Report on Electroconvulsive Therapy in Fiscal Year 2016 · Texas Health and Safety Code...

Report on Electroconvulsive Therapy in

Fiscal Year 2016

As Required By

Health and Safety Code §578.008

Health and Human Services Commission

February 2017

i

Table of Contents

1. Executive Summary ...................................................................................................................1

2. Introduction ..............................................................................................................................2

3. Background ................................................................................................................................3

4. Summary of Quarterly Data Reports ......................................................................................3

5. Analysis of Patient Outcomes ...................................................................................................5

5.1 Level of Symptom Severity Before and After ECT Treatment ...........................................6

5.2 Level of Memory Loss Before and After ECT Treatment ...................................................7

5.3 Other Adverse Events ..........................................................................................................8

6. Conclusion ..................................................................................................................................9

Appendix A: TAC §405.103 Definitions of Reportable Therapies for Mental Illness ....... A-1

Appendix B: Summary of All Facility Reports Provided to HHSC ......................................B-2

Appendix C: Summary of Each Provider Report .................................................................. C-1

Appendix D: List of Facilities with Registered ECT Equipment ........................................ D-1

1

1. Executive Summary

Texas Health and Safety Code §578.006(a) states a person may not administer electroconvulsive

therapy (ECT) unless the equipment used to administer the therapy is registered with the

Department of State Health Services (DSHS). In addition, Texas Health and Safety Code

§578.007(a) requires a mental hospital or facility administering ECT, psychosurgery, pre-frontal

sonic sound treatment, or any other convulsive or coma-producing therapy administered to treat

mental illness or a physician administering the therapy on an outpatient basis shall submit to the

department quarterly reports relating to the administration of the therapy in the hospital or

facility or by the physician. The quarterly reports submitted to DSHS must state for each quarter

the:

number of patients who received the therapy, including the number of persons voluntarily

receiving mental health services who consented to the therapy, involuntary patients who

consented to the therapy, and involuntary patients for whom a guardian of the person

consented to the therapy;

age, sex, and race of the persons receiving the therapy;

source of the treatment payment;

average number of non-ECT treatments;

average number of ECT treatments administered for each complete series of treatments, but

not including maintenance treatments;

average number of maintenance ECT treatments administered per month;

number of fractures, reported memory losses, incidents of apnea, and cardiac arrests without

death;

autopsy findings if death followed within 14 days after the date of the administration of the

therapy; and

any other information required by department rule.

Texas Health and Safety Code, §578.008(a), requires DSHS to use the information received

under §578.006 and §578.007 to analyze, audit, and monitor the use of ECT, psychosurgery, pre-

frontal sonic sound treatment, or any other convulsive or coma-producing therapy administered

to treat mental illness. Additionally, §578.008(b), requires DSHS to submit an annual report

summarizing the above information by facility to the Office of the Governor and the presiding

officer of each house of the Legislature. If the therapy is administered by a private physician on

an outpatient basis, the report must include that information, but may not identify the physician.

Senate Bill 200, 84th Legislature, Regular Session, 2015, required the transfer of the legacy

DSHS Mental Health and Substance Abuse (MHSA) Division to the Health and Human Services

Commission (HHSC) on September 1, 2016. The MHSA Division is now part of the Intellectual

and Developmental Disabilities and Behavioral Health (IDD-BH) Services Department in the

Medical and Social Services (MSS) Division. As a result, HHSC is now responsible for the

collection, analysis, and report required under the Health and Safety Code, Sections 578.007 and

578.008. For purposes of this report, the legacy DSHS MHSA Division will be referred to as the

HHSC Behavioral Health (BH) Services Section.

In fiscal year 2016, 22 of the 25 facilities in Texas with registered ECT equipment performed

treatments and provided the required patient reports to the state. There was a 1.1 percent increase

2

in the number of treatments in fiscal year 2016 compared to 2015. Overall, patients experienced

less severe symptomology after ECT treatment, which demonstrates the overall effectiveness of

treatment. There was a slight decrease in the number of patients with a source of public funds for

treatment payment. There was 1 death reported within 14 days of treatment.

2. Introduction

The Texas Administrative Code (TAC) defines ECT as “a treatment in which controlled,

medically applied electrical current results in a therapeutic seizure, attenuated by anesthesia and

muscle relaxants”.1 Individuals are asleep during the procedure and are able to resume normal

activity within an hour of treatment ending. The TAC further states ECT is given as a series of

treatments, “usually consisting of 6-15 treatments”.2 The series of treatments may be followed by

additional maintenance treatments on a less frequent basis, from once a month to once a year, as

needed.

ECT is most often used to treat people with severe major depression, with or without psychotic

features; bipolar disorder (currently depressed or, less frequently, in a manic phase);

schizophrenia with mood component; catatonia (a state of apparent unresponsiveness to external

stimuli in a person who is apparently awake); or other conditions. ECT may be prescribed when

antidepressant medications have not worked.3 Most individuals will need a few treatments before

they experience a decrease in the severity of mood symptoms. Some individuals may show initial

responses to ECT in the hours afterward, with the response fading over time. However, this

positive response gradually lasts longer between treatments.4

Common, expected, and generally transient side effects of ECT may include physical symptoms

such as headaches, muscle pain, nausea, and confusion following treatment (lasting a few

minutes or hours). Memory loss, such as forgetting conversations or events right before or after

treatment, may also occur and usually resolves.5 Adverse effects are less common. These events

have more health significance and may be longer lasting. For example, transient anterograde

memory loss – the inability to form new memories – is frequent and usually resolves, compared

with retrograde memory loss – the loss of memories from the past – which does not immediately

resolve, is very rare, and is considered an adverse event.

1 Texas Administrative Code, §405.103. 2 Texas Administrative Code, §405.103. 3 John Hopkins Medicine. Psychiatry and Behavioral Sciences. Frequently Asked Questions

about ECT.

http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/ect/faq_ect.html.

