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S66

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S56–S71

et al., 1997; Sperry, 1997; Hermann, 2005). If outcome measures

are psychometrically sound and able to measure clinical change,

treatment progress can be made transparent for both patients and

clinicians.

In this presentation the presenter will update the audience on

a research project were the DSM-5 Field Trials, patient-reported

dimensional measures and the World Health Organization Disabil-

ity Assessment Schedule (WHODAS) (Clarke et al., 2013; Narrow

et al., 2013; Mo´scicki et al., 2013) are secured and placed in a newly

developed app.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.966

W33

Addiction component walk along

working towards a new app

M. Krausz

Institute of Mental Health at UBC, UBC-Providence Leadership Chair

for Addiction Research Professor of Psychiatry, West Vancouver,

Canada

Only a very small percentage of adolescents and young adults

with mental challenges is able to access specialized care. Access is

limited due to a lack of capacity but also internal hurdles and stigma

especially among youngmales. Theweb creates a newenvironment

for them, which is defining a new culture of communication and

interaction. The majority is using smart phones to access the inter-

net and make that their main communication device. Walkalong is

a web-based platform, which aims to provide a range of opportu-

nities and tools for youth with especially mood challenges. These

tools include screening and assessment, online resources and all

kind of orientation and interaction for informed decision making.

We are working on that to develop a framework for better online-

based mental health care including useful tools beyond crisis based

on the principles of empowerment and strength based approaches.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.967

W34

North Carolina Statewide

Telepsychiatry Program (NC-STeP):

Using telepsychiatry to improve

access to evidence-based care

S. Saeed

1 , 2 , 3 , 4

1

Department of Psychiatry and Behavioral Medicine, Brody School of

Medicine at the East Carolina University, Greenville, NC, USA

2

North Carolina Statewide Telepsychiatry Program (NC-STeP),

Greenville, NC, USA

3

ECU Center for Telepsychiatry and e-Behavioral Health, Greenville,

NC, USA

4

Vidant Medical Center, Greenville, North Carolina, NC, USA

Mental disorders are common

[1] a

nd they are associated with

high levels of distress, morbidity, disability, and mortality. We

know today that psychiatric treatments work and there is exten-

sive evidence and agreement on effective mental health practices

for persons with these disorders. Unfortunately, at a time when

treatment for psychiatric illness has never been more effective,

many people with these disorders do not have access to psychiatric

services due to the shortage, andmaldistribution of providers, espe-

cially psychiatrists. This has resulted in patients going to hospital

emergency departments to seek services resulting in long lengths

of stay and boarding of psychiatric patients in hospital emergency

departments. A growing body of literature now suggests that the

use of telepsychiatry to provide mental health care has the poten-

tial to mitigate the workforce shortage that directly affects access

to care, especially in remote and underserved areas

[2,3] .

The North Carolina Statewide Telepsychiatry Program (NC-STeP)

was developed in response to NC Session Law 2013-360. The vision

of NC-STeP is to assure that if an individual experiencing an acute

behavioral health crisis enters an emergency department of a hos-

pital anywhere in the state of North Carolina, s/he receives timely,

evidence-based psychiatric treatment through this program. Aside

from helping address the problems associated with access to men-

tal health care, NC-STeP is helping North Carolina face a pressing

and difficult challenge in the healthcare delivery system today: the

integration of science-based treatment practices into routine clin-

ical care. East Carolina University’s Center for Telepsychiatry is the

home for this statewide program, which is connecting 80-85 hospi-

tal emergency departments across the state of North Carolina. The

plan for NC-STeP was developed in collaboration with a workgroup

of key stakeholders including representatives from Universities in

NC, hospitals/healthcare systems, NC Hospital Association, NC Psy-

chiatric Association, LME-MCOs, NC-Department of HHS, andmany

others. The NC General Assembly has appropriated $4 million over

two years to fund the program. The program is also partially funded

by the Duke Endowment.

The program has already connected 56 of the projected 85 hos-

pitals in the first 18 months since its inception and over 12,000

encounters have been successfully completed during this time. A

web portal has been designed and implemented that combines

scheduling, EMR, HIE functions, and data management systems.

This presentation will provide current program data on the length

of stay, dispositions, IVC status, and other parameters for all ED

patients who received telepsychiatry services. NC-STeP is now pos-

itionedwell to create collaborative linkages and develop innovative

models for the mental health care delivery by connecting psychi-

atric providers with EDs and Hospitals, Community-based mental

health providers, Primary Care Providers, FQHCs and Public Health

Clinics, and others. NC-STeP is positioned well to build capacity by

taking care of patients in community-based settings and by creat-

ing collaborative linkages across continuums of care. By doing so,

the programimplements evidence-basedpractice tomake recovery

possible for patients that it serves.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

References

[1] Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, sever-

ity, and comorbidity of twelve-month DSM-IV disorders in the

National Comorbidity Survey Replication (NCS-R). Arch Gen

Psychiatry 2005;62(6):617–27.

[2] Antonacci DJ, Bloch RM, Saeed SA, Yildirim Y, Talley J. Empiri-

cal evidence on the use and effectiveness of telepsychiatry via

videoconferencing: implications for forensic and correctional

psychiatry. Beh Sci Law 2008;26:253–69.

[3] Saeed SA, Diamond J, Bloch RM. Use of telepsychiatry to improve

care for people with mental illness in rural North Carolina. N C

Med J 2011;72(3):219–22.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.968

W35

21st century house call home

tele-behavioral medicine

H.A. Schwagar

Alaska Telemedicine Consultants, Inc., Willow, Alaska, USA

Objective

This presentation will focus on and demonstrate the

effective, secure, cost effective delivery of Tele-BehavioralMedicine

services to patients in the privacy or their own home.

Method

Today’s use of internet technology brings with it “cost

effectiveness” for Tele-behavioral medicine applications. Today,

with a relatively current laptop computer, a web-cam or iPad,

broadband connectivity (256 kB or faster), and a downloadable,