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

S607

Conclusions

With the advance of ICT, especially data-intensive

computing paradigm, approaches mixing individual risk assess-

ment and environmental conditions become increasingly preva-

lent. HIKARI DSRS can serve as a key tool for individuals and

clinicians daily management of mental disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1787

EV803

Mental health improvement through

physical therapy: Polish perspective

A.R. Szczegielniak

1 ,

, J. Szczegielniak

2

1

Medical University of Silesia, Department of Psychiatry and

Psychotherapy, Katowice, Poland

2

Opole University of Technology, Faculty of Physical Education and

Physiotherapy, Opole, Poland

Corresponding author.

Among people suffering from mental conditions increased preva-

lence of diabetes, cardiovascular disease, hypertension and

respiratory disease is observed, with considerably higher levels of

morbidity and mortality. Still, mental conditions are neglected and

not treated equally to othermedical states in Poland. It is commonly

believed that psychiatric patients are violent and unpredictable,

even though they are more likely to be a victim of violence them-

selves. This attitude, reinforced by media coverage and observed

also among health care workers, results in unwillingness to have

any relationswithmental patients due to fear of thembeing aggres-

sive. Connection between physical well-being and mental health

is well known. Physical therapists have necessary knowledge and

skills to support development of individual independence, anxiety

management and lifestyle control in order to keep patients health-

ier. It can be done by specially designed treatment programmes

consisting of exercises, manual techniques and physical medicine

procedures. Lack of understanding of this valuable connection

results in insufficient emphasis on the presence of physiothera-

pist in the multidisciplinary therapeutic team on psychiatric wards

nationwide. The study focuses on summary of the current situation

in Poland and starts discussion on possible areas of improvements.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1788

EV804

Experience of burnout syndrome in

resident physicians

P. Cigarroa-Vázquez

1

, I. Vargas-Huicochea

2 ,

1

National Autonomous University of Mexico UNAM, Program of

Masters in Mental Health, Mexico City, Mexico

2

Instituto Nacional de Psiquiatría “Ramón de la Fuente Mu˜niz”,

Division of Clinical Research, Mexico City, Mexico

Corresponding author.

Medical residents, as a population that is in formation and that

represents the workforce in public hospitals, are in a particularly

vulnerable situation for the development of burnout syndrome

(BOS), defined as a psychosocial disease in response to chronic

stress in the work environment. This study analyzed the impact of

BOS on a personal level, residents’ ways of coping, and the perceived

needs to prevent it.

Objectives

To analyze the experience of BOS in medical residents

of Mexico City.

Methods

Qualitative design with a phenomenological approach.

Semi-structured interviews were conducted. Participants were

medical residents in training who agreed to participate. Data anal-

ysis was based meaning categorization and condensation, as well

as some elements of discourse analysis.

Results

We had interviews with residents of gynaecology, otorhi-

nolaryngology, familymedicine and

psychiatry.We

have found that

there are some specific aspects that contribute to the development

BOS:

– the hidden curriculum that has become evident through unnec-

essary punishments;

– various roles to be met simultaneously by residents;

– the basic needs like sleeping and eating right are not being met

due to excessive workload.

– impact in general health.

Conclusions

It is necessary to make visible the complexity of the

BOS and its impact on trainees to prevent deterioration in the qual-

ity of life and overall health status. It would be to achieve the

satisfaction of basic needs as essential conditions for physical and

mental well-being of all human beings, andmore so for thosewhose

task is to contribute to the health of others.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1789

Mental health policies

EV805

Improving Ghana’s mental health care

through task shifting – psychiatrists

and health policy directors views

V. Agyapong

1 ,

, E. McAuliffe

2

, C. Farren

3

1

University of Alberta, Department of Psychiatry, Fort McMurray,

Canada

2

University College Dublin, School of Nursing, Midwifery and Health

Systems, Dublin, Ireland

3

University of Dublin, Trinity College, Department of Psychiatry,

Dublin, Ireland

Corresponding author.

Background

Currently, Ghana has only twelfth psychiatrists in

active service providing for themental health needs of a population

of nearly 25 million people. Ghana has therefore adopted a system

of task-shifting to address the critical shortage of psychiatrists.

Aim

To examine the perception of psychiatrists and health pol-

icy directors about the government’s policy to expand metal

health care delivery in Ghana through a system of task-

shifting from psychiatrists to community mental health workers

(CMHWs).

Methods

A self-administered semi-structured questionnaire was

developed and administered to 11 psychiatrists and 29 health pol-

icy directors.

Results

Only one psychiatrist and 3 (10.3%) health policy direc-

tors reported they were not aware of task-shifting within Ghana’s

mental health delivery system. Ten (91.1%) psychiatrists and 23

(79.3%) health policy directors were aware of a policy of the Gov-

ernment of Ghana to improve on the human resource base within

mental health through a system task-shifting. Overall, 5 (45.5%)

of the psychiatrists and 9 (31%) health policy directors perceived

there are some resistance to the implementation of a policy of task

shifting including resistance from traditional and spiritual healers,

some psychiatrists, some community psychiatric nurses and psy-

chologists. The majority of psychiatrists and health policy directors

were of the view that CMHWs should be allowed to assess, diagnose

and treat most of the common mental disorders.

Conclusion

Psychiatrists and health policy directors in Ghana

support Governments policy to expand onmental health care deliv-

ery through a system of task-shifting despite their knowledge of

resistance from certain professionals.