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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2087

EV1103

Factors associated with non-show to

first therapeutic appointments in a

mental health clinic in Northern Israel

L. Elyashar

1 , 2 ,

, L. Vadas

1

, A. Reshef

1 , 2

, B. Bloch

1 , 2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2088

EV1104

Establishing a physical health

monitoring service for patients on

depot antipsychotic medication

M. Gill

1 ,

, M .

McCauley

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2089

EV1105

How much longer will a patient stay

in acute unit if mechanical restraint is

required?

M. Grifell

1 , 2 ,

, L. Galindo

1 , 2

, F.N. Dinamarca

1

, V. Chavarría

1

,

E. Pérez

1

, P. Salgado

1

, V. Pérez

1 , 3

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