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A focus group study of Indian psychiatrists’ Views on electroconvulsive therapy under India’s mental healthcare Act 2017: ‘The ground reality is different’

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dc.contributor.author Duffy, Richard M.
dc.contributor.author Gulati, Gautam
dc.contributor.author Paralikar, Vasudeo
dc.contributor.author Kasar, Niket
dc.contributor.author Goyal, Nishant
dc.contributor.author Desousa, Avinash
dc.contributor.author Kelly, Brendan D.
dc.date.accessioned 2020-04-22T09:48:29Z
dc.date.available 2020-04-22T09:48:29Z
dc.date.issued 2019
dc.identifier.uri http://hdl.handle.net/10344/8752
dc.description peer-reviewed en_US
dc.description.abstract Background: India’s Mental Healthcare Act, 2017 (MHCA) greatly restricts the use of electroconvulsive therapy (ECT) in minors and bans unmodified ECT. Indian psychiatrists have raised concerns that these measures may deprive certain patients of life‑saving treatment. This study describes the perspectives of Indian psychiatrists on how ECT is dealt with in the legislation. Methods: We conducted nine focus groups in three Indian states. We explored the positive and negative implications of the MHCA and discussed its implementation, especially in relation to ECT. Results: Many of the themes and concerns commonly discussed in relation to ECT in other jurisdictions are readily apparent among Indian psychiatrists, although perspectives on specific issues remain heterogeneous. The one area of near‑universal agreement is Indian psychiatrists’ affirmation of the effectiveness of ECT. We identified three main areas of current concern: the MHCA’s ban on unmodified ECT, ECT in minors, and ECT in the acute phase. Two broad additional themes also emerged: resource limitations and the impact of nonmedical models of mental health. We identified a need for greater education about the MHCA among all stakeholders. Conclusion: Core concerns about ECT in India’s new legislation relate, in part, to medical decisions apparently being taken out of the hands of psychiatrists and change being driven by theoretical perspectives that do not reflect “ground realities.” Although the MHCA offers significant opportunities, failure to resource its ambitious changes en_US
dc.language.iso eng en_US
dc.publisher Medknow Publications en_US
dc.relation.ispartofseries Indian Journal of Psychological Medicine;41,6
dc.subject Electroconvulsive therapy en_US
dc.subject human rights en_US
dc.subject India en_US
dc.subject jurisprudence en_US
dc.title A focus group study of Indian psychiatrists’ Views on electroconvulsive therapy under India’s mental healthcare Act 2017: ‘The ground reality is different’ en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.4103/IJPSYM.IJPSYM_247_19
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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