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.

June 14, 2012 - 2:37pm

One of the benefits of residential treatment for eating disorders is the structure and support that is built in to every activity, including meal and snack times. Sarah Biskobing, RD, CD, a dietitian at Rogers Memorial Hospital’s Eating Disorder Center, said that these times can be one of the most anxiety provoking parts of a patient’s day. As a result, there is always a treatment team member available to support them as they learn to adapt to normal eating habits.

Sarah says that her job at Rogers is to create a meal plan for each patient based on their individual nutritional needs. During a typical eating disorder treatment stay at the Eating Disorder Center, the patients learn what appropriate serving sizes are within each of the food groups and how to include a variety of foods into their meal plan. “Balance is the key,” Sarah said. “There isn’t one perfect food that will keep you healthy. Rather it is balance, variety, and portion size within each food group that keeps us healthy and nourished.”

Patients get the support they need

Sarah’s job includes teaching the patients what a normal plate of food looks like for their individual nutritional needs. It also includes working through foods that are anxiety provoking and often times a trigger for some kind of eating disorder behavior. These foods are commonly referred to as “fear foods.” Nutritional challenges to address these fear foods occur consistently throughout the patient’s stay. The constant one-on-one support from a treatment team member is vital in helping the patients work through these needed food challenges.

Sarah explained that it’s hard for patients to focus on enjoying time together when eating because they can become entwined in their thoughts about the foods that have been placed before them. For many, when their eating disordered behaviors take hold, they can think about little else outside of the calorie content of the foods. “Sometimes, we can actually see it on their faces when they’re having trouble,” Sarah said. “Our job as a treatment team is to help them challenge their eating disorder thoughts that hold them hostage. Sometimes, they might just need us to encourage them to take the next bite and help them talk through the issues that might be affecting them.”

Treatment plan includes real world experiences

Aside from mealtimes and snacks that occur within the Eating Disorder Center, the dietary department regularly implements several real world experiences in which food plays a primary role. At least monthly, the patients are taken out to eat at a local restaurant where they practice estimating their meal plans outside of the safe environment of the Eating Disorder Center. “My goal is to teach patients that eating out doesn’t automatically equate to weight gain. It is possible to fit any type of food into a meal plan. It is also possible to begin to enjoy food, as well as the social experience that often surrounds it,” Sarah said.

A Life Skills group is also implemented regularly for patients who need assistance and guidance in the areas of menu planning, grocery shopping, and cooking. Sarah said that members of the treatment team are always trying to implement individualized challenges whenever possible. Food challenges may be incorporated into meals and snacks, family outings and may address concerns related to the use of normal serving utensils in the dining room.

Breaking out of eating disorder behaviors

Sarah said that she wants to make sure the patients are breaking out of their old behaviors and viewing mealtimes as an enjoyable part of their day. “For the most part, my goal is for the patients to learn that food isn’t the enemy.”

May 9, 2012 - 8:40am

Obsessive-compulsive disorder (OCD) will be in the spotlight at the 19th annual conference of the International Obsessive-Compulsive Disorder Foundation (IOCDF) being held July 27-29 in Chicago this year. At Rogers, preparations are underway as more than two dozen staff members from Rogers will be speaking, volunteering, leading activities and sharing the latest information about OCD and OCD treatment.

The IOCDF annual conference is unique because it brings together a wide range of people who are personally and professionally connected to OCD. From clinical leadership from across the country to people who have just learned their OCD diagnosis, there are multiple opportunities for learning, sharing and overcoming the challenges of OCD. Professionals and experts in the field of OCD treatment will be providing support and information for attendees, in addition to activities to address the thoughts and behaviors of OCD.

Early bird registration for the conference continues through July 13. If you would like to attend the conference, visit ocfoundation.org to register.

May 7, 2012 - 10:58am

To raise awareness about the importance of effective treatment for mental health disorders, members of the clinical staff at Rogers will once again be speaking to various school and parent groups throughout southeastern Wisconsin as part of the Speak Up for Kids! campaign during National Children's Mental Health Awareness Week, May 6-12.

This year’s speakers will share information about identifying and treating ADHD in kids. Speakers include the clinical director of our child and adolescent day treatment program and two child and adolescent psychiatrists from our inpatient programs. These programs, along with our residential programs for children and teens, give kids the tools they need to help manage their mental health and enjoy life as a kid again.

Mental Health month helps address issues of stigma

With millions of children affected directly by mental illness, Mental Health Month and National Children's Mental Health Awareness Week provide important opportunities to raise awareness and address the stigma associated with bipolar disorder, depression, anxiety and other mental illnesses. The treatment teams at Rogers continue to be active within our local communities and across the nation, raising awareness about the importance of mental health and the different types of effective treatments that are available.

