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.

February 15, 2013 - 3:16pm

Treatment for depression can improve physical health, while failing to treat depression could have dire physical consequences.

Depression TreatmentDepression is a powerful medical illness which alone can be a very painful and difficult illness for patients and families to recover from. When you add another co-occurring medical condition, like cancer, the intensity of the depression symptoms may become more apparent or even increase.

The connection between mental illness and medical illness has been in conversations for centuries. The greatest minds in mental health and medicine agree there is a relationship. Today, more than ever before what that relationship is, and how it affects people, is getting attention. “Western medicine” is starting to recognize some aspects of “Eastern medicine” are not only real, but highly impactful in people’s lives. The last 30 years have shown resurgence in the exploration of the mind and how it permeates and is affects all of the body’s functions. This resurgence is spurred by chronic medical conditions which appear to be affected by psychological conditions, and appear to improve with psychiatric interventions like psychotherapy.

Depression may amplify the physical symptoms associated with a medical illness in several ways. The co-occurring nature increases impairment in functioning while decreasing adherence to prescribed regimens. Another symptom is suicidal thoughts or taking one’s own life. This can be an independent factor in chronic medical illness, however, the chronic medical illness may intensify these thoughts, making them more common and even more concerning. What people may not realize is that although depression, (which often leads to these suicidal thoughts) is insidious, it is common and treatable.

Depression and Cancer

Cancer is the number 1 killer of Americans under the age of 85. According to the American Cancer Society, in 2013 1,660,290 new cancer cases are expected to be diagnosed and 580,000 are expected die from the disease. Depression also kills. Suicide occurs at a higher rate than homicide, at a similar rate as breast cancer, and is the second leading cause of death in college students. It is the third leading cause of death in ages 15-24 and fourth in people 24-65. All of these deaths by one’s own hand via suicide. Oftentimes caused by depression, which is very treatable in most cases.

How do they relate? Psychiatric disorders like depression are 15% more prevalent in patients with cancer, than the population as a whole. Depression is up to 60% more common in the more acute or advanced cancer patients. What is unique among cancer patients is that nearly 80% of the psychiatric disorders go unrecognized and untreated. In one study only 2% of cancer patients were receiving antidepressant medications or psychotherapeutic interventions.

At the end of the day, depression major, minor or sub-clinical in nature does have an effect on the body and can have major impacts on people with physical illness, particularly major illnesses. As people understand the connection between mind and body these effects will become more widely known and a common understanding will develop. If you or a family member or other loved one is experiencing major medical illness, they may also be experiencing depression which could have a significant impact on their treatment and how they recover. As always, Rogers provides free depression screenings 7 days a week by calling 1-800-767-4411 or schedule a screening online by visiting http://rogershospital.org/request-screening.

February 8, 2013 - 1:12pm

How Do You Know and What Should You Do.

Eating Disorders TreatmentCollege is a time filled with uncertainty and angst. Did I pass the test? Does he or she like me? I have to do my own laundry? Unfortunately, that feeling of being out of control leads to something a student feels the can control. Their diets.

The National Institute of Mental Health estimates that 25% of college students have eating disorders. Developed as s a way of "coping,” many student mention the word “control” as one factor they believe contributes to their eating disorder.

As a friend or family member there are things you can do to encourage and support someone as they struggle. First get informed. There are various resources out there via the internet, books and even your college counseling center that can help you understand what is happening and how the cyclic behavior can be modified.

Second, encourage your friend or family member to talk. Communicate your concerns objectively and listen to what they have to say about their anxieties, discouragements or even why they feel good about themselves.

How do I know if someone has an eating disorder?

In general, behavior and attitude will indicates that weight loss, dieting and control of food are becoming primary concerns over and above other concerns. Some basic indications of an eating disorder include:

  • Binge eating: Larger than normal quantities of food disappear. Wrappers or containers indicating large amounts of food was consumed.
  • Purging: Frequent trips to the bathroom after meals. Signs/smells of vomiting. Laxative packages/ diuretic packages.
  • Excessive exercise: Exercise is used to burn off all calories consumed.
  • Dental issues: Discoloration or staining of the teeth.
  • Withdrawal: Specifically to make space for rituals of binge and purge sessions.
  • Dramatic weight loss: Frequent comments about feeling “FAT”
  • Preoccupation with weight, food, calories, fat grams, and dieting: Food rituals or food controlling behavior.
  • Avoiding mealtimes: Excuses to avoid situations involving food

What does treatment look like?

