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 not perceive themselves to fit the prototype of the ‘typical’ ED sufferer. Delayed help-seeking can prolong illness duration, therefore it is essential to identify the barriers to help-seeking in this population. The study addresses this gap.

5.30pm College AGM Hoey Suite 3 (Members attendance only)

From 7.30pm COLLEGE CHOIR Siege Suite DRINKS & CANAPE RECEPTION (included with dinner ticket) CONFERENCE DINNER (free seating, partners welcome) Hoey Suite

@IrishPsychiatry #psychconf 5 FRIDAY 13TH APRIL 2018

From 8.30am REGISTRATION Hoey Foyer POSTER EXHIBITION & TEA/COFFEE Siege Suite

09.30 – 9.40am WELCOME ADDRESS AND INTRODUCTION DR WILLIAM FLANNERY – VICE-PRESIDENT Hoey Suite

09.40 – 1.00pm ATTACHMENT THROUGH THE AGES CHAIR: DR MAEVE MORAN Hoey Suite

09.40 – 10.15 HOW CAN WE KNOW THE DANCER FROM THE DANCE? EARLY PARENT-INFANT INTERACTION AND ATTACHMENT AND WHY INFANT MENTAL HEALTH MATTERS DR AOIFE TWOHIG, DUBLIN Attachment theory holds that a mother’s sensitivity in responding to her infant’s cues and communications forms the basis of secure attachment and is protective of later mental health. These early patterns of parent-infant interaction are often likened to a dance. Increasing recognition of the mental health and neurodevelopmental consequences of preterm birth and the more subtle impact on social-emotional development of the child has led to a search for early interventions. Enhancing sensitivity during early parent-infant interaction may be protective and associations with improved emotional regulation and mental health outcomes have been found. Video Interaction Guidance (VIG) is a strengths based intervention where moments from a video of parent- infant interaction are chosen by the guider and the parent is then facilitated by the guider in observing and reflecting on the moments of interaction. VIG enhances parental sensitive responsiveness to infant cues and also supports parents’ self-awareness. In this presentation the presenter will highlight the importance of attending to early parent-infant relationship, the recognition of relationship disturbance and infant mental health disorders and developing sensitive interventions from the antenatal period to the preschool age. The findings of a study on the effects of one such early attachment focused intervention using VIG for parents of very preterm infants born at less than 32 weeks gestational age, in the NICU, on maternal sensitivity and infant social-emotional development will be discussed.

10.15 – 10.55 ATTACHMENT REPRESENTATIONS IN THE YOUNG SCHOOL-AGE CHILD – TWO DECADES OF WORK WITH THE MCAST PROF JONATHAN GREEN, MANCHESTER The Manchester Child Attachment Story Task (MCAST) was developed as an instrument with which to assess the young school-age child’s representations of their early attachments. It evolved into a clinical- research procedure now used internationally in research and clinical practice, recommended by NICE and with a recent meta-analysis of 25 MCAST studies across 1,876 children in 9 countries (Allen et al 2018). In this talk I will review some of the research outcomes and general clinical lessons gained from this MCAST work. In doing so I will consider the place of the attachment representation construct in young children, for developmental theory and in clinical assessment and practice.

10.55 – 11.05 DISCUSSION AND QUESTIONS

11.05 –11.35am COFFEE BREAK AND POSTER EXHIBITION Siege Suite

11.35 – 12.05 NEUROSCIENCE-INFORMED ATTACHMENT FOR CLINICIANS: HOW BIO-BEHAVIOURAL SYNCHRONY, SENSITIVE PERIODS, MENTALISING AND BAYESIAN CALCULUS HELP MAKE US BETTER THERAPISTS PROF JEREMY HOLMES, EXETER I will argue that — at last! — we are beginning to see the glimmers of ‘translational medicine’ in psychotherapy. Adopting a integrative framework, I will suggest that recent advances in biobehavioural synchrony, research on Disorganised attachment, and Friston’s ‘free energy’ model of the adaptive brain have significant implications for psychotherapy practice, both in everyday psychiatric psychotherapy and in more specialised forms of treatment such as Mentalisation-based therapy.

12.05 – 12.35 THE OLD AND THE NEW IN LATER LIFE DR JANE GARNER, LONDON This presentation will examine the paucity of evidence about attachment styles in old age. It will also mention other influences which have an effect in later life.

12.35 – 12.50 DISCUSSION AND QUESTIONS

6 @IrishPsychiatry #psychconf FRIDAY 13TH APRIL Continued

12.50 – 12.55pm ANNOUNCEMENT OF NCHD POSTER COMPETITION PRIZE

12.55 – 1.50pm LUNCH La Provence Restaurant POSTER EXHIBITION Siege Suite 1.50 – 4.15pm PROFESSIONALISM Hoey Suite

1.50 – 2.30 MENTAL CAPACITY IN LEGISLATION AND PRACTICE: IMPLICATIONS FOR PROFESSIONALISM, ETHICS AND CARE PROF BRENDAN KELLY, TRINITY CENTRE FOR HEALTH SCIENCES, TALLAGHT HOSPITAL, DUBLIN

2.30 – 3.20 MANDATORY REPORTING, LEGAL REQUIREMENTS IN RELATION TO CHILDREN PROF BRENDAN DOODY, LINN DARA CHILD & ADOLESCENT MENTAL HEALTH SERVICES, DUBLIN MS CELINE O’CONNOR, LINN DARA CHILD & ADOLESCENT MENTAL HEALTH SERVICES, DUBLIN.

3.20 – 3.45 PROFESSIONALISM IN MEDICINE DR ANTHONY BRESLIN, VICE-PRESIDENT, IRISH MEDICAL COUNCIL Dr Breslin will address the place of professionalism in current medical practice. Clinical practice occurs in a complex environment that has competing demands, and in psychiatry there is a great deal of collaborative work with other professionals. Professional practice means being competent to do the day job, knowing when to do something and when not to do something. It also means not being afraid to take on the responsibility of making a clinical decision. As a trainer a doctor has to provide instruction, assess the trainee robustly and not avoid addressing deficits that are identified. In order to be prepared for their role doctors need to ensure that their professional development reflects and assists with coal face practice.

3.45 – 4.15 DISCUSSION

@IrishPsychiatry #psychconf 7 BIOGRAPHIES

PROF ELLA ARENSMAN is a Research Professor with the School of Public Health, University College Cork and Chief Scientist with the National Suicide Research Foundation, Ireland. She is Vice President of the European Alliance Against Depression and past President of the International Association for Suicide Prevention. She is Visiting Professor with the Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, and an expert advisor for WHO. Prof Arensman has been involved in research and prevention into suicide, self-harm and related mental health and social issues for more than 30 years, with emphasis on risk and protective factors associated with suicide and self-harm, and effectiveness of suicide prevention and self-harm intervention programmes. In Ireland, she played a key role in developing the first and second National Suicide Prevention Programme: Reach Out, 2005-2014, and Connecting for Life, 2015-2020. She has published over 140 papers in peer review journals as well as reports for government departments and policy makers.

