European Psychiatry - Volume 33 - March 2016

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S610 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Objective and conclusion This presentation will provide an
overview of global mental health legislation, describe some practi-
cal examples where progress are being made and proposition some
new progressive options where legislation can interact with policy
and clinical practice to provide humane care.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV813
The Portuguese mental health law –
The criteria for compulsory
internment
H. Prata-Ribeiro
Coimbra, Portugal
The Portuguese Mental Health Law is complex, aiming to ensure
patients liberties and basic civil rights are respected. A specific part
of this lawregards the compulsory internment and its criteria, being
as protective as possible, in order to prevent wrongful internments
for people against their will.
The aim of this study is to analyze the mechanisms available to
ensure liberty, in a law apparently about coercion.
The methods used consisted in analyzing the law and interpreting
its most important details, mentioning them so they can be read
and used as examples.
It can be concluded that the Portuguese law has a very strict list
of mandatory criteria for the possibility of the compulsory intern-
ment, as a way of ensuring no people suffer it wrongfully. The most
important being that no person can be interned compulsory if not
considered to suffer from a severe mental disease, not being that
enough and having to at least present risk for themselves or others,
or to juridical goods of high value. Thus, revaluation of the patient
is mandatory only five days after the internment by two differ-
ent doctors, being the same process assured from then on every
two months. Only possible flaw lays on the fact that there is no
maximum amount of time predicted for internment, being that
always dependent of the revaluations made. Although, the law is
considered to be good and prevent abusive use of the compulsory
internments.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV814
Preliminary evaluation of the Italian
version of the INSPIRE measure of
staff support for personal recovery
N. Ratti ∗, B. Mattioli , L. Mellini , I. Negri , A. Mastrocola
1 AUSL Romagna, Dipartimento di Salute Mentale, DSMDP, Ravenna,
Italy
2 Università di Bologna, Dipartimento di Psicologia, Bologna, Italy
∗ Corresponding author.
Introduction Supporting personal recovery has become the main
aim for mental health services in many countries nowadays. In
particular, the relationship between individual service users and
staff members can be the key issue in supporting recovery and
this requires specific measures in order to identify and evaluate
the orientation of services in this process of change. INSPIRE is a
standardized questionnaire developed by King’s College, London
that represents a service user-rated measure of staff support for
personal recovery in the UK.
Objective Although there is a number of instruments aimed at
monitoring recovery in the clinical and functional features, there is
still lack ofmeasures for personal recovery and recovery orientation
of services in the Italian background.
Aims The aim of this study is to evaluate the psychometric prop-
erties of the Italian version of INSPIRE as it is applied in the Italian
mental health services.
Methods Two rounds of data were collected from a sample of 79
inpatients and outpatients of rehabilitation centers and consultant
service of the municipality of Ravenna. Analysis was undertaken
using SPSS. The main issues investigated were internal consistency,
test-retest reliability and exploratory factor analysis.
Results The results in the present studies indicate that the Italian
version of the INSPIRE measure had a very good internal consis-
tency and a satisfactory test-retest reliability.
Conclusions While further studies testing the instrument in
larger andmore diverse clinical contexts are needed, INSPIRE can be
considered a relevant and feasible instrument to use in supporting
the development of a recovery-oriented system in Italy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Migration and mental health of immigrants
EV815
Anxiety and depression in European
immigrants in Africa: Spaniards in
South Africa
L. Aguado ∗, A. Porras , P. Calvo , A. Tomita , J. Burns ,
J.E. Mu˜noz-Negro
1 San Cecilio University Hospital, Mental Health Unit, Granada, Spain
2 University of kwazulu-Natal, Psychiatry, Durban, South Africa
∗ Corresponding author.
Introduction It is easy to find texts, in scientific literature, study-
ing the adaptation of immigrants from developing countries in
western countries. However, in these globalization times that we
are living, few are the studies performed on members from devel-
oped countries emigrating to the third world.
Objectives/Aims To evaluate the factors predisposing to the onset
of anxiety or depression symptoms in Spanish immigrants living in
South Africa.
Methods This is an exploratory study with a sample of 51 Spanish
residents in South Africa between 24 and 57 years (44% male, 56%
female), 44% of whichwere living there for more than two years. An
online survey was administered, collecting data related to reasons
and conditions for theirmoving to the country and traumatic events
living during the stay. For the screening of depression and anxiety
symptoms Hopkins SymptomScale (HSCL-25) was used. Finally, we
carried about several analysis using Chi2 test. For statistical analysis
SPSS was utilized.
Results Thirty percent of the sample showed positive scores on
anxiety symptoms scale, and 24% scored positive for depression.
Job related items as being unemployed ( P < 0.001) was associated
to symptoms of depression. Insecurity/violence (P < 0.021) and race
discrimination ( P < 0.009) were the main factors related to anxiety
symptoms.
Conclusions Factor related to employment, security and discrim-
ination, has been significantly associated to the onset of anxiety and
depression symptoms. Other factors related to the moving to the
country or social relationships have shown no relations. More stud-
ies are needed to provide information about adaptation and factors
related to mental health in Occidental immigrants in developing
countries.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.