Just like breaking an arm or a leg, eating disorders need to be treated by a medical professional who specializes in treatment of eating disorders. Many college students have inner struggles, preventing them from wanting to seek recovery. This is part of the challenge a friend or family member will face, convincing a student to get help and understand the nature of the illness.

January 18, 2013 - 10:39am

He who gives advice builds with one hand, he who teaches and gives example builds with both.

CBT Cognitive-Behavioral TherapyCBT or Cognitive-behavioral therapy is a classification of therapies that have similar methods all based on the same general principal of the Cognitive Model of Emotional Response. Generally speaking, CBT starts with the idea that our thoughts cause our feelings and behaviors, not external conditions. External conditions like people, situations or events merely occur and it’s our thoughts which determine how we feel about external conditions, and our learned thought patterns that make us react the way we do.

CBT is used in a variety of behavioral therapy modalities because it relies less on the relationship between the patient and the therapist and more on the patient understanding and recognizing how various situations make them feel and think. The patient can teach themselves that thought patterns can have a serious effect on their feelings and therefore can be changed to be healthier. Another reason CBT is chosen as a therapy method is that it tends to take hold faster than traditional psychology methods and therapies.

CBT is collaborative in nature, helping patients and therapists move forward in treatment. From the very beginning of treatment it is made clear the roles of both parties are to help the patient to achieve his/her patient goals. By constant self-analysis the patient and therapist understand it is not an open ended therapy and that it will end.

  • CBT is not about feelings.

CBT is about knowing that undesirable situations can and do occur and getting past them is a matter of how we think about those situations. CBT relies on the therapist properly getting the patient to ask themselves questions leading to answers that make sense and reduce anxiety.

  • CBT is a professional therapy.

It is structured with a direction, therapists have a specific goal and agenda for each session, which generally relates to a specific technique or concept taught by the therapist and learned by the patient. It is not about telling a patient what to do, but about teaching patients how to do.

  • CBT is really about setting goals.

The patient can learn about themselves and how they learned the reactions to stimulus leading to disordered thought patterns. They learn the correct reactions, or at least reactions that don’t lead to the anxiety or disordered thoughts the patient has suffered from.

Understanding what CBT is makes it completely natural to understand why Rogers utilizes a specialized mix of CBT and a response prevention method called ERP (exposure and response prevention) in order to help OCD and anxiety patients recover from their escape response. ERP is the practice of exposing the patient to the very thing that triggers the escape response and then preventing the patient from responding in the disordered way by teaching them to react in the correct way and that allows the patient to learn that their fears are the disordered response. Practicing the fear-reduction technique using CBT is the key to the success which has put Rogers’s treatment teams out front when treating Anxiety and OCD. Choosing Rogers when you are looking for a treatment provider gives you access to those professionals and one of the most sought after treatment modalities in the nation.

Rogers’s admissions department is ready for your call, to get more information about treatment or to get a screening for yourself or a loved one, call 800-767-4411 or visit our screening request form.

January 7, 2013 - 1:25pm

Communication and collaboration are keys to keeping kids on track in schools.

Supporting the academic, social and emotional learning of students is a priority for any school district. Rogers hospital collaborates with many districts in order to offer expanded resources to struggling students. This partnership combines the experience and expertise of Rogers Child and Adolescent Day Treatment staff with an academic tutoring environment. This synergistic approach provides students with the extra attention they may need to stay on track in school.

How Does it Work

Typically teachers, counselors or other school staff will determine the eligibility of the student’s participation in Roger’s day treatment program. Our team work with school staff to ensure an academic plan for each student enrolled in the program is followed.

"We can help kids realize that their behaviors, thinking, and emotions have consequences – it makes a tremendous difference in their academic performance," states, a child and adolescent psychologist with Rogers Memorial. "The therapy we provide teaches them techniques to give them more control over feelings that interfere with good academic performance and school conduct, and to develop more healthy coping strategies."

The Benefit?

By providing access to services for students and families is at a single location, the transition between day treatment and a school is easier. In this supportive environment, targeted interventions become more consistent and timely, allowing each professional to focus on what they do best. Each professional’s expertise, whether it is teaching or child psychiatry, is magnified so children reap the benefits of both learning and day treatment. In working together we produce far better results for both our and our children’s futures.