Accessed: January 24, 20217. 4 John Hopkins Medicine. Electroconvulsive Therapy: What Families Need to Know About

ECT.

http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/docs/ECT_for_fa

milies.pdf Accessed: January 24, 20217. 5 National Alliance on Mental Illness. ECT, TMS and Other Brain Stimulation Therapies.

https://www.nami.org/Learn-More/Treatment/ECT,-TMS-and-Other-Brain-Stimulation-

Therapies Accessed: January 10, 2017.

http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/ect/faq_ect.html

http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/docs/ECT_for_families.pdf

http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/docs/ECT_for_families.pdf

https://www.nami.org/Learn-More/Treatment/ECT,-TMS-and-Other-Brain-Stimulation-Therapies

https://www.nami.org/Learn-More/Treatment/ECT,-TMS-and-Other-Brain-Stimulation-Therapies

3

Other, less common, treatments outlined in Health and Safety Code §578.007 (psychosurgery,

pre-frontal sonic sound treatment, or any other convulsive or comaproducing therapy

administered to treat mental illness) and defined in TAC, are out of step with current medical

practices (see Appendix A for TAC rule descriptions of reportable therapies). While included in

the statute, these medical practices are not routinely performed in the state and none were

reported by facilities in fiscal year 2016.

3. Background

The Health and Safety Code, Chapter 578 outlines the requirements for providers who offer ECT

and other treatments. The statute:

requires that only a physician licensed to practice medicine can administer electroconvulsive

therapy;

prohibits use in children under age 16;

outlines the process for obtaining proper consent for treatment from patients and withdrawal

of consent;

requires electroconvulsive equipment used to administer therapy to be registered with the

department; and

requires providers to submit specific data elements to the department.

To implement Chapter 578 requirements, the state promulgated rules on ECT and other

treatments resulting in the establishment of uniform procedures for informed consent, statewide

reporting requirements for the use of ECT and other procedures, statewide registration

requirements for ECT equipment (stimulus apparatus), and explicit safeguards in the form of age

limits, guidelines, and prohibition of chemical or gaseous agents for convulsive therapy.

This report includes an analysis of patient outcomes. Appendix B of this report provides a

summary of quarterly data reports received in fiscal year 2016. Appendix C includes a summary

of treatments given from September 1, 2015, to August 31, 2016, based on information received

from each provider.

4. Summary of Quarterly Data Reports

In fiscal year 2016, 25 facilities in Texas registered ECT equipment. Twenty-two of these

facilities performed treatments and provided the required patient reports to the state (Appendix

D).

There were 2,675 aggregate quarterly reports submitted in fiscal year 2016, a slight increase

from fiscal year 2015. The data presented in this report are annual aggregate total numbers of

patients who received ECT in each of the four quarters, not the unique number of patients

receiving ECT in fiscal year 2016. The lack of data representing the unique number of patients

receiving treatment is due to the quarterly reporting process. Patients may receive ECT

treatments in multiple quarters over the course of the fiscal year, and thus may be counted more

than once in the annual aggregate total.

4

Figure 1 provides patient demographics, such as gender, race and ethnicity, and age; these

demographic characteristics are similar to prior years.

Figure 1. Demographic Information on Patients Receiving ECT in Fiscal Year 2016

1,812

863

2,061

365

17050 29 15

161

905

1,090

504

0

500

1,000

1,500

2,000

2,500

Fem

ale

Mal

e

Whit

e

His

pan

ic

Afr

ican

-Am

eric

an

Asi

an

Oth

er

16-1

7

18-2

4

25-4

4

45-6

4

65+

Gender Race/Ethnicity Age

Source: HHSC, MSS Division, IDD-BH Services Department, BH Services Section, December

20, 2016.

The majority of patients who consented to receive ECT in fiscal year 2016 were voluntarily

hospitalized patients (2,636) compared to involuntary hospitalized patients (14), or whose legal

guardians consented to treatment on their behalf (25).

The primary source of payment for ECT was slightly higher for those using private third-party

payers such as private health insurance (1,492), versus those using public payers such as state or

county resources or Medicaid (1,121).

Additionally, 31 patients used their own funds or family funds, and another 31 patients used

other undetermined funds to pay for treatment.

The percentage of people served using public sources of payment decreased slightly from 45

percent in fiscal year 2015 to 42 percent in fiscal year 2016.

5

As previously defined, ECT is given in a series of treatments determined by the licensed

physician and based on patient needs. There are a set number of planned treatment series for

each individual patient. Acute treatments are the initial treatments given to a patient for the

purpose of stabilizing their symptoms. Maintenance treatments are provided to patients on an as

needed basis at lesser frequency. Since these treatments are only performed with the patient’s or

legal guardian’s informed consent, they may be stopped at any time by the patient or the

provider. During fiscal year 2016, there were 448 acute treatment series reported not yet

completed at the end of the reporting period. In addition, during the same reporting period, 771

acute treatment series were completed and a separate 450 series were stopped prior to

completion.

The total number of individual treatments administered in fiscal year 2016 was 17,006,

representing maintenance and acute treatments administered. The average number of treatments

(6.36) received by a patient as part of a series reflects a small increase from last year. Table 1

shows the total number and averages per patient of ECT treatment types (acute and maintenance)

that were planned, administered, and completed in fiscal year 2016.

Table 1. Total Number and Average Per Patient of ECT Treatment Type Planned and

Administered in Fiscal Year 2016

Treatment Type Planned and Administered Total

Number

Average

Per Patient

Maintenance Treatments Administered 5,496 2.05

Average Monthly Maintenance Treatments 458 0.69

Acute Treatments Planned 18,480 6.91

Acute Treatments Administered 11,510 4.30

Complete Acute Treatments Administered (series) 6,466 2.42

Note: Because patients receive treatments throughout the year and the reports are submitted

quarterly, the annual aggregate total may reflect patients who received treatment in more than

one quarter.


