European Psychiatry - Volume 33 - March 2016

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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.
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.
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.
EV811
How to relate two specific concepts:
Sexual health and sexual minority?
F. Jurysta
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.
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.