European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S159
Introduction Studies have shown that people with Intellectual
Disabilities (ID) develop mental illness at rates similar to or higher
than general population1.
Objectives There is no previous study on mental health of adults
with ID in Turkey.
Aim The purpose of this study was to investigate the prevalence
and associated factors of mental disorders in adults with ID in
Turkey.
Methods 151 participants with ID aged 18 and over were
recruited from care homes, rehabilitation centers and from people
attending to psychiatry outpatients for the first time. Every partici-
pant underwent face to face assessment by a psychiatrist supported
by an informant and previous notes. A structured purpose designed
socio-demographic form was used. Diagnoses were drawn accord-
ing to DSM-5. Point prevalence of disorders was calculated and
associated factors were investigated.
Results 63.5% of the participants met criteria for one psychiatric
disorder, 21% hadmore than one disorder. Themost common disor-
ders were: challenging behavior (34%), autism spectrum disorders
(%13.9), and anxiety disorders (13.9%) and attention deficit hyper-
activity disorder (10.6%). Living in a care home and being young
were associated with mental ill health (P < 0.05)
Conclusion This study demonstrates high psychiatric comorbid-
ity in adults with ID. Young age and care homes were the associated
factors in this sample. These results are important to raise aware-
ness of professionals and service providers about mental health of
adults with ID.
Disclosure of interest This project was funded by the Scientific
and Technological Research Council of Turkey (TUBITAK) with a
project number of B ˙IDEB 115C015. The funding body did not have
any involvement with data collection, analysis or writing up.
Reference
[1] Buckles J, Luckasson R, Keefe EA. Systematic review of the
prevalence of psychiatric disorders in adults with intellectual
disability. J MentHealthResIntellectDisabil 2013;6(3):181–207.
EW0161
Using quality improvement
methodology to achieve NICE
compliant care for people with
intellectual disabilities whose
behavior challenges
N. O’Kane ∗, I. Hall
East London NHS Foundation Trust, Community Learning Disability
Service, London, United Kingdom
∗ Corresponding author.
Background In May 2015, NICE published guidelines for people
with intellectual disabilities whose behavior challenges (NG11).
Eight quality standards were subsequently developed by NICE to
help service providers, health and social care practitioners and
commissioners implement the necessary recommendations within
the new NG11 guidelines.
Methods We used a Quality Improvement (QI) methodology
including process mapping, driver diagrams, and fortnightly QI
team meetings. We conducted a baseline audit of the quality
standards and used Plan-Do-Study-Act (PDSA) cycles to pilot inter-
ventions generated by the team to improve compliance with the
standards.
Results Baseline compliance with the quality standards was low.
We identified four priority areas for intervention: annual physical
health checks, recording the indication of medication, multidisci-
plinary case discussion and concurrent psychosocial interventions
for those prescribed medications for challenging behavior. Using a
PDSA cycle for each intervention, we have demonstrated improved
compliance with the NG11 guidelines. Compliance for the recor-
ding of indication of medication for all case reviews was previously
0% and now 100%. At least one target case is discussed at each MDT
team meeting. Full results for annual health checks are awaited,
but intervention has already shown an improvement in the uptake
from 40% to 70%. Staff and carers knowledge of psychosocial
interventions for people with challenging behavior showed an
improvement after training.
Conclusions Quality Improvement methodology was successful
in improving adherence to NG11 guidelines. We are currently
assessing whether this is leading to reductions in challenging
behavior and improvements to people’s well-being.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0162
An online survey of the stigma
attached to psychiatry and
psychiatrists in India
P. Jadhav ∗, A. Dhandapani , S. Hatti , S. Armugam ,
S. Chaturvedi
1 National Institute of mental Health and Neuro Sciences, Psychiatry,
Bangalore- Karnataka, India
2 Gadag Institute of Medical Sciences, Psychiatry, Gadag, India
∗ Corresponding author.
Introduction Stigma in psychiatry is pervasive, it does not stop
at illness and marks all those who are ill, their families across gen-
erations, institutions that provide treatment, psychotropics’, and
mental health professionals. Stigma directed towards psychiatry as
a branch & psychiatrists in particular has not been systematically
studied in the Indian context.
Objectives To study the Indian psychiatrists perspective of stigma
directed towards psychiatry & psychiatrists.
Methods An online survey containing “The World Psychiatric
Association Stigma Questionnaire” was sent to the members of the
Indian Psychiatric Society. Two hundred and three Indian psychia-
trists filled out the questionnaire which assesses the stigmatization
of psychiatry and psychiatrist as perceived by the psychiatrists
themselves.
Results One hundred and thirty-two psychiatrists completed the
survey with a completion rate of 65%, 75% of the respondents were
male and most of their clientele was from urban catchment area.
Sixty percent of the psychiatrists were either working in a psy-
chiatry hospital or a psychiatry unit in a general hospital setting.
More than a third had high-perceived stigma but had a very low
stereotype agreement. Discrimination experiences were noted by
more than 75% of psychiatrists, however less than 8% had a negative
stigma outcome.
Conclusions Though most of the Indian psychiatrists perceive
themselves as being stigmatized, the stereotype agreement was
found to be low and the discrimination experiences did not have
significant impact on job performance. Though this might reflect
resilience, we must attempt to improve the image of psychiatry
and strive towards achieving a larger public acceptance of mental
health services in India.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0163
Changes in utilization of psychiatric
hospital facilities in Denmark by
patients diagnosed with
Schizophrenia from 1970 through
2012: The advent of ‘revolving door’
patients