20, 2016.

5. Analysis of Patient Outcomes

HHSC analyzed overall physician-assessed patient outcomes related to levels of symptom

severity and levels of memory impairment before ECT treatment and two to four weeks after

ECT treatment in fiscal year 2016.

6

A facility has two to four weeks after the patient’s last treatment to make contact with

individuals for follow-up assessment. Some individuals were unable to be assessed (in the

“unable to be determined” category) and these are the number of individuals each quarter whose

ECT treatment ended during the quarterly reporting period, but the facility was not able to reach

them for follow-up. Other individuals’ treatment (“ongoing series” category) continued past the

end of the quarter and the facility was unable to follow-up within the required time frame.

Individuals in the “ongoing series” may be counted in more than one quarter.

5.1 Level of Symptom Severity Before and After ECT Treatment

Ninety-nine percent of the facility reports listed pre-treatment severity of mood disorder

symptoms from mild to extreme. Figure 2 shows the level of symptom severity before ECT

treatment and the decrease of severe and extreme symptoms after ECT treatment. Overall,

patients experienced less severe symptomology after ECT treatment, which demonstrates the

overall effectiveness of treatment.

Figure 2. Physician Assessed Levels of Symptom Severity in Fiscal Year 2016

36

445413

1,484

595

540

1,389

66

242

5

7956

0

200

400

600

800

1000

1200

1400

1600

Before 2-4 Weeks After

None Mild Moderate Severe Extreme Unable to be Determined Ongoing Series


20, 2016

7

5.2 Level of Memory Loss Before and After ECT Treatment

Memory loss is a known risk and common side effect of ECT treatment. As a result, discussion

of this risk is required prior to obtaining consent for ECT in Texas. Figure 3 shows the level of

memory impairment assessed before ECT treatment and two to four weeks after ECT treatment.

8

Figure 3. Physician Assessed Levels of Memory Impairment in Fiscal Year 2016

1,331

1,136

1,046

1,215

155 168

108

243421

75 55

0

200

400

600

800

1,000

1,200

1,400

Before 2-4 Weeks After

None Mild Moderate Severe Extreme Unable to be Determined Ongoing Series


20, 2016

In fiscal year 2016, less than two percent of patients had reportable memory loss events. There

were 30 (1.12 percent) reports reflecting memory loss within 14 days of ECT (See Appendix B

for details). These memory loss events are not considered an adverse event. As mentioned

previously, adverse events related to memory loss are very rare. HHSC requires these special

circumstances be reported as adverse events. The treating physician at each facility makes a

clinical determination as to what is considered an adverse event and what is reported to HHSC as

an adverse event.

5.3 Other Adverse Events

HHSC did not receive any reports for the following other reportable adverse events: fractures,

incidents of apnea, and cardiac arrests without death. One death was reported within 14 days

following ECT treatment. The cause of death was reported to be an overdose which occurred

eight days after the last treatment. An autopsy was performed. Analysis revealed the data is not

considered significant from previous years.

9

6. Conclusion

Reports submitted to the state by providers of electroconvulsive therapy showed a 1.1 percent

increase in the number of treatments in fiscal year 2016 compared to fiscal year 2015.

Considering the increase in population across the state and the effectiveness of ECT for

treatment resistant depression, a small increase is not unexpected.

Overall, patients experienced less severe symptomology after ECT treatment, which

demonstrates the overall effectiveness of treatment. There was one death reported within 14 days

of treatment. Analysis revealed the data is not considered significant from previous years.

There was a slight decrease in the number of patients whose source of funding was public.

10

List of Acronyms

Acronym Full Name

BH Behavioral Health

DSHS Department of State Health Services

ECT Electroconvulsive Therapy

HHSC Health and Human Services Commission

IDD-BH Intellectual and Developmental Disabilities and Behavioral Health

MHSA Mental Health and Substance Abuse

MSS Medical and Social Services

TAC Texas Administrative Code

A-1

Appendix A: TAC §405.103 Definitions of Reportable Therapies for Mental Illness

As allowed in Health and Safety Code, Chapter 578, the TAC includes the following definitions

related to reportable therapies for the treatment of mental illness:

ECT – A treatment in which controlled, medically applied electrical current results in a

therapeutic seizure, usually attenuated by anesthesia and muscle relaxants.

Psychosurgery – Surgical intervention to sever fibers connecting one part of the brain with

another or to remove or to destroy brain tissue with the intent of modifying or altering severe

disturbances of behavior, thought content, or mood. For purposes of this subchapter, the term

does not include such surgery for the relief of intractable physical pain or the treatment of

neurological disease or abnormality.

Pre-frontal sonic sound treatment – A treatment, not described or defined in biomedical

literature, which is defined in California statutes governing ECT and other treatments as "The

direct stimulation and/or destruction of brain cells or brain tissue by ultrasound for

therapeutic purposes."

Insulin coma treatment – The production of a coma for therapeutic purposes through the

administration of insulin.

Multiple-monitored ECT – The induction of more than one adequate seizure during one

episode of anesthesia.

Regressive or depatterning ECT – The prolonged use of daily or more frequent treatments.

