Building an ECT Service: An Outcomes-Equivalent Approach

Little, John; Munday, Jo; Atkins, Martin

doi:10.1080/j.1440-1665.2005.02177.x

Cited by 2 publications

(4 citation statements)

References 31 publications

(34 reference statements)

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“…In the meeting, all aspects of the service and treatment are discussed and reviewed, and biannual audits of the ECT register are undertaken. Having dedicated personnel with an interest in ECT is argued to lead to the development of speciality practice within this area, with enthused and committed personnel driving and sustaining change (Little et al 2005). There was evidence that the organization of the ECT service and the ECT committee was consistent with sections 18.4 and 18.5 (Administrative Issues) of the RANZCP's (2007) guidelines.…”

Section: Ect Committeementioning

confidence: 99%

Section: Ect Committeementioning

confidence: 99%

“…Standardized data collection is argued to be an integral component of any ECT service undertaking quality review and service development (Little et al . 2005), and thus, is an essential starting point for service review.…”

Section: Introductionmentioning

confidence: 99%

“…A national audit of ECT demographics, standards, and outcome in Scotland arose from public concern over the lack of available data regarding its administration (Ferguson et al 2004), while an audit of ECT service provision in New Zealand highlighted that few sites complied with detailed and statistical data recording (New Zealand Ministry of Health 2005). Attempts have been made to minimize such variations in service organization and delivery, with recommendations that ECT services primarily become outcome focused and facilitate behaviours that promote and evaluate these approaches (Little et al 2005).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of an electroconvulsive therapy service in a general hospital

Lamont¹,

Brunero²,

Barclay

et al. 2011

International Journal of Mental Health Nursing

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There has been much recent literature on the technical parameters of electroconvulsive therapy (ECT) with regard to improving efficacy and minimizing adverse effects, but relatively little on ECT service delivery. This paper will discuss the development and characteristics of an ECT service at a teaching hospital in metropolitan Sydney, New South Wales, Australia. A mixture of qualitative and quantitative methods, including a selective literature review and audit of ECT use were used. The results of the audit were compared with the 2007 revision of the Royal Australian and New Zealand College of Psychiatrists' clinical memorandum on ECT. We discuss issues, such as the optimal site for ECT delivery, ECT mental health nurse coordinator role, credentialing of psychiatrists, registrar supervision, and the development of an ECT committee. A significant finding of the audit was that the majority of patients were treated under the New South Wales Mental Health Act, and voluntary patients were more likely to have a diagnosis of a depressive disorder, whereas involuntary patients were more likely to have a non-mood disorder diagnosis. This study has shown that auditing of ECT practices and services by mental health nurses is essential for quality improvement processes. The audit highlighted areas of service delivery that should be subject to review and evaluation against professional standards.

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Section: Ect Committeementioning

confidence: 99%

Section: Ect Committeementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of an electroconvulsive therapy service in a general hospital

Lamont¹,

Brunero²,

Barclay

et al. 2011

International Journal of Mental Health Nursing

View full text Add to dashboard Cite

show abstract

The Psychiatric Neuromodulation Unit

Sauvaget

Poulet

Mantovani³

et al. 2018

J ECT

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The proven effectiveness of neuromodulation and stimulation techniques for the management of psychiatric disorders has brought strongly needed innovation in psychiatry, given the high prevalence and high costs of treatment resistance. Although evidence-based guidelines in neuromodulation have been implemented to improve the clinical efficacy, safety, and research procedures, practical suggestions on how to design a psychiatric neuromodulation unit (PNU) are not available in the scientific literature. In this contribution, we have combined the results of a literature search with the suggestions of clinical psychiatrists, managers, and bioethicists who have had firsthand experience in building a PNU. Eleven key issues concerning the implementation and management of a PNU were identified: general context, team composition, environment, basic technical equipment, clinical versus research activities, target clinical population, education and training, interdisciplinarity, ethical aspects, regulatory and reimbursement issues, fund-raising, and partnership development. Moreover, a business plan comprising pragmatic solutions and recommendations for designing an efficient PNU was laid out.

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Building an ECT Service: An Outcomes-Equivalent Approach

Abstract: ECT is a changing field. Remaining true to the core principles of clinical practice, patient selection and technique, provides a basis for beginning, continuing and further developing an effective ECT service.

Cited by 2 publications

References 31 publications

Evaluation of an electroconvulsive therapy service in a general hospital

Evaluation of an electroconvulsive therapy service in a general hospital

The Psychiatric Neuromodulation Unit

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