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Page Background European Psychiatry 33S (2016) S5–S7

Available online at

ScienceDirect

www.sciencedirect.com

24th European Congress of Psychiatry

Core symposia

Symposium: choosing wisely – prioritization in

mental health care?

CS01

Making mental health part of the

solution for reducing the negative

impact of austerity – a perspective

from England

S. Bailey

The Royal College of Psychiatrists, London, United Kingdom

This paper will describe four initiatives in England to protect the

mental health of the population.

1. Lobbying government – presenting the evidence about how

mental health services can reduce the impact of austerity on fami-

lies and communities.

2. Building psychosocial resilience in schools through well being

programmes and through “enabling environments” in the work-

place.

3. Delivering sustainability in mental and physical healthcare:

– prevention – don’t get ill in the first place;

– patient empowerment – if unwell patient to self manage where

possible;

– lean service design – if healthcare services necessary, these

should be efficient and high value;

– low carbon – reducing carbon footprint and waste.

4. Working across medicine – choosing wisely:

– promoting conversations between doctors and patients to choose

care that is:

– supported by evidence,

– not duplicative of other tests of procedures already received,

– free from harm,

– truly necessary.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.782

CS02

Choosing wisely in Germany –

adapting an international initiative to

a national healthcare agenda

D. Klemperer

Ostbayerische Technische Hochschule Regensburg, Faculty of Social

and Health Care Sciences, Regensburg, Germany

Overuse and underuse in healthcare is a chronic problem

in most healthcare systems. Inspired by the North American

Choosing Wisely Initiative, the Association of Scientific Medical

Societies in Germany (AWMF), which actually counts 173 mem-

ber organisations, decided to address the problem. The aim of

the German “Gemeinsam klug entscheiden” (deciding together

wisely)-initiative is to reduce overuse, underuse and misuse of

health interventions in areas where recommendations of clini-

cal practice guidelines (CPG) are not adequately implemented or

missing. Starting point are the positive and negative recommen-

dations of the CPGs, which the AWMF-member societies have

developed for more than 20 years, following the manual and rules

set up by AWMF. To identify and select recommendations method-

ological criteria have been developed by a working group in a

consensus-based process. The development of AWMF-CPGs fol-

lows a methodology that aims to ensure the full integration of

evidence, an interdisciplinary and interprofessional perspective,

the prevention of bias as a consequence of conflicts of interest and

full transparency of the development process.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.783

CS03

Choosing wisely – the viewpoint and

experiences of the American

Psychiatric Association

J. McIntyre

University of Rochester, Psychiatry, Rochester, NY, USA

Choosing wisely, a program developed by the American Board of

Internal Medicine in 2012, is advancing a national dialogue on

avoiding wasteful or unnecessary medical tests, treatments or pro-

cedures. Recommendations are chosen that have a strong evidence

base. There are now over seventy specialty society partners includ-

ing the American Psychiatric Association. The program attempts

to involve patients in the dialogue and an important partner in

the program is consumer reports. In this presentation, information

about the origins of the program, its development and the impact it

has on the practice of medicine will be reviewed. Also the measures

developed and submitted by the American Psychiatric Association

will be discussed and potential additional psychiatricmeasureswill

be discussed. The strengths and weaknesses of the programwill be

identified.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.784

0924-9338/$ – see front matter