European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S8–S52 S43
S116
E-Mental health interventions for the
treatment of gambling
G. Dom ∗, L. Snippe , R. Willemen , R. Wiers , M. Boffo
1 Antwerp University UA and Hospital UZA, Collaborative Psychiatric
Research Institute, Boechout, Belgium
2 Universiteit van Amsterdam, Psychology, Amsterdam, The
Netherlands
3 CAD Limburg, CAD Limburg, Hasselt, Belgium
∗ Corresponding author.
Gambling Disorder (GD) is a complex psychopathological phe-
nomenon, characterized by the interaction of multiple etiological
factors and a very heterogeneous symptomatological expression.
Currently many questions remain concerning the best way of
treating GD. Indeed, the traditional used (cognitive) behavioral
interventions have at best a modest effect size. In addiction, there
remains a large treatment gap, i.e. less than 10% of pathological
gamblers ever seek help and enter treatment. E-health inter-
ventions could potentially help to close this gap. Cognitive bias
modification (CBM) refers to a class of cognitive training paradigms
that target specific automatic attentional, behavioral or evalua-
tive biases triggered by addiction-related cues. These biases have
repeatedly been shown to play an important role in addiction.
Recently a number of studies have shown that modifying these
biases has been effective in the treatment of different types of
addictions, e.g. alcohol use disorders. An online Approach BiasMod-
ification program, testing both Attention Bias Modification (ABM)
and Approach Bias Modification (AppBM), is currently tested with
Belgian and Dutch problem and disordered gamblers. Personalized
motivational feedback has been added to the training program,
to increase training adherence and prevent dropout. The same
research group is also launching a second web-based study com-
bining online AppBMwith an online standard, protocoled, cognitive
behavioral Therapy (CBT) programwith guidance of a trained ther-
apist. Participants receive nine CBT sessions through online chat
with the therapist and, concurrently, nine sessions of AppBM. Pre-
liminary results will be discussed.
Disclosure of interest Member Advisory board Lundbeck-
Belgium.
Received grant from LOTTO- Belgium to conduct behavioural study
that will be discussed in presentation
S117
E-Mental health in health care
systems–a global perspective
J. Wise
CNWL, London, United Kingdom
eMental Health is the use of information technology (ICT) to sup-
port and improvemental health; it includes online resources, social
media and smartphone applications, as well as videotelephony.
It used to be the new frontier, ungoverned but time has led to a
maturity such that the novel is now commonplace and what was
once Tomorrow’s World is here today. From the experience of the
networked Scandinavian countries, to the populations that novel
techniques are reaching out to; QR codes in the UK, teens in Aus-
tralia; from determining levels of Internet Addiction in Poland, to
the use of that medium to treat anxiety disorders.
An innovation from Law Enforcement has massive implications for
patients recording consultations. Other experimentswith riskman-
agement led to the failure of ‘Radar’, but paved the way for social
care providers to develop safer systems that can care for large popu-
lations with few therapists.
It is this use of Artificial Intelligence that may be the most challeng-
ing. Over 90 companies are developing the use of AI in diagnostics
and related fields, with 14 US and Canadian hospitals involved
with IBM’s Watson. Will Drs become unnecessary? However the
most innovative aspect of ICT in medicine is in research whether to
greatly accelerate the process, or to ensure that educational tools
genuinely answer patients’ questions.
eHealth is an expanding field, that holds new promise, and opens
question about who we are, what is our role, who do we care for
and how; that today, ‘No man is an Island’, everyone should be
connected.
Disclosure of interest The author declares that he has no compet-
ing interest.
Symposium: European Perspective on Challenges
and Opportunities of the Transition from Child &
Adolescent to Adult Psychiatric Services
S118
Developing Joint Approaches to
Transition Strategy Between Child and
Adolescent Psychiatrists and Adult
Psychiatrists in the UK
B. Jacobs
United Kingdom
Transition for young people from Child and Adolescent Mental
Health Services (CAMHS) to Adult Mental Health Services often
creates considerable disquiet for young people and their families
in the United Kingdom. There are examples of good services. How-
ever, this is a longstanding problem. Professionals knowwhat to do
but solutions have been difficult to implement. There is no single
solution because services differ across the country. The question
becomes how to understand the difficulties of establishing good
transition services. What needs to change to achieve this? This
presentation will try to address some of these issues.
Disclosure of interest The author declares that he has no compet-
ing interest.
Symposium: Dissecting heterogeneity in
psychiatric disorders using imaging and genetic
markers
S119
Association of inter-individual
differences in imaging markers with
schizophrenia phenotypes
G. Pergola ∗, T. Quarto , M. Papalino , P. Di Carlo ,
P. Selvaggi , B. Gelao , G. Blasi , A. Bertolino
1 Institute of Psychiatry, Basic Medical Science- Neuroscience and
Sense Organs, Bari, Italy
2 Institute of Psychiatry- Psychology- and Neuroscience, Department
of Neuroimaging, London, United Kingdom
3 Institute of Psychiatry, Department of Neuroscience- Sense Organs-
and Locomotive System, Bari, Italy
∗ Corresponding author.
Introduction Neuroimaging studies have identified several can-
didate biomarkers of schizophrenia. However, it is unclear whether