European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S701
GPs and also from patients who attended ATT over a one-week
period.
Results The ATT received a total of 2234 referrals. A total of 73%
were seen within 10 working days of the referral. Assessment out-
come letters were sent to the GPs within 48 h in 47.53% cases.
Referral rates to community mental health and Crisis teams were
7% each showing an overall reduction compared to the previous
service. GP satisfaction – 70% were ‘moderately satisfied’ and 30%
were ‘very satisfied’ with ATT. Hundred percent felt the service was
easily accessible and 90% felt that the staff were friendly. Patient
Satisfaction – 96% of patients rated the teamas ‘friendly and polite’.
Eighty-seven percent reported that they were listened to and 91%
felt their concerns were understood. Eighty-three percent felt that
ATT involved them in their decision making. Ninety-two percent
responded that they were likely/extremely likely to recommend
ATT to their friends and family.
Conclusions The establishment of ATT has led to improved satis-
faction among GPs and service users and has resulted in reduction
in referrals to secondary mental health services.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1103
Factors associated with non-show to
first therapeutic appointments in a
mental health clinic in Northern Israel
L. Elyashar ∗, L. Vadas , A. Reshef , B. Bloch
1 Emek Medical Center, Psychiatry, Afula, Israel
2 Technion–Institute of Technology, Faculty of Medicine, Haifa, Israel
∗ Corresponding author.
Introduction Patient non-show to clinical appointments is a
major component of nonadherence, specifically in mental health
institutions, being twice that of non-show in other medical special-
ties, and is associatedwith a greater risk of morbidity andmortality.
Aims and objectives Our study was conducted to assess the rate
and factors associated with missed first appointments in an out-
patient mental health clinic, in order to find correlates between
the various factors and the probability of non-show among newly
referred patients.
Methods This was a retrospective study of 400 consecutive
outpatients referred to a single regional mental health clinic in
northern Israel during 9months. Data was collected on sociode-
mographics, attendance rates, source of referral, the presence of
chronic physical illnesses and time elapsed between referral to
appointment. The findings were statistically analyzed to identify
factors associated with patient non-show rate.
Results Of the 400 patients included in the study, the non-show
rate was 39.6%. Patients who missed appointments were signifi-
cantly more likely to be younger, to belong to the Arab sector and
to wait longer for their appointment. They were less likely to be
physically ill. Gender, marital status and source of referral were
not significantly associated with the non-show rate.
Conclusions Given the problematic potential outcome of non-
show to mental health clinics, it is important to identify high-risk
factors associated with non-show and unique to the population
in question, so that interventions can be targeted at them, thus
improving treatment outcome and reducing risk to patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1104
Establishing a physical health
monitoring service for patients on
depot antipsychotic medication
M. Gill ∗ McCauley
1 Cavan Monaghan Mental Health Service, Community Rehabilitation
Service, Cavan, Ireland
2 St Brigid’s Hospital, General Adult Psychiatry, Ardee-Co. Louth,
Ireland
∗ Corresponding author.
Introduction Patients withmajor mental illness are recognised to
be at risk of premature death for a multitude of reasons. Those with
schizophrenia and bipolar disorder are at highest risk.
Objectives International best practice recommends monitoring
of blood tests, physical parameters such as weight, BMI, waist
circumference and blood pressure, and side effects of patients pre-
scribed antipsychotic medication. A clinic was established to target
these interventions.
Aims This initiative aimed to improve the physical health mon-
itoring of patients prescribed depot antipsychotic medication in a
catchment area of approximately 36,000 in Ireland.
Methods A twice-yearly, multidisciplinary monitoring clinic was
established. A protocol was drawn up, following a literature review
and inspection of current international guidelines, and a proforma
assisted as an aide-mémoire. A self-report questionnaire, the Glas-
gow Antipsychotic Side Effect Scale, was used to enquire about side
effects.
Results Evaluation took place in descriptive formwith audit used
to examine outcomes. Full blood test monitoring improved from9%
of patients to 61% in one year, with 78% of patients having had at
least one blood test recorded. Prior to the clinic’s establishment,
only one patient had had any physical parameters recorded, but
this improved to 96% recorded after the clinics were run. Side effect
documentation also improved.
Conclusions The clinic was well-received and led to improved
teamwork. Future recommendations include organising the clinic
so as to include simultaneous blood testing. A similar project is
being planned to target all patients attending who are prescribed
antipsychotic medication.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1105
How much longer will a patient stay
in acute unit if mechanical restraint is
required?
M. Grifell ∗, L. Galindo , F.N. Dinamarca , V. Chavarría ,
E. Pérez , P. Salgado , V. Pérez
1 Parc de salut mar, Institut de neuropsiquiatria i addiccions INAD,
Barcelona, Spain
2 Hospital del Mar medical research institute IMIM, Grup de recerca
en addiccions, Barcelona, Spain
3 Centro de Investigación Biomedica en Red de Salud Mental
CIBERSAM G21, Psychiatry, Barcelona, Spain
∗ Corresponding author.
Introduction Mechanical restraint is a therapeutic procedure
commonly applied in acute units in response to psychomotor agi-
tation. Its frequency is between 21 and 59% of patients admitted.
These patients represent a risk to both themselves and for health
workers. In order to implement measures to prevent agitation
and therefore mechanical restraint, it is important to quantify the