The journal of ECT · 2025
Legislation Limiting Access to Electroconvulsive Therapy Is Increasing-A Call for Reasonable and Evidence-Based Legislation.
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Beydler Emily M, Katzell Lauren M, Dragonetti Joseph, Ortiz Nicholas
Аннотация
INTRODUCTION: There is an increasing body of legislation that limits access to electroconvulsive therapy (ECT) with a relative lack of directives and recommendations from psychiatrists regarding these laws.
METHODS: The authors utilized LexisNexis to examine newer legislation related to various aspects of ECT and the implications of these laws in ECT treatment.
RESULTS: These laws include regulations regarding informed consent, age restrictions, and approved practitioners. All but one of these enacted laws are restrictive.
DISCUSSION: Such laws reduce the availability of this life-saving treatment for patients, with little to no base in medical evidence, and in some cases, clear inaccuracies written by lawmakers with no medical training. This is a call for advocacy for laws to be based on medical facts to protect and reduce mortality for some of our most vulnerable patients.
METHODS: The authors utilized LexisNexis to examine newer legislation related to various aspects of ECT and the implications of these laws in ECT treatment.
RESULTS: These laws include regulations regarding informed consent, age restrictions, and approved practitioners. All but one of these enacted laws are restrictive.
DISCUSSION: Such laws reduce the availability of this life-saving treatment for patients, with little to no base in medical evidence, and in some cases, clear inaccuracies written by lawmakers with no medical training. This is a call for advocacy for laws to be based on medical facts to protect and reduce mortality for some of our most vulnerable patients.