Out on PubMed today is an article from colleagues at Yale and the Medical College of Georgia about the ECT consent process for minority patients: 

Achieving Equity in Informed Consent: A Culturally-Informed Perspective for the Consideration and Consent of Minority Patients for Electroconvulsive Therapy.
Parker CB, McCall WV, Rosenquist P, Cortese N, Spearman-McCarthy EV.
Am J Geriatr Psychiatry. 2020 Apr 2. pii: S1064-7481(20)30273-6. doi: 10.1016/j.jagp.2020.03.009. [Epub ahead of print]
PMID:
 
32321667

The pdf is here.

This important commentary reminds us that minority patients are underrepresented in ECT populations
and that a culturally informed perspective on the part of the ECT team is needed in the informed consent
process for minority patients, particularly geriatric minority patients.

In the words of the authors:

What is the meaning of the finding?  — Reducing healthcare disparities for elderly minority patients in ECT requires clinicians to validate the unique lived experiences of medical injustice that elderly minorities have faced in order to become more trustworthy of their consent before, during, and after treatment.

Comments

  1. Thank you for sharing our work with your larger audience! I began writing this article while yet a resident at the Medical College of Georgia. As a vocal and proud black psychiatrist, I view myself as somewhat of a cultural translational scientist. Health equity often instructs providers to treat all patients the same. However, I hope this work will share with the medical community how health equity sometimes requires clinicians to honor the ways in which we are different.

    Thanks to all! Please never hesitate to reach out to me if I may be of assistance.

    Carmen Black Parker
    carmen.parker@yale.edu

    ReplyDelete

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