New figures show doctors give 1,300 ECT treatments
every week
David Brindle, Social Services Correspondent
Saturday October 2, 1999
The Guardian
Doctors are administering 1,300 treatments a week of the controversial
ECT treatment for depressive illness, government figures revealed last
night.
Results of a keenly awaited survey of the extent of electro-convulsive
therapy show that 2,800 people - two-thirds of them women - were given
the treatment during the first three months of this year. Of 700 patients
treated while detained under mental health law, 59% were given ECT
without their consent.
The findings, released by the department of health, are certain to trigger
fresh argument over the safety and effectiveness of the treatment, by which
patients are given an electric shock to cause a therapeutic seizure.
Judi Clements, chief executive of mental health charity Mind, said: "This
confirms our grave concerns about the extent to which ECT is still being
administered, particularly to older women and particularly without
consent."
The figures emerged 24 hours after the government published new standards
to improve mental health care, including greater rights for people with
mental illness and more openness in treatment.
The statistics are the first collected since 1991 when treatments were
running at a rate of about 2,000 a week. Although direct comparison is
difficult, the trend is clearly down. According to the new figures, which
cover both NHS and private hospitals, almost 68% of patients given ECT are
women and more than 40% are over 65.
Robert Kendell, president of the Royal College of Psychiatrists, said women
were more likely to get the treatment because they suffered more
depression.
Older people were more likely because they were more prone to side effects
of drugs, the main alternative, or were more resistant to them through
repeated prescription.
"Use of ECT has been declining steadily ... since the 1950s, but it is still by
far the most effective treatment for severe depression," Dr Kendell said.
Opponents of ECT use say it often causes memory loss and can have worse
effects. A survey by ECT Anonymous, a pressure group, found that of 500
people complaining about adverse effects, 87% had felt pressured into
having the treatment.The college of psychiatrists has itself previously
warned of poor training and supervision of doctors administering ECT, as
well as inadequate facilities and outdated equipment.
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