Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 405 - PATIENT CARE-MENTAL HEALTH SERVICES
Subchapter E - ELECTROCONVULSIVE THERAPY (ECT)
Section 405.109 - Limitations on Use: Number per Year and Number per Series of Treatments
Universal Citation: 25 TX Admin Code ยง 405.109
Current through Reg. 49, No. 38; September 20, 2024
(a) No more than 24 electroconvulsive therapy treatments may be administered to a given patient in any 12-month period, dated from the date of the first treatment except as provided in this subsection.
(1) Exceptions to this limitation require,
prior to the additional treatments:
(A) for
state facilities, the written approval of the department's medical director,
who shall consider the recommendations of an independent, fully qualified
psychiatrist who is not affiliated with the department except in a consultative
capacity; or
(B) for all other
providers, the written concurrence of a fully qualified psychiatrist not
involved in the patient's care.
(2) All reports of such consultations shall
become a part of the patient's permanent medical record.
(b) The number of ECTs to be given in eight consecutive weeks shall ordinarily be limited to 15. In those cases in which it is considered clinically advantageous to exceed these numbers of treatments in any given series, the attending physician shall obtain a second consultative opinion from a fully qualified psychiatrist who is not directly associated with the patient's care.
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