Rogers provides a variety of treatment options to help children and teens with a wide range of mental health symptoms and diagnoses, including residential treatment, day treatment and specialized partial hospitalization and inpatient stabilization. Cognitive-behavioral therapy (CBT) is used to address the thoughts and behaviors commonly found in anxiety disorders and other mood disorders.

Don’t wait to get help

If you or someone you know needs help for mental illness, call 800-767-4411 or request a screening online.

April 26, 2012 - 3:58pm

These renderings show the beautiful stand-alone building that is currently under construction for the new Child & Adolescent Centers. This new facility has been intentionally designed to put kids and teens at the center of their care.

The Child & Adolescent Centers at Rogers are located in southeastern Wisconsin, and are the only residential programs in the country offering cognitive-behavioral therapy specifically for children and teens. Together, these two programs offer clinical assessments and intensive treatment for children aged 8-13 and 12-17. Guided by Rogers’ full-time, board-certified child and adolescent psychiatrists, children and teens receive an in-depth evaluation, intensive psychiatry and medication management, along with a full range of individual, group and family therapy and educational services.

Children and teens affected by depression, obsessive-compulsive disorder and other anxiety disorders, or other challenges they struggle with, come to Rogers with their families so they can regain the life they once enjoyed.

Later this year, the doors will open to the new Child & Adolescent Centers which will include the most up-to-date amenities in a comfortable and home-like setting.

The new stand-alone building has been intentionally designed to help kids and their families work as partners with the treatment teams at Rogers to focus on their long-term recovery goals. Separate consultation and private visiting areas for families provide a sense of support for children and teens at the centers.

Residents will appreciate the recently completed experiential therapy center, as well as the 50 wooded acres set on two lakes. This setting, along with community reintegration activities and off-campus adventure activities, provides a unique balance for children and teens.


Call 800-767-4411 to talk to a specialist or request a free screening online


April 19, 2012 - 10:29am

In August 2011, the experiential therapy staff welcomed patients to the new facility and its many offerings. In April 2012, the doors opened to our new inpatient building, delivering an unparalleled treatment option for patients and their families.

Well before the ground broke in February 2011, the plans for the new inpatient facility at Rogers were being developed to deliver patient-centered care in a new and carefully designed environment. Accessibility, privacy and patient safety were woven into every feature and furnishing chosen for the new facility. Feedback from countless patients, families and staff were considered as the new facility began to materialize, first on paper, then in brick and mortar.

Today that vision is a reality. Patients and their families are discovering the benefits of receiving specialized behavioral health treatment in a facility that was designed with their needs in mind. The adjoining experiential therapy center provides specialized treatment areas that provide an additional level of therapeutic experiences not available in most treatment programs.

We invite you to see for yourself what patient-centered care can look like. Imagine the treatment experience that can be possible when psychiatric expertise is provided within a state-of-the-art facility.

April 2, 2012 - 1:56pm
Social workers help rogers patients and families

Nearly 100 social workers on the staff at Rogers are making a difference in the lives of the patients and families who choose treatment at Rogers for eating disorders, substance-use disorders, anxiety and other mood disorders.

With social workers working with patients in every program, you don’t have to look too far to find someone whose primary goal is to serve as an advocate for patients – especially for patients who are unable to advocate for themselves. The social workers at Rogers are constantly in touch with others on the treatment team, patients’ families, and outpatient providers to make sure everybody is on the same page, providing the best support possible.

“We find the right services at the right time to provide the right support for each person,” said Jonna Pestka, LCSW, manager of the social services department at Rogers Memorial Hospital. She said it’s important for patients to have their basic needs taken care of so they can better focus on their long-term recovery goals. “It’s hard to focus on treatment for anxiety or depression if you’re worried about having to return to a situation at home, work or school that is affecting your mental health.”

Social workers at Rogers lead group therapy, family therapy and individual therapy. “For many, group therapy can be the first time they’ve ever really talked about their feelings. Through the variety of therapies we provide, they learn new methods to help them deal with life, so they can make those important coping connections in their future,” Jonna said.

As patient advocates and primary therapists, the social workers at Rogers help patients and their families review the different options available to them. “We help bring together the pieces. Families who have been broken are willing to re-engage because they now have hope,” Jonna said.

One of the most important things that social workers do is to make sure patients have a plan for continued care when they leave Rogers. They work with the patient’s outpatient provider to ensure a smooth transition. If the patient is not already working with a mental health professional, social services staff will help select a provider whose expertise and treatment style are a good fit for the patient.