B-2

Appendix B: Summary of All Facility Reports Provided to HHSC

FY16 ECT Summary-All Facilities for Treatments Given September 1, 2015,

to August 31, 2016

Number of patients, reported quarterly, to have received ECT: 2,675*

Race/Ethnicity Q1 Q2 Q3 Q4 Total

White/Caucasian 492 503 519 547 2,061

Black or African American 40 42 41 47 170

Hispanic or Latino 101 102 81 81 365

Asian 10 13 12 15 50

Other 8 9 4 8 29

Reports reflected - - - - 2,675

Gender Q1 Q2 Q3 Q4 Total

Female 442 459 442 469 1,812

Male 214 210 215 224 863


Age Q1 Q2 Q3 Q4 Total

16-17 3 3 4 5 15

18-24 38 45 36 42 161

25-44 226 217 219 243 905

45-64 277 268 273 272 1,090

65 + 112 136 125 131 504


Hospital Admission Status Q1 Q2 Q3 Q4 Total

Voluntary patient consenting 639 661 651 685 2,636

Involuntary patient consenting 12 1 1 0 14

Guardian consenting for patient 5 7 5 8 25


Primary Source of Payment for ECT Q1 Q2 Q3 Q4 Total

Private 3rd party (insurer, HMO, etc) 386 358 356 392 1,492

Public 3rd party (county, state, Medicaid, etc) 260 287 280 294 1,121

Own/family funds 9 9 10 3 31

Other 1 15 11 4 31


B-3

Other Reportable Events that Occurred within 14 Days of ECT Q1 Q2 Q3 Q4 Total

Apnea 0 0 0 0 0

Fracture 0 0 0 0 0

Cardiac arrest 0 0 0 0 0

Reported memory loss 11 8 10 1 30

Death 0 0 0 1 1

Autopsy performed† 0 0 0 1 1

Treatments Administered during this Reporting Period Q1 Q2 Q3 Q4 Total

Ongoing acute treatments reported 91 117 95 145 448

Concluded acute treatments reported 193 184 193 201 771

Stopped acute treatments reported 109 108 110 123 450

Other reportable psychiatric therapies Q1 Q2 Q3 Q4 Total

Prolonging Remission in Depressed Elderly (PRIDE) 0 0 0 0 0

Total Q1 Q2 Q3 Q4 Total

Maintenance Treatments Administered 1,337 1,297 1,453 1,409 5,496

Average Monthly Maintenance Treatments 445.67 432.33 484.33 469.67 458.00

Acute Treatments Planned 4,426 4,725 4,393 4,936 18,480

Acute Treatments Administered 2,778 2,909 2,698 3,125 11,510

Complete Acute Treatments Administered 1,784 1,761 1,560 1,361 6,466

Total Number of ECT Treatments Administered 4,115 4,206 4,151 4,534 17,006

Average Per Patient Q1 Q2 Q3 Q4 Total

Maintenance Treatments Administered 2.04 1.94 2.21 2.03 2.05


Acute Treatments Planned 6.75 7.06 6.69 7.12 6.91

Acute Treatments Administered 4.23 4.35 4.11 4.51 4.30

Complete Acute Treatments Administered 2.72 2.63 2.37 1.96 2.42

Total Number of ECT Treatments Administered 6.27 6.29 6.32 6.54 6.36

Physicians Assessment Q1 Q2 Q3 Q4 Total

Level of Memory Impairment Before ECT - - - - -

None 362 305 294 370 1,331

Mild 237 287 272 250 1,046

Moderate 38 38 47 32 155

Severe 12 35 35 26 108

Extreme 7 3 9 15 34

B-4


Unable to be determine 0 1 0 0 1

Ongoing series N/A N/A N/A N/A 0

Reports Reflected - - - - 2,675

Level of Memory Impairment 2-4 Weeks After ECT - - - - -

None 318 258 238 322 1,136

Mild 284 302 323 306 1,215

Moderate 34 53 44 37 168

Severe 1 7 7 9 24

Extreme 1 0 1 0 2


Ongoing series 6 33 7 9 55


Level of Symptom Severity Before ECT - - - - -

None 6 15 5 10 36

Mild 92 98 100 123 413

Moderate 113 126 134 222 595

Severe 381 358 366 284 1,389

Extreme 64 72 52 54 242




Level of Symptom Severity 2-4 Weeks After ECT - - - - -

None 109 92 66 178 445

Mild 350 376 385 373 1,484

Moderate 148 136 147 109 540

Severe 27 13 13 13 66

Extreme 3 1 1 0 5




* This number may reflect patients who have received ECT in more than one quarter this year. † Section 578.007(b)(8) of the Health and Safety Code requires ECT providers to report autopsy

findings if death followed within 14 days of administration of the therapy. However, the Texas

Code of Criminal Procedure, Chapter 49, Article 49.05, provides that proper consent be obtained

from the legal next of kin before an autopsy can be performed.

C-1

Appendix C: Summary of Each Provider Report

Baylor Scott & White All Saints Medical Center-FY16 ECT Summary for

Treatments Given September 1, 2015, to August 31, 2016

Number of patients, reported quarterly, to have received ECT: 10*


White/Caucasian 4 4 2 0 10



Asian 0 0 0 0 0

Other 0 0 0 0 0

Reports reflected - - - - 10


Female 3 2 1 0 6

Male 1 2 1 0 4



16-17 0 0 0 0 0

18-24 0 0 0 0 0

25-44 1 0 0 0 1

45-64 3 4 2 0 9

65 + 0 0 0 0 0



Voluntary patient consenting 4 4 2 0 10





Private 3rd party (insurer, HMO, etc) 2 2 1 0 5

Public 3rd party (county, state, Medicaid, etc) 2 2 1 0 5


Other 0 0 0 0 0


C-2


Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0









Maintenance Treatments Administered 4 8 2 0 14


Acute Treatments Planned 7 0 0 0 7

Acute Treatments Administered 7 0 0 0 7

Complete Acute Treatments Administered 7 0 0 0 7

Total Number of ECT Treatments Administered 11 8 2 0 21










None 4 4 1 0 9

Mild 0 0 1 0 1

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0



C-3


Reports Reflected 10


None 3 4 0 0 7

Mild 1 0 2 0 3

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0



Reports Reflected - - - - 10


None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 0 4 0 0 4

Severe 1 0 2 0 3

Extreme 3 0 0 0 3





None 0 0 0 0 0

Mild 2 4 2 0 8

Moderate 2 0 0 0 2

Severe 0 0 0 0 0

Extreme 0 0 0 0 0




*This number may reflect patients who have received ECT in more than one quarter this year. † Note: Section 578.007(b)(8) of the Health and Safety Code requires ECT providers to report

autopsy findings if death followed within 14 days of administration of the therapy. However, the

Texas Code of Criminal Procedure, Chapter 49, Article 49.05, provides that proper consent be

obtained from the legal next of kin before an autopsy can be performed.

