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A second independent audit of electroconvulsive therapy in England, 2019: Usage, demographics, consent, and adherence to guidelines and legislation by John Read; Christopher Harrop; Jim Geekie; Julia Renton; Sue Cunliffe is a Psychology article available to read on EtoBox.

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## Objectives To assess progress towards improving the administering of electroconvulsive therapy (ECT) in England since an audit covering 2011, 2013, and 2015. The same information was gathered, for 2019, on usage, demographics, consent, and adherence to national guidelines and the Mental Health Act. ## Design and Methods Freedom of Information Act requests were sent to 56 National Health Service Trusts. ## Results Thirty‐seven trusts (66%) provided data. The gradual decline in the use of ECT in England has levelled off at about 2,500 people per year. There was a 47‐fold difference between the Trusts with the highest and lowest rates per capita. Most recipients are still women (67%) and over 60 (58%). Only one Trust could report how many people received psychological therapy prior to ECT, as required by government (NICE) guidelines. More than a third of ECT (37%) is still given without consent, with 18% of Trusts non‐compliant with legislation concerning second opinions. There were slight declines, compared to a previous audit, in the use of standardized depression scales, down to 30%, and standardized measures of cognitive dysfunction, down to 24%. Only six Trusts provided any da

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Author

John Read; Christopher Harrop; Jim Geekie; Julia Renton; Sue Cunliffe

Publisher

Wiley

Published

2021

Language

EN

Field

Psychology (Social Sciences)