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

S609

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1793

EV809

In France, the 5th July 2011 law

changed the rights and the protection

of individuals given psychiatric

treatment and the conditions of their

medical care

F. Cornic

, M.N. Vacheron

Sainte-Anne Hospital Center, Secteur 75G13, Paris cedex 14, France

Corresponding author.

The principle of non-consentual care has existed in France since

1838, with significant change more than a hundred years later in

1990, triggered by advancements in medical care and the estab-

lishment of a psychiatric care in the community. The 1990 law had

to evolve quickly in order to comply with European standards. The

5th July 2011 law’s three main objectives were: to insure mental

care accessibility and continuity, to adapt advancements inmedical

care to better protect the patients and their support network, and

to reinforce the rights and individual freedom of patients.

The 27th September 2013 law sought to reform the previous act

following feedback from both the medical and judicial sectors. The

law is based on three innovative principles: control by the lib-

erty and custody judge at the twelfth day of full hospitalisation

and at the sixth month point of full hospitalisation, the possibility

to arrange for the patient to have a community treatment order

within the framework of an individual care plan, the possibility to

section a patient without a third party, in case of clear and urgent

need. As a result of these new laws, the way in which patients were

looked after had to change. The choices medical staff have now, are

limited by the need to respect the patients’ rights in the eyes of

the law and the obligation to guarantee continuous and adapted

medical care. This law means that an individual’s needs must

be continuously assessed, substantially changing the therapeutic

landscape.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1794

EV810

Mental health systems development

in UAE

A. Haque

UAE University, Psychology and Counseling, Al-Ain, United Arab

Emirates

Background

This paper examines the historical development of

mental health services in the UAE including formation of federal

laws associated with mental health and ministerial decrees. It also

discusses cultural considerations inmental healthpractice in a soci-

ety that is highly pluralistic and populated mainly by foreigners.

The sharia aspects of mental health are also addressed.

Aims

The aims of the paper are to familiarize readers in above

areas and encourage further work in the area of mental health in

UAE.

Methods

The research is based on literature review.

Results

All federal laws and ministerial decrees are listed and

local cultural considerations and sharia laws discussed, as they are

unique to his country and region.

Conclusion

Although mental health is traditionally neglected in

this country it is developing very fast and it is essential to keep

track of and encourage such growth for the benefit of consumers

and mental health professionals.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1795

EV811

How to relate two specific concepts:

Sexual health and sexual minority?

F. Jurysta

1 , 2

1

Centres Hospitaliers Jolimont asbl, Psychiatrie, Haine-Saint-Paul,

Belgium

2

ULB-Hôpital Erasme, Brussels, Belgium

Introduction

WHO defines Sexual Health as “a state of physical,

emotional, mental and social well-being in relation to sexuality

. . .

and requires a positive and respectful approach to sexuality and

sexual relationships, as well as the possibility of having pleasurable

and safe sexual experiences, free of coercion, discrimination and

violence”.

OCD-10 defines Transsexualism as “the desire to live and be

accepted as a member of the opposite sex, usually accompanied

by the wish to make his or her body as congruent as possible with

the preferred sex through surgery and hormone treatment. The

transsexual identity has been present persistently for at least two

years. The disorder is not a symptom of another mental disorder or

a chromosomal abnormality”.

Objective

We developed an integrative model in 4 axes to

approach Sexual Health concept and Transsexualism.

Aims

Holistic and integrative model of transsexualism gives a

better understanding of this disorder and ameliorates global treat-

ment. Moreover, this model should be applied to each sexual

minority.

Results

1. Etiology integrates psychological, biological and

neuro-developmental aspects. 2. Clinical features for treatment

imply large and multidisciplinary approach. 3. Scientific liter-

ature includes more than thousand papers on Transsexualism

and numerous expertises as endocrinology, psychiatry, cardi-

ology, sleep

. . .

4. Social networks are developed in hospitals,

associations

. . .

as well as between patients themselves.

Conclusions

Holistic and integrative approach of Sexual Minority

as Transsexualism could reach Sexual Health concept defined by

WHO.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1796

EV812

Mental health legislation and policy:

Dignity, humanity and practice

A. Persaud

Devizes, United Kingdom

Introduction

In many countries, the civil and political rights of

people with mental health problems are violated: they are often

subjected to serious abuse, such as chaining, and in many coun-

tries are denied fundamental human rights andprotections through

discriminatory laws. Too often, politicians, policy-makers, profes-

sionals and others with the authority and duty to protect and

provide for them, fail to do so. Sixty-eight percent of WHO Mem-

ber States have a stand-alone policy or plan for mental health; 51%

have a standalone mental health law. In many countries, however,

policies and laws are not fully in line with human rights instru-

ments, implementation is weak and persons with mental disorders

and family members are only partially involved; Where there has

been progress, it has been slow but nevertheless welcomed; Some

countries integrate legislationwith policy, other have included cul-

tural mediation into clinical practice, whilst others have developed

mental health legislation alongside traditional forms of medicine.