European Psychiatry - Volume 33 - March 2016

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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.
EV803
Mental health improvement through
physical therapy: Polish perspective
A.R. Szczegielniak ∗, J. Szczegielniak
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.
EV804
Experience of burnout syndrome in
resident physicians
P. Cigarroa-Vázquez , I. Vargas-Huicochea ∗
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 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.
Mental health policies
EV805
Improving Ghana’s mental health care
through task shifting – psychiatrists
and health policy directors views
V. Agyapong ∗, E. McAuliffe , C. Farren
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.