C-4

Baylor Scott & White Memorial Hospital-FY16 ECT Summary for

Treatments Given September 1, 2015 to August 31, 2016






Asian 1 0 0 0 1

Other 0 0 0 0 0

Reports reflected 25


Female 7 5 2 4 18

Male 4 2 0 1 7



16-17 0 0 0 0 0

18-24 1 0 0 0 1

25-44 1 0 0 1 2

45-64 7 5 2 4 18

65 + 2 2 0 0 4











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0

C-5



Death 0 0 0 0 0























Level of Memory Impairment Before ECT

None 11 7 2 5 25

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0




C-6


Level of Memory Impairment 2-4 Weeks After ECT

None 11 7 2 5 25

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0




Level of Symptom Severity Before ECT

None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 11 7 2 5 25

Extreme 0 0 0 0 0




Level of Symptom Severity 2-4 Weeks After ECT

None 11 7 2 5 25

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0




* This number may reflect patients who have received ECT in more than one quarter this year. † Note: Section 578.007(b)(8) of the Health and Safety Code requires ECT providers to report




C-7

Ben Taub General Hospital-FY16 ECT Summary for Treatments Given

September 1, 2015 to August 31, 2016






Asian 0 0 0 0 0

Other 0 0 0 0 0



Female 3 4 2 2 11

Male 3 1 3 2 9



16-17 0 0 0 0 0

18-24 0 0 0 0 0

25-44 4 2 1 2 9

45-64 2 3 4 2 11

65 + 0 0 0 0 0











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



C-8


Death 0 0 0 0 0
























None 4 3 3 3 13

Mild 2 2 2 1 7

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 4 1 3 2 10

Mild 2 4 2 2 10

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

C-9


Extreme 0 0 0 0 0





None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 3 2 3 3 11

Extreme 3 3 2 1 9





None 3 2 1 3 9

Mild 1 2 3 0 6

Moderate 2 1 0 0 3

Severe 0 0 1 0 1

Extreme 0 0 0 0 0








C-10

Crosspoint Surgical Center-FY16 ECT Summary for Treatments Given







Asian 0 0 2 0 2

Other 0 0 0 0 0



Female 4 5 4 0 13

Male 2 3 6 0 11



16-17 0 0 0 0 0

18-24 0 2 0 0 2

25-44 2 4 7 0 13

45-64 4 2 3 0 9

65 + 0 0 0 0 0











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-11

























None 0 0 0 0 0

Mild 6 5 4 0 15

Moderate 0 3 5 0 8

Severe 0 0 1 0 1

Extreme 0 0 0 0 0





None 1 1 4 0 6

Mild 5 6 6 0 17

Moderate 0 1 0 0 1

Severe 0 0 0 0 0

Extreme 0 0 0 0 0


C-12





None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 5 3 8 0 16

Extreme 1 5 2 0 8





None 1 0 2 0 3

Mild 4 6 7 0 17

Moderate 1 1 1 0 3

Severe 0 1 0 0 1

Extreme 0 0 0 0 0








C-13

Cypress Creek Hospital-FY16 ECT Summary for Treatments Given







Asian 1 2 2 1 6

Other 0 0 0 0 0



Female 83 82 93 100 358

Male 43 43 43 43 172



16-17 1 2 2 4 9

18-24 10 11 12 14 47

25-44 58 57 55 55 225

45-64 46 43 54 55 198

65 + 11 12 13 15 51











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0

C-14




Death 0 0 0 0 0









Maintenance Treatments Administered 350 345 397 314 1,406


Acute Treatments Planned 789 845 874 960 3,468

Acute Treatments Administered 457 534 399 569 1,959


Total Number of ECT Treatments Administered 807 879 796 883 3,365










None 122 74 70 112 378

Mild 4 50 63 27 144

Moderate 0 1 3 3 7

Severe 0 0 0 1 1

Extreme 0 0 0 0 0





None 96 62 67 105 330

Mild 27 43 63 34 167

C-15


Moderate 2 19 6 3 30

Severe 1 1 0 1 3

Extreme 0 0 0 0 0





None 0 0 0 0 0

Mild 1 0 0 26 27

Moderate 1 1 11 78 91

Severe 123 124 125 39 411

Extreme 1 0 0 0 1





None 5 0 0 42 47

Mild 56 78 77 83 294

Moderate 52 47 58 17 174

Severe 13 0 1 1 15

Extreme 0 0 0 0 0




-





C-16

DePaul Center-FY16 ECT Summary for Treatments Given September 1, 2015

to August 31, 2016






Asian 0 0 0 0 0

Other 0 0 0 0 0



Female 5 4 2 3 14

Male 3 3 2 2 10



16-17 0 0 0 0 0

