European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S703
EV1108
Quality management and economic
downturn. Post-modern topics of
community psychiatry
A. Zangrando ∗, F. Babici , E. Pascolo-Fabrici , A. Riolo
1 University of Trieste, Department of Mental Health, Trieste, Italy
2 CSM Domio, Department of Mental Health, Trieste, Italy
3 UCO Clinica Psichiatrica, Department of Mental Health, Trieste, Italy
∗ Corresponding author.
Introduction The reduction of the budget allocated to commu-
nity psychiatry is part of financial needs in times of economic crisis.
However, the community psychiatry is based on human resources
rather than on technological devices and the economic downturn
affects the quality of care in a field where the social and relational
capital developed by mental health workers is fundamental. Some
authors such as Serge Latouche propose to stem the economic
decline with the concept of “degrowth”, a constructive idea but
difficult to apply.
Objective Wewould like to analyzewhether the economic down-
turn has consequences only for the organization of psychiatric
services or even for people with severe mental disorders. Another
issue concerns the possibility that economic downturn increases
the social exclusion of vulnerable people.
Results People who live on social welfare or disability pension
remain on the margins of society but also those supported by fam-
ilies feel increasingly marginalized with respect to the future.
Conclusions The provision of mental health services may not
meet the implicit and explicit wishes in the demand for health by
citizens and society. It’s therefore necessary to review the quality
management within community psychiatry.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Rehabilitation and psychoeducation
EV1109
Economical and social return of
psychosocial rehabilitation model
based in needs. The SROI project
S. Benabarre ∗, J. Olivera , C. Pelegrín
1 Fundación Agustín Serrate, Centro de Día Arcadia, Huesca, Spain
2 Servicio Aragonés de Salud SALUD, Servicio Psiquiatría, Hospital San
Jorge de Huesca, Huesca, Spain
∗ Corresponding author.
Introduction Psychosocial Rehabilitation has demonstrated to be
a key factor in the process of deinstitutionalisation, recovery and
social inclusionof people affectedby a SevereMental Disorder. Nev-
ertheless, there are few studies about social and economical return
of this rehabilitation.
The Fundación Agustín Serrate is a Non-Governmental Organiza-
tion (NGO), which has been working, since 1995, with psychosocial
rehabilitation in Huesca, a small province in the north of Spain.
Objective The aim of this study is to determine and recognize the
return and the impact that a rehabilitation and intervention model
has in people with a severe mental disorder, on their families and
on society.
Methods Three services in its model of rehabilitation: day care
centre, integration work centre and supervised houses.
The SROI (Social Return Of Investment) methodology is a tool to
make decisions based on the optimization of the social and work
impacts of social projects. The study was done by meetings, work-
shops, interviews and questionnaires with all groups of interest
(patients, families, psychiatrist. . .)
Results A total of 208 users were attended in different services
(65% men and 35% women). The age average was 45.8 years. Sixty-
eight percent of people had a diagnosis of schizophrenia and
schizoaffective disorder. For each euro of investment, the organi-
zation returned to society 3.15 euros (social return and economic).
The users and their families improved their quality of life (individ-
ual and familiar).
Conclusions The principal conclusion is that Psychosocial Reha-
bilitation is financially profitable for the society and governments;
and it is useful for improving the quality of life of patients and their
families.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1110
An evaluation of the EOLAS
psychoeducation programme for
service users: An innovative approach
to collaboration between clinicians
and ‘experts by experience’
P. Gibbons ∗, A. Higgins , D. Hevey , M. Monahan ,
C. O’Connor
1 Health Service Executive, Kildare/West Wicklow Mental Health
Service, Celbridge, Ireland
2 Trinity College Dublin, School of Nursing and Midwifery, Dublin,
Ireland
3 Trinity College Dublin, School of Psychology, Dublin, Ireland
∗ Corresponding author.
Introduction Psychoeducation for service users has been shown
in several recent meta-analyses to improve adherence with
treatment, decrease rehospitalization rates and improve various
measures of quality of life. The 8-week EOLAS Programme for ser-
vice users with schizophrenia or bipolar disorder is unique in being
designed, co-facilitated and evaluated collaboratively by both clin-
ician and peer representatives. EOLAS forms part of the service plan
of the national Health Service in Ireland.
Aims and objectives To evaluate the impact of the EOLAS
programme on participants’ perceived knowledge, confidence,
advocacy, recovery attitudes and hope.
Methodology Anonymised questionnaires were administered to
participants before and after completion of the EOLAS Programme.
All survey participants were invited to attend for interview to
examine qualitatively their experience of the programme. Inter-
views were recorded and subjected to thematic analysis.
Results Forty-five subjects completed pre- and post-programme
questionnaires (participation rate = 55%).
Significant improvements (P < 0.05) were identified across each of
the 5 domains examined (i.e. perceived knowledge, confidence,
advocacy, recovery attitudes, hope). Expressed satisfactionwith the
programme was high (95%).
At interview, participants (n = 12) particularly valued:
– the opportunity to ask questions of the psychiatrist e.g. about
medication;
– improving self-care skills e.g. monitoring early warning signs of
relapse;
– co-facilitation by a peer, which provided extra credibility and
inspired hope;
– sharing experiences with peers.
Conclusions The EOLAS programme succeeds in meeting the
needs of the participants across the target domains. This success
depends on the unique collaboration between clinicians and peer
experts on which EOLAS is based.