European Psychiatry - Volume 41 - April 2017

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S612 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644
EV0640
A fuller picture: Evaluating an art
therapy programme in a
multi-disciplinary mental health
service
H. Moss ∗, C. Brady , B. Kelly
1 University of Limerick, Irish World Academy of Music and Dance,
Limerick, Ireland
2 Tallaght Hospital, Art Therapy, Dublin, Ireland
3 Trinity College Dublin, School of Medicine, Dublin, Ireland
∗ Corresponding author.
Art therapy has a long history in mental health care but requires
an enhanced evidence based in order to better identify its precise
role in contemporary services. This paper describes an evaluation of
an art therapy programme in an acute adult psychiatry admission
unit in Ireland. A mixed method research design was used. Quan-
titative data were collected through a survey of 35 staff members
and 11 service-users. Qualitative data included free-text comments
collected in the survey and individual feedback from service-users.
Both methods aimed to assess the role of art therapy as part of a
multidisciplinary mental health service. Thematic content analy-
sis was employed to analyse qualitative data. Staff demonstrated
overwhelming support for art therapy as one element within mul-
tidisciplinary services available to patients in the acute psychiatry
setting, qualitative feedback associated art therapy with improve-
ments in quality of life and individual support, and emphasised its
role as a nonverbal intervention, especially useful for those who
find talking therapy difficult. Creative self-expression is valued by
staff and service-users as part of the recovery process. Recommen-
dations arising fromthe research include continuing the art therapy
service, expanding it to include rehabilitation patients, provision
of information and education sessions to staff and further research
to identify other potential long-term effects. The low response of
staff and small sample in this study, however, must be noted as
limitations to these findings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0641
IECs, drug trials and regulators–the
hounds barking up the wrong tree
R. Nagpal (M.D) (Psychiatrist) ∗, V.G. Jhanwar (M.D) (Psychiatrist) ,
A.K. Mital (M.D) (Psychiatrist) ,
E.M.D. Warrier (M.D) (Psychiatrist)
New Delhi, India
∗ Corresponding author.
As India hurtles on into the 21st century with dizzying speed, the
constantly evolving ethics, law and its interpretations fall behind.
The cut and paste policy makers constantly impose regulations out
of sync with the geopolitical realities. The Mental Health Care Bill
now awaiting approval arose because we signed first on a global
body convention and now are forced to comply. The family, a
ubiquitous feature of our patient support system is slowly being
derecognized. Instead, NGOs are the new approved caregivers. Our
patriarchal society, earlier a repository of warmth and security is
now jeered at. Themental health professional, the last mile delivery
of mental health is in a quixotic position and some of the tantaliz-
ing issues of surreptitious drug administration, informed consent,
the newer laws enacted or being enacted, narcoanalysis and drug
trials will be discussed with pragmatic solutions offered to a disin-
terested regulator.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0642
Surreptitious drug administration:
Collective decision making over riding
personal autonomy
R. Nagpal (M.D) (Psychiatrist) ∗,
V.G. Jhanwar (M.D) (Psychiatrist)
1 New Delhi, India
2 Varanasi, Uttar Pradesh, India
∗ Corresponding author.
A quaint problem indeed. This is an issue where ethical and prac-
tical management issues lock horns. An individual with no insight
on a rampage, a threat to self and others cannot be given medicines
without consent except in an indoor facility and admitted under a
specific provision of the current statute. Contrary to the law, the
mental health policy envisages community care of the individual.
For a time defined interval, surreptitious medication can be admin-
istered providing much needed relief to the caregivers and calms
the recipient. Surreptitious medication can of course be an instru-
ment of control and hencewould necessitate a systemof checks and
balances. Surreptitious medication tests legal and ethical bound-
aries. It offers relief to caregivers but can be an instrument of abuse.
The act of administering a drug without the individual’s consent
is prima facie wrong but if the context is woven in, a whole new
dimension arises.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0643
Microanalysis: The ethical minefield
R. Nagpal (M.D) (Psychiatrist) ∗,
A.K. Mital (M.D) (Psychiatrist)
1 New Delhi, India
2 Mumbai, India
∗ Corresponding author.
Mental health professionals had always yearned for an interven-
tion, which was restricted to them alone, was safe and had a
commercial potential. Narco analysis or chemical hypnosis with
or without the supervision of an anesthetist presented such an
opportunity in India’s largely poorly regulated medical practice.
The turning point however was the unrestricted use of narco anal-
ysis for forensic reasons often against the will of the recipient
that caught the attention of the judiciary. Professionals in can-
did confessions spoke of the tool replacing normal polite enquiries
and unnecessary voyeuristic information being fettered out. Anec-
dotal evidence suggested police resorting to this tool without client
consent or judicial permission. A series of fiats after searching
enquiry on the statute has led to complete disarray. The legal
issues have relegated the ethical issues of consent, the usefulness of
“forced” information, the aftermath of “forced” information to the
backburner. Currently, the tool is regulated by the judiciary and
selectively applied with consent. In the clinical setting, it is fast
disappearing.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0644
Informed consent: Pitfalls in a
patriarchal & poorly literate society
R. Nagpal (M.D) (Psychiatrist) ∗,
E.M.D. Warrier (M.D) (Psychiatrist)
1 New Delhi, India
2 Kerala, India
∗ Corresponding author.