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Objectives: This paper points out the traditional setting modifica-
tion and how the interpersonal relationship can affect the thera-
peutic dynamics.
Methods: The experience could support the possibility to design
adequate plans to test possible relational potentiality/prospect to
respond to the pandemic emergency. The computer screen repre-
sents a very important new and rich element as “Skype”seems to
have been the most used remote support. The screen plays a filter
and separation function but physically represents the related pres-
ence in a shared timeframe. It is also a “mutual mirror”, reflecting
the exclusive duality and resending to “different”space and time
where the therapeutic relationship acts.
Results: In this way the “analysis room”loses its physical feature to
move towards a new dimension where the subjective experience are
communicated/lived/re-elaborated by the mean of shared visual,
modifyng the codified space of a traditional setting.
Conclusions: The screen is not only a mere vehicle of verbal com-
munication, but fully gets in “hic et nunc”in space relationship
assuming however an allegoric value, that, in the individual subjective,
could go really beyond its “simple”and usual technological function.
Keywords: virtual setting; psychotherapy; covid 19 emergency
EPP0577
Tele-rehabilitation for people with dementia in the
COVID-19 pandemic: A case-study
C. Di Lorito
1
*, C. Duff
2
, C. Rogers
2
, J. Tuxworth
2
, J. Bell
2
,
R. Fothergill
2
, L. Wilkinson
2
, A. Bosco
1
, L. Howe
1
,R.O’Brien
1
,
M. Godfrey
1
, M. Dunlop
1
, V. Van Der Wardt
3
, V. Booth
1
, P. Logan
1
and R. Harwood
4
1
Division Of Rehabilitation, Ageing And Wellbeing, University of
Nottingham, Nottingham, United Kingdom;
2
N/a, Lincolnshire
partnership NHS foundation Trust, Lincoln, United Kingdom;
3
N/a,
University of Marburg, Marburg, Germany and
4
Division Of Social
Sciences, University of Nottingham, Nottingham, United Kingdom
*Corresponding author.
doi: 10.1192/j.eurpsy.2021.927
Introduction: The Promoting Activity, Independence and Stability
in Early Dementia (PrAISED) is delivering an exercise programme
for people with dementia. The Lincolnshire partnership NHS foun-
dation Trust successfully delivered PrAISED through a video-
calling platform during the COVID-19 pandemic.
Objectives: This qualitative case-study identified participants that
video delivery worked for, and highlighted its benefits and challenges.
Methods: Interviews were conducted with participants with demen-
tia, caregivers and therapists, and analysed through thematic analysis.
Results: Video delivery worked best when participants had a sup-
porting carer, when therapists showed enthusiasm and had an
established rapport with the client. Benefits included time-
efficiency of sessions, enhancing participants’motivation, care-
givers’dementia awareness and therapists’creativity. Limitations
included users’poor IT skills and resources.
Conclusions: The COVID-19 pandemic required innovative ways
of delivering rehabilitation. This study supports that people with
dementia can use tele rehab, but success is reliant on having a
caregiver and an enthusiastic and known therapist.
Keywords: Physical Activity; Tele-rehabilitation; dementia;
COVID-19
EPP0578
Mental health mobile apps for patients: Psychiatrists’
concerns.
S. Hanft-Robert
1
*, K. Tabi
2
, H. Gill
2
, A. Endres
2
and R.M. Krausz
2
1
Department Of Medical Psychology, University Medical Center
Hamburg-Eppendorf, Hamburg, Germany and
2
Institute Of Mental
Health, Centre For Health Evaluation And Outcome Sciences,
Department Of Psychiatry, Faculty of Medicine, University of British
Columbia, Vancouver, Canada
*Corresponding author.
doi: 10.1192/j.eurpsy.2021.928
Introduction: The use of mobile apps aimed at supporting patients
with a mental illness is rapidly increasing.
Objectives: The presented results explore psychiatrists’concerns
about mobile apps for patients with a mental illness. These results
are part of a larger study that examines psychiatrists’attitudes
regarding the use and development of mobile apps.
Methods: In the qualitative exploratory study, semi-structured
interviews were conducted with 18 psychiatrists in Czech Republic,
Austria, and Slovakia. Psychiatrists were recruited via snowball
sampling. The interviews were digitally recorded, transcribed ver-
batim, translated into English, and content analyzed using deduc-
tive and inductive category development.
Results: There were mixed feelings regarding mobile apps for
patients with mental illness. While psychiatrists emphasized certain
benefits (e.g. increasing patients’treatment motivation and engage-
ment), several concerns were also expressed, especially by psychi-
atrists who were generally unfamiliar with mobile apps. They feared
being replaced; were afraid that patients would act as their own
doctors, thereby damaging their health; stressed that mobile apps
could not respond or be tailored to an individual the same way
psychiatrists could tailor treatment to a patient.
Conclusions: The psychiatrists who were more likely to have
concerns about mental health apps were those who were generally
unfamiliar with the apps and/or thought the apps aim to replace,
rather than support, face-to-face treatment. Thus, clinicians and
patients should be familiarized with the use of such mobile apps and
educated on how they could support the face-to-face treatment.
Keywords: mobile apps; psychiatry; mental health; concerns
EPP0580
Telehealth in children’s psychiatric services
O. Shchedrinskaya*, M. Bebtschuk and O. Khairetdinov
Science, Moscow State Budgetary Health Care Institution “Scientific
and Practical Center for Mental Health of Children and Adolescents
named after G.E.Sukhareva of Moscow Health Department, Moscow,
Russia, Moscow, Russian Federation
*Corresponding author.
doi: 10.1192/j.eurpsy.2021.929
Introduction: Covid-19 intensified public demand for telehealth
services in child psychiatry. The shift towards online services raised
concerns related to safety and quality of services.
Objectives: The objective of the study was to explore outcomes and
perceptions regarding psychiatric telehealth services from the
patients’and professionals’perspectives.
S346 E-Poster Presentation
https://doi.org/10.1192/j.eurpsy.2021.928 Published online by Cambridge University Press
