Advancing Understanding of Mental Illness
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SPRING CONFERENCE 2018 Advancing Understanding of Mental Illness 12 – 13 APRIL Sheraton Hotel, Athlone 12.5 External CPD credits (Thursday 7 credits Friday 5.5 credits) Welcome Welcome to Athlone, the centre of Ireland. The first day of the conference examines suicide from perspectives that the conference has not covered before. The intention being that we maintain our understanding of the phenomena of suicide in the context of our role as doctors who are specialists in the treatment of mental illness. Suicide is a tragedy, and I believe our contribution to the prevention of this tragedy is the wisdom to know how to use effective treatments in reasonably resourced therapeutic settings. For our patients and ourselves this gives therapeutic hope. Can there be a conflict between duty to our patients and duty to report under law? I feel this discussion is timely in the era of mandated requests to us as professionals. For this I want to thank and to welcome Dr Anthony Breslin, who will give the experience of the Medical Council on this theme. By the conference end, there may not be a straight answer, but at least a clearer understanding of professionalism. My aim of the session on attachment is to explore how maladaptive attachment or attachment disorders interact with mental illness throughout the lifespan. I usually try to design a programme that has something for everyone. I hope I have achieved this with this session and if I have, special thanks to the Conference Academic Committee for their advice and recommendations. Similarly thanks to our colleagues who have enthusiastically put themselves forward for the parallel sessions on Thursday. I want to thank all our Speakers and Chairs for what they give with their valuable time. I hope your experience is enjoyable, as much as it will be enriching for us and we all do not forget the social side whether it is over a cup of tea or the conference dinner. Central to the Conference is the poster exhibition and competition. I’d like to thank everyone who has submitted a poster and the Judges for volunteering their expertise. With best wishes for a most successful event. —————————— Dr William Flannery Vice President and Conference Co-ordinator 2 @IrishPsychiatry #psychconf THURSDAY 12TH APRIL 2018 From 8.30am REGISTRATION Hoey Foyer POSTER EXHIBITION & TEA/COFFEE Siege Suite 09.15 – 9.30am WELCOME ADDRESS AND INTRODUCTION DR JOHN HILLERY - PRESIDENT Hoey Suite 09.30 – 11.00am SUICIDE CHAIR: DR ANNE JEFFERS Hoey Suite 09.30 – 10.05 SUICIDE IN DOCTORS – WHAT WE SHOULD KNOW DR JUSTIN BROPHY, NOSP CLINICAL ADVISOR 10.05 – 10.40 CONTEMPORARY SUICIDE PREVENTION STRATEGIES: BIOLOGICAL, TECHNOLOGICAL & POLICY ADVANCEMENTS PROF SIOBHAN O’NEILL, ULSTER UNIVERSITY Suicide prevention remains an important issue in psychiatry, and there are numerous strategies and techniques that are now being deployed alongside the provision of treatments for mental illness. In particular the ZeroSuicide approach has gained momentum internationally. ZeroSuicide is both a mindset and a series of tools. At its core is the conviction that suicide is preventable and a commitment across the system to drive the rates down to zero. In this presentation Siobhan looks at the components of ZeroSuicide and evaluates the evidence, as well as the potential difficulties with adopting this approach in a psychiatric healthcare context. She will also discuss some of the most promising strategies to address suicidal behaviour among people with mental illness, which may be used as part of a ZeroSuicide programme. Finally, she will present some novel data from her research into the biological correlates of suicidal behavior in university students. 10.40 – 11.00 DISCUSSION AND QUESTIONS 11.00 – 11.30 COFFEE BREAK AND POSTER EXHIBITION Siege Suite 11.30 – 1.00pm SUICIDE (continued) CHAIR: DR ANNE JEFFERS Hoey Suite 11.30 – 12.00 PSYCHIATRISTS AND SUICIDAL BEHAVIOUR - SO WHAT IS THE PSYCHIATRIST'S ROLE? DR SIOBHAN MACHALE, BEAUMONT HOSPITAL, DUBLIN 12.00 – 12.30 SELF-HARM AND SUICIDE IN YOUNG PEOPLE AND THOSE IN THE MIDDLE AGE GROUP: ASSOCIATED RISK FACTORS AND IMPLICATIONS FOR TREATMENT AND PREVENTION PROF ELLA ARENSMAN, NSRF, CORK Research in Ireland and internationally, has consistently shown an increase of self-harm in children and adolescents in recent years. Self-harm in children and adolescents is often associated with depression, anxiety, eating disorders, substance abuse, physical and sexual abuse and bullying including cyberbullying. Comparing men and women aged under 40 and over 40 years, important differences have been found in terms of risk profiles associated with suicide and self-harm, with comorbid mental health and physical problems more strongly associated