Treatment FAQ

how much does it cost to open an ect treatment center

by Keagan McKenzie Published 2 years ago Updated 2 years ago

There are many financial factors to consider when initially budgeting to open an addiction treatment center. An intensive outpatient program can range from $300-$600k, a residential treatment center can be a few million, and a sober living home can range from $200-700k.

Full Answer

How much does ECT treatment cost?

The process can seem overwhelming. There are many financial factors to consider when initially budgeting to open an addiction treatment center. An intensive outpatient program can range from $300-$600k, a residential treatment center can be a few million, and a sober living home can range from $200-700k.

What is the ECT program like at UTHealth?

 · The cost to the consumer for ECT varies depending on if the person has health insurance, if the insurance covers this procedure, and to what extent. The cost of each ECT session is about $2,500, for a total of $25,000 for the 10 …

How much does it cost to open an addiction treatment center?

 · ECT treatments cost $300 to $1,000 per treatment, with an initial course requiring five to 15 treatments followed by 10 to 20 maintenance treatments per year, the researchers noted. That means the...

Does Medicare cover ECT treatment?

BryLin’s Center of Excellence in Electroconvulsive Therapy (ECT) Program, led by our Chief Medical Officer Sanjay Gupta, MD, is designed to foster integrated, evidence-based approaches to prevention, early detection, and treatment of a multitude of mental health diagnoses.. The National Council for Mental Wellbeing and Dale Jarvis and Associates helped develop a …

What is the average cost of ECT?

ECT treatments cost $300 to $1,000 per treatment, with an initial course requiring five to 15 treatments followed by 10 to 20 maintenance treatments per year, the researchers noted. That means the annual cost can be more than $10,000, compared with a cost of several hundred dollars for many antidepressant medications.

What is ECT success rate?

What is the Success Rate of Electroconvulsive Therapy? ECT is an effective medical treatment option, helping as many as 80-85 percent of patients who receive it. Most patients remain well for many months afterwards.

Why is ECT a last resort?

ECT is too often considered as a last resort, rather than as a first-line treatment, a status that some states have even written into law. ECT's controversial history and the consequent reluctance of patients to accept it without trying other alternatives may also be a barrier to its increased use.

Can a nurse practitioner perform ECT?

Advanced practice nurses are administering ECT and directly managing related care (Hardy et al., 2015; Rosedale et al., 2015; Svensson et al., 2016; Tor et al., 2020).

Can ECT damage your brain?

The review of literature and present evidence suggests that ECT has a demonstrable impact on the structure and function of the brain. However, there is a lack of evidence at present to suggest that ECT causes brain damage.

Is ECT ethical?

Results. ECT research is ethically justified and should always continue to be conducted with the highest ethical standards. ECT research entails few ethical peculiarities such as involving multiple sessions were capacity to consent can change. It would be unethical not to conduct ECT research.

How many ECT treatments is too many?

Typically, ECT (whether inpatient or outpatient) is given two to three times a week for a total of six to twelve sessions. Some patients may need more or fewer treatments. These sessions improve depression in 70 to 90 percent of patients, a response rate much higher than that of antidepressant drugs.

Can ECT change your personality?

ECT does not change a person's personality, nor is it designed to treat those with just primary “personality disorders.” ECT can cause transient short-term memory — or new learning — impairment during a course of ECT, which fully reverses usually within one to four weeks after an acute course is stopped.

What mental illness does ECT treat?

Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with severe major depression or bipolar disorder that has not responded to other treatments.

Can physician assistants do ECT?

It's carried out by a team of medical authorities who include a psychiatrist, anesthesiologist, and nurse or physician's assistant. ECT can be extremely successful for people with acute depression. About 80 percent of patients will see considerable relief.

What is ECT therapy?

Electroconvulsive therapy (ECT) is a non-medication medical treatment that addresses severe psychiatric symptoms, after trials of medications and psychotherapy have been unsuccessful or a mental health disorder is determined to be severe and acute enough to warrant this intervention. During this brain stimulation procedure, ...

Who administers ECT?

Given the need for the ECT recipient to receive general anesthesia, medical professionals, usually psychiatrists, administer this medical therapy. Prior to starting a course of this medical intervention, the medical team will consult the patient's primary care doctor in order to determine that the person is physically able to receive the anesthetic and undergo ECT. Physicians, primarily psychiatrists, usually perform this therapy, assisted by an anesthesiologist and nurse, as well as a physician assistant and/or nurse practitioner to assure the safety and comfort of the patient by providing ongoing medical assessment and care.

Does ECT work?

