European Psychiatry - Volume 41 - April 2017

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25th European congress of psychiatry / European Psychiatry 41S (2017) S365–S404 S379
our national health system Laws until two years are completed for
newly appointed surgeons. Managers might encourage surgeons if
some balancing convenience was offered.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0791
A grounded theory of service
providers’ perceptions of a
recovery-oriented transformation of a
mental health service
G. Eikmeier ∗, T. Junghans , T. Kruse , A. Lacroix
1 Klinikum Bremerhaven, Psychiatry, Bremerhaven, Germany
2 Klinikum Bremerhaven, Management Board, Bremerhaven,
Germany
∗ Corresponding author.
Recovery-orientedmental health service programs are often rather
based on ideological or political considerations than on empirical
evidence.
At Klinikum Bremerhaven Reinkenheide, we have included peer
support workers in our teams in order to improve the quality of our
treatment programand the recovery attitudes of the staff members.
To control and evaluate this process an independent investigator
conducted 13 (T1: February 2012), respectively 15 (T2: Septem-
ber 2013) interviews with different stakeholders of the change
process. The interviews were transcribed and analysed for the
categories level of information, confidence, participation and pro-
fession/working conditions/team structure.
The main result of T1 was that nursing staff fostered the pro-
jected transformation while physicians and psychologists focused
on risk management and worried about losing their role. As impli-
cation of the T1 results, we offer a continuous in-house-training to
improve interprofessional teamwork and social psychiatric exper-
tise. At T2 all interviewed participants judged the involvement of
the peer support workers positively. Many oft the interviewees
expressed though that from their point of view their participation
had decreased and/or, the reorganisation was already terminated.
As implication of T2, we now try to improve our internal commu-
nication and cooperation and strengthen the involvement of all
stakeholder groups.
Besides the employment of peer support workers, it is essential in
a recovery-oriented transformation of mental health services:
– to train staff members continuously and;
– to involve all stakeholder groups continuously in the changeman-
agement.
A third survey is projected for 2017 to implement further require-
ments for a successful change process.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0792
Personal experiences of recovery
facilitated by participation in an
individual placement and support
intervention
I. Gammelgaard ∗ tenager . Eplov . Petersen
1 Institute of Clinical Research, University of Southern Denmark,
Psychiatric Research Unit, Odense C, Denmark
2 Institute of Regional Health Services, University of Southern
Denmark, Research Unit of Mental Health, AAbenraa, Denmark
3 Research unit of Psychiatric Center Copenhagen, Research unit of
Psychiatric Center Copenhagen, Hellerup, Denmark
4 Faculty of Health Sciences, University of Aalborg, Department of
Health Science and Technology, Aalborg, Denmark
∗ Corresponding author.
Introduction Individual placement and support (IPS) is an
evidence-based interventionwhere IPS consultants support people
with severe mental illness in achieving competitive employment.
IPS is a recovery-oriented intervention, but vast evidence regarding
its ability to influence recovery-oriented outcomes challenges this
position.
Aim To investigate how an IPS-intervention influences the per-
sonal recovery process in people with severe mental illness.
Method A qualitative phenomenological study including inter-
view of 12 participants in an IPS-intervention. Analysis was made
using a four-step phenomenological analysis method.
Results IPS contributed to personal recovery in a number of ways:
The IPS consultants’ ability to create an equal, acknowledging and
safe relationship where participants’ needs were taking into con-
sideration in the search and support for job or education was found
valuable. In combination with employment, the role of the IPS
consultant contributed to normalization and stabilisation of par-
ticipants’ daily lives, changed their behaviours and beliefs about
maintaining new achievements, personal goals and dreams.
Conclusion Individual placement and support provides opportu-
nities to gain personal goals and contributes to stabilisation and
normalization of participants’ daily lives. This study supports the
notion that the individual placement and support positively influ-
ences personal recovery in people with severe mental illness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0793
Healthy lifestyles programme in an
acute psychiatric inpatient unit
I. Ganhao ∗, M. Trigo , A. Paixao , J. Cardoso
1 Centro Hospitalar Psiquiátrico de Lisboa, Servic¸ o de Psiquiatria
Geral e Transcultural, Qta do Anjo, Portugal
2 Centro Hospitalar Psiquiátrico de Lisboa, Servic¸ o de Psiquiatria
Geral e Transcultural, Lisbon, Portugal
3 Centro Hospitalar Psiquiátrico de Lisboa, Servic¸ o de Alcoologia e
Novas Dependencias, Lisbon, Portugal
∗ Corresponding author.
Introduction Mental health issues and illnesses are associated
with poor self-care and unhealthy lifestyles that contribute to
morbidity, mortality and overall decrease in quality of life when
compared to the general population. Healthy lifestyle promotion
is infrequently considered a priority in mental healthcare services,
especially in acute psychiatric inpatient units.
Objectives To present a healthy lifestyles promotion programme
implemented in an acute psychiatric inpatient unit.
Aims To reflect on how to design an adequate programme for
patients with complex needs.
Methods In a general psychiatric inpatient unit, a team of two
psychologists and one psychiatrist, ventured to introduce weekly
activities that included drawing, colouring, painting, crafts and
games, that provided a context for patients and the teamto sit down
together or to gradually “drift” together and make possible conver-
sations focusing on tobacco smoking, caffeine consumption, weight
control, physical activity and health promoting activities.
Results Insteadof individual or grouppsychoeducation talk inter-
ventions, play and art strategies, in closer proximity with the
patients, made it far easier to engage difficult patients and made
psychoeducation possible and fun.
Conclusions Patients with severe mental illness are frequently
reluctant to engage in activities targeting healthy lifestyles, espe-
cially in acute psychiatric inpatient units, when insight and
motivation for change may be low due to illness and consequences