Residential Treatment

Residential Treatment:

Rogers is a comprehensive psychiatric hospital, nationally recognized for specialty residential treatment programs for eating disorders, addiction, obsessive-compulsive disorder and anxiety disorders for children, teens and adults.

Life. Worth. Living.

October 10, 2011 - 3:41pm

Find out what Rogers patients are saying about eating disorders treatment at Rogers Memorial Hospital.

"This is the way to go," said one 17-year-old boy, color flush in his cheeks and a spark in his eyes that had been notably missing at the start of his stay at Rogers Memorial Hospital’s Eating Disorder Center three months prior.

"Rogers is the best help around," he said. "If you’re struggling, if you’ve had an eating disorder for a short or a long period of time, I would highly recommend seeking out the treatment here."

The emphatic support offered by this 17-year-old is unusually well spoken, but not atypical of the kind of appreciation our patients offer when they reflect on their treatment experience at Rogers. Many of our patients tell us that they cannot believe how busy they are while they’re in Rogers Memorial Hospital’s eating disorders treatment programs. Rogers’ program is packed full of therapy; our patients are immersed in a variety of therapeutic activities and approaches, including some of the most detailed cognitive-behavioral therapy you can get anywhere.

With so many different kinds of therapy and staff with years of experience providing evidence-based eating disorders treatment, there are endless opportunities for our patients to have “breakthrough” moments, where recovery really clicks. Unified in the task of helping our patients to obtain a long-term recovery, the treatment team’s approach encourages self-empowerment. From admission to discharge and throughout aftercare planning, a dedicated, experienced team is involved in every step of treatment. Personalized treatment plans address each patient’s needs and focus on changes in thinking, and overcoming obstacles for recovery.

Once a patient tastes recovery, they’re often ready for more: “I am ready to see the world and take life as it comes,” said the 17-year-old. “Once you get out of your eating disorder, life has a purpose again. Struggling one more day with an eating disorder is not worth it at all.”

 

September 17, 2011 - 12:00am

Warning signs for parents
Dr. Cornella-Carlson gave these warning signs for parents to watch for if they’re concerned that their child might have an eating disorder:

  • Weighs him or herself every day
  • Skips at least one meal a day
  • Counts calories and fat grams
  • Feels anxious or guilty after eating
  • Exercises because they “have to”
  • Become withdrawn
  • Possesses unusually detailed knowledge about food or exercise

Shortly after launching a new treatment program at Rogers Memorial Hospital, Dr. Tracey Cornella-Carlson was already seeing more children and families enjoy a quality of life that seemed lost within the tight grip of an eating disorder.

Even as young as fourth grade, children are becoming concerned with calories and fat grams and subjected to emotional bullying about their appearance.

Dr. Cornella-Carlson said that parents come to Rogers Memorial Hospital, not just because they are worried about their child’s health, but because they feel that they have lost their child emotionally. The disorder affects the child’s ability to participate in day-to-day activities with their friends and families.

The new child and adolescent inpatient program was developed under her leadership to provide a safe, nurturing environment where children and teens could be treated for medical and emotional stability by a specialized team comprised of physicians, dietitians, therapists, nurses, and other trained professionals.

Inpatient environment addresses behaviors

The Rogers Memorial Hospital inpatient program was designed to provide medical, nutritional, and emotional stability as it affects the needs of children and young teens.

Dr. Cornella-Carlson says that many children and teens being treated for eating disorders on an outpatient basis find it hard to eat what they should. “They really try,” she said, “They promise that they’ll eat their snack, pack it, but then ‘forget’ to eat it or say that they just weren’t hungry.” The inpatient program guides patients while eating and addresses any related behaviors.

“Once their nutritional intake is increased, they have a better ability to understand their situation, that they are separate from their disorder and are able to express themselves in a healthier way,” Dr. Cornella-Carlson said.

Jessica Witt, RN, CPNP, clinical services manager for the program, explained how the treatment team at Rogers Memorial Hospital continually monitors patients to pinpoint their diagnosis and manage any other medical issues common to eating disorders. “Patients may have developed symptoms that affect their gastrointestinal system, bones, heart or limit their physical activity,” she said.

“We work to stop the behaviors and provide an environment where they can heal while they discover that they are separate from their disorder.” One of the key elements of the program, Witt added, was the group therapy component.