DR CARAGH BEHAN is a Consultant General Adult psychiatrist with a PhD in Mental Health Economics. She is committed to using the language of health economics to advocate for people with mental illness to policymakers and service planners. She has worked in early intervention in psychosis in both urban and rural settings, and has a special interest in translational research and the difficulties faced by mental health services in translating complex interventions into practice.

DR ANTHONY BRESLIN is Vice President of the Medical Council since April 2017. He works as a Specialist in Communicable Disease and Environmental Health in the North West. He chairs the Councils Registration and Continuing Professional Competence Committee.

DR JUSTIN BROPHY is currently Consultant Psychiatrist in General Adult Psychiatry at HSE Wicklow Mental Health Services, and is also the Clinical Advisor to Ireland’s ‘National Office of Suicide Prevention’. He is a Fellow of The Royal College of Psychiatrists, a Senior Lecturer in Psychiatry at the Royal College of Surgeons of Ireland and a Director of ‘Jigsaw’, a national youth mental health service charity. Dr Brophy is a former ECD and CD of HSE Dublin South East / Wicklow Mental Health Services. He was the Foundation President of the College of Psychiatrists of Ireland.

DR COLETTE CORRY is a senior post-doctoral researcher on the SSIS Psychological Autopsy Model currently underway in County Donegal. This NOSP funded study of completed suicide and its affect on bereaved family members was initiated in County Donegal to assist development of new clinical best practice guidelines. Planning is underway for delivery in the five constituent counties of CHO1 with the aim of an All-Ireland implementation strategy. Dr Corry graduated from Ulster University as valedictorian with a first class honours degree in Psychology before undertaking a full time PhD programme at its Magee campus in Derry, where she was later employed in a research and teaching capacity. Her doctoral research examined suicidality throughout the lifespan, with an emphasis on childhood adversity and developing psychopathology. Her PhD thesis received the British Psychological Society’s award for Best Postgraduate Thesis in Statistical Excellence and was the core component of a NI Department of Education and Learning funded award to develop the Northern Ireland Coroner’s Suicide Database, examining 1,700 suicides. This was the first of its kind to be undertaken in Europe and continues to have a significant impact on NI Mental Health policy and planning. In addition to publishing and presenting her findings at European and International conferences, she has also advised and conducted research for the Northern Ireland Victim’s Commission, Foyle Search and Rescue and contributed to the development of officer protocol at suicide sites with the PSNI. She currently sits on the Connecting for Life Donegal Services Implementation group and is a member of the Technical Advisory Group for the National Office of Suicide Prevention. Dr Corry is committed to extensive voluntary work with victims of crime, and sits on the board of Donegal Health and Wellness, a charity based in Letterkenny.

DR RACHAEL CULLIVAN currently works as a Consultant Adult Psychiatrist in an in-patient setting but has extensive experience working as a Community Adult Psychiatrist with a well-developed Community Mental Health Team. She has had considerable involvement in training from her own early years as a trainee representing the Irish Division on the Collegiate Training Committee of the Royal College of Psychiatrists to her current position as an elected member of Council, Vice Chair of the Psychiatric Training Committee and Irish College Representative to the Psychiatry Section of the European Union of Medical Specialists where she is currently chairs a working group concerning the current European position on Continuous Professional Development.

DR PATRICK DEVITT is a Consultant Psychiatrist currently specialising in medico-legal and occupational psychiatry and a former Inspector of Mental Health Services. He is the co-author of the book "Suicide - a Modern Obsession"

8 @IrishPsychiatry #psychconf PROF BRENDAN DOODY is a Graduate of Trinity College Dublin. He completed his vocational training in General Practice prior to commencing a career in Psychiatry and was appointed to a Consultant Child and Adolescent Psychiatrist in 2000. He is presently Clinical Director of the Health Service Executive Linn Dara Child and Adolescent Mental Health Service, and was appointed Associate Professor in Psychiatry at Trinity College Dublin in 2018. Brendan was previously the Chair of the Child and Adolescent Faculty of the Irish College of Psychiatrists, and a member of the Health Service Executive Expert Advisory Group on Mental Health. He served as a Member of the Mental Health Commission from 2007 to 2012. He also held a part-time advisory role with the Health Service Executive on Child and Adolescent Mental Health Services, and published five Annual Reports on Child and Adolescent Mental Health Services from 2009 to 2013. He was a member of the Board of the European Society of Child and Adolescent Psychiatry (ESCAP) from 2007 to 2015. He was a member of the GAA Health and Wellbeing Committee from 2013 to 2018.

DR DOMINIC FANNON works as Consultant General Adult Psychiatrist with a special interest in Rehabilitation in Mayo Mental Health Service, Ireland. He completed professional training in Ireland and at the Institute of Psychiatry and Maudsley Hospital, London. His clinical and research interests include the management of psychosis, psychological treatments, early intervention and recovery in mental health services.

DR JANE GARNER FRCPsych was a Consultant in Old Age Psychiatry, leading a team in North London for many years. She was also a Consultant seeing students at University College London. Dr Garner has a number of honorary positions at the Royal College of Psychiatrists including Deputy Chief Examiner and Secretary of the Old Age Faculty. She is a founder member and Honorary Secretary of the Older Adult Section of the Association for Psychoanalytic Psychotherapy in the NHS. Jane has academic, clinical and authorial interests in psychotherapy with older adults, institutional abuse, continuing care in dementia, use of psychodynamic ideas in psychiatric practice. She is the co-editor with Sandra Evans of ‘Talking Over the Years: a handbook of dynamic psychotherapy with older adults and is working with Routledge as co-editor for a book looking at dementia from a psychodynamic perspective. Dr Garner is a member of the project board of ‘Retiring Together’, Tavistock Institute for Marital Relationships and is the non-executive director of Innovations in Dementia, a community interest company. She is currently retired from clinical practice.

PROF JONATHAN GREEN is a Professor of Child & Adolescent Psychiatry at the University of Manchester and Manchester Academic Health Sciences Centre and an Honorary Consultant at the Royal Manchester Children’s Hospital. Jonathan Green trained in Paediatrics in London and Psychiatry in Oxford and Manchester, UK. He is a clinical scientist who runs the specialist Social Development Clinic at the Royal Manchester Children’s Hospital and leads the Social Development Research Group at the University of Manchester, investigating disorders in child social development and their consequences. In the 1990’s he began clinical and then research development of the Manchester Child Attachment Story Task (MCAST), an instrument designed to meet a clinical and research need for the assessment of attachment representations in young children. The instrument is now widely used internationally and is recommended as an attachment assessment by NICE. Jonathan has run national research studies into the effectiveness of intervention for looked after children and young people, and cohort studies investigating social development of children and looked after care and after adoption. He recently served on the DfE Expert Advisory Group and the Research Advisory Group to the Adoption Support Fund, on the SCIE Expert Care Pathways Group for Children in Care and on the NICE quality standard advisory committee for Attachment Disorder. A large focus over the last 15 years has been on the development and testing of early treatments for autism spectrum disorder. This has resulted in publication of the first interventions to show sustained effect to reduce autism symptom severity in both the pre-school and prodromal infancy periods, as well as successful adaptation of autism treatment for use in South Asian contexts. He was part of an NIHR/MRC trials methodology research group and sat on the NICE committee on treatments for autism. He was Practitioner Reviews Editor of JCPP 2011-2018 and in 2018 he was made a NIHR Senior Investigator.