Social workers may also help patients set up future training through a vocational program, or work with a current employer or school. No matter what challenges are facing a patient, social workers help to uncover options that build a support system, providing the best environment to sustain recovery.

At Rogers, one of the best parts of a social worker’s job is being able to see the progress a patient has made from when they first arrived at Rogers to when they are ready leave. Jonna said, “We work with children who have been out of school for weeks, maybe months and are ready to go back. Their families are so thankful to the treatment team – they say, ‘you made my child whole again.’ People who were on the brink of suicide when they arrived tell us ‘Rogers saved my life.’”

March 29, 2012 - 10:12am

Some of the most powerful experiences our patients have during their treatment stay are in our art studios, the fitness rooms or on our ropes course.

Experiential therapies are a hallmark of Rogers Memorial Hospital’s residential and inpatient programs. Our patients not only work with master’s prepared clinicians and board-certified physicians, they also work with highly trained experiential therapists who facilitate treatment not just through talk, but also through non-verbal means of expression.

Tina Szada, ATR-BC, an art therapist at Rogers’ residential Eating Disorder Center in Oconomowoc, recently participated in a mannequin art competition that illustrates the power of a non-verbal treatment experience.

The “Imagine Me… Beyond What You See” contest was designed to promote healthy awareness and acceptance of body image. The event is part of the International Association of Eating Disorders Professionals (IAEDP) annual conference, which wrapped up in late March. Iaedp invited national art therapists from treatment centers and private practice, students and the public to artistically create mannequins that reflect their perception of beauty and body image.

We are excited to share our creation, “Bella” with you here.

Eating Disorders therapy can be more than talk

“Bella,” by Tina Szada and Rogers Memorial Hospital

From the artist's statement:

“The mannequin represents the struggle of body image with eating disorder patients from the perception of the therapist,” said Tina, “An eating disorder can grow into a dark cloak that is draped over the body. It becomes this weight that continuously makes the person think and feel that they have to be perfect and focus their life on numbers.”

This creates a feeling of uncomfortableness in their body, she said.

“The whole piece may look glamorous, but the body will never feel comfortable with an eating disorder because it will always be there giving negative feedback,” said Tina.

In treatment, Tina said, therapists help patients look at how the cloak was created and work through the conflicts that wearing the cloak has created in their life. “Asking patients to take off the cloak – to challenge that negative feedback and replace it with affirming statements – helps our patients to start feeling more comfortable in their body.”

Rogers recently opened a new experiential therapy center featuring a gymnasium, fitness and relaxation rooms, an art therapy studio, and a recreation room. People who are interested in learning more about treatment options that include experiential therapy are encouraged to call 800–767–4411 or complete a request an online screening.

March 26, 2012 - 3:34pm

At 15 years old, Erika* thought she had found a great way to lose weight over the summer and stay healthy. At first, she received compliments on how she looked and how active she had become. But eventually, her friends knew something wasn’t right.

“They noticed that I was throwing away my lunch. They noticed that I was distracted, isolated, that I walked around during lunch,” said Erika. Her friends tried to drop hints that the way she had been eating and been taking care of herself was, in fact, an eating disorder.

Excuses and avoidance no longer worked

When hinting didn’t work, they contacted Erika’s parents who were also noticing a change in their daughter’s behavior. As Erika recalls, her attempts to avoid her family and friends, were due to her not wanting to explain another missed meal. “I would leave the house early and stay at the gym late so I could skip meal time with my family. They didn’t understand eating disorders. When they were young it wasn’t talked about. They truly didn’t know what to do,” said Erika. “But, the excuses weren’t holding any water.” After learning more, Erika’s parents took her to a local hospital for evaluation, where she was diagnosed with anorexia and referred to Rogers for treatment.

Today, Erika is a college student who is grateful her friends were able to reach out to her parents and share their concerns. Erika started her treatment in Rogers’ partial hospitalization program which allowed her to attend her high school classes in the morning, and treatment in the afternoon. “It really worked out well. My school counselor had worked with eating disorder programs before so they were able to shift my classes around so I could go to treatment,” said Erika. “Every week we had a family session. I would be home for breakfast and eat with my family.” Erika said that having her family included with the treatment went a long way in helping everybody in the family understand eating disorders and the best ways to address disordered behaviors.

“You can get through it”

She says she remembers how hard it was for her to be in treatment at first, but then got to know the other teens in the program. “I was shocked at the similarities we had. It was helpful to have someone who’s sixteen and in high school who could tell me that they got past it and ‘look at me now.’ At first I didn’t believe them. The healthier I got, the more insight I gained. As you progress through treatment it’s easier to talk to people coming into the program. It makes a difference to hear from someone who’s been there ‘I know it sucks now, but you can get through it.’”

