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Implementing the Royal College of Psychiatrists' guidelines for the practice of electroconvulsive therapy

  • Guy Brookes (a1), John Rigby (a2) and Richard Barnes (a3)
Abstract
Aims and Method

To implement the Royal College of Psychiatrists' guidelines for the practice of electroconvulsive therapy (ECT) and measure the impact of such implementation on the quality of treatment. Treatment of ECT for periods of six months before and after implementation of the guidelines were studied. The effect on producing adequate treatments and the actions taken by the administrating doctor were noted.

Results

Once the guidelines were in place there was a slight improvement in the proportion of treatments considered therapeutic and the doctor was more likely to take appropriate action following an inadequate treatment. However, it was also clear that despite the guidelines being available they were not followed in a significant number of instances.

Conclusions

Implementation of the guidelines is not easy and there needs to be considerable effort to ensure they are used. When they are followed there is an improvement in the practice of ECT.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Duffett, R. & Lelliott, P. (1998) Auditing electroconvulsive therapy. The third cycle. British Journal of Psychiatry, 172, 401405.
Pippard, J. (1992) Audit of electroconvulsive treatment in two NHS regions. British Journal of Psychiatry, 160, 621637.
Pippard, J. & Ellam, L. (1981) Electroconvulsive treatment in Great Britain: a report to the College. British Journal of Psychiatry, 139, 563568.
Royal College of Psychiatrists (1994) Electroconvulsive Therapy (ECT). The Official Video Teaching Pack of the Royal College of Psychiatrists Special Committee on ECT. London: Royal College of Psychiatrists.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Implementing the Royal College of Psychiatrists' guidelines for the practice of electroconvulsive therapy

  • Guy Brookes (a1), John Rigby (a2) and Richard Barnes (a3)
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