18-24 1 0 0 0 1

25-44 3 1 2 2 8

45-64 2 3 1 2 8

65 + 2 3 1 1 7











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0


C-17























None 8 7 4 5 24

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 8 7 4 5 24

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 0 0 0 0 0

Mild 0 0 0 1 1

Moderate 1 3 1 0 5

C-18


Severe 5 2 3 4 14

Extreme 2 2 0 0 4





None 0 0 0 3 3

Mild 2 0 1 0 3

Moderate 3 6 2 1 12

Severe 2 1 1 1 5

Extreme 1 0 0 0 1








C-19

El Paso Behavioral Health System-FY16 ECT Summary for Treatments

Given September 1, 2015 to August 31, 2016






Asian 0 0 0 0 0

Other 0 1 0 0 1



Female 26 23 15 21 85

Male 20 20 21 14 75



16-17 0 0 0 0 0

18-24 4 3 2 0 9

25-44 20 15 16 15 66

45-64 20 21 15 16 72

65 + 2 4 3 4 13











Other 0 10 9 0 19



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-20

























None 46 26 14 15 101

Mild 0 16 20 19 55

Moderate 0 1 2 0 3

Severe 0 0 0 0 0

Extreme 0 0 0 1 1





None 46 26 13 15 100

Mild 0 16 21 19 56

Moderate 0 1 2 1 4

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





C-21


None 0 0 0 0 0

Mild 0 1 0 0 1

Moderate 1 0 2 2 5

Severe 32 3 15 25 75

Extreme 13 39 19 8 79





None 1 0 0 0 1

Mild 24 19 21 12 76

Moderate 19 17 14 19 69

Severe 2 6 1 4 13

Extreme 0 1 0 0 1








C-22

Green Oaks Hospital-FY16 ECT Summary for Treatments Given







Asian 1 1 1 2 5

Other 0 1 0 0 1



Female 36 44 34 36 150

Male 17 18 17 14 66



16-17 0 0 0 0 0

18-24 2 2 2 3 9

25-44 16 17 12 12 57

45-64 25 31 28 25 109

65 + 10 12 9 10 41











Other 0 0 1 0 1



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-23
























Level of Memory Impairment Before ECT - - - -

None 40 55 43 41 179

Mild 12 5 7 5 29

Moderate 1 2 1 3 7

Severe 0 0 0 1 1

Extreme 0 0 0 0 0





None 27 47 29 27 130

Mild 23 10 11 12 56

Moderate 3 2 8 9 22

Severe 0 3 3 2 8

Extreme 0 0 0 0 0





C-24


None 0 5 2 3 10

Mild 0 18 17 16 51

Moderate 4 19 17 17 57

Severe 28 16 13 13 70

Extreme 21 4 2 1 28





None 3 8 3 5 19

Mild 33 38 36 38 145

Moderate 15 15 9 6 45

Severe 1 1 3 1 6

Extreme 1 0 0 0 1








C-25

Houston Behavioral Healthcare Hospital-FY16 ECT Summary for







Asian 1 0 0 0 1

Other 0 0 0 0 0



Female 10 7 16 19 52

Male 6 5 9 16 36



16-17 1 1 2 0 4

18-24 1 1 0 0 2

25-44 7 4 11 11 33

45-64 6 6 12 20 44

65 + 1 0 0 4 5











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-26

























None 5 2 21 10 38

Mild 11 9 4 21 45

Moderate 0 1 0 4 5

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 8 3 21 23 55

Mild 8 9 4 12 33

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





C-27


None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 1 2 2 3 8

Severe 14 10 23 25 72

Extreme 1 0 0 7 8





None 9 2 0 11 22

Mild 7 9 10 22 48


Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-28

Houston Methodist Hospital-FY16 ECT Summary for Treatments Given







Asian 1 2 2 2 7

Other 0 0 0 0 0



Female 15 14 13 18 60

Male 6 8 10 9 33



16-17 0 0 0 0 0

18-24 0 0 0 0 0

25-44 4 5 4 7 20

45-64 4 4 8 8 24

65 + 13 13 11 12 49











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0


C-29























None 13 11 17 17 58

Mild 8 11 5 9 33

Moderate 0 0 1 0 1

Severe 0 0 0 1 1

Extreme 0 0 0 0 0





None 4 1 2 6 13

Mild 14 14 19 21 68

Moderate 3 7 2 0 12

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 0 0 0 1 1

Mild 0 0 0 1 1

Moderate 6 6 6 7 25

C-30


Severe 10 9 11 11 41

Extreme 5 7 6 7 25





None 0 2 2 7 11

Mild 20 20 20 19 79

Moderate 1 0 1 1 3

Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-31

Laurel Ridge Treatment Center-FY16 ECT Summary for Treatments Given







Asian 2 1 0 0 3

Other 0 0 0 0 0



Female 71 60 54 63 248

Male 18 19 17 19 73