DR CLIFFORD HALEY is a Consultant Psychiatrist and Executive Clinical Director Donegal Mental Health Services, Letterkenny Co. Donegal. He graduated from Queens University Belfast in 1990 and after a general medical rotation, trained in general adult psychiatry in Liverpool UK. Between 1996 – 2000, he was attached to Universities of Liverpool and Manchester and worked on CBT in the early psychosis (SOCRATES) study. Dr Haley was an honorary lecturer in the University of Manchester until 2006. He completed an MD on Health Beliefs in Early Schizophrenia in 2006. Peer reviewed publications include the results of the SOCRATES trial, health beliefs in schizophrenia, healthy living programmes for schizophrenia and family education in schizophrenia. Dr Haley has 18 other published articles include severe mental illness topics and editorials on areas of service development in mental health. He is also involved in investigation and research into service user suicide in Donegal since 2011 and in the publication of the HSE report 2016. Dr Haley is the Clinical lead in local SCAN and DSH services. He is an honorary Senior Lecturer in National University of Ireland Galway Medical School.

@IrishPsychiatry #psychconf 9 BIOGRAPHIES Continued

PROF JEREMY HOLMES MD was for 35 years a Consultant Psychiatrist/Medical Psychotherapist at University College London (UCL) and then in North Devon, UK, and Chair of the Psychotherapy Faculty of the Royal College of Psychiatrists 1998-2002. He is visiting Professor at the University of Exeter and lectures nationally and internationally. In addition to 200+ peer-reviewed papers and chapters in the field of psychoanalysis and attachment theory, his books include John Bowlby and Attachment Theory, (2nd edition 2013) The Oxford Textbook of Psychotherapy (2005 co-editors Glen Gabbard and Judy Beck), Exploring In Security: Towards an Attachment-informed Psychoanalytic Psychotherapy (2010, winner of Canadian Goethe Prize) , and The Therapeutic Imagination: Using Literature to Deepen Psychodynamic Understanding and Enhance Empathy (2014) and Attachment in Therapeutic Practice (2017, with A Slade). He was recipient of the Bowlby- Ainsworth Founders Award 2009. Music-making, gardening, Green politics and grand-parenting are gradually eclipsing his lifetime devotion to psychoanalytic psychotherapy and attachment.

DR FARRAH-HANI IMRAN brought glory to Malaysia as a National Rhythmic Gymnast, blazing the trail for future generations by being the first Malaysian to reach the World Championships in 1993. She continues to serve the nation as a public hospital Consultant Plastic Surgeon & Lecturer; and through pro-bono voluntary work as TN50 Youth Ambassador and Team Manager of the historic Malaysian National Rhythmic Gymnastics Team, who performed a clean sweep in the recent 2017 South-East Asian (SEA) Games. In her current role in as the Head of Plastic Surgery in UKM, she manages the leadership triad of Administration, Academic Research and Clinical work. She is highly regarded for upholding ethics, principles, integrity and championing mental health awareness. She is currently a PhD Scholar in the School of Medicine, UCD, under Professor Fiona McNicholas.

PROF BRENDAN KELLY FRCPsych FRCPI is Professor of Psychiatry at Trinity College Dublin and Consultant Psychiatrist at Tallaght Hospital. In addition to his medical degree (MB BCh BAO), Professor Kelly holds masters degrees in epidemiology (MSc), healthcare management (MA) and Buddhist studies (MA); and doctorates in medicine (MD), history (PhD), governance (DGov) and law (PhD). Professor Kelly has authored and co-authored over 200 peer-reviewed papers and 300 non-peer-reviewed papers, as well as a number of book chapters and books. His most recent book is Mental Health in Ireland: The Complete Guide for Patients, Families and Healthcare Professionals (Liffey Press).

DR SIOBHAN MACHALE has practised as a Consultant Liaison Psychiatrist for 19 years, initially in the Royal Infirmary of Edinburgh, before returning to her current post in Beaumont Hospital in 2006. She is a Fellow of the Royal College of Psychiatrists, Royal College of Physicians of Ireland and the Royal College of Physicians of Edinburgh, and a Senior Lecturer in the RCSI. As a Liaison Psychiatrist, her primary role is in the care and management of the mental health needs of patients in the general hospital setting. Central to this is the care of patients presenting to the Emergency Department with suicidal behaviour. This has informed her clinical, service development and academic focus in this area, including her previous role as Chair of the National Clinical Care Programme for the Management of Self harm in the Emergency Department.

DR CAROLINE MAHER has been the Consultant Psychiatrist to the Eating Disorders Programme in St Vincent’s University Hospital since 2006. She has been actively involved in the development process for the recently launched HSE National Clinical Eating Disorder Programme Model of Care (MOC). Dr Maher chaired the Adult Eating Disorders Working group, and subsequently chaired the CPsychI Clinical Advisory Group. Along with two other eating disorder services, Dr Maher’s eating disorder service has been selected for development in line with the MOC. They will essentially act as a pilot for the development of national adult eating disorder services, and she is really looking forward to the new challenges.

DR NIAMH MCNAMARA is a Social Psychologist and Senior Lecturer at Nottingham Trent University, UK. Her research explores the ways in which group memberships impact individual health and well-being. In particular, she is interested in the ways in which stigma undermines the ability of vulnerable groups in society to access the resources and services essential for good health. Dr McNamara’s work has been published in the European Journal of Social Psychology, the Journal of Community & Applied Social Psychology, Early Intervention in Psychiatry, and the Irish Journal of Psychological Medicine.

PROF FIONA MCNICHOLAS is a Consultant in Child and Adolescent Psychiatry in Lucena Clinic, Rathgar and Our Lady’s Hospital for Sick Children, Crumlin. Her clinical interests are ADHD and Eating Disorders. She is Chair in Child Psychiatry at University College, Dublin where she is active in postgraduate courses in CBT and postgraduate diploma in child mental health. She trained in psychiatry in the UK and USA, and most recently in Stanford University (2013-2014) in Stanford ED service.