Complex and challenging disorder

Dr. Cornella-Carlson explained that certain characteristics of eating disorders make it especially complex to treat them in children. Individuals with eating disorders often suffer from obsessive-compulsive disorder or other anxiety disorders and are more likely to focus on a thought pattern that compares them to others in a negative light.

Group and cognitive behavioral therapy are used to help patients recognize and change the distorted thought patterns. In a group therapy setting, they are able to see how their behavior looks from the outside and begin to recognize it from the inside.

Dr. Cornella-Carlson said that patients with eating disorders are highly attuned to their environment and behaviors. They find it hard to relate to those who do not understand food or activity in the same ways.

As a result of their disorder, they tend to be withdrawn and avoid mealtime, a common social point for patients. They are often perfectionists and intellectualize certain aspects of treatment. An example might be a patient who wants to satisfy their sweet tooth with an apple, instead of ice cream.

Knowing they’re not alone

Within the specialized eating disorder program at Rogers Memorial Hospital, patients can be with others their age who have first-person experience with eating disorders and can support each other. Mealtimes are supervised by trained dietitians who observe which mealtime issues patients struggle with and also ensure that patients are eating the right amount of food.

Dr. Cornella-Carlson also said that a key element of the program, which admits patients from throughout the United States and Canada, is the education and involvement of the patient’s family. “They may bring food in so they can eat together, participate in the recovery process and improve communication,” she said.

Dr. Cornella-Carlson said that parents are relieved to see their son or daughter’s unique personality reemerge and interact with the family again. “So many parents say, ‘Thank you for bringing our child back.’”

When patients leave the program, they have a much better understanding of how they can control their behaviors in a healthy way, explained Dr. Cornella-Carlson. “We teach them skills and techniques that we hope will help them for the rest of their lives.”

September 13, 2011 - 3:07pm

School can be stressful and challenging.School can be stressful and challenging for many young people, and, in some cases, school-related activities can trigger an eating disorder. Nearly 15 percent of the patients at the inpatient eating disorders treatment program for children and adolescents at Rogers Memorial Hospital trace triggers for their eating disorders to school programming.

Much of the conversation around nutrition in schools and health and wellness classes centers on “good foods vs. bad foods,” teaching kids how to read food labels and count calories, and the “destructive nature” of unhealthy foods. Some nutrition classes also use gross-out tactics (like visceral demonstrations of globs of fat) to scare children into healthy eating.

The problem lies not in the need to educate children about nutrition, but that this education is not simultaneously delivered alongside body-image awareness. It’s possible to teach nutrition in a body-positive way; nutritional education is a large part of all of the eating disorders treatment programs at Rogers. Scaring kids, making strong generalizations about health and nutrition, focusing as body images and stereotypes all pile pressure on kids to approach food and nutrition in unhealthy ways.

The good news is that there are some easy ways to continue the educational conversations about nutrition in ways that reduce the risk of pressuring kids into making unhealthy choices. Rogers recommendations include:

  • Avoid scare tactics – Teach kids about food variety, moderation, making smart choices, and promote a healthy lifestyle following the nutritional guidelines and age appropriate exercise.
  • Teach parents as well – Parents are in charge of grocery shopping, meal planning, and cooking, and ultimately responsible for a child’s nutritional experience, they need to be on the same page as their children when it comes to nutrition.
  • Avoid sweeping generalizations – Be mindful of your word choices and developmental level of your students. If you tell five-year-olds that eating red meat will make them have a heart attack – they may take this as truth and likely be fearful of that food for themselves and family members.
  • Remain body positive – Avoid comments about body weight, shape, and size when describing nutrition. Proper nutrition is about so much more than weight and shape and size. Instead, focus on overall wellness as a goal.

As our nation becomes increasingly concerned with obesity, the desire to improve children’s nutritional habits is understandable. However, as we are attempting to help combat obesity we must simultaneously be aware of the possibility that how we present this information can trigger disordered eating in children and adolescents.

The inpatient eating disorders treatment program for children and adolescents at Rogers Memorial Hospital was developed by Tracey L. Cornella-Carlson MD and Theodore E. Weltzin, MD, FAED along with a treatment team with unprecedented experience treating eating disorders in young people.

