European Psychiatry - Volume 41 - April 2017

156 / 916

S152 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169
EW0139
A systematic review and synthesis of
outcome domains for use within
forensic services for people with
intellectual disabilities
R. Alexander , V. Chester ∗, P. Langdon
1 Partnerships in Care Learning Disability Services, Psychiatry,
Norwich, United Kingdom
2 Partnerships in Care Learning Disability Services, Psychiatry,
Palgrave, Diss, Norfolk, United Kingdom
3 University of Kent, Tizard Centre, Kent, United Kingdom
∗ Corresponding author.
Aims In response to the Winterbourne scandal, and the large
number of people with intellectual disabilities (IDs) and offending
behavior being treated in psychiatric hospitals, this study identified
the domains that should be used to measure treatment outcomes
of this group.
Methods A systematic search of relevant databases was under-
taken to identify domains. Sixty studies met the eligibility criteria,
and findings were synthesized using content analysis. The findings
were refined within a consultation and consensus exercises with
carers, service users, and experts.
Results The final framework encompassed three a priori super-
ordinate domains (a) effectiveness, (b) patient safety, and (c)
patient and carer experience. Within each of these, further sub-
domains emerged from our systematic review and consultation
exercises. These included severity of clinical symptoms, offending
behaviors, reactive and restrictive interventions, quality of life and
patient satisfaction.
Conclusions To index recovery, services need to measure out-
come using this framework.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0140
Abuse during childhood and burnout
E. Di Giacomo ∗, F. Pescatore , F. Colmegna ,
F. Di Carlo , M. Clerici
1 PhD program in Neuroscience, Doctorate School of the University of
Milano-Bicocca, Psychiatric Department S. Gerardo Health Care
Trust-Italy, Milan, Italy
2 University of Milano Bicocca, School of Medicine and Surgery,
Monza, Italy
3 S. Gerardo Health Care Trust, Psychiatric Department, Monza, Italy
4 University of Milano Bicocca, School of Medicine and Surgery,
Milano, Italy
∗ Corresponding author.
Background Childhood maltreatment is the most important risk
factor for the onset of psychiatric disorders. Revictimization is
really frequent as well as substance or alcohol abuse, often linked
to self-treatment. Accordingly, our pilot study aims to analyze
possible implication of childhood maltreatment on resilience and
burnout.
Methods Patients admitted to outpatients psychiatric depart-
ment in a six month period (1st January 2015–30th June 2015)
complaining low to moderate anxiety or depression have been
administered childhood trauma questionnaire (CTQ) and Maslach
burnout inventory.
Results CTQ results in 71 (87%) Emotional Neglect (EN), 2 (2.4%)
Sexual Abuse (SA) and 2 (2.4%) Physical Abuse (PA). Twenty-one
showed high emotional exhaustion, 21 high depersonalization, 9
moderate personal accomplishment while 1 showed low personal
accomplishment. None of the patients who suffered child sex-
ual abuse shows depersonalization or personal accomplishment
difficulties linked to burnout. Patients negative to CTQ showrespec-
tively moderate emotional exhaustion (M= 20 ± 20.15), moderate
depersonalization (11 ± 9.42) and high personal accomplishment
(17 ±12.38). Patients who suffered emotional neglect show the
poorest profile at Maslach, particularly regarding emotional
exhaustion. ANOVA reaches statistical significance among the 3
groups of detected abuse (EN, SA, PA) in personal accomplish-
ment ( P = 0.013) confirmed at POST HOC between EN and SA
(P = 0.0004).
Conclusion The results obtained in this pilot study highlight two
important considerations. First, it seems urgent to stress the huge
prevalence of emotional neglect among those referred to psychi-
atric outpatient department due tomoderate anxiety or depression
complain. Moreover, emotional neglect appears to be the most
compromised factor of burnout, especially if compared to sexual
abuse.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0141
Mental health problems among male
offenders and youths with conduct
problems
G. Halilaj , N. Fanaj ∗, F. Drevinja
1 Kosovo Forensic Psychiatry Institute, Forensic Psychiatry, Prishtina,
Kosovo
2 Community Based Mental Health Center, Mental Health Center,
Prizren, Kosovo
∗ Corresponding author.
Background Mental health problems among youth, are frequent
especially in offenders and as such is very important to identify as
early as possible.
Objectives To estimate and compare level of some mental health
problems between three groups of male youths: juvenile offen-
ders in correctional center, adolescents with conduct problems and
university students.
Method It is cross-sectional quantitative study. The sample
consisted of three male groups: 41offenders placed in one cor-
rectional center (Mean age = 18.02; SD = 2.20); 41 male students
of secondary school with conduct problems (Mean age = 16.97;
SD = 61) and 42 male university students randomly selected (Mean
age = 19.7; SD = 1.77). They filled questionnaire MAYSI–2. Data
processing was done with SPSS 21.0 and Microsoft Excel 2013.
Results Juvenile offenders in correctional center scored signifi-
cantly higher than other two groups of youth in alcohol/substance
abuse subscale (P = 001), Suicidal ideation subscale (P = 048) and
traumatic stress subscale (P = 003) based on Kruskal-Wallis Test.
Juvenile offenders in correctional center scored higher but non-
significantly in angry/irritable and depression/anxious subscales.
Students of secondary school with conduct problems scored higher
but non-significantly in thought disturbance and somatic subscales.
Conclusion Male juvenile offenders have significantlymoremen-
tal health difficulties. Mental health needs of youths in Kosovo
(especially juvenile offenders) seem to be numerous and is impor-
tant to be addressed properly.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0142
Causes of institutionalization of
children and adolescents in a shelter
in Brazil
E. Guilherme ∗, S.D. Dos Santos
1 Instituto de Psiquiatria, Universidade de São Paulo, Brazil, Núcleo
Forense, Mafra-SC, Brazil