European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S337
to date, including evolving local and national policies that have
been developed to allow medical assistance in dying in certain cir-
cumstances. We will also review work of the Canadian psychiatric
association task force on medical assistance in dying (presented by
the Task Force Chair), with a focus on challenges and issues relevant
to mental health and mental illness.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0676
Beyond the crisis: Ongoing psychiatric
treatment and service utilization after
initial symptom stabilization
following first-episode psychosis for
adolescents
R. Gearing ∗ , K. Brewer , I. Mian , K. Moore , P. Fisher ,
J. Hamilton , J. Mandiberg
1 University of Houston, GCSW, Houston, USA
2 University of New Hampshire, college of health and human services,
Durham, USA
3 The hospital for sick children, department of psychiatry, Toronto,
Canada
4 Columbia university, CSSW, New York, USA
5 New York state psychiatric institute/Columbia college of physicians
& surgeons, division of child and adolescent psychiatry, New York,
USA
6 UT health McGovern medical school, department of psychiatry and
behavioral sciences, Houston, USA
7 Hunter university, CUNY, New York, USA
∗ Corresponding author.
Introduction The importance of timely identification and treat-
ment of psychosis are increasingly the focus of early interventions,
with research targeting the initial high-risk period in the months
following first-episode hospitalization. However, ongoing psychia-
tric treatment and service utilization after the symptoms have been
stabilized over the initial years following first-episode has received
less research attention.
Objectives To model the variables predicting continued ser-
vice utilization with psychiatrists for adolescents following their
first-episode psychosis; examine associated temporal patterns in
continued psychiatric service utilization.
Methods This study utilized a cohort design to assess adolescents
(age 14.4 ±2.5 years) discharged following their index hospitaliza-
tion for first-episode psychosis. Bivariate analyses were conducted
on predictor variables associated with psychiatric service utiliza-
tion. All significant predictor variables were included in a logistic
regression model.
Results Variables thatwere significantly associatedwith psychia-
tric service utilization included: diagnosis with a schizophrenia
spectrumdisorder rather thanmajor mood disorder with psychotic
features (OR = 24.0; P = 0.02), a first degree relative with depression
(OR = 0.12; P = 0.05), and months since last psychiatric inpatient
discharge (OR = 0.92; P = 0.02). Further examination of time since
last hospitalization found that all adolescents continued service
utilization up to 18 months post-discharge.
Conclusions Key findings highlight the importance of early diag-
nosis, that a first degree relative with depression may negatively
influence the adolescent’s ongoing service utilization, and that 18
months post-discharge may a critical time to review current treat-
ment strategies and collaborate with youth and families to ensure
that services continue to meet their needs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0677
Opinions of professionals and family
members about the National mental
health law regulating involuntary
commitment of psychiatric patients:
An international comparative study in
10 countries
I. Georgieva ∗ , C. Lauvrud , R. Almvik , R. Whittington
1 St. Olav’s university hospital, Forensic department, Trondheim,
Norway
2 St. Olav’s university hospital, Forensic department Brøset, centre for
research and education in forensic psychiatry, Trondheim, Norway
∗ Corresponding author.
Introduction Previous research illustrated that the laws regula-
ting involuntary placement and treatment of persons with mental
health problems are very diverse across countries: procedures for
involuntary commitment and stakeholders involved in the initia-
tion and decision making vary across countries; most laws include
criteria of danger/risk, which take various forms in EU Member
States’ legal frameworks, while the need for treatment in the best
interests of the patient is sufficient to detain individuals in other
countries, etc.
Objectives This study will compare the opinions of professionals
and family members about the operation of the National mental
health law regulating forcibly admission and treatment of psy-
chiatric patients in ten countries: Ireland, Iceland, UK, Romania,
Slovenia, Denmark, Sweden, Germany, Norway and India.
Aims To gain insights into stakeholders’ satisfaction with the
operation of their national legislation and to compare the effec-
tiveness and acceptability of different legislative processes across
countries. Such scientific findings are needed in order to improve
and harmonize legal practices, and to enhance fundamental rights
protection of persons with mental health problems, which even-
tually could result in a lower rate of compulsory admissions.
Methods A short anonymous questionnaire consisting of 9 items
was developed, using the online software Survey Monkey. It was
distributed to representative samples via e-mail to psychiatrists,
general practitioners, acute and community mental health nurses,
tribunal members, guards and family members in each collabora-
ting country. The levels of agreement/disagreementweremeasured
on a Likert- scale.
Results/Conclusions The study’s results and conclusions will be
presented at the conference.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0678
PALOMA project – developing National
mental health policies for refugees
S. Jokela∗, J. Mäki-Opas
National institute for health and welfare THL, department of welfare,
Helsinki, Finland
∗ Corresponding author.
Introduction Earlier researches have established that migrants
with refugee background have increased risk for variety of men-
tal health problems due to often traumatic reasons for leaving
their home country, hazardous journey and post-migration adver-
sity. The challenge is that mental health work with refugees is not
systematically organized in Finland. PALOMA (developing National
mental health policies for refugees 2016-2018) project was laun-
ched to answer these challenges. The project is carried out through
the combined effort of National institute for health and welfare,
The Finnish association for mental health, Helsinki and Kuopio uni-
versity hospitals, and the municipality of Hämeenlinna. PALOMA