Schools around the country are trending towards more collaborative and unique environments. They realize that early identification and treatment is more powerful in assisting students with mental health issues and/or problems at home. For further information contact Janet Gatlin at 262-646-1386 or by email at jgatlin@rogershospital.org.

December 13, 2012 - 1:55pm

Addiction Treatment for ProfessionalsAddiction is an equal opportunity destroyer. Most of those who find recovery will say they wish they’d have gotten help much sooner than they did, and that getting help would have saved them years of pain, loss, and turmoil.

Who is a Professional?

Traditionally a professional is labeled as someone in a specialized field of expertise who provides this knowledge to others for a fee. People in society look up to professionals because they are generally better educated, more intelligent, and more outgoing. Often these are doctors, lawyers, engineers and nurses. This is why addiction treatment for professionals is different. The facts are that professionals generally work more, are under more stress, and have more obligations to perform than other people. This leads to unique issues that could lead up to an addiction. Many professionals start self-medicating so they can focus longer and work more hours, thinking it will also assist in an improved performance while using drugs or alcohol. This is rarely the case and over time, as the addiction erodes the fabric of the person’s life; their performance suffers greatly often leading to some kind of intervention by a licensing body, manager or co-professional.

At that point the person would generally need treatment and/or require treatment to remain credentialed. The professional has the same choice to make as anyone else, and often times they look back and say that choice saved their life.

What Does Treatment Look Like?

At Rogers Memorial Hospital professionals get a 5 day evaluation which is personally designed to identify symptoms and diagnose chemical dependency and addiction. The patient will receive a thorough medical assessment and initial consultation with a medical doctor about their current condition. The evaluation consists of a series of assessments by members of the treatment team including addiction professionals, psychiatrists, neuropsychologist, alcohol and drug abuse counselor, and a family therapist. The professional also attends group therapy sessions during this time and is asked to prepare an autobiography to present in a group session. They are also expected to attend evening 12-step meetings and, for physicians with possible chemical dependency, off-campus Caduceus meetings.

After the 5 day evaluation period staff will review and recommend a series of next steps which may include residential treatment, group sessions on an outpatient level, or day treatment for a specific period of time.

The one thing that stands out about professionals is the level of respect by one’s peers once recovery has been established. There is a general understanding about addiction amongst professionals so when a fellow professional seeks help, they are treated with dignity and not stigmatized by their peers. This can go a long way in terms of strengthening the person and assisting in their recovery.

December 11, 2012 - 1:27pm
Reflections of a former Herrington Recovery Center patient who is now enjoying recovery and a New Years Eve free of intoxicants.

In the past, the end-of-the-year holiday frenzy had provided many opportunities for me to socialize and usher in the New Year with bubbly bliss. I anticipated the playfulness, waiting for that all so important midnight kiss; proceeded by the ball dropping in New York’s Times Square and Dick Clark’s count down.

However, as 2011 came to a close, I did not feel the end of year frenzy. In fact, I completely escaped the frenzy of the holidays even before Christmas. I was admitted to Herrington Recovery Center on December 14th. Never did I imagine that I would lie in prey to this viperous disease, spending the holidays in rehab. With the pangs of loneliness all too real, a willingness to surrender is what I felt.

To my surprise, New Year’s Eve brought forth an overwhelming sense of gratitude. I’m grateful for sobriety, a clean year ahead and good friends, along with the supportive staff at HRC. I’m grateful for an alumni association who spent time, energy and thought into making sure the residents at HRC had a night to remember this past New Year’s Eve. Yes, I’m proud to say I “remembered” this one! Not only because my mind was free from chemicals but because we had so much fun. The night started off with the cooking talent of Mike, who prepared tenderloin steaks and twice baked potatoes which melted in our mouths. Following the gourmet meal was a serious pool tournament, where Andy methodically schooled all the other sharks in the house, winning the first annual HRC pool trophy. The weather was unseasonably warm. The sky was clear. And many stars were visible outside, as well as in the house when the singing talent emerged after the Karaoke machine came out! Stars, like John A and John H, belted out Tom Dooley.

No, this year we did not watch the glamorous “ball” dropping in New York or experience that joyous midnight kiss. But we did have an amazing night of fellowship, fun, laughter and most of all sobriety! I’m so very grateful for my continuing recovery.