16-17 1 0 0 1 2

18-24 9 6 3 6 24

25-44 34 27 26 30 117

45-64 35 30 29 31 125

65 + 10 16 13 14 53











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 1 1

C-32







Other reportable psychiatric therapies - - - - -



Maintenance Treatments Administered 262 251 253 271 1,037















None 6 3 7 12 28

Mild 81 72 63 67 283

Moderate 2 4 1 3 10

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 3 1 4 5 13

Mild 82 74 66 72 294

Moderate 4 4 1 5 14

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





C-33


None 0 0 0 1 1

Mild 41 45 37 36 159

Moderate 35 30 24 32 121

Severe 13 3 10 13 39

Extreme 0 1 0 0 1





None 0 0 0 3 3

Mild 65 66 58 61 250

Moderate 24 13 13 18 68

Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-34

Mayhill Hospital-FY16 ECT Summary for Treatments Given







Asian 0 0 0 1 1

Other 1 0 0 1 2



Female 12 10 12 17 51

Male 7 6 7 21 41



16-17 0 0 0 0 0

18-24 0 0 1 3 4

25-44 7 5 4 15 31

45-64 10 9 12 19 50

65 + 2 2 2 1 7











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-35

























None 10 12 19 37 78

Mild 8 4 0 0 12

Moderate 0 0 0 0 0

Severe 1 0 0 1 2

Extreme 0 0 0 0 0





None 6 9 19 36 70

Mild 11 7 0 1 19

Moderate 2 0 0 0 2

Severe 0 0 0 1 1

Extreme 0 0 0 0 0





C-36


None 0 0 0 0 0

Mild 2 0 4 1 7

Moderate 1 0 10 13 24

Severe 10 13 4 23 50

Extreme 6 3 1 1 11





None 0 0 7 6 13

Mild 12 12 9 17 50


Severe 1 0 1 2 4

Extreme 0 0 0 0 0








C-37

Methodist Richardson Medical Center-FY16 ECT Summary for Treatments







Asian 0 0 0 0 0

Other 0 2 2 3 7



Female 14 17 19 16 66

Male 4 0 2 7 13



16-17 0 0 0 0 0

18-24 0 1 2 5 8

25-44 2 3 2 6 13

45-64 13 8 13 10 44

65 + 3 5 4 2 14











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-38

























None 5 3 2 13 23

Mild 10 11 8 3 32

Moderate 3 2 9 3 17

Severe 0 1 2 0 3

Extreme 0 0 0 4 4





None 4 3 3 9 19

Mild 10 13 14 12 49

Moderate 4 1 4 2 11

Severe 0 0 0 0 0

Extreme 0 0 0 0 0




C-39



None 0 0 0 0 0

Mild 0 0 2 0 2

Moderate 2 5 3 3 13

Severe 15 11 14 7 47

Extreme 1 1 2 13 17





None 0 0 0 2 2

Mild 12 15 18 15 60

Moderate 6 2 3 6 17

Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-40

Methodist Specialty & Transplant Hospital-FY16 ECT Summary for







Asian 0 0 0 0 0

Other 1 0 0 0 1



Female 30 33 30 23 116

Male 10 10 10 12 42



16-17 0 0 0 0 0

18-24 0 4 4 1 9

25-44 12 10 9 10 41

45-64 19 18 13 12 62

65 + 9 11 14 12 46











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-41

























None 0 3 0 0 3

Mild 10 9 9 14 42


Severe 8 23 18 8 57

Extreme 7 3 9 9 28





None 19 22 14 30 85

Mild 18 15 14 3 50

Moderate 2 5 9 2 18

Severe 0 1 2 0 3

Extreme 1 0 1 0 2




C-42



None 0 3 0 0 3

Mild 10 9 9 14 42


Severe 8 23 18 8 57

Extreme 7 3 9 9 28





None 19 22 14 30 85

Mild 18 15 14 3 50

Moderate 2 5 9 2 18

Severe 0 1 2 0 3

Extreme 1 0 1 0 2








C-43

Midland Memorial Hospital-FY16 ECT Summary for Treatments Given







Asian 0 0 0 0 0

Other 0 0 0 0 0



Female 0 0 3 4 7

Male 1 2 0 2 5



16-17 0 0 0 0 0

18-24 0 0 0 0 0

25-44 0 0 0 1 1

45-64 1 1 2 3 7

65 + 0 1 1 2 4











Other 0 0 0 0 0


C-44


Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

Autopsy performed** 0 0 0 0 0























None 1 0 0 5 6

Mild 0 1 1 1 3

0 0 1 0 1 Moderate

Severe

0 1 1 0 2

Extreme 0 0 0 0 0





None 1 0 0 4 5

Mild 0 1 2 2 5

Moderate 0 1 1 0 2

Severe 0 0 0 0 0

C-45


Extreme 0 0 0 0 0





None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 0 0 0 1 1

Severe 1 2 1 3 7

Extreme 0 0 2 2 4





None 0 0 1 2 3

Mild 1 1 1 1 4

Moderate 0 0 1 3 4

Severe 0 0 0 0 0

Extreme 0 0 0 0 0




* This number may reflect patients who have received ECT in more than one quarter this year.

