European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S8–S52 S9
Method Non-systematic review of concepts and data regarding
the needs of women users of mental health services and their fam-
ilies.
Results nequity and inefficiency of mental health resources affect
men and women all around the globe. Some important men-
tal health needs as well as barriers to care are gender-specific.
Women have specific needs in specific phases of life, e.g. the peri-
natal period, as well as specific risk factors, e.g. interpersonal
violence and sexual abuse. Developments of women only services
aswell as the implementation of gender-specific approaches in rou-
tine care are underway and need to be evaluated, amended and
expanded. Training as well as research requirements are numerous
and urgent. Family carers are an essential mental health resource.
Amajority is female with significant unmet needs. Family advocacy
in mental health is prominently supported by female activists as is
the psychiatric user movement. Because of the cumulation and the
interaction of gender-based and other forms of discrimination, leg-
islations such as those following the UN-Convention on the rights
of persons with disabilities include specific provisions for women
and girls with psychosocial disabilities.
Conclusions Mental health stigma and discrimination interact
with gender inequality and the discrimination of women and girls
to their mental health detriment. Clinical and scientific responsibil-
ities in mental health essentially include gender-specific attention
to the needs of women and girls and their families.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S004
Women mental health and trafficking
M. Schouler-Ocak
Psychiatric University Clinic of Charité at St. Hedwig Hospital,
Psychiatry and Psychotherapy, Berlin, Germany
“Trafficking in persons,” “human trafficking,” and “modern slavery”
have been used as umbrella terms for the act of recruiting, harbor-
ing, transporting, providing, or obtaining a person for compelled
labor or commercial sex acts through the use of force, fraud, or
coercion. Trafficking in persons is an insult to human dignity and
an assault on freedom, and robbing basic human rights (US Report,
2015). Reliable data on trafficking are difficult to obtain owing to its
illegal nature; the range and severity of trafficking activities; and
variations in how trafficking is defined. It is supposed that 49 per
cent of the victims arewomen, 21 per cent girls, 18 per centmen and
12 per cent boys. 53 per cent were involved in sexual exploitation
and 40 per cent in forced labor (UN, 2014).
Research findings show that the limitations of current method-
ologies affect what is known about human trafficking and health.
Moreover, findings demonstrate an urgent need for representative
and non–purposive recruitment strategies in future investigations
of trafficking and health as well as research on risk and protective
factors related to human trafficking and health, intervention effec-
tiveness, long-term health outcomes. The psychological impact
of victimization may be more severe than the physical violence.
Victims who have been rescued from sexual slavery, typically
present with various psychological symptoms andmental illnesses,
including the following: Post-Traumatic Stress Disorder (PTSD),
depression, anxiety, panic disorder, suicidal ideation, Stockholm
syndrome, and substance abuse. In this talk current findings will
be presented and discussed.
Disclosure of interest The author has not supplied his declaration
of competing interest.
Symposium: Improving physical health in patients
with severe mental disorders
S005
Comorbidity of mental and physical
disorders: A major challenge for
medicine in the 21st century
N. Sartorius
Action for Mental Health, Geneve, Switzerland
Demographic changes and successes of medicine in preserving and
prolonging life are among the main reasons for the significant
increase of comorbidity of mental and physical illness. The simul-
taneous presence of these disorders leads to a worse prognosis of
both types of disorder, significant increases of cost of treatment and
heightened mortality.
Although these facts are becoming known among members of the
profession and among decision makers in the field of health lit-
tle is done to provide adequate and timely treatment and care for
all the diseases from which a person suffers. The fragmentation of
medicine into ever finer and more narrow specialties contributes
to the decreasing quality of care for people who have the misfor-
tune of having comorbid mental and physical illnesses as does the
stigma of mental illness which decreases the probability of timely
help and leads to well documented discrimination of those who
have mental illness in health services.
The paper will present some information about comorbidity of
mental and physical disorders and suggest reforms of health
care that might help to resolve the problems which comorbidity
produces.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S006
Exercise Interventions for Improving
Mental and Physical Health in
Schizophrenia
B. Malchow
Ludwig-Maximilians-University, Department of Psychiatry and
Psychotherapy, Munich, Germany
Schizophrenia is a severe mental disorder that carries a high per-
sonal and socio-economic burden. Especially negative symptoms
and cognitive impairments affect the long-term outcome and are
themain contributors to disability. An often underestimated aspect
of the disease are somatic comorbidities and the very highmortality
rates of those with the disorder. The life expectancy is approxi-
mately 20 years below that of the general population and there is
evidence that persons with schizophrenia may not have seen the
same improvement in life expectancy as the general population
during the past decades. Among others, lifestyle factors like seden-
tary behaviour, unhealthy diet, body weight and tobacco smoking
are considered modifiable risk factors contributing to this excess
mortality. Exercise interventions may be useful not only in atten-
uating symptoms of the disease but as well in help reducing risk
factors for somatic comorbidities.
Disclosure of interest The author has not supplied his declaration
of competing interest.