The Herrington Mcbride Alumni Associations is hosting the 2nd Annual New Year’s Eve Celebration. The inaugural event in 2012 was so successful we can’t wait to bring in 2013 with a gourmet meal, followed by games and fellowship.

December 6, 2012 - 4:10pm

Teen AddictionThese days it seems like you turn on the TV, read the paper or go online and the news is focused on tragedy stemming from drinking and drug use by kids and teens. Unfortunately this drinking and drug use starts and ends someplace. Typically it is in the home of adults who either don’t know or care how drinking or drugs might affect a young person. Sometimes, these people even want these kids having parties at home as they can ensure their safety.

Many believe that underage drinking is a “rite of passage” and “everyone does it”. However, continuous research warns that teens that drink are far more likely to engage in violent behavior, suffer sexual assault, fail in school, be involved in a car crash, suffer depression and even commit suicide. These dangers are not new and are only getting worse with the resurgence of heroin, cocaine, and prescription drugs, all of which can be found at a good number of these house parties.

Chemical dependency, also known as addiction or substance use disorders, are harder for youth to combat. Combined with peer pressure, this makes it easier for young people to become addicted to drugs or alcohol. Users admit they had their first experience with a certain intoxicant, or becoming intoxicated for the first time at one of these house parties. While it is quite rare for a person to spend their entire life free of any alcohol or drug use, these house parties contribute more than most people realize to the epidemic of cases of addiction in the U.S.

Teens that remain abstinent until the age of 21 are 5 times less likely to develop addiction. However, reality is that 75% of teens associated with drinking, relate the behavior to their parents.

What this really means is that parents who do not educate their teens about alcohol and/or drug use could be contributing to the growing problem of addiction in young people, teens and adults.

The other issue that parents face all over the country is a myriad of “social host” laws which can impose sharp penalties on parents responsible for allowing underage drinking on their property. Several of these cases seem to be occurring constantly and in the news on a regular basis. Parents don’t plan to have accidents happen, but they do, and these laws effectively make parents responsible for not only their own children, but those which use substances illegally on their property.

Rogers Memorial Hospital offers detoxification treatment and residential treatment for addiction in Kenosha, West Allis, and Oconomowoc. If you feel like you or someone you know may have a problem with addiction, please seek help. The faster addiction is treated and corrected the better life will become for the person.

November 20, 2012 - 3:18pm

Residential. Day Treatment. Inpatient. Outpatient. Partial. Acute Care. And the list of treatment program types goes on. The decision to enter a more intensive treatment program is a big decision for individuals and families. But what type of treatment is right for you? What is the difference between day treatment and partial? We attempt to explain the difference.

Inpatient - Short term (3-7 days) intensive treatment in a 24-hour care in a safe and secure unit of the hospital. The focus is to stabilize symptoms and plan continued treatment of the illness. The restrictive setting helps individuals break the ‘cycle’ of their illness.

Residential - Long-term care, typically 30-90 days in a home-like setting. Patients must be medically stable, however their behaviors have become habitual or addictive they benefit from 24-hour supervision and treatment. Rogers’ four residential centers are at our Oconomowoc location.

Partial - For all age ranges, think of it as spending a ‘part’ of your day at Rogers. Programming is offered 5 days per week, for 6 hours each day for a range of psychiatric symptoms and diagnosis, including eating disorders, dual diagnosis, depression and anxiety.

Day Treatment - Morning or afternoon ‘day’ sessions are offered for children and adolescents, ages 4 to 18. Includes 12 hours per week of programming, split into four 3 hour sessions. Provided in a safe and secure setting that allows patient to remain enrolled in their school for part of the day. Learn more at http://rogerscadt.org/.

Intensive Outpatient - Same as day treatment.

Outpatient - Typically the first or last aspect of treatment. An individual sees a treatment provider for one to three hours per week for ongoing support. Rogers works closely with these providers to maximize gains made during your stay.

If you are still confused as to the type of treatment that may work for you, call us! Our online screening is available 24/7 a week. In addition, Rogers’ outreach professionals can assist you in programming to fit your needs.

November 15, 2012 - 1:39pm

Introduction

Psychiatric Care ProfessionalsBehavioral health issues are part of the fabric of our human existence, but few people understand them and even less people understand how they can be treated. People who suddenly find themselves in the middle of a crisis having to do with mental health issues don’t know where to turn. They end up visiting a primary care physician or a psych ward at a local hospital. Sometimes this is all that is needed, other times, the patient and/or family need more specialized or depth of care than a primary care provider can give.

