Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cost reduction with maintenance ECT in refractory bipolar disorder

C Bonds1, M A Frye, M F Coudreaut

  • 1UCLA Neuropsychiatric Institute, UCLA School of Medicine Department of Psychiatry and Biobehavioral Sciences, USA.

The Journal of ECT
|July 14, 1998
PubMed
Summary

Outpatient maintenance electroconvulsive therapy (ECT) offers a safe and effective treatment for bipolar I disorder, significantly reducing healthcare costs compared to inpatient care. This approach provides substantial savings while maintaining patient stability.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Family History and Solar Insolation in Bipolar I Disorder.

Acta psychiatrica Scandinavica·2026
Same author

Gut microbiome metagenomic sequences of honey bees (<i>Apis mellifera</i>) exposed to crops.

Microbiology resource announcements·2025
Same author

Quality-of-Life Analysis of a Phase II Randomised Controlled Trial Comparing Three-Dimensional Conformal Radiotherapy and Intensity-Modulated Radiotherapy in Locally Advanced Rectal Cancer.

Clinical oncology (Royal College of Radiologists (Great Britain))·2024
Same author

Supercharging collaboration for bipolar research-Breakthrough discoveries for thriving with bipolar disorder (BD<sup>2</sup> ).

Bipolar disorders·2023
Same author

Spatial association of homicide rate with violence, sociodemographic, and public security factors: global burden of disease study 2018 for municipalities in Brazil.

Public health·2023
Same author

Mortality by road transport injury in Brazilian municipalities between 2000 and 2018.

Public health·2023

Area of Science:

  • Psychiatry
  • Neurology
  • Health Economics

Background:

  • Bipolar I disorder often presents treatment-resistant depression despite trials of conventional pharmacotherapy.
  • Electroconvulsive therapy (ECT) is an established treatment for severe mood disorders.
  • Outpatient maintenance ECT models are less commonly reported, particularly for long-term management.

Observation:

  • A case report details a patient with treatment-refractory bipolar I disorder managed with outpatient maintenance electroconvulsive therapy (ECT).
  • The patient demonstrated significant clinical improvement and stabilization on the outpatient maintenance ECT regimen.
  • A comprehensive life chart documented previous failed medication trials, underscoring the patient's refractory status.

Findings:

  • Outpatient maintenance ECT proved safe and efficacious for this patient with bipolar I disorder.

Related Experiment Videos

  • A cost comparison revealed substantial healthcare cost reductions by utilizing outpatient maintenance ECT versus inpatient hospitalization for ECT.
  • The treatment successfully stabilized the patient, avoiding recurrent hospitalizations.

    • Implications:

    • Outpatient maintenance ECT presents a viable, cost-effective alternative for managing select patients with treatment-resistant bipolar disorder.
    • This model demonstrates potential for significant healthcare resource optimization in psychiatric care.
    • Further research into the long-term safety, efficacy, and economic benefits of outpatient maintenance ECT is warranted.