European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S8–S52 S17
and group therapy as well as multilevel interventions to further
family advocacy and the fight against stigma and discrimination
will be presented and discussed.
Special attention will be given to new roles and responsibilities
arising from the historical challenge of the UN-Convention on the
Rights of persons with disabilities for mental health professionals,
users of services as well as relatives and friends including changes
in national guardianship laws, new rights to patient autonomy as
well as new entitlements for support for living in the community
including the right to family life, reasonable accommodation and
supported decision-making.
Conclusion Current developments with regard to needs and
rights of users of services and their families and friends urgently
warrant attention and common efforts in Trialogue and other par-
ticipatory approaches.
Disclosure of interest The author has not supplied his declaration
of competing interest.
Symposium: When forensic-psychiatric care
becomes a matter of culture: Challenges of
trans-cultural psychiatry in forensic settings
S031
Working with traumatized
immigrants with a ptsd diagnosis
I.T. Graef-Calliess
Sehnde/Hannover, Germany
Graef-Calliess Iris (Germany).
Germany has always been an important host country for asylum
seekers. Although recently an increasing number of investigations
aboutmental health of specificmigrant groups have been published
in Germany, there is a paucity of research concerningmental health
of traumatized asylum seekers. The aim of the presentation is to
present study results which describe socio-demographics, types
and frequency of traumatic experiences, psychiatric diagnoses,
suicidality and time to access to mental health care in trauma-
tized asylum seekers who applied to an outpatient department
of a clinical center with high expertise in transcultural psychiatry
and psychotherapy in Hannover, Germany. The study shows that
most of the traumatized asylum seekers had experienced multiple
pre-migratory traumatic events, had unfavorable post-migratory
conditions, had PTSD and depressive disorders as diagnoses, and
had high suicidality and late access to mental health care. This is
indicative of the mental health situation of asylum seekers in Ger-
many in general. Ways of dealing with this challenge for the mental
health care system and options for clinical management will be
presented.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S032
Pathways to violent extremism and
risk assessment of terror detainees
T. Marquant
CAPRI, forensic psychiatry, Antwerp, Belgium
Introduction Violent extremism has become an important chal-
lenge for forensic professionals in prisons. In Belgium, cities like
Brussels and Antwerp saw the rise of recruitment hotspots for vio-
lent extremism and foreign fighters. Prisons are well-known places
where radicalization occurs. Belgium has the most foreign fighters
that left to fight in Syria in Europe. Subsequently, incarcerations
of radicalized men and women rose for joining terrorists groups.
These events have triggered a need to train psychosocial services
in prisons into understanding radicalization and the risk assess-
ment of terror detainees. Mental illness in contrast, is known to
be rare amongst violent extremists, and risk assessment as well as
advising on reintegration will need specific tools for psychosocial
services to advise on reintegration.
Aims The current presentation aims at showing insight into path-
ways towards violent extremism and introduce risk assessment of
terror detainees.
Methods We assembled literature on follow-up and pathways
that lead to radicalization and even to violence extremism. Radi-
calization is not new, whether it stems from religious, political or
other motives. This resulted in important literature on different
trajectories towards radicalization.
Results Wewill give an overviewof the pathways towards violent
extremism(Dean, Moghaddan, Bjorgo) and on risk assessment tools
(VERA-2, Pressman)
Conclusions Radicalization happens stepwise in different ways
and leads to different types of violent extremists. Pivotal points
follow a cognitive opening in the minds of people that might push
and pull people towards radicalization and violence. Cases will be
used to describe the different types and pathways.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S033
Role of detention in the process of
radicalization
N. Verbeeck
Psychiatric Centre St Amandus, Forensic Institute DEviant Sexuality
FIDES, Beernem, Belgium
Role of detention in the process of radicalization and opinions about
detention regime and approach for the prevention of radicalization
in jail.
Following the terrorist attacks in Paris and Brussels, more attention
is being paid to the factors, which play a role in the radicalization
process of some Western youth. It was found that a large number
of radicalized youth have a history of detention and that often this
period of detention played a key role in radicalization. As a psychi-
atrist working in a prison with a high security department where
many suspects of terrorism are incarcerated stay, I was asked to
advise on the detention regime and on the way of dealing with dif-
ficult inmates. In this presentation I would like to elaborate on the
elements during detention which determine the process of rad-
icalization of certain prisoners, based on the current knowledge
about the radicalization process and on the knowledge about the
background of radicalized individuals in combination with own
observations and findings about the detention regime in prisons.
Disclosure of interest Nils Verbeeck.
Proposal EPA 2017.