In these situations, primary care providers may ask themselves two questions. How do I know when it is time to refer my patient? Or why are providers consistently choosing Rogers Memorial Hospital? The main reasons based on feedback Rogers receives are:

  • Excellent communication with the primary care provider
  • Overall consistency and rich history of being leaders in behavioral health
  • Experts in the field who not only understand behavioral health, but lead the way in helping treatment evolve into something that works better and better over time.
  • Structured programs using proven methods of care like: Cognitive-Behavioral Therapy (CBT) for anxiety and OCD and Dialectical Behavioral Therapy (DBT) informed care for eating disorders.

Effective referral begins with a good consulted-consultant relationship that includes familiarity with each other’s needs and idiosyncrasies. The process will, in part, hinge on expectations and knowledge each has of the other.

Referral for psychiatry

  1. Substance use has reached an unhealthy level. Treating the symptoms of addiction is not typically something a primary care provider would refer for. However, when addiction becomes more prominent in a patients ill-health, specific substance-use disorder treatment may be needed.
  2. Medication administration. There are times when a primary care provider or general practitioner may not feel comfortable or be qualified to administer certain types of medications, such as Suboxone(buprenorphine).
  3. Drain of resources. Psychiatric care often has different billing, insurance, patient satisfaction and other requirements that can be time consuming in a small primary care practice. Because this is our focus, Rogers is prepared for nuances and understands the approaches specific to behavioral medicine.
  4. Changes in weight or sleeping patterns. When major depression sets in or an eating disorder takes over a thought process, changes in normal living can happen with little or no medical explanation. Providers have learned that this “red flag” may be time to get a specialized behavioral health provider in the loop.
  5. Physical symptoms manifested from mental illness. When a healthy patients show symptoms such as ulcers and/or high blood pressure, that cannot be otherwise medically explained, a general practitioner may refer to Rogers.
  6. Family dysfunction. A physician may refer to a psychiatry specialist when family problems may interfere with diagnosis and/or treatment.
  7. Confirmation of a mental health diagnosis. The primary care provider understands their patients well and symptoms of mental illness are clear. The provider strongly believes in the diagnosis, however, depending on the severity of the condition they may seek a specialist for a second opinion.
  8. Proper assessment. There are situations where care providers must be board certified and licensed in order to render a diagnosis or rule out certain types of mental illness.
  9. Continuum of care. There are situations where a stepped down continuum is needed for proper treatment of a mental illness. Treatment may start off very intensive and as the patient recovers less intense treatment is needed.

The number one reason why Primary Care Providers refer to Rogers?

  1. Concern for a patient’s well-being and safety. Today there are many specialists providers can refer to in situations that may be beyond their particular expertise. We work closely to facilitate relationships with other health care professionals to support them and their patients in these sometimes difficult situations.

Rogers Memorial Hospital has an outreach staff communicating with primary care providers the depth and breadth of the services available to patients and families.


Visit our "Healthcare Professionals" pages to contact one of our outreach professionals.


November 8, 2012 - 2:20pm

Eating Disorders Conferences - NEDAAs Manager of the Eating Disorder Center at Rogers Memorial Hospital, attending conferences helps reinforce the reasons why I chose this career path. Just like any career, it is an ever changing community and interacting with other program managers and directors helps all of us understand what is happening globally in the treatment of eating disorders. They are great learning experiences, that I hope aid me in better serving both the patients I care for and Rogers Memorial Hospital.

I like to think of these conferences as a friendly competition where we all have a similar, united goal: to help individual’s battle eating disorders and find their footing. To help them re-create their identity free from the haunting and controlling illness.

Attending workshops and presentations to gain knowledge that I can bring back to Rogers and share with other clinical staff is something else I take advantage of at conferences. The community there is one attended by clinicians and advocates, but also by individuals in recovery, friends and family. The energy surrounding this advocacy and support is always amazing to see, but more importantly you can feel it.

When I return to the Eating Disorder Center at Rogers I feel re-energized. I embrace my role as a leader and educator, appreciating the opportunities I have to learn more about the treatment and journeys individuals with eating disorders take. I am excited to use what I learned and figure out how to relate all that information back here in Wisconsin, at Rogers and with our patients and their families.

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