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

2019 ◽  
Vol 27 (2) ◽  
pp. 197-197
Author(s):  
Jia Lin Lee
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Electroconvulsive Therapy ◽  
Mental Health Act ◽  
Before And After

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

2020 ◽  
Vol 28 (3) ◽  
pp. 279-285 ◽  
Author(s):  
Jia L Lee ◽  
Kuruvilla George ◽  
Leah Price ◽  
Jeremy Couper
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Electroconvulsive Therapy ◽  
Eastern Health ◽  
Mental Health Act ◽  
Number Of Patients ◽  
Significant Difference ◽  
Before And After ◽  
Clinical File

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.

Effect of recent changes to the Mental Health Act 1983 on sections and appeals: possible unintended consequences

2011 ◽  
Vol 35 (8) ◽  
pp. 305-307 ◽  
Author(s):  
Tom Walker-Tilley ◽  
Tim Exworthy ◽  
Martin Baggaley ◽  
Laura Wilkinson ◽  
Ramin Nilforooshan
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Unintended Consequences ◽  
Clinical Implications ◽  
Mental Health Act ◽  
Before And After

Aims and methodWe examined the effect on civil sections and the rate of appeals against them of the amendments made to the Mental Health Act 1983 as a result of the Mental Health Act 2007. We gathered data for the year before and after the introduction of these changes.ResultsWe found increased use of Section 2 (56.8% before and 65.8% after (P < 0.001)) and decreased use of Section 3 (39.5% before and 31.2% after (P < 0.001)). The number of appeals against civil sections decreased (697 before and 692 after) but there was an 8.0% increase in the proportion of appeals to mental health tribunals. There was a decrease in admissions under these sections (817 before and 733 after).Clinical implicationsThese changes may be unintended consequences of the new law, resulting in increased workloads for psychiatrists and costs to the National Health Service.

scholarly journals Trends in the administration of electroconvulsive therapy in England

2009 ◽  
Vol 33 (2) ◽  
pp. 61-63 ◽  
Author(s):  
David Bickerton ◽  
Adrian Worrall ◽  
Robert Chaplin
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Electroconvulsive Therapy ◽  
National Health ◽  
Clinical Implications ◽  
Mental Health Act ◽  
Number Of Patients

Aims and MethodWe measured the use of electroconvulsive therapy (ECT) over 3 months in England in 2006 and compared that with studies from 1999 and 2002. Questionnaires were completed by hospital ECT staff and returned by post with data collected prospectively on ECT use from National Health Service organisations.ResultsTwo-thirds (56 of 76) of the trusts providing ECT at 109 clinics responded. the number of clinics providing ECT and the number of patients receiving ECT has declined. There has been an increase in the proportion of people receiving ECT when detained under the Mental Health Act 1983.Clinical ImplicationsThe number of ECT clinics is likely to continue to decrease and psychiatrists may have decreasing experience of treating patients with ECT.

The frequency of references to decision-making capacity in reports to the NSW Mental Health Review Tribunal did not change after legislative reforms that promoted them

2020 ◽  
Vol 28 (2) ◽  
pp. 171-174
Author(s):  
Tim Foley ◽  
Christopher J Ryan
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Education Campaign ◽  
Mental Health Act ◽  
Decision Making Capacity ◽  
Before And After ◽  
Legislative Reforms ◽  
The Impact ◽  
Health Review

Objective: To assess the impact of a 2015 reform to the Mental Health Act 2007 (NSW) ( MHA) that was interpreted as requiring a reference to decision-making capacity (DMC) in reports to the NSW Mental Health Review Tribunal (MHRT). Method: A sample of reports to the MHRT were audited for references to the MHA’s treatment criteria and DMC in periods before and after the reforms, and the frequency of references between the two periods was compared. Results: The frequency of references to DMC did not change significantly after the reforms. (However, references to the ‘least restriction’ criterion increased markedly between the two periods). Conclusion: Despite legislative reforms and a supporting education campaign promoting the importance of consideration of DMC, references to DMC did not increase after the reforms.

scholarly journals Generic clozapine: outcomes after switching formulations

2006 ◽  
Vol 189 (2) ◽  
pp. 184-185 ◽  
Author(s):  
Carol Paton
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Clinical Outcomes ◽  
Clinical Global Impression ◽  
Severity Of Illness ◽  
Clinical Deterioration ◽  
Change Scores ◽  
Before And After ◽  
The Uk

SummaryTwo generic preparations of clozapine have been licensed in the UK. The bioequivalence of these products compared with Clozaril® has not been unequivocally demonstrated. Clinical equivalence has also been questioned. The objective of this study was to determine clinical outcomes for all patients switched from Clozaril® to a generic formulation in one mental health service. We examined dosage data and Clinical Global Impression (CGI) of Severity of Illness scores for 337 patients before and after the switch and CGI change scores after the switch. There was no evidence of clinical deterioration or need to use higher dosages. Generic clozapine is not inferior to Clozaril®.

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