C-46

Seton Shoal Creek Hospital-FY16 ECT Summary for Treatments Given







Asian 0 0 0 2 2

Other 2 1 0 0 3



Female 39 46 46 47 178

Male 33 21 22 18 94



16-17 0 0 0 0 0

18-24 5 9 7 5 26

25-44 22 23 32 35 112

45-64 31 23 15 13 82

65 + 14 12 14 12 52











Other 0 0 0 1 1



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-47

























None 53 50 50 49 202

Mild 18 14 16 16 64

Moderate 1 2 2 0 5

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 44 33 26 21 124

Mild 24 26 37 34 121

Moderate 3 5 2 8 18

Severe 0 1 0 1 2

Extreme 0 0 0 0 0





C-48


None 1 1 0 2 4

Mild 34 21 25 19 99

Moderate 24 29 37 35 125

Severe 13 15 6 9 43

Extreme 0 1 0 0 1





None 21 10 6 18 55

Mild 39 48 53 39 179

Moderate 9 6 6 7 28

Severe 1 1 0 0 2

Extreme 0 0 0 0 0








C-49

St. Joseph Medical Center-FY16 ECT Summary for Treatments Given







Asian 0 0 0 0 0

Other 0 0 0 0 0



Female 3 6 5 4 18

Male 1 1 2 3 7



16-17 0 0 0 0 0

18-24 0 0 0 0 0

25-44 0 1 1 1 3

45-64 2 2 1 1 6

65 + 2 4 5 5 16











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-50

























None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 4 2 0 0 6

Severe 0 5 7 6 18

Extreme 0 0 0 1 1





None 4 7 7 7 25

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





C-51


None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 4 0 0 0 4

Severe 0 7 7 6 20

Extreme 0 0 0 1 1





None 4 7 7 7 25

Mild 0 0 0 0 0

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-52

Terrell State Hospital-FY16 ECT Summary for Treatments Given






0 1 0 0 1

A

Hispanic or Latino

0 0 0 0 0

Other

sian

0 0 0 0 0



Female 0 3 2 4 9

Male 0 0 0 1 1



16-17 0 0 0 0 0

18-24 0 1 0 0 1

25-44 0 0 0 0 0

45-64 0 2 1 3 6

65 + 0 0 1 2 3











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-53

























None 0 1 0 0 1

Mild 0 2 2 2 6

Moderate 0 0 0 2 2

Severe 0 0 0 1 1

Extreme 0 0 0 0 0





None 0 2 0 0 2

Mild 0 1 2 5 8

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





C-54


None 0 0 0 0 0

Mild 0 0 0 0 0

Moderate 0 2 1 2 5

Severe 0 1 1 3 5

Extreme 0 0 0 0 0





None 0 0 0 0 0

Mild 0 2 1 4 7

Moderate 0 1 1 1 3

Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-55

Texoma Medical Center-FY16 ECT Summary for Treatments Given







Asian 0 0 0 0 0

Other 0 0 0 0 0



Female 4 8 5 3 20

Male 4 3 3 2 12



16-17 0 0 0 0 0

18-24 1 1 0 0 2

25-44 3 5 2 1 11

45-64 2 4 5 3 14

65 + 2 1 1 1 5











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0


C-56





Q1 Q2 Q3 Q4 Total

Pr

Other reportable psychiatric therapies

olonging Remission in Depressed Elderly (PRIDE) 0 0 0 0 0

















None 7 8 5 3 23

Mild 1 3 3 0 7

Moderate 0 0 0 0 0

Severe 0 0 0 2 2

Extreme 0 0 0 0 0





None 6 8 4 2 20

Mild 2 3 4 3 12

Moderate 0 0 0 0 0

Severe 0 0 0 0 0

Extreme 0 0 0 0 0





None 0 2 0 0 2

Mild 1 0 0 0 1

Moderate 1 0 0 0 1

C-57


Severe 6 9 8 5 28

Extreme 0 0 0 0 0





None 1 2 0 0 3

Mild 5 3 2 3 13

Moderate 2 5 4 1 12

Severe 0 1 1 1 3

Extreme 0 0 0 0 0








C-58

UT Harris County Psychiatric Center-FY16 ECT Summary for Treatments





0 1 0 0 1

Hisp

Black or African American

anic or Latino 3 4 1 2 10

Asian 1 3 1 2 7

Other 0 0 0 0 0



Female 10 11 7 8 36

Male 5 14 6 10 35



16-17 0 0 0 0 0

18-24 1 3 1 0 5

25-44 6 9 2 5 22

45-64 4 7 6 9 26

65 + 4 6 4 4 18











Other 1 5 1 3 10



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-59

























None 2 5 4 9 20

Mild 11 19 6 8 44

Moderate 2 1 2 1 6

Severe 0 0 1 0 1

Extreme 0 0 0 0 0





None 3 6 2 2 13

Mild 9 14 7 12 42

Moderate 3 1 2 2 8

Severe 0 0 1 1 2

Extreme 0 0 0 0 0





C-60


None 0 0 1 1 2

Mild 0 0 4 6 10

Moderate 3 7 3 2 15

Severe 12 18 5 9 44

Extreme 0 0 0 0 0





None 5 2 2 4 13

Mild 9 10 6 8 33

Moderate 1 8 3 4 16

Severe 0 1 1 1 3

Extreme 0 0 0 0 0








C-61

West Oaks Hospital-FY16 ECT Summary for Treatments Given

September 1, 2015 to August 31, 2016 Number of patients, reported quarterly, to have received ECT: 222*





Asian 2 2 3 1 8

Other 3 4 2 4 13



Female 42 43 43 42 170

Male 12 10 15 15 52



16-17 0 0 0 0 0

18-24 0 0 0 2 2

25-44 19 17 20 21 77

45-64 26 23 24 24 97

65 + 9 13 14 10 46











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0


C-62






















Level of Memory Impairment Before ECT -- - - - -

None 8 6 8 8 30

Mild 39 34 37 43 153

Moderate 7 11 11 5 34

Severe 0 2 2 1 5

Extreme 0 0 0 0 0





None 11 5 10 6 32

Mild 38 39 42 47 166

Moderate 5 6 5 3 19

Severe 0 1 1 1 3

Extreme 0 0 0 0 0





None 0 0 0 0 0

Mild 1 3 2 0 6


Severe 43 44 49 47 183

C-63


Extreme 0 0 1 3 4





None 16 23 14 24 77

Mild 37 27 42 31 137

Moderate 1 0 2 2 5

Severe 0 0 0 0 0

Extreme 0 0 0 0 0








C-64

Zale Lipshy University Hospital-FY16 ECT Summary for Treatments Given







Asian 0 2 1 4 7

Other 1 0 0 0 1



Female 25 32 34 35 126

Male 14 19 19 13 65



16-17 0 0 0 0 0

18-24 3 1 2 3 9

25-44 5 12 13 13 43

45-64 15 19 23 12 69

65 + 16 19 15 20 70











Other 0 0 0 0 0



Apnea 0 0 0 0 0

Fracture 0 0 0 0 0



Death 0 0 0 0 0

C-65

























None 17 25 24 26 92

Mild 16 20 21 14 71

Moderate 3 3 5 4 15

Severe 3 3 3 4 13

Extreme 0 0 0 0 0





None 9 3 4 12 28

Mild 10 7 7 15 39

Moderate 3 0 2 2 7

Severe 0 0 0 2 2

Extreme 0 0 0 0 0





C-66


None 5 4 2 2 13

Mild 2 1 0 3 6


Severe 28 36 38 26 128

Extreme 0 3 6 1 10





None 10 5 5 6 26

Mild 3 1 4 17 25

Moderate 2 4 4 6 16

Severe 7 0 1 2 10

Extreme 0 0 0 0 0








D-1

Appendix D: List of Facilities with Registered ECT Equipment

Baylor Scott & White All Saints Medical Center

Baylor Scott & White Memorial Hospital

Ben Taub General Hospital

Crosspoint Surgical Center

Cypress Creek Hospital

DePaul Center

El Paso Behavioral Health System

Green Oaks Hospital

Houston Behavioral Healthcare Hospital

Houston Methodist

Laurel Ridge Treatment Center

Mayhill Hospital

Methodist Richardson Medical Center

Methodist Specialty & Transplant Hospital

Midland Memorial Hospital

Seton Shoal Creek Hospital

St. Joseph Medical Center

Terrell State Hospital

Texoma Medical Center

UT Harris County Psychiatric Center

West Oaks Hospital

Zale Lipshy University Hospital

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