August 30, 2011 - 9:42am

Dr. MIllerPatients at the Herrington Recovery Center at Rogers Memorial Hospital have the opportunity to work one-on-one with a physician who is helping to re-define addiction medicine, leading the way to help make scientifically tested treatment the standard of care for everyone looking to break free of an addiction.

Herrington's patients already receive the forward-thinking approach being championed by Michael M. Miller, MD, FASAM, FAPA, the center's medical director. The way he talks about treatment is already framed around the biological, spiritual and societal natures of addiction medicine.

He's also working to bring it to the world. In the past week, Dr. Miller has appeared more than thirty times in various news reports on the changing face of addictions, in publications like USA Today, U.S. News & World Report, the L.A. Times, and the Toronto Sun.

The American Society of Addiction Medicine announced last week that they would be adopting a definition of addiction that will move the focus of addiction treatment away from one based on external behaviors.

"Addiction is about a lot more than people behaving badly," said Dr. Miller. "At its core, addiction isn't just a social problem or a moral problem or a criminal problem. It's about underlying neurology, not outward actions."

Speaking on a radio talk show in Baltimore, Miller said: "The brains of people with addiction are really functioning differently than the brains of people who don't have addiction," he said. "What this definition does is say that [addiction is] a chronic disease, it is a bio-psycho-social condition, and that it's going to take time to recover.

"Treatment is very effective when it comes in the proper dose and duration."

Rogers is a comprehensive psychiatric hospital, nationally recognized for specialty residential treatment programs for addiction, eating disorders, obsessive-compulsive disorder and anxiety for children, teens and adults. To begin an admission or referral, request a screening online.

August 12, 2011 - 1:51pm

Miller named ‘Outstanding Clinician” by Addiction ProfessionalMichael M. Miller, MD, FASAM, FAPA, medical director of the Herrington Recovery Center, was selected to receive Addiction Professional’s 2011 Outstanding Clinician Award.

In addition to his active role as an advocate for addiction medicine, Dr. Miller  is an outstanding clinician. This is not news to the patients and families who have found treatment at Rogers’ Herrington Recovery Center. Dr. Miller is very much involved in the ongoing treatment of Herrington’s patients.  From the article at Addiction Professional:

“I want to know who the people are in [patients'] lives,” Miller says. “In this field you have people estranged from their family of origin, people who have not a lot of friends and whose network is constructed with other active addicts. … I try to do my initial interviews with the family present.”

You can read the article online, and an in-depth profile of Dr. Miller appears in the print version of the July-Aug. edition of Addiction Professional, which will be distributed at the National Conference on Addiction Disorders in September.

The Herrington Recovery Center at Rogers Memorial Hospital provides comprehensive, confidential treatment for substance-use disorders in a modern and comfortable environment.

August 5, 2011 - 2:41pm

Jacobi and Eken SpeakThe medical leadership team from  Rogers Memorial Hospital's Child Center, Stephanie Eken, MD, Medical Director and David Jacobi, PhD,  clinical supervisor of the Child Center and Child and Adolescent Center made the case for the effectiveness of residential treatment for OCD in children ages 8 to 13 at the recent IOCDF Conference held in San Diego.

Jacobi and Eken discussed when residential treatment is appropriate for kids and teens with OCD.  The session highlighted information about how cognitive-behavioral therapies (CBT) are structured and applied, the types of co-occurring disorders that are seen in children and adolescents, the diverse makeup of a typical residential treatment team, a representative daily schedule, and the effectiveness of residential treatment.  

Bradley C. Riemann, PhD, clinical director of the OCD Center and CBT services at Rogers Memorial Hospital also spoke at the conference. He co-facilitated sessions entitled “Careers in OCD: Which Path Makes Sense for Me?” and “Troubleshooting in Cognitive-Behavioral Therapy for OCD”  The later session focused on helping clinicians troubleshoot difficult OCD cases. The facilitators asked attendees to volunteer a challenging case to be discussed by the group. 

Riemann also co-hosted the IOCDF research reception held at the conference. The annual reception recognizes the IOCDF research fund grant recipients and is sponsored by Rogers.  

Several Rogers therapists facilitated the art and activity rooms offered all three days at the conference. These popular rooms offer conference goers a variety of ways to experience and apply the themes and group work occurring at the conference. One of these rooms served as a backdrop for a television news story about OCD filmed at the conference. 

