The methodology of scientific method can be sometimes difficult to understand and implement in psychiatry. Different tools exist to help this process by collecting and interpreting data but they can sometimes be quite expensive. Here we will present free and open source softwares that help to communicate but also randomize, collect, interpret and publish data. These tools can be easily reused and shared. That could improve validity and reproducibility of scientific research. In order to be interactive, we will involve the participants in the collection of the data of a prototypical scientific study, an international cake testing database! (http://bit.ly/cakereport) We will see a study protocol and how we can pregister this protocol defining the primary outcome. Here what is the best cookie from 2 different brands? We will discuss the issue of sample selection. Who will taste the cookies? Randomizer.org will help us to attribute a condition (cookie A or B) to each subject. Limesurvey helps to run easy online surveys. What did you think about each characteristic of your cookie? R helps to analyse and plot the data. What the mean score? How to plot the results? Is the difference significant? GitHub helps to publish publicly or not our data and analysis script. ArXiv systems helps to publish early works and manuscripts before publication. Equator-network.org can give guidelines that could help to write scientific articles. We can promote our work then on wikipedia and discuss what are the advantages and issues to promote your own work on wikipedia.

Proposed by the EPA Section on Addictive Behaviours - Motivational interviewing is defined as a patient-centered and collaborative approach that guides people to initiate and maintain a strategy of behaviour change through the resolution of their ambivalence. This approach has become in the last decades the golden standard to manage addictions as opposed to classic confrontational models. Different meta-analysis, have demonstrated its moderate but robust effect in improving both adherence to treatment and addictive behaviours. Brief interventions have proven its efficacy in primary health settings, to help patients reduce their drug use, specially concerning alcohol and tobacco. Motivational adaptations of those brief counselling interventions have been developed and tested in recent years. In this course, attendees will receive training on how to use brief motivational interventions (BMI) with patients suffering addictive disorders in the Emergency Room. The course will address the following topics: •How to identify which clinical situations are, and are not, suitable for a brief intervention •Key elements of a successful brief motivational intervention •Barriers (and how to overcome them) to deliver BMI in the Emergency Room •Elements that influence adherence to treatment and successful referral •Review of the existing scientific evidence The course will be very interactive. Videos, group dynamics, and role playing techniques will be used. At the end of the course, trainees should be able to: •Identify when a BMI is suitable •Know the theoretical principles of BMI •Be able to deliver consistent BMI to patients in need •Understand key elements for a successful referral

Ethics (from the Greek ‘εiks: the best way to behave”) is, according to the Oxford dictionary “the branch of knowledge that deals with moral principals”. Moral principles govern a person’s behaviour. Aristotle held “virtues” as the guiding principal, Kant “duty”, whereas utilitarianism stipulates that the “guiding principal” should be “the greatest happiness or benefit of the greatest number”. In medicine ethics are based on the Hippocratic oath, nowadays expressed in the “Declaration of Geneva” (2017). Two moral principles in this medical oath are crucial: - respect for the autonomy of the patient and their safety (in a broad sense: both physical and intellectual (privacy). In clinical practice, medical doctors struggle, on daily basis, with dilemmas around these themes. What to do, if there are appropriate treatments but the patient declines them or cannot express his will? When a patient expresses a wish to die or asks their doctor to refrain from treatment this is particularly challenging. In cases of cancer, few will doubt that the doctor should abide by the patient’s wishes. In psychiatry the doctor will struggle with the dilemma of whether the patient understands what they ask for and its consequences, particularly if it appears to be suicidal ideation? In other words, does the patient have capacity to oversee the consequences of his ideas, are they an autonomous agent? These themes will be explored and discussed in the groups or subgroups, using case vignettes.

Scientific research is essential in improving care of patients with mental health problems. European Psychiatry is the official journal of the European Psychiatric Association and is published since 1986 with the aim to improve the lives of patients with psychiatric disorders and to promote professional excellence through education and research. The course will provide essential information on how to write and successfully publish a paper in European Psychiatry. The teachers of the course are the two editors of the journal who will actively interact with participants in order to improve their writing skills. In particular, during the course, participants will be invited to discuss their experience with scientific journals and will be provided with practical suggestions on how to write good papers. Participants will be guided through the journey of publication from the hypothesis-based approach to Editor’s expectations until acceptance of manuscripts.

Proposed by the EPA Section on Old Age Psychiatry - Depression is the most frequent mental disorder also in the elderly population and it is soften unrecognized and untreated. Compared to other age groups, there are differences in risk factors, symptomatology, comorbidity, differential diagnosis and management. In the course epidemiology and risk factors will be presented. Diagnosis will be discussed with special focus on the differential diagnosis to grief, dementia and anxiety disorders. Sleep problems and suicidality will deserve special attention. Regarding therapy relevant modifications of drug therapy and psychological therapies will be presented. The different types of psychotherapy for elderly (schema based therapy, psychodynamic psychotherapy, cognitive behavioral therapy) will be discussed. We also discuss neuromodulation therapies, ECT, and exercise. The management in the presence of physical disability or in special settings requires tailored interventions. Case vignettes regarding diagnosis and therapy are discussed.

Proposed by the EPA Section on Old Age Psychiatry -Prescribing Psychotropics can often be challenging in old age because of several aging-specific parameters (changes in pharmacokinetics/pharmacodynamics, frequent polypharmacy increasing the risk of drug interactions and iatrogeny, higher sensitivity to side effects, frequent comorbidities). In addition, clinical presentations of psychiatric disorders differ in old age. Moreover, psychiatric symptoms in old age can be more easily misidentified because of the importance of psycho-somatic comorbidities as well as the neurocognitive disorders that could likely lead to anosognosia, lack of insight and difficulties in verbal expression. The course will present the following aspects: -presentation of the main psychiatric domains and diseases in old age and their specificities compared to younger adults (recent classifications and diagnostic criteria) -presentation of behavioral and psychologic symptoms associated to neurocognitive disorders and psycho-somatic comorbidities -specificities and indications of psychotropics in old age: pharmacokinetics/pharmacodynamics, drug interactions, dosage, side effects, prescribing duration, indications, managing with the lack of international guidelines in the daily practice -presentation of non pharmacological therapeutic : Information and Communication Technologies (serious gaming, virtual reality, connected devices), other therapies (CBT, music therapy, olfactotherapy..)

Mental illness is associated with high burden of disease and it has severe individual and societal consequences. It will be of immense value to be able to intervene in risk groups identified before onset of psychosis and other severe psychiatric disorders. In first episode psychosis, early Intervention services with team-based intensive case management and family involvement are superior to standard treatment in reducing psychotic and negative symptoms and comorbid substance abuse and improving social functioning and user satisfaction. As an introduction, the results of the OPUS-trial will be presented together with meta-analyses based on similar trials. The basic principles for working in an early intervention team will be presented and discussed. Involving families is a cornerstone in early intervention. Family involvement can be in many different formats, depending on the needs and preferences of the patients and the relatives. The multifamily group approach will be presented with vignettes and tried out in role plays. The implementation of OPUS all over Denmark will be presented together with the Danish OPUS-fidelity study.