with suicide and self-harm in men aged over 40 years. Whilst many people in the young and middle age group seem to benefit from evidence based interventions, such as CBT and DBT, recent research has identified a subgroup of people who engage in repeated self-harm with longstanding Posttraumatic Stress Disorder for whom these interventions are not sufficient. There is a need for more targeted and tailored interventions geared to specific risk profiles and needs 12.30 – 12.45 ETHICAL CONSIDERATIONS IN SUICIDAL BEHAVIOUR DR MICHAEL REILLY, SLIGO Psychiatric practice involves some unique ethical challenges and the management of suicidal behaviour can involve some of the most difficult decisions for clinicians. Dr Reilly will discuss a practical vignette from his clinical experience involving an ethical dilemma. 12.40 – 1.00 DISCUSSION AND QUESTIONS @IrishPsychiatry #psychconf 3 THURSDAY 12TH APRIL Continued 1.00 – 2.00pm LUNCH La Provence Restaurant 2.00 – 3.30pm PARALLEL SESSIONS 1 – 3 SESSION 1 - HOEY SUITE 1 OR SESSION 2 - HOEY SUITE 2 OR SESSION 3 - HOEY SUITE 3 HEALTH ECONOMICS – NOT WAVING BUT PCS - DEBATE & DISCUSSION: ADVANCING UNDERSTANDING DROWNING...SUICIDE CRISIS “OUR DAILY LIVES ARE OF MENTAL ILLNESS: WHOSE INTERVENTION IN AN OCEAN INCOMPATIBLE WITH QUALITY OF LIFE PREFERENCES OF RISK MAINTAINING PROFESSIONAL MATTER? DR CLIFFORD HALEY COMPETENCE” Not enough DR CARAGH BEHAN, DETECT Donegal Mental Health Services hours in the day? Or are there? A practical workshop on how & DR RACHAEL CULLIVAN & DR utility values are generated and “DID YOU ASK THE SOCIAL MATTHEW SADLIER why equity issues are so important WORKER IF SHE IS WILLING Dr Rachael Cullivan and Dr Matthew in mental illness’ In the UK, NICE AND AVAILABLE?" Sadlier will debate this contentious require that any intervention DR COLETTE CORRY PhD, topic, which is close to every busy provided by the health service National Suicide Research consultant’s heart. Chaired by Dr must prove that it has “utility”. Foundation Lorcan Martin (CPsychI Professional This means that the cost of the PROF ELLA ARENSMAN, Competence Director), we intervention has to be under a National Suicide Research expect lively, thought-provoking certain amount per quality adjusted Foundation (and possibly controversial and life year (QALY) to receive funding. provocative!) discussion. The topic In Ireland, so far this is only the case will be opened to the floor after for medication reimbursement and our debaters present their views. some screening but will become Robust opinions with a thread increasingly prevalent in time. Most of humour will be very welcome research is now required to prove throughout! it is cost-effective in addition to effective. This workshop explains how utility values and QALYs are generated, and gives interactive practical demonstrations of how mental health states are valued. This is important to understand as many instruments penalise mental health and can perpetuate inequity. 3.30 – 4.00pm COFFEE BREAK AND POSTER EXHIBITION Siege Suite 4 @IrishPsychiatry #psychconf THURSDAY 12TH APRIL Continued 4.00 – 5.30pm PARALLEL SESSIONS 4 – 6 SESSION 4 - HOEY SUITE 1 OR SESSION 5 - HOEY SUITE 2 OR SESSION 6 - HOEY SUITE 3 MEN WITH EATING DISORDERS ASSESSMENT OF RISK OF RECOVERY PROF FIONA MCNICHOLAS, SUICIDE DR DOMINIC FANNON, UCD & Our Lady’s Hospital for DR PATRICK DEVITT & Mayo Mental Health Services & Sick Children, Crumlin DR DECLAN MURRAY MR MICHAEL RYAN Dr CAROLINE MAHER, Both presenters will give a 30 The application of a personal St Vincent’s University Hospital, minute presentation, followed by a recovery approach to mental illness Dublin. (heated) discussion. has been described as modern day DR (Ms) F.H IMRAN, psychiatry and as the new medical National University of Malaysia. model for psychiatry. However, with DR NIAMH MCNAMARA , confusion about what recovery Nottingham Trent University means and uncertainty about the This session will focus on men’s interpretation of the evidence it has experience of having an eating been challenging for psychiatrists to disorder. It will be introduced by adapt their practice in meaningful some data on the scale of patients ways. presenting with eating disorders. This workshop will provide an Two research studies will follow. overview of the topic and an Dr Imran will present ‘Men’s introduction to the National Perspective of Their Body’. This Framework for Recovery in Mental is relating to body image and Health, a comprehensive framework function in men; and the steps they for mental health service providers would go to modify, enhance, or to support the delivery of a quality, change this. person centred service. Dr McNamara will present on individuals living with an eating disorder (ED) and how they often delay help-seeking. This is especially true for males who do