10 @IrishPsychiatry #psychconf DR DECLAN MURRAY is a Consultant Psychiatrist in Medico-Legal and Occupational Psychiatry. His previous work as Consultant Psychiatrist in the UK NHS and the (North Dublin) HSE has included Community Mental Health Team Leader, Dialectical Behaviour Therapy Team Leader and a spell full-time as Acute Inpatient Unit Team Leader. He is a Senior Clinical Lecturer in the University of Limerick and was an examiner with Royal College of Psychiatrists for 20 years. His opinion on managing the urge to end it all is summarized in an editorial https://doi.org/10.1192/bjpo.bp.115.002071 and a blog https://www.scientificamerican.com/article/suicide-risk-assessment-doesnt-work/

PROF SIOBHAN O’NEILL is a Professor of Mental Health Sciences at Ulster University. Her current research programmes focus on trauma and suicidal behaviour in Northern Ireland (NI) and mental health and suicidal behaviour. Prior to joining Ulster University in 2000, Siobhan completed a degree in Psychology at the Queen's University of Belfast and a Masters in Health Psychology at NUI Galway. She also worked as a Public Health Researcher, conducting evaluations of health services and users’ experience of care. Between 2005 and 2008 Siobhan, along with Professor Brendan Bunting and Dr Sam Murphy, coordinated the largest ever study of mental health in Northern Ireland, the NI Research and Development Office funded, NI Study of Health and Stress. This study revealed the high proportions of the NI population who had unmet mental health needs and the extent of mental health disorders associated with the NI conflict. Siobhan was also a coordinator of the NI suicide study, a study of the characteristics of completed suicides and undetermined deaths. She is responsible for the dissemination of the research findings on trauma and suicide to policy makers and stakeholders in NI. Siobhan is a member of the World Mental Health Survey Consortium, a Director of the Irish Association of Suicidology and an advisor to several organisations who provide services and interventions for mental health and suicide prevention. She sits on several national and international research committees. She has over 80 publications in peer-reviewed journals, including several ground breaking studies of mental health and suicidal behaviour in Northern Ireland. Her current research includes studies of mental health and suicide in college students, crisis line caller behaviour, veterans’ mental health and how childhood adversities affect mental health and suicidal behaviour. She is a regular contributor to media items and discussions on suicide and mental health. In 2017 Siobhan won Ulster University’s Senior Distinguished Research Fellow award for her work on trauma, mental health and suicide in Northern Ireland.

DR MICHAEL REILLY did his Basic and Higher Specialist Training in the Western Health Board and the Cavan Monaghan Mental Health Services. He spent two years as a Research Fellow in suicidal behaviour on the INSURE Collaborative Project. For the last twelve years, he has toiled in relative obscurity as a consultant psychiatrist with special interest in rehabilitation psychiatry in the Sligo Leitrim Mental Health Service. His special interests include psychiatric ethics, medical education and service delivery.

MICHAEL RYAN has been in a project lead role for Advancing Recovery in Ireland since 2012 and is currently a Service Improvement lead with the national Mental Health Division. In this role he has led on the development of the National Framework for Recovery in Mental Health, 2018-2020. Michael has an educational background with lived mental health experience and has worked in a variety of roles supporting mental health recovery innovation and advocacy.

MATTHEW SADLIER graduated from UCD and on completing general practice training entered the St John of God BST scheme. On completing higher specialist training he initially worked as a general adult psychiatrist in Connolly Hospital and now works as a consultant old age psychiatrist in the Mater and Connolly Hospitals. He is a former president of the Irish Medical Organisation.

DR AOIFE TWOHIG is a Consultant Child and Adolescent Psychiatrist at Our Lady's Children's Hospital Crumlin. She has had a special interest in attachment and infant mental health for over 10 years and has recently completed a PhD in this area through research within the Neonatal Intensive Care Unit of the National Maternity Hospital. Her interest lies in supporting early parent-infant relationship and attachment in the perinatal period. In Crumlin, Aoife is Clinical Director of the child sexual abuse assessment and therapy service.

@IrishPsychiatry #psychconf 11 POSTER PRESENTATIONS

1. CONSIDERING DEVELOPMENTAL DISORDERS IN ADULTS 11. SUICIDALITY OR CRIMINALITY? DR LAUREN ALEXANDER1, DR NIAMH FARRELLY2 DR CAOIMHE CLARKE1, DR JENNIFER KEANE2, DR LISA 1 Navan Mental Health Services, HSE Building, Athboy Road, Navan, MCLOUGHLIN2, PROFESSOR HARRY KENNEDY2 Co Meath 1 Department of Psychiatry, An Re Orga, Navan, Co Meath 2 Student Health Service, Trinity College Dublin 2 National Forensic Mental Health Service, Dublin 2. EXPERIENCING ECT: DOES IT CHANGE YOUR MIND? 12. LOCUS OF CONTROL (LOC) IN SCHIZOPHRENIA, BIPOLAR AND DR LAUREN ALEXANDER1, DR LOUISA KELLY 2, DR EIMEAR SCHIZOAFFECTIVE DISORDERS AND IT’S RELATIONSHIP WITH DOODY2, DR EIMEAR COUNIHAN3, DR SHANE BRADY3, PROF DECLAN GENERAL FUNCTIONING MCLOUGHLIN2, PROF KEVIN MALONE4 MS CHLOE CONLON1, MS KONSTANTINA TYROVOLA2, PROFESSOR 1 Navan Mental Health Services, HSE Building, Athboy Road, Navan, GERALDINE MCCARTHY1,3,4, DR DIMITRIOS ADAMIS3 Co Meath 1 Sligo Medical Academy, Sligo University Hospital 2 St Patrick’s University Hospital 2Research & Academic Institute of Athens, Greece 3 St John of God Community Services 3 Sligo Mental Health Services 4 Department of Psychiatry, St Vincent’s University Hospital, Dublin 4 NUI Galway 3. A STUDY OF SELF-HARM CASES AND RESPONSE IN OUR LADY 13. DIFFERENT FORMS OF RESILIENCE - A KEY PREDICTOR OF OF LOURDES HOSPITAL DROGHEDA FUNCTIONING AND POTENTIAL THERAPEUTIC TARGET FOR DR SAIED ALI1, DR KATE IRVINE1, DR RAY PAUL1 THOSE WITH CHRONIC MENTAL ILLNESS 1 Our Lady of Lourdes Hospital, Drogheda MS CHLOE CONLON1, MR AARON LISTON2, DR DIMITRIOS ADAMIS2 1 4. SURVEY TO ASCERTAIN REASONS FOR REFERRAL TO THE Sligo Medical Academy, Sligo University Hospital 2 LIAISON SERVICE IN SOUTH TIPPERARY GENERAL HOSPITAL: Department of Psychiatry, Sligo/Leitrim Mental Health Services, Sligo COMPARISON BETWEEN SH AND NON-SH PRESENTATION 14. AUDIT OF PRESCRIBING PRACTICES OF INPATIENT MEDICATION DR MOHAMAD MURTAZA AZIM1, DR MARIA SAJJAD1, DR CHARTS MICHELLE BRANNIGAN1 DR JOAO PAULO COSTA MONTEIRO DE SILVA1 1 South Tipperary Mental Health Services, St. Luke’s Hospital, Clonmel, 1 St John of God Hospital, Dublin Co. Tipperary 15. INSTRUMENTAL AND REACTIVE VIOLENCE AS A TRIAGE 5. BRAND VERSUS GENERIC NAMES OF MEDICATIONS IN KARDEX CRITERION FOR ADMISSION TO A SECURE FORENSIC HOSPITAL: IN DEPARTMENT OF PSYCHIATRY, UNIVERSITY HOSPITAL, DUNDRUM-1 BETA ITEM WATERFORD DR TIAGO MIGUEL DE CASTRO GOMES1, DR ALISON LEONARD2, DR NIRVANA BECHAN1, DR DARIA PRETS1, DR SUET KEE ONG1, DR DR SINEAD MURPHY3, DR SASHINI GUNAWARDENA2, DR KEN CHLOE HITCHCOCK1, DR OGHENEVWOKE AKPUBI1 O’REILLY4, DR PAUL O’CONNELL4, PROFESSOR HARRY KENNEDY4 1 University Hospital Waterford 1 Tara House, Gorey, Wexford 2 6. MENTAL ILLNESS & REPATRIATION: A THREE YEAR STUDY IN Lucan Linn Dara Child Adolescent Mental Health Service, Cherry ELM MOUNT, ST VINCENT’S UNIVERSITY HOSPITAL Orchard Hospital, Dublin 3 DR MARIE BOLTON1, DR ELLEN BROWNE2, PROFESSOR ALLYS Lucena Clinic, Bray, Co Dublin 4 GUERANDEL1 Central Mental Hospital, Dublin 1 St. Vincent’s University Hospital, Dublin 16. GP’S VIEWS ON THE CONTENT OF PSYCHIATRISTS’ OUTPATIENT 2 Joondalup Health Campus, Joondalup, Western Australia CLINIC REVIEW LETTERS 1 1 1 7. KEEPING HEALTHY IN AN INTELLECTUAL DISABILITY SERVICE DR CONAL DEVLIN , MR PAT VAUGHAN , MR MARTIN BELLEW , DR 1 - AN AUDIT OF MEDICAL DATA AVAILABLE AT IN-PATIENT SABINA FAHY 1 PSYCHIATRIC REVIEWS TO ALLOW PHYSICAL HEALTH St. Brigid’s Hospital, Ballinasloe, Co Mayo MONITORING 17. CASE REPORT – CATATONIA IN A MEDICALLY UNWELL PATIENT DR NORELLA BRODERICK1, DR SINEAD MURPHY2, DR JOHN DR ELISABETH DORAN1, PROFESSOR JOHN SHEEHAN2 HILLERY3 1 Neurology Department, St. James’ Hospital, Dublin 1 Our Lady’s Children’s Hospital, Crumlin, Dublin 2 Department of Psychiatry, Mater Misercordiae Hospital, Dublin

