European Psychiatry - Volume 33 - March 2016

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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.
EV784
Preserving control: Understanding
people’s experiences before, during
and after detention under the Irish
Mental Health Act 2001
D. McGuinness ∗, A. Higgins , B. Hallahan , E. Bainbridge ,
C. McDonald , K. Murphy
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.
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 ∗, L. Helmi , D. Adamis , E. O’Mahony ,
G. McCarthy , A. MacDonald
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.
EV786
Psychiatrist’s mental health: A look at
burnout in a psychiatry department in
Portugal
S. Neves ∗ ieira Madeira antos arrido
A. Craveiro eiga . Saraiva
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