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

S601

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1768

EV784

Preserving control: Understanding

people’s experiences before, during

and after detention under the Irish

Mental Health Act 2001

D. McGuinness

1 , 2 ,

, A. Higgins

3

, B. Hallahan

2 , 4

, E. Bainbridge

4

,

C. McDonald

2 , 4

, K. Murphy

1

1

National University of Ireland, School of Nursing and Midwifery,

Galway, Ireland

2

University Hospital Galway, Mental Health Services, Galway, Ireland

3

Trinity College Dublin, The University of Dublin, School of Nursing

and Midwifery, Dublin, Ireland

4

National University of Ireland, Psychiatry, Galway, Ireland

Corresponding author.

Introduction

The Mental Health Act 2001 provides a legal frame-

work for the involuntary admission and treatment of individuals

deemed to have a mental disorder to psychiatric units. The per-

spectives of people who have been detained are relatively poorly

understood.

Objective

To develop a theoretical understanding of individual’s

experiences throughout the trajectory of their detention and to

understand the psychological and social processes that individuals

use to cope before, during and after detention.

Methods

Fifty individuals subject to detention across three psy-

chiatric units consented to be interviewed three months after their

detention. Using a semi-structured interview people recounted

their experiences. Interviews were analysed using the principles

underpinning Grounded Theory.

Results

The theory ‘Preserving Control’ encapsulates individu-

als’ experiences and consists of three related themes: ‘Losing

Control’, ‘Regaining Control’ and ‘Maintaining Control’. ‘Losing Con-

trol’ describes individuals’ experiences of losing their autonomy

and liberty thought the process of detention and hospitalisation.

‘Regaining Control describes, the strategies individuals used in an

attempted to restore their loss of autonomy and control. ‘Maintain-

ing Control’ describes how individuals lived with the consequences

of detention and contended with impact on discharge.

Conclusions

Whilst a large variation existed in relation to the sub-

jective experience of being detained, the characteristic process that

individuals tend to experience related to identifiable phases of pre-

serving control in the face of this loss of autonomy. Findings from

this study highlight the importance of more sensitive interactions

support and information during and after the detention process.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1769

EV785

Implementation of Health of the

Nation Outcome Scale (HoNOS) in

Outpatient Clinic, Sligo Mental Health

Services: Feasibility and Agreement

with Global Assessment of

Functioning Scale

O. Mulligan

1 ,

, L. Helmi

2

, D. Adamis

1

, E. O’Mahony

1

,

G. McCarthy

1

, A. MacDonald

3

1

Sligo Mental Health Services, Psychiatry, Sligo, Ireland

2

Sligo Medical Academy- NUI Galway, Medicine, Galway, Ireland

3

Institute of Psychiatry, Kings College London, London, United

Kingdom

Corresponding author.

Introduction

Outcome measurements in mental health services

is beneficial in allowing healthcare providers in determining the

effectiveness of their treatment plan. Health of the Nation Outcome

Scale (HoNOS) and Global Assessment of Functioning (GAF) are two

well-established instruments to measure patients’ outcome.

Aims and objectives

To measure the correlation of these two

scales, and the feasibility of HoNOS.

Methods

Prospective longitudinal study of psychiatric outpa-

tients attending a clinic in Sligo. Patients were assessed using

HoNOS and GAF by trained doctors during the consultation. Feed-

back from doctors using HoNOS during the research was taken as

a measure for feasibility.

Results

Total of 441 HoNOS and 237 GAF completed on 280

patients (53.2% female, mean age 46.23; SD = 14.89). The cor-

relation between HoNOS and GAF was (

r

= –0.696,

P

< 0.001). In

reassessment, we found significant reduction in HoNOS scorewhen

comparing the first assessment with the second (

t

= 4.590, df = 110,

P

< 0.01) and the third (

t

= 2.876, df = 37,

P

< 0.01). Using a linear

mixed-effects model, it was found that patients with diagnosis of

schizophrenia, mood affective disorder, neurotic disorder, person-

ality disorder and younger in age are more likely to improve during

the follow-up compared to those with organic mental disorders,

alcohol related problems and older age.

Conclusions

HoNOS is a feasible scale and can be potentially used

as an outcomemeasurement in themental health services. Can help

in deciding better management plan for patient and improvement

of the service. HoNOs can also be used for comparison of outcomes

between services in national and international level.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1770

EV786

Psychiatrist’s mental health: A look at

burnout in a psychiatry department in

Portugal

S. Neves

1 ,

, F . V

ieira

2 , N.

Madeira

2 , J. S

antos

3 , P. G

arrido

2 ,

A. Craveiro

2 , F. V

eiga

2 , C.B

. Saraiva

2

1

Portugal

2

Coimbra Hospital and University Centre, Psychiatry Department,

Coimbra, Portugal

3

Coimbra Nursing College, Coimbra Nursing College, Coimbra,

Portugal

Corresponding author.

Introduction

Mental ill health is common among doctors. Fast,

efficient diagnosis and treatment are needed as mentally ill doc-

tors pose a safety risk to themselves and to patients, yet they are

often reluctant to seek help. Focusing on psychiatry, it is known that

psychiatrists as a professional group are prone to stress burnout

and suicide. Thus, it seems relevant and current to address on the

burnout in this professional group.

Objectives/aim

To analyze the burnout levels and the existence

of psychopathology in a Portugal psychiatry department.

Methods

Anonymous self-completion questionnaire, prepared

by the Suicide Prevention Consultation (also using MBI-Maslach

Burnout Inventory and QIS-Suicide Ideation Questionnaire) and

distributed by e-mail and online submitted for all psychiatrists in

the department.

Results

Forty-two percent of psychiatrists responded, mostly

women. Although the percentages of responses related to

fatigue/amount of work are significant, there were not high levels

of emotional exhaustion and depersonalisation, but before satis-

factory levels of personal fulfilment.

Conclusions

High levels of “burnout” are associated with high

scores of emotional exhaustion and depersonalisation, but also

with low scores of personal fulfilment. Despite the preliminary

results of this study, it is important to remember important