2 Child & Adolescent Mental Health Services, Wicklow 19. ADJUSTMENT DISORDER - THE GREAT UNKNOWN? 3 St. Raphaels’, St John of God Hospital, Dublin DR RICHARD FARRELLY1, DR RAYMOND SCANLON2 8. AN EVALUATION OF SERVICE USERS’ EXPERIENCE OF CHILD 1 St James’ Hospital, Dublin PSYCHIATRY CONSULTATION LIAISON SERVICES AT OUR LADY’S 2 National Drug Treatment Centre, Dublin CHILDREN’S HOSPITAL CRUMLIN 20. WHAT IS REFERRED TO A NEW LIAISON PSYCHIATRY IN-PATIENT DR SINEAD CARR1, MS SARAH MACMAHON2, MS VEENA MADHU3, CONSULTS SERVICE IN THE GENERAL HOSPITAL PROFESSOR FIONA MCNICHOLAS2 DR LABHAOISE FITZPATRICK1, DR BARRY GEHERAN2, DR MAURICE 1 Community Child & Adolescent Mental Health Services, Lucena CLANCY1 Clinic, Tallaght, Dublin 1 Department of Psychiatry, University Hospital Waterford 2 Child Psychiatry Department, Our Lady’s Children’s Hospital, Crumlin, 2 Department of Gastroenterology, University Hospital Waterford Dublin 3 UCD Graduate School of Medicine 21. WHAT TIMES DO PATIENTS PRESENT TO THE EMERGENCY DEPARTMENT WITH MENTAL HEALTH ISSUES AND WHY? 9. OPTIMISING PSYCHOTROPIC MEDICATION IN PSYCHIATRY OF DR BARRY GEHERAN1, DR LABHAOISE FITZPATRICK2, DR MAURICE INTELLECTUAL DISABILITY CLANCY2 DR SARAH CASEY1, MS PATRICIA BOYLAN2, DR LINDA O’ROURKE3, 1 Department of Gastroenterology, University Hospital Waterford DR CLAIRE FLAHAVAN4, DR PATRICIA WALSH2 2 Department of Psychiatry, University Hospital Waterford 1 Mental Health Services, Celbridge Health Centre, Kildare 2 Cheeverstown House, Dublin 3 St. Michael’s House, Ballymun Road, Dublin 4 St Clare’s Unit, Temple Street Children’s University Hospital, Dublin 10. FAILURE OF ATTENDANCE FOLLOWING REFERRAL TO A PSYCHIATRIC OUT-PATIENT CLINIC - A COMPLETED AUDIT CYCLE DR JASMINKA CINDORI1, DR LORCAN MARTIN1 1 St. Loman’s Hospital, Mullingar, Co. Westmeath

