often

vary in their function. Certain strategies have been developed to

manage challenging behaviour in peoplewith ID. Data froma three-

year period on a community-based service for people with ID and

challenging behaviour that uses an objective, multi-disciplinary

approach is presented.

Methods

A case note survey of adultswith IDunder the care of the

Assessment and Intervention Team (AIT), a challenging behaviour

service in the London Borough of Haringey.

Results

Over the three-year period, 65 adults were managed by

AIT. Forty-four were male and 21 were female. The age range was

21–64 years of age. The level of ID was mild ID 61%, moderate

39%. Diagnoses included psychotic disorder (25%); mood disorder

(20%); developmental disorder (40%); dementia (10%); challenging

behaviour (45%). Six people (11%) were admitted to hospital during

their time with AIT. The length of care under AIT ranged from four

to fourteen months.

Conclusions

AIT managed effectively people with ID living in the

community who presented with complex problems putting their

placement at risk. The rate of hospital admissionwas reduced in this

period compared with the previous three years. The length of stay

in in-patient services was reduced. The most common reasons for

the behaviours includedmental illness and ‘challenging behaviour’.

People with developmental disorders were a large proportion.

Community alternatives are effective with positive benefits to the

person.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1735

EV751

Evaluation of DBT manual adapted for

people with intellectual and

developmental disabilities (IDD): First

results

S. Elstner

Ev. Krankenhaus Königin Elisabeth Herzberge, Psychiatry,

Psychotherapy and Psychosomatics, Berlin, Germany

Introduction

In contrast to psychopharmacological treatment,

the current evidence base in psychotherapy for people with IDD

is limited. But psychotherapeutic approaches offer an alternative

treatment modality in people with IDD.

Objectives

Orientated on the “Dialectic-Behaviour-Therapy” con-

cept, we developed an adapted manual for people with IDD and

impulsive behaviour.

Aims

This study presents the first results of an evaluation our

adapted DBT manual.

Methods

Three closed groups with 11 patients in total were

prospectively included in a six-week in-patient psychotherapeu-

tic DBT-programme. There was no randomisation or control group.

Typical borderline symptoms (BS) were recorded using the “Bor-

derline Symptom List” (BSL) and a short screening version for

personality disorders (PSS-K). Impulsivity and behaviour in gen-

eral were observed with the scale for impulsiveness and emotional

deregulation (IES) and the German Developmental Behavioural

Checklist (VFE). Special tendencies to self-harm were assessed

using the scale for self-harm behaviour (IEFAS). From these scales,

the means were observed during the course of our hospital therapy

program over 6 weeks.

Results

There were 19 patients in total in 3 different groups.

Eight dropped out for a variety of reasons. The mean scores for the

remaining 11 patients in the BSL and PSS-K reduced significantly.

The scores for impulsivity and self-harm improved. Overall, there

was no significant change in behaviour.

Conclusion

This study presents the results of a trial of a DBTman-

ual for people with IDD and BS. In general the BS declined, the

impulsivity improved. The study is limited by the small numbers

in the patient sample and the absence of a control group.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1736

EV752

Psychotherapy for ADHD in people

with IDD

S. Elstner

Ev. Krankenhaus Königin Elisabeth Herzberge, Psychiatry,

Psychotherapy and Psychosomatics, Berlin, Germany

Introduction

Psychopharmacology and psychotherapy in chil-

dren with ADHD is still well established and has been studied

for many years. There has been a growing interest in treat-

ment of ADHD in adults for some years. Whereas meanwhile the

psychopharmacological treatment is well studied, the psychother-

apeutic interventions are still to optimize.

Objective

Since the acceptance of the diagnosis of “ADHD” in

adults, there has been a growing interest in using medication as

the first-line therapy. There is an established evidence base for psy-

chopharmacological treatment in ADHD. The current therapeutic

recommendations for the general population apply to people with

ADHD and IDD. The study is a review of psychotherapeutic inter-

ventions in the treatment of ADHD in adults with and without IDD

supported by a case study.

Methods

A literature search was conducted in “Pubmed” and

“PsycInfo” using the keywords “Psychotherapy”, “ADHD”, “Adults”

and further “Psychotherapy”, “ADHD”, “Adults”, “intellectual”, “dis-

abilities”. Exclusion criterion was ADHD as a sub-syndrome in the

presence of other syndromes.

Results

Only 2–3 publications on psychotherapy in adults with

ADHD were found. Very little was found on people with IDD, and

these were especially combined with the Fragile X Syndrome.

Conclusion

Psychotherapy in adults with ADHD is not yet well

elaborated in the scientific literature. There are some com-

mon used intervention strategies like psycho-education, cognitive

behavioural therapy, and attention focusing interventions such

as mindfulness-strategies. Using the principles of Easy-to-Read

language and modifying the general therapeutic settings as rec-

ommended by NICE, an adaptation of these interventions in the

treatment of adults with ADHD and IDD has potential.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1737

EV753

Think fast, treat faster – a case of a

treatable rapidly progressive

dementia

V. Espirito Santo

1 ,

, A.R. Figueiredo

2

, R. Almendra

1

, A. Almeida

3

,

P. Guimaraes

1

, A.G. Velon

1

1

Centro Hospitalar Trás-os-Montes e Alto Douro, Servic¸ o de

Neurologia, Vila Real, Portugal