Formerly known as electroshock therapy in the days when it often caused injury and severe side effects, ECT practices today include drugs that relax the skeletal muscles so the patient does not move or thrash as the seizure affects the brains electrical functioning. How ECT works isn't clear, but it's effectiveness is.

How long does it take to get awake after ECT?

A person usually needs six to 12 treatments for this medical therapy to be effective. The patient is awake in five to 10 minutes. The most common side effects of ECT include brief confusion immediately after the procedure, as well as a temporary loss of short-term memory, which usually resolves within about six weeks.

Do African Americans receive ECT?

Beyond what could be explained by age, socioeconomic status, insurance coverage, or by severity of the mental illness (severe major depression or bipolar disorder) of the patient, African Americans tend to receive this therapy less often than Caucasians in the United States. Worldwide, while older women with symptoms of depression tend to be the most frequent recipients of ECT in western countries, younger men with schizophrenia make up the group most often receiving this therapy in Asian countries.

Is ECT effective for depression?

ECT often is effective in cases where antidepressant medications and psychotherapy do not provide sufficient relief of symptoms. Physicians often consider if a treatment known as magnetic stimulation therapy is ineffective.

Why is ECT so controversial?

Rather than the popularity of psychoanalysis or the rise of medication treatments from pharmaceutical companies, it is thought that in addition to the significant adverse effects on memory and personality that bilateral ECT treatment caused, a cultural bias against psychiatry in general and against ECT specifically is the reason that this highly effective medical treatment became controversial. Novels like Asylum in 1961 and One Flew Over the Cuckoo's Nest in 1962, as well as the film based on the latter novel, released in 1975, are thought to have fueled some of that backlash by emphasizing the worst characterization of this treatment as shock therapy. The anti-psychiatry stance of groups like the Church of Scientology is also thought to have contributed to the stigma that mental health treatments, particularly ECT, incurred during that period.

How much does ECT cost?

ECT treatments cost $300 to $1,000 per treatment, with an initial course requiring five to 15 treatments followed by 10 to 20 maintenance treatments per year, the researchers noted. That means the annual cost can be more than $10,000, compared with a cost of several hundred dollars for many antidepressant medications.

How many strategies were simulated in ECT?

Seven strategies were simulated, including a strategy with no ECT and six other simulations with 0 to 5 treatment courses prior to ECT.

Is ECT a health economic value?

The analysis, published online in JAMA Psychiatry, suggests that offering ECT after failure of two lines of pharmacotherapy and/ or psychotherapy would "most reliably maximize ECT's health-economic value."

Is electroconvulsive therapy effective?

Electroconvulsive therapy (ECT) is efficacious and also cost effective for patients with treatment-resistant major depression, and it should be considered after failure of two prior trials of pharmacotherapy and/or psychotherapy, new research suggests.

Is ECT a stigma?

The study's lead researcher, Eric L. Ross, explained that among clinicians familiar with ECT, there is far less stigma surrounding the treatment than among the public: "Psychiatrists know that this is a very effective treatment, but it is still not widely used," he told MedPage Today.

What is the phone number for the ECT?

Should you have any additional questions, please see our FAQ page HERE or for more information you may call the ECT Department directly at 716-886-8200 ext. 2196.

Who is the Chief Medical Officer of ECT?

Our ECT Program includes a highly qualified team of anesthesiologists, registered nurses, and support staff. Our Chief Medical Officer, Dr. Sanjay Gupta leads a team of psychiatrists who will work closely with you and your family to provide the very best care possible.

Is electroconvulsive therapy a medical procedure?

While Electroconvulsive Therapy (ECT) is a proven treatment for most mental health issues, it is still a medical procedure that would need a Physician or Nurse Practitioner’s request or referral.

How does electroconvulsive therapy work?

How Does Electroconvulsive Therapy (ECT) Work? 1 The ECT procedure involves electrical stimulation to the brain while a person is under anesthesia. 2 A controlled seizure is induced to improve chemical pathways in the brain that effect mood and behavior. 3 During the procedure, an anesthesiologist provides a general anesthesia medication, airway management, and knowledgeable guidance. 4 A highly experienced physician determines the proper amount of stimulation and duration of the seizure. 5 Recipients receive between 6-12 treatments over a 4-5 week period. 6 Some people may see their symptoms improve as early as a week or two.

Is ECT covered by Medicare?

Maybe just as important as ECT’s effectiveness is the cost… because of its proven track history of success, ECT is covered by most health insurance plans, Medicaid, and Medicare.

What is ECT treatment?