12 @IrishPsychiatry #psychconf 22. UNDERSTANDING SELF-HARM: ALEXITHYMIA AND SELF- 29. A REVIEW OF THE MONITORING AND MANAGEMENT OF HARMING BEHAVIOUR IN ADOLESCENTS RISPERIDONE-INDUCED HYPERPROLACTINEMIA IN ADULTS IN DR TAREQ ABDEL GHANI1, DR VISHNU PRADEEP2, DR RASHA AN INTELLECTUAL DISABILITY SERVICE ELBAGIR3, DR DIARMUID O’SULLIVAN4, DR RUTH MELIA5, DR ARAN DR NOHA IBRAHIM1, DR MARY KELLY2, DR DALIA ELBEIH3, MRS TOMAC5 BREDA JONES2 1 Child & Adolescent Mental Health Services, Merlin Park University 1 St. Anne’s Hospital, Limerick Hospital, Galway 2 Daughters of Charity, Lisnagry, Co. Limerick 2 Department of Rehabilitation Psychiatry, St. Joseph’s Hospital, 3 unaffiliated Limerick 30. THE USE OF PRESCRIBED PSYCHOTROPIC MEDICATION FOR 3 Child & Adolescent Mental Health Services, University Hospital, LONG-STAY RESIDENTS AT OWENACURRA RESIDENTIAL UNIT Limerick DR ROGAYA IDRIS1, DR CATHERINE MCCARTHY1 4 Department of Liaison Psychiatry, University Hospital, Limerick 1 St. Michael’s Unit, Mercy University Hospital, Cork 5Child & Adolescent Mental Health Services, Ennis Co. Clare 31. IMPLEMENTATION OF A SECLUSION PRACTICE IMPROVEMENT 23. UNDERSTANDING SELF-HARM: PARENTING STYLES AND SELF- PROGRAMME HARMING BEHAVIOUR AMONG ADOLESCENTS DR MUHAMMAD JAVED1, MR CON BOURKE2, DR AYESHA NAZIR1, 1 2 DR TAREQ ABDEL GHANI , DR VISHNU PRADEEP , DR RASHA PROF HENRY O’CONNELL1 3 4 5 ELBAGIR , DR DIARMUID O’SULLIVAN , DR RUTH MELIA , DR ARAN 1 St. Fintan’s Hospital, Portlaoise, Co. Laois 5 TOMAC 2 Department of Psychiatry, Midland Regional Hospital, Portlaoise, Co. 1 Child & Adolescent Mental Health Services, Merlin Park University Laois Hospital, Galway 32. “HOW LONG IS A PIECE OF STRING?” 2 Department of Rehabilitation Psychiatry, St. Joseph’s Hospital, DR MOHAMMAD KASHIF1 Limerick 1 Department of Psychiatry, Drogheda 3 Child & Adolescent Mental Health Services, University Hospital, Limerick 33. GENERAL PARALYSIS OF THE INSANE: A HISTORICAL CASE 4 Department of Liaison Psychiatry, University Hospital, Limerick STUDY OF NEUROSYPHILIS FROM EUROPE’S OLDEST FORENSIC 5Child & Adolescent Mental Health Services, Ennis Co. Clare HOSPITAL DR JENNIFER KEANE1, DR CAOIMHE CLARKE2, DR LISA 24. REVIEW OF INPATIENT LIAISON PSYCHIATRY REFERRALS OVER A MCLOUGHLIN3, PROFESSOR HARRY KENNEDY3 SIX-MONTH PERIOD IN BEAUMONT HOSPITAL 1 St. Patrick’s University Hospital, Dublin DR BARBARA GILES1, DR RICHARD FARRELLY2 , DR RAYMOND 2 An Re Orga, Department of Psychiatry, Navan, Co Meath SCANLON2, PROFESSOR MARY CANNON2, DR SIOBHAN MACHALE2, 3 National Forensics Mental Health Services, Central Mental Hospital, DR HELEN BARRY2 Dublin 1 Department of Liaison Psychiatry, Beaumont Hospital, Dublin 2 Beaumont Hospital, Dublin 34. A PILOT STUDY TO ASSESS THE EFFECTIVENESS OF ‘THE DECIDER SKILLS’ GROUP INTERVENTION IN A REAL WORLD 25. A COMPARISON OF PATIENT’S PRESENTING TO A MEMORY SETTING TO A CROSS DIAGNOSTIC GROUP OF ADOLESCENTS CLINIC WITH SUBJECTIVE MEMORY COMPLAINTS TO THOSE ATTENDING CAMHS WITH MILD COGNITIVE IMPAIRMENT: PATIENT DEMOGRAPHICS, DR MICHAEL KERLIN1 CO-MORBIDITES AND IMPLICATIONS FOR FUTURE 1 Lucena Clinic, Summerhill, WIcklow MANAGEMENT DR KEVIN GLYNN1, DR MICHAEL O’CALLAGHAN2 DR OISIN 35. CLINICAL AUDIT OF PRESCRIPTION WRITING IN AN INPATIENT HANNIGAN1, ,PROF BRIAN LAWLOR1, MS IRENE BRUCE1, DR ROBERT UNIT COEN1 DR NAVEED KHAN1, DR MICHAEL MORRIS1, DR ZEESHAN MUMTAZ1 1 Memory Clinic, MISA Building, St James’ Hospital, Dublin 1 Department of Psychiatry, St. Luke’s Hospital, Kilkenny 2 Institute of Population Health, Trinity College Dublin 36. A STUDY OF THE ATTITUDES AND KNOWLEDGE OF NCHD’S IN 26. MONITORING OF PHYSICAL HEALTH PARAMETERS AT BASELINE PSYCHIATRY REGARDING SUBSTANCE MISUSE AND SUBSTANCE IN SERVICE USERS WITH FIRST EPISODE PSYCHOSIS: AN AUDIT MISUSERS CYCLE DR SADAF KHAN1, DR KIRAN SANTLAL1, ERICA MAGUIRE1, DR MIKE DR PRIYOLA GOUNDEN1, DR ZAHRA LEGRIS2, DR RICHARD SCULLY1 FARRELLY2, DR THERESE O’CARROLL3, DR ROISIN MCCAFFERTY 4, DR 1 National Drug Treatment Centre, Dublin CATHERINE DOLAN5, PROFESSOR AIDAN CORVIN2 37. PSYCHOLOGICAL CO-MORBIDITY IN PHYSICAL CRISIS: THE 1 Central Mental Hospital, Dublin PSYCHOLOGICAL CO-VARIATES OF RECURRENT DIABETIC 2 St. James’s Hospital, Dublin KETOACIDOSIS 3 Mater Misercordiae Hospital, Dublin MR CIARAN KING1 4 Linn Dara Child & Adolescent Mental Health Service, Cherry Orchard 1 National University Ireland, Galway Hospital, Dublin 38. DEPOT ANTIPSYCHOTICS, INPATIENT ADMISSIONS AND 5 Sligo/Leitrim Mental Health Services VIEWS OF SERVICE USERS AND STAFF: A QUALITATIVE AND 27. PHYSICAL RESTRAINT CLINCIAL NOTES RE-AUDIT QUANTITATIVE ANALYSIS DR KIERAN HENNIGAN1, DR ANNE GALLAGHER2 DR PATRICK KIRWAN1, DR MUIREANN NI CHEARTAIGH2, DR BRIAN 1 Sligo Mental Health Services, Sligo O’MAHONY1, DR SINEAD O’BRIEN3, 2 Roscommon Mental Health Service, Roscommon 1 St. Stephen’s Hospital, Glanmire, Cork 28. AUDIT ON RAPID TRANQUILIZATION (RT) PRACTICES IN AN 2 c/o Acute Mental Health Unit, Cork University Hospital ACUTE PSYCHIATRY UNIT - DEPARTMENT OF PSYCHIATRY, ST. 3 St. Mary’s Health Campus, Cork LUKE’S HOSPITAL, KILKENNY 39. ASSESSING ATTITUDES AND PERCEPTIONS TOWARDS MENTAL DR MIR HUSSAIN1, DR MUHAMMAD NADEEM1 ILLNESS AMONG INTERNS: A DESCRIPTIVE CROSS SECTIONAL 1 St. Luke’s Hospital, Kilkenny STUDY PERFORMED IN UNIVERSITY COLLEGE HOSPITAL GALWAY DR ELLEN LAWLOR1, DR ANNE DOHERTY2 1 Department of Respiratory Medicine, University College Hospital, Galway 2 Department of Psychiatry, University College Hospital, Galway

