Capacity, consent and electroconvulsive therapy: A qualitative and cross-sectional study

Hotopf, Matthew; Laird, Bee; Singh, Ilina; Churchill, Rachel; David, Anthony S.; McLoughlin, Declan M.; Richardson, Genevra; Szmukler, George

doi:10.1080/09638230701879128

Cited by 3 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 Hotopf et al commented that mental capacity based mental health legislation in the United Kingdom could limit the use of compulsory ECT to some individuals refusing treatment. 6…”

mentioning

confidence: 99%

An evaluation of the practice of electroconvulsive therapy (ECT) in a Victorian health service before and after the Mental Health Act 2014

Lee

George²,

Price³

et al. 2020

Australas Psychiatry

View full text Add to dashboard Cite

Objective: The aim of the project was to identify changes in the practice of electroconvulsive therapy (ECT) in a metropolitan mental health service before and after the Mental Health Act 2014 (2014 Act) in Victoria. Method: Retrospective clinical file audit of ECT administration across all three sites at Eastern Health (EH) two years before and two years after introduction of the 2014 Act. Results: There was a statistically significant decrease in the number of compulsory ECT treatments and in the number of patients who had compulsory ECT across the three hospitals at EH in the two years following the 2014 Act compared to the two years prior to the 2014 Act. There was no significant difference in the number of voluntary ECT treatments and in the number of patients who had voluntary ECT. Conclusion: The review showed that there has been a significant decrease in the number of compulsory ECT treatments and in the number of patients who had compulsory ECT after the introduction of the 2014 Act. Potential reasons for the changes are discussed.

show abstract

“…5 Hotopf et al commented that mental capacity based mental health legislation in the United Kingdom could limit the use of compulsory ECT to some individuals refusing treatment. 6…”

mentioning

confidence: 99%

An evaluation of the practice of electroconvulsive therapy (ECT) in a Victorian health service before and after the Mental Health Act 2014

Lee

George²,

Price³

et al. 2020

Australas Psychiatry

View full text Add to dashboard Cite

show abstract

“…4 During the debate in the United Kingdom about mentalcapacity-based mental health legislation Hotopf et al, wrote that this could limit the use of compulsory ECT to some individuals refusing treatment. 5 The objective of the audit was to review the change in utilization of ECT in Eastern Health (a metropolitan health service) 2 years before the 2014 Act and 2 years after the 2014 Act. There was a reduction in the number of compulsory patients receiving ECT from 266 to 121 (54%) during the 12 months following the implementation of the new Mental Health Act 2014.…”

Section: During Legislation Of the New South Wales Mental Hill Bill 2mentioning

confidence: 99%

“…4 During the debate in the United Kingdom about mental-capacity-based mental health legislation Hotopf et al, wrote that this could limit the use of compulsory ECT to some individuals refusing treatment. 5…”

mentioning

confidence: 99%

An audit of the practice of electroconvulsive therapy (ECT) in a Victorian Health Service before and after the Mental Health Act 2014

Lee¹

2019

Australas Psychiatry

View full text Add to dashboard Cite

show abstract

“…As such, ECT is often given to severely ill patients with a related loss of decision-making capacity. 2 Impaired capacity is often associated with severe mental illness. In one study 6 0 % of psychiatric inpatients lacked capacity to make treatment decisions, with rates varying from 4 % in those with a diagnosis of personality disorder to 9 7 % in people with mania.…”

mentioning

confidence: 99%

Electroconvulsive therapy, capacity and the law in Ireland

Dunne

Kavanagh

McLoughlin

2009

Ir. j. psychol. Med.

View full text Add to dashboard Cite

The Mental Health Act (MHA) 2001 has major implications for treating patients with electroconvulsive therapy (ECT), especially as those referred for treatment are among the most severely ill and often lose capacity. Under the MHA 2001, a person may only be treated without consent if they are an involuntary patient. However, there is no provision in the Act for treating voluntary inpatients whose mental state has deteriorated but who do not seek to leave hospital. Such people may lack capacity to make treatment decisions but be passively compliant.The Wards of Court system is currently the only legal recourse but has been criticised by the Law Reform Commission and is unwieldy. Further legislation governing treatment of people lacking capacity to consent to ECT or withhold consent is required to protect and advance treatment of all concerned.

show abstract

Capacity, consent and electroconvulsive therapy: A qualitative and cross-sectional study

Cited by 3 publications

References 8 publications

An evaluation of the practice of electroconvulsive therapy (ECT) in a Victorian health service before and after the Mental Health Act 2014

An evaluation of the practice of electroconvulsive therapy (ECT) in a Victorian health service before and after the Mental Health Act 2014

An audit of the practice of electroconvulsive therapy (ECT) in a Victorian Health Service before and after the Mental Health Act 2014

Electroconvulsive therapy, capacity and the law in Ireland

Contact Info

Product

Resources

About