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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

1 ,

, F. Babici

2

, E. Pascolo-Fabrici

3

, A. Riolo

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2093

Rehabilitation and psychoeducation

EV1109

Economical and social return of

psychosocial rehabilitation model

based in needs. The SROI project

S. Benabarre

1 ,

, J. Olivera

2

, C. Pelegrín

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2094

EV1110

An evaluation of the EOLAS

psychoeducation programme for

service users: An innovative approach

to collaboration between clinicians

and ‘experts by experience’

P. Gibbons

1 ,

, A. Higgins

2

, D. Hevey

3

, M. Monahan

2

,

C. O’Connor

1

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.