Rogers Memorial Hospital, a Gold Sponsor of the event, offers one-of-a-kind treatment for children, teens and adults with OCD at its residential treatment centers in Wisconsin. 

 

August 2, 2011 - 3:50pm

Cameras Roll at the IOCDF conferenceThe Art Therapy Rooms at the International Obsessive Compulsive Disorder Foundation (IOCDF) Conference were featured on NBC stations in Southern California on July 29.


The studio was where producers from the IOCDF and NBC 4 interviewed adolescents about their experiences with OCD and Anxiety Disorders. Rogers Memorial Hospital offers residential treatment for children as young as 8 at its Child Center and from age 13 and up at its Child and Adolescent Center


Rogers Memorial Hospital has been facilitating the drop-in studios for more than a decade as part of its ongoing support of the IOCDF.

May 11, 2011 - 2:28pm

More than a half million teens are affected by eating disorders and showing significant rates of subclinical eating conditions according to a recent article published by the National Institute of Mental Health (NIMH).

The article referred to an NIMH-funded study which found that symptoms that often lead to the development of an eating disorder can be difficult to diagnose. As a result, many affected teens are going without treatment.

“This shows how important it is for parents and physicians to understand that the symptoms of eating disorders are not always obvious,” said Dr. Tracey Cornella-Carlson, Medical Director of Child and Adolescent Eating Disorder Programs at Rogers Memorial Hospital–Milwaukee. “Fortunately, we know that those who start treatment early on have a far greater chance of maintaining a sustained recovery.”

Co-occurring mental disorders are common
“We are able to provide many levels of supportive care for teens as well as their families, and teach them the skills, such as “thought-challenging” (evidenced-based Cognitive Behavioral Therapy) to help them sustain recovery throughout their lives. With proper, effective treatment early on, long-term recovery can be a reality for them,” said Dr. Cornella-Carlson.

Rogers is home to one of the few inpatient eating disorder programs specifically for children and adolescents in the nation.

May 10, 2011 - 4:11pm

Actor Catherine Zeta-Jones announced that she was being treated for bipolar II disorder. A pair of celebrities made headlines recently with the announcement of their completion of treatment for a behavioral health concern.

Actor Catherine Zeta-Jones announced that she was being treated for bipolar II disorder. Teen actor Demi Lovato announced she had also been in treatment for a variety of mental disorders, including bipolar disorder. And is often the case, when a celebrity of Zeta-Jones’ stature brings attention to a major and fairly common disorder, a groundswell of support and awareness is felt by those afflicted.

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and affects the ability to carry out day-to-day tasks. Bipolar II, the particular diagnosis that Zeta-Jones is diagnosed with, means that she experiences recurring bouts of depression alternating with mild mania.

“With bipolar, generally, the mood swings up or down. Most of the time people with bipolar are depressed,” said Jerry Halverson, MD, the Medical Director of Adult Services at Rogers Memorial Hospital - Oconomowoc. “There are often issues of self-worth, how you look at the world, and how you look at yourself.”

Symptoms of bipolar disorder are different from the normal mood swings experienced by most people. Zeta-Jones told reporters that she’d found herself unable to shake the depression that followed her husband’s battle with throat cancer, so she decided to find treatment.

“We have good treatments that can help people, and people with this illness can lead full and productive lives,” said Halverson. “It’s not all about medication. We help people figure out what’s going on in their lives and treat the whole person.” Recovery from bipolar disorder often requires continued treatment, and for many people psychotherapy with medication can prevent and delay relapse.

Rogers Memorial Hospital offers treatment for adults, children and teens seeking recovery from any mental illness. For a free screening, call 800-767-4411.

May 6, 2011 - 11:48am

This short video was taken from a talk given by child and adolescent psychiatrist Bradley L. Erickson, MD, to a group of parents at St. Joseph School in Wauwatosa on Wednesday, May 4. The event was part of Rogers Memorial Hospital's observance of Children's Mental Health Awareness Week and the Speak Up for Kids! program. Rogers Memorial Hospital currently has 15 child and adolescent psychiatrists on staff and is home to two nationally recognized residential treatment centers for children and adolescents. Find out more about the Child Center, the Child and Adolescent Center, and all the other mental health treatment services offered for children, teens and adults at Rogers.

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