@IrishPsychiatry #psychconf 13 POSTER PRESENTATIONS Continued

40. HIGH DOSE ANTIPSYCHOTIC TREATMENT (HDAT) ESTABLISHING 50. CARING FOR OLDER PEOPLE IN A LONG-STAY PSYCHIATRIC A MONITORING SYSTEM IN A COMMUNITY MENTAL HEALTH SETTING: IMPROVING THE EXPERIENCE OF SERVICE USERS, SERVICE FAMILY MEMBERS AND STAFF DR VALENTINA LODDO1, DR ULTAN MCCAFFREY1, MS JASZMIN DR AYESHA NAZIR1, PROFESSOR HENRY O’CONNELL1, MS ROSALIA SONIA KAUR RUGBER SINGH2, DR ELIZABETH WALSH1 KAVANAGH1, DR MUHAMMAD JAVED1, MS MARGARET DALY1 1Psychiatric Unit, University Hospital Galway 1 St. Fintan’s Hospital, Portlaoise, Co. Laois 2 National University of Ireland Galway 51. AN AUDIT ON THE PROTOCOL FOR PATIENTS WHO DID NOT 41. AUDIT OF THE USE OF DEXA SCANNING IN AN ADOLESCENT ATTEND FOLLOW-UP OUTPATIENT APPOINTMENTS IN CABRA INPATIENT UNIT AND MANAGEMENT OF THE RESULTS COMMUNITY MENTAL HEALTH SECTOR 2014-2015 DR JOANNE MAHER1, DR LOUISA KELLY2, DR AILEEN MURTAGH2 DR MAXWELL OBU1, DR OMERESAN ATSEPOYI-AKPIEYI2 1 Central Mental Hospital, Dublin 1 Central Mental Hospital, Dublin 2 Willow Grove, St Patrick’s Mental Health Services 2 National Drug Treatment Centre, Dublin 42. A CLINICAL AUDIT OF PRESCRIBING FOR SUBSTANCE MISUSE: 52. THE AMYGDALA IN DEPRESSION. MORE THAN THE SUM OF ITS ALCOHOL DETOXIFICATION IN ST. PATRICK’S UNIVERSITY PARTS? HOSPITAL (SPUH) DR AOIFE O’CALLAGHAN1, MS ELENA ROMA1, DR SHANE ROONEY1, DR ART MALONE1, DR BRONAGH GALLAGHER2, DR DAVID WEIR2, DR DARREN RODDY1, PROFESSOR VERONICA O’KEANE1 DR KIM HOPKINS2, MS PAULINA KOWALSKA-BEDA2, DR CONOR 1 Trinity College Institute of Neuroscience 2 2 FARREN , DR MARIE NAUGHTON 53. PREVALENCE OF EXCESSIVE INTERNET USE IN CLINICAL SAMPLE 1 Linn Dara Child & Adolescent Inpatient Unit, Cherry Orchard OF ADOLESCENTS ATTENDING A CHILD AND ADOLESCENT Hospital, Dublin MENTAL HEALTH SERVICE IN IRELAND 2 St Patrick’s University Hospital, Dublin DR CHINWEOKE OHIAERI1, DR KIERAN MOORE2 43. GOALS, HOPES AND EXPECTATION: WHAT DO CHILDREN AND 1 Ginesa Suite, St John of God Hospital, Dublin ADOLESCENTS VALUE IN THEIR MENTAL HEALTH RECOVERY? 2 Wexford South Mental Health Service, Slaney House, Wexford 1 2 3 DR MICHELLE MCCARTHY , DR SARA MCDEVITT , 54. CAN HOME-TREATMENT TEAMS FULFIL AN EFFECTIVE 1 Cork University Maternity Hospital, Cork GATEKEEPING ROLE? 2 HSE National Clinical Lead for Eating Disorders, Eist Linn Child DR BENJAMIN O’KEEFFE1, DR MUTAHIR GULZAR2, DR MELISSA Regional Adolescent Service, Blackrock, Cork GILL2, MR DAN O’CONNOR2, MS HELEN BANNON2, MS LAURA 3 CAMHS Cork/Kerry Community Healthcare, Eist Linn, Blackrock, Cork DUNLOP2, PROFESSOR VINCENT RUSSELL3 44. UTILISATION OF MULTIDISCIPLINARY TEAM RESOURCES BY 1 Finglas Community Mental Health Service, Century Business Park, DIAGNOSIS AND SYMPTOM SEVERITY Finglas, Dublin DR FRANK MCKENNA1, DR AHMAD BASHIR2, DR JOHN 2 Cavan/Monaghan Mental Health Service, Drumlee Business Park, MCFARLAND2 Cavan 1 Cappahard Lodge, Ennis, Co. Clare 3 RCSI Psychiatry, RCSI Education and Research Centre, Beaumont, 2 Acute Psychiatric Unit, Ennis Hospital, Co Clare Dublin 45. EXPLORATORY RESEARCH ON THE USE OF A NOVEL 55. KETAMINE USE FOR MANAGEMENT OF ACUTELY AGITATED PSYCHOACTIVE SUBSTANCE A-PVP (SNOWBLOW) AT THE PATIENTS IN ST. VINCENT’S UNIVERSITY HOSPITAL, EMERGENCY NATIONAL DRUG TREATMENT CENTRE DEPARTMENT DR AJINKYA MEHTA1, DR WILLIAM FLANNERY2 DR JULIA O’LEARY1, DR LOUISA GANNON2, DR SUSAN MOORE2 1St Vincent’s Hospital, Fairview, Dublin 1 Newcastle Hospital, Greystones, Co. Wicklow 2National Drug Treatment Centre, Dublin 2 St. Vincent’s University Hospital, Dublin 46. MENTAL INCAPACITY FOR MEDICAL TREATMENT DECISIONS IN 56. CHARACTERISTICS AND RISK PROFILES OF ABSCONDERS IN AN HOSPITAL INPATIENTS IN TALLAGHT HOSPITAL, DUBLIN AND ACUTE MENTAL HEALTH UNIT IN NORTH CORK MIDLANDS REGIONAL HOSPITAL, PORTLAOISE DR BRIAN O’MAHONY1, DR HARRY DOYLE2, DR PATRICK KIRWAN2 DR RUTH MURPHY1, DR SEAN FLEMING2, PROFESSOR BRENDAN 1 Cork University Hospital, Cork KELLY3 2 St. Stephen’s Hospital, Glanmire, Cork 1 Department of Liaison Psychiatry, Beaumont Hospital, Dublin 57. CHARACTERISTICS OF AN AGING POPULATION IN A GENERAL 2 Department of Medicine, Midlands Regional Hospital, Portlaoise ADULT PSYCHIATRY SETTING 3 Department of Psychiatry, Tallaght Hospital, Dublin DR ROISIN O’SULLIVAN1, DR MARY COSGRAVE2, DR JOHN LYNE1 47. BURNOUT RATES AND THE VIEWS OF NON CONSULTANT 1 Curam Clinic, Swords Community Mental Health Team, Dublin HOSPITAL DOCTORS (NCHD’S) OF WORKING IN THE HSE IN 2 North Dublin Mental Health Service, Ashlin Centre, Beaumont, IRELAND: A MIXED METHODS CROSS-SECTIONAL STUDY Dublin 1 2 DR ANN MARIE MURRAY , DR MIKE MURPHY 58. OUR SMARTPHONE WILL SEE YOU NOW: MOBILE APPLICATION 1 Mental Health Commission, Dublin USE AMONG MENTAL HEALTH PROFESSIONALS 2 Applied Psychology, University College Cork 1 2 DR VISHNU PRADEEP , DR TAREQ ABDEL GHANI 49. AN OVERVIEW OF NEWLY REFERRED CASES TO A DEVELOPING 1 Department of Rehabilitation Psychiatry, St. Joseph’s Hospital, CHILD & ADOLESCENT MENTAL HEALTH SERVICE (CAMHS) IN Limerick BRUNEI DARUSSALAM 2 Child & Adolescent Mental Health Services, Merlin Park, Galway DR SOBIA NASIM1, DR HILDA HO2 59. PHYSICAL HEALTH NEEDS OF PATIENTS WITH SEVERE AND 1 Linn Dara Inpatient Unit, Cherry Orchard Hospital, Dublin ENDURING MENTAL ILLNESS IN A COMMUNITY HIGH SUPPORT 2 Head of Psychiatry Department, RIPAS Hospital, Brunei REHABILITATION HOSTEL 2017 DR MIRAT QARI1, DR ENA LAVELLE1 1 Rehabilitation psychiatry, Ballyfermot Mental Health Centre, Dublin

