European Psychiatry - Volume 41 - April 2017

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S598 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644
EV0595
German mental health care in people
with intellectual and developmental
disabilities (idd) in comparison to
other European countries
S. Elstner
Ev. Krankenhaus Königin Elisabeth Herzberge, Psychiatry,
Psychotherapy and Psychosomatics, Berlin, Germany
Introduction In Germany, mental health care in people with IDD
is mostly determined by experts’ opinions. Particularities of the
psychiatric assessment and treatment of people with IDD and a co-
morbid psychiatric disorder are taught neither at medical schools
nor in the scope of the medical training of psychiatrists.
Objectives The present study examined the influence of socio-
political aspects of health care onquality andorganisationofmental
health care in people with IDD.
Methods Various aspects of health care systems in Germany and
three other European countries were explored and juxtaposed sub-
sequently with a special developed questionnaire.
Results The health care systems of four different European
countries differ in socio-economical, educational and system-
financed aspects.
Conclusions Differing organisational levels of national health care
systems and socio-economical aspects within these countries con-
tribute to the organisation of the mental health care system in
people with IDD. Suggestions for a better harmonisation of Euro-
pean mental health care in people with IDD are offered.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0596
Preliminary study on the analysis of
cognitive profile in subjects with ASD:
WISC-IV
D. Galletta
University of Naples Federico II, Neuroscience, Naples, Italy
Autism spectrum disorder (ASD) is a neurodevelopmental disor-
der, observed in several contexts and characterized by persistent
deficits in the communication, social interaction and behavioral
areas (DSMV, 2013). ASD includes a wide range, “a spectrum,” of
symptoms, skills, and levels of disability. In the last years, we have
noticed a substantial change in the diagnostic criteria due to the fact
that, although the huge heterogeneity shown by the disorder, in the
majority of autistic subjects, both those with high and low IQ, we
can identify a common profile of functioning, as regards commu-
nicative, social, motor and behavioral skills (Sharma et al., 2012).
As reported by Frith (1989; 2003), this kind of functioning is based
on a different cognitive style, characterized by a strong prevalence
of “bottom-up” elaboration processes, coexistent with the inability
of the subject to integrate perceptual data into a global and coher-
ent representation (weak central coherence theory). In this study,
we have administered WISC IV to two adolescents (16 years old),
already diagnosed for ASD with a low functioning. As expected,
results have evidenced the presence of a rigid cognitive style with
impaired conceptualization abilities and high attention to details.
Specificallymain falls have occurred in the area of visual-perceptual
reasoning, underlining a lack of visual-spatial processing skills, as
well as a lack of fluid reasoning skills. Particularly deficit resulted
in the categorization capabilities and abstraction.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0597
Occupational activation centers as
a solution to improve vocational
rehabilitation of patients with
intellectual disabilities in Poland
J. Krysta , K. Krysta ∗
1 Polish Association for Persons with Mental Handicap, PSOUU,
Branch in Bytom, Bytom, Poland
2 Medical University of Silesia, Department of Rehabilitation
Psychiatry, Katowice, Poland
∗ Corresponding author.
Introduction Since the 1990’s the main form of vocational reha-
bilitation centers in Poland were occupational therapy workshops
(OTW), but the low ratio of the employment of the participants
of OTW‘s led to the creation of newer, more effective institutions
called Occupational Activation Centers (OAC). They were expected
to be professional activity establishments, aimed at launching new
career paths of people with intellectual disabilities, enabling the
candidates to pass through various stages of rehabilitation and
vocational activation.
Materials and methods The analysis of available statistical data
concerning the activity of OAC‘s in Poland was done.
Results In the whole country the number of these facilities is
53, while the number of occupational therapy workshops is 665.
The Law on OAC‘s restricts the employment of people with mod-
erate disability in total employment to 35%, this indicator covering
not only the persons with mental retardation, but also people with
autism and mental illness. In addition the OAC‘s activity generates
the cost of creating them inadequate for the quantity and quality
of jobs being created.
Conclusion It turned out that the creation of OAC‘s occurred too
slowly in relation to the already operating OTW‘s and the weak-
nesses in the Polish system of rehabilitation and employment of
people with intellectual disabilities necessitates the need to find
innovative ways to solve this problem.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0598
Managing challenging behavior in
people with intellectual disabilities in
communities and reducing hospital
stays: Current and future challenges
from an European perspective
B. Perera ∗, K. Courtenay , S. Elstner , K. Krysta
1 Barnet- Enfield and Haringey Mental health trust, Learning
Disability Partnership, London, United Kingdom
2 Mental health services- Berlin, Learning Disabilities, Berlin,
Germany
3 Learning disability services, Katowice Poland, learning Disabilities,
Katowice, Poland
∗ Corresponding author.
Prevalence of intellectual disability (ID) ranges from 0.05 to 1.55%.
A total of10–15% of the people with ID present with challenging
behavior (CB). This causes a significant strain on mental health
services. People with ID; end up staying in psychiatric inpatient
units for longer periods. Most people with ID move out of their
family home to various care settings due to severity of their behav-
ior difficulties. Few European countries have specialist services for
people with ID whereas most countries manage people with ID
and CB using adult mental health services. There is ongoing debate
whether patients with ID and CB need to be managed by specialist
services. There are significant financial implications looking after
people with ID and CB. This has often led to over prescribing of psy-