For severely depressed patients who may have wait several weeks or even months to discover whether specific anti-depressant medications take effect—often to no avail—ECT (electroconvulsive therapy) is one of the fastest ways to relieve symptoms. It provides a rapid response rate for those who desire to harm themselves, stop eating or no longer want to live. ECT also has shown to help with bipolar disorder, refractory schizophrenia, the elderly with dementia related to agitation and aggression, pregnant women wanting to avoid medication or pregnant women with catatonia.

How long does it take to get an ECT?

It works well as an outpatient procedure, with the patient under general anesthesia and asleep during the procedure, which takes 10 -20 minutes. A finely controlled electric current is administered for less than one minute, creating a brief seizure in the brain. Theories suggest that this process may improve the way brain cells communicate with each other, help new brain cells to form, or help increase the amount of the brain’s “good chemicals” that naturally reduce depression.

Who is the director of UTHealth Refractory Mood Disorders Program?

In our ECT program, every candidate considered to receive ECT is referred for an initial consult with Salih Selek, MD, Director of the UTHealth Refractory Mood Disorders Program and an Associate Professor on the UTHealth faculty. If ECT is confirmed as an appropriate course of treatment, the patient is scheduled for lab work and medical clearance by an internal medicine or family practice physician.

Is ECT safe for depression?

ECT is recognized as one of the most effective, safe and pain-free treatments for certain conditions, particularly severe depression that does not respond to medication or other therapies. In fact, a 2006 study published in the Archives of General Psychiatry reported an 86 percent remission rate for severely-depressed patients treated with ECT. Today, an estimated 100,000 people across the U.S. choose to be treated with ECT each year.

What is ECT therapy?

ECT stands for electroconvulsive therapy and is another name for what was known in the past as electroshock therapy . This form of therapy has been used since 1938 as a psychiatric treatment for certain mental health disorders. Today, doctors and psychiatrists use ECT most commonly to treat severe cases of depression when other forms ...

How long does it take to get ECT?

Depending on the individual circumstances, ECT treatments can take place 3 times a week for a total of 6 to 12 sessions. Each session of ECT takes about 15 minutes. Before each session, preparation takes an hour, and after a session, you can expect an hour for recovery.

Does Medicare cover ECT?

Medicare Part B (Medical Insurance) may help cover the cost of ECT services you receive in an outpatient setting. You are eligible for this coverage only if your doctor certifies that the treatment is medically necessary and you get ECT in a Medicare-approved facility. With Original Medicare Part B, you will likely pay 20 percent ...

How much is coinsurance for mental health?

The coinsurance payment is $0 for days 1-60 of in-hospital care. With inpatient mental health care, you are also responsible for paying 20 percent of the final Medicare approved amount for any mental health services from doctors or other health care providers while you are in the hospital.

How much is Medicare Part A deductible?

With Original Medicare Part A, you are responsible for the deductible for each benefit period. As of 2019 this amount is $1364.00. A benefit period begins on the day of your admission to the hospital and ends after 60 consecutive days of not receiving inpatient hospital care. The coinsurance payment is $0 for days 1-60 of in-hospital care.

What is the deductible for ECT?

With Original Medicare Part A, you are responsible for the deductible for each benefit period. As of 2019 this amount is $1364.00.

Can pregnant women take ECT?

ECT may also be considered as an option for pregnant women who need treatment and cannot take medications, or for older people who have problems with the side effects of drugs. It is also important to note that ECT is never performed on someone who does not want this form of treatment. Costs of ECT. In the United States, the average cost ...

How long does it take to open an ECT?

It can take a year to simply open an ECT service. And another year at minimum to get referral patterns to change be aware of the service and get to a steady volume.

How many patients will the psych take home for ECT?

So the consensus is that the psych will take home 150 on average per patient for ECT?

Do psychiatrists get reimbursed for ECT?

Reimbursement varies like everything else. I would need to take a substantial pay cut to do ECT. It is generally done at inpatient hospitals only in my area. Psychiatrists that work the inpatient unit and thus already going to the hospital may find it slightly more lucrative than more inpatients. Essentially current inpatients and those doing it outpatient will start being prepped early like 6am or earlier. By the time psych and anesthesia arrives, you may have 12+ rolling beds lined up. It’s treated like a conveyor belt. As soon as it’s over, rounding begins.

Can you make a living doing 100% ECT?

No one (or almost no one) makes their living doing 100% ECT as was pointed out. But there are tremendous variations in scale. The OP was envisioning doing 6-9 treatments per week on her own select patients, out of frustration with lack of ECT available in her community. Many people do more. In my community it's very specialized--very few psychaitrists do it, and the 2-3 that do it, do it a lot.

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