14 @IrishPsychiatry #psychconf 60. AN UNUSUAL NEUROPSYCHIATRIC PRESENTATION TO THE 67. AUDIT OF FORMAL MENTAL STATE IN PSYCHIATRIC OPD CHART EMERGENCY DEPARTMENT ENTRIES DR MARIA REDAHAN1, DR SUSAN MOORE2, DR JUSTIN KINSELLA2 DR YOSHITO URA1, DR CHIOMA ENE2, DR LORCAN MARTIN1 1 Tallaght Hospital, Dublin 1 St. Loman’s Hospital, Mullingar, Co Westmeath 2 St Vincent’s University Hospital, Dublin 2 St. Dympna’s Hospital, Carlow 61. SYSTEMATIC REVIEW OF THE EFFECTIVENESS OF ART THERAPY 68. SURVEY OF BIPOLAR AFFECTIVE DISORDER REFERRALS IN FOR CHILDREN GALWAY ROSCOMMON COMMUNITY CHILD & ADOLESCENT DR TARA RUDD1, DR IRENE BRAITO2, DR DICLE BUYUKTASKIN3, MR MENTAL HEALTH SERVICE 2011-2015 MOHAMMED AHMED4, DR AISLING MULLIGAN1,4 DR MEMOONA USMAN1, DR DERMOT COHEN2, DR AJU ABRAHAM3 1 Child and Adolescent Mental Health Service, Trim, Co Meath 1 Merlin Park Hospital, Galway 2 University of Pisa, Italy 2 South Galway Child & Adolescent Mental Health Service, Merlin Park 3 Gazi University School of Medicine, Dept. of Child and Adolescent Hospital, Galway Psychiatry, Turkey 3 Department of Psychiatry, Roscommon County Hospital, Roscommon 4 School of Medicine, University College Dublin 69. AUDIT INVESTIGATING ADHERENCE TO MAUDSLEY 62. MEDICAL RECORDS: COMPLETED AUDIT CYCLE PRESCRIBING GUIDELINES FOR ANTIPSYCHOTIC MONITORING IN DR DESHWINDER SINGH SIDHU1, MS HEATHER NESTOR2, MS A SPECIALIST AUTISM SPECTRUM DISORDER SERVICE TASARA ZHOU2, DR HIBERET TESSEMA BELAY2 DR KAREN WHELAN1, DR JANE MCGRATH2, PROFESSOR LOUISE 1 Phoenix Care Centre, Grangegorman, Dublin GALLAGHER1 2 James Connolly Hospital, Blanchardstown, Dublin 1 Department of Psychiatry, Trinity Centre for Health Sciences, St 63. THE ENGAGEMENT OF INTERNS IN INITIATIVES PROMOTING James’ Hospital, Dublin 2 WELL-BEING Beechpark Autism Services, Tallaght, Dublin DR LAUREN SIGGINS1, DR SONYA COLLIER1, DR CARMEL 70. WHO REFERS TO A LIAISON PSYCHIATRY OUT-PATIENT CLINIC? A O’SULLIVAN2, PROFESSOR MARTINA HENNESSY3, DR ANN-MARIE REVIEW OF REFERRALS TO A PSYCHIATRY LIAISON CLINIC OVER O’DWYER1 A ONE YEAR PERIOD 1 Department of Psychological Medicine, St James’ Hospital, Dublin DR MAN CHING (CHRISTOPHER) WONG1, DR LUCY POWER2, 2 Associate Professor, Trinity College Dublin DR HELEN BARRY1, PROFESSOR DAVID COTTER3, DR SIOBHAN 3 Trinity College Dublin MACHALE1, PROFESSOR MARY CANNON3 1 64. IMPLEMENTATION OF OUTCOME MEASUREMENT (HONOS) IN Liaison Psychiatry, Beaumont Hospital, Dublin 2 AN OUTPATIENT PSYCHIATRIC CLINIC IN SLIGO/LEITRIM MENTAL Dermatology Department, Beaumont Hospital 3 HEALTH SERVICE Department of Psychiatry, Royal College of Surgeons in Ireland DR JAMES SWEENEY1, DR DIMITRIOS ADAMIS2 71. A VICIOUS CYCLE: FIVE CASES OF CYCLICAL VOMITING 1 Department of Adult Psychiatry, Mater Misercordiae Hospital, Dublin SYNDROME PRESENTING TO THE LIAISON PSYCHIATRY SERVICE 2 Sligo Leitrim Mental Health Services DR MU’ADZ MOHD ZUBIR1, DR BRENDAN CROSBIE2, DR JOHN 2 65. TARDIVE DYSKINESIA IN COMMUNITY DWELLING PATIENTS COONEY 1 WITH SEVERE AND ENDURING MENTAL ILLNESS IN THE SLIGO St. Patrick’s University Hospital, Dublin 2 AREA: FREQUENCY AND ASSOCIATIONS St James’ Hospital, Dublin DR JASON TAN1, DR FAISAL SALEEM1, DR DIMITRIOS ADAMIS1 1 St. Columba’s Hospital, Ballytivan, Co. Sligo 66. IMPACT OF PEER SUPPORT ON PATIENT RECOVERY AND MENTAL Display Only HEALTH SERVICE UTILISATION “DOES DBT DELIVER?” A STUDY TO ASCERTAIN THE DR EMMANUEL TANYOUS1, DR CONAL DEVLIN2, MS ANN EFFECTIVENESS OF A LOCAL DBT PROGRAM, USING A PRE-POST COLLERAN2, MR DONAL HOBAN3, MR GERARD MURRAY4, DR DESIGN MODEL FOR CLIENTS IN SOUTH KERRY CATCHMENT DOMINIC FANNON3 AREA OF KERRY MENTAL HEALTH SERVICES (KMHS) 1 Mayo University Hospital DR NAVROOP JOHNSON1 2 Galway Roscommon Mental Health Services 1 Sliabh Mis Psychiatry Unit, University Hospital Kerry, Tralee, Kerry 3 Mayo Mental Health Services 4 Ballina Training Centre, Mayo

Acknowledgements: Poster Presentation Selector: Dr Aoibhinn Lynch Poster Presentation Judges: Prof Veronica O’Keane, Dr Helen Keeley and Dr Caragh Behan

CPD: 12.5 External CPD credits overall for the two days Day 1 Thursday: 7 External credits Day 2 Friday: 5.5 External credits

Designed and printed by Snap Dame Street

@IrishPsychiatry #psychconf 15 DATE FOR YOUR DIARY Winter Conference 2018 15-16 November 2018 The Brehon Hotel / INEC – Killarney

College of Psychiatrists of Ireland 5 Herbert Street, Dublin 2 Tel: 01 661 8450 | Fax: 01 685 4291 www.irishpsychiatry.ie

L @IrishPsychiatry #psychconf E&OE – This programme is subject to change at any time.