Texas is one of the few places that publishes statistics on the use of ECT. The figures for the year ending 31 August 2013 have just appeared on the website on Texas Department of State Health Services.
In Texas hospitals submit quarterly reports on the use of electroconvulsive therapy (ECT). People may be treated in more than one quarter, so the number of people undergoing ECT is slightly lower than the number of reports. In 2012-13 there were 2,243 reports, up about 8 per cent from 2,079 the previous year. There was a greater rise in the number of treatments, 14,176 up from 12,834, with maintenance treatments increasing from 3,373 to 3,841.
ECT patients in Texas are still getting younger; most of the increase over the previous year was accounted for by patients under the age of 45, with a 30 per cent increase in the numbers of young people aged 18-24 undergoing ECT. People over the age of 65 accounted for about 20 per cent of those receiving ECT, a much lower percentage than in the United Kingdom, for example. Another difference between Texas and the UK is that nearly all ECT patients in Texas consent to treatment, while in the UK about a third of ECT patients are treated without their consent, as they are deemed to lack capacity to consent. About 70 per cent of ECT patients in Texas are women.
The highest users remain Cypress Creek Hospital (314 reports up from 302 last year) and Texas West Oaks Hospital (281 down from 291 last year). Zale Lipshy University Hospital, Laurel Ridge Hospital, Seton Shoal Hospital, and Green Oaks Hospital were also high users, each having over 240 reports. Between them these six hospitals accounted for almost three-quarters of the ECT used in Texas, with another 13 hospitals accounting for the remaining quarter. The six highest-using hospitals accounted for 86 per cent of patients aged 18-24 years, although the 3 patients under the age of 18 were all treated in the Methodist Hospital.
Terrell State Hospital gave ECT to 16 women and 12 men, none of them under the age of 25. Two patients were treated with the consent of a guardian. Texas West Oaks Hospital treated two patients with the consent of a guardian and Texas Health Presbyterian Hospital treated one. The Zale Lipshy University Hospital treated two patients with the consent of a guardian, and were also responsible for the four involuntary patients who consented to treatment. (The numbers in this paragraph refer to reports; there may have been more than one report for the same person).