1. (a) All proposals to use ECT shall be developed into a program that is fully described in a treatment plan. The proposed treatment plan shall include at a minimum:

   1. (1) A description of:

      1. (A) The reasons for proposing the use of ECT which shall include:

         1. (1) A list of the client behaviors, symptoms, and diagnoses leading to the decision to propose the use of ECT.
         2. (2) The results of other, less restrictive alternative treatments used to modify these behaviors or alleviate the described symptoms.
      2. (B) The anticipated benefits to the client of using ECT, with a statement of the probable consequences of denying the use of ECT.
      3. (C) The number and frequency of proposed treatments, their methods of administration, and the medical support to be used during the course of treatments.
   2. (2) The methods to be used to determine and document the results of the treatments.

   3. (3) Consent that shall be:

      1. (A) Limited to a specified maximum number of treatments over a maximum period of time not to exceed 30 days. Additional treatments in number or time, not to exceed 30 days, shall require a renewed written consent.
      2. (B) Revocable at any time before or between treatments. Withdrawals of consent may be either oral or written and shall be given effect immediately.
2. (b) The proposed treatment plan shall be submitted in writing to the ECT Review Committee.

Note: Authority cited: Section 4505, Welfare and Institutions Code. Reference: Section 4505, Welfare and Institutions Code.

History

1. New section filed 9-29-89; operative 10-29-89 (Register 89, No. 40).