Erika came to understand that she had been missing out on the typical experiences of a teenager because of her eating disorder. “I’m realizing the silly times I could be having. Treatment boosted my self-esteem, and kept me thinking of things I would have to give up if I returned to my eating disorder.”

Two years later, as a senior, Erika was applying for colleges and the stress of thinking about being away from everyone took a toll on her recovery. Realizing that she needed additional support, she returned to Rogers’ partial hospitalization program. “It was a little embarrassing to go through the same process with the school again,” Erika admitted, “That was my main motivation – I don’t want to go through this again.”

“I’m loving life”

Now, at 21, Erika is excited to talk about life in college and her plans for the future. “I’m loving life. It’s exciting to say I beat this,” she said. “I’m very happy right now. I spent a semester abroad, which was my first time away from home – ever. If I had been in my eating disorder, it would never have happened. I would have never met the friends I have now. A lot of the time we got to meet people was around meals. If I had been restricting it would have been hard to meet those friends.”

Erika is currently a psychology major, an interest she says she developed after her first admission. “After going to Rogers and seeing the therapists and social workers, I thought ‘Their job is pretty cool. They help people with their problems.’” Erika has already shared her experience with others on campus, through eating disorder awareness programs.

“College isn’t a very balanced time – you work hard during the week, party on the weekend. You have to find a balance that works for you. The most important thing is finding good friends. Find people you can talk to and be yourself with. These are the things that have made my college experience so wonderful,” Erika said. She also attends outpatient therapy to ensure she doesn’t return to her eating disorder.

She says if anybody were to ask her about treatment, she would let them know that it will be hard work – but worth it in the end. “It gets much better, you’ll be much happier,” she said. Erika also would like parents who are worried to know that it’s important to intervene early. “Your child is going to say they’re fine. Do something – even if it’s something little,” she said.

* name has been changed

March 26, 2012 - 2:56pm

Representatives from Rogers Memorial Hospital, its boards of directors, medical leadership and local officials gathered on March 14 officially open the doors to Rogers’ new inpatient facility and experiential therapy center with a ribbon-cutting ceremony in the new gymnasium. The facilities were built as a result of input from patients and Roger’s dedication to delivering the highest quality of patient-centered care.

The ceremony marked the completion of the first two phases of a patient-centered construction project that started in February 2010 and will be completed later in 2012 with the grand opening of the residential facility for children and adolescents.

David Moulthrop, PhD, Rogers’ president and CEO, shared his gratitude toward the collective efforts that led to the construction of the hospital’s new facilities. “These new facilities are examples of how Rogers Memorial Hospital has grown to become a premier behavioral health care provider that is recognized throughout Wisconsin and across the nation.”

Peter Lake, MD, who is the medical director for Rogers Memorial Hospital – Oconomowoc noted that this was a day for all of Rogers staff to celebrate. “This is a dream come true to say the least – and we have even better things ahead. With these new facilities we can do our best and do what we’re here for.”

The excitement was evident. The new facilities provide an environment where they can offer patients unmatched comfort, privacy and amenities. With rooms and community spaces specially designed to foster a therapeutic environment, there was a lot to be excited about. While the exterior echoes Rogers’ historic red brick hospital, the interior contains contemporary, state-of-the-art furnishings.

On each floor, the patient care areas incorporate natural light and pleasant furnishings to create a warm, welcoming environment. While each program has open spaces which promote positive socialization and engagement, they are balanced with private treatment rooms for individual therapy, family therapy, and visiting. This balance enhances patients’ connection to their surroundings, which is critical to engaging them in the treatment and the recovery process.

March 20, 2012 - 3:27pm

Surgeons are showing slightly higher instances of alcohol-use disorders (15%) compared to the general population (8-12%), according to a recent study published in the Archives of Surgery. Those who responded reported drinking behaviors that could be categorized as full-fledged abuse or dependence. The study’s lead author, Dr. Michael Oreskovich, said that he hopes that by showing the high percentage of surgeons who have a problem will help destigmatize the illness and result in more physicians coming forward in future polls.

Michael M. Miller, MD, FASAM, FAPA, medical director of the Herrington Recovery Center, gave his impressions of the study and shared some thoughts about how to best address the problem of substance-use disorders with physicians.

This is a very useful study.

It’s been known for years that physicians have rates of addiction that, in general, mirror the rates in the population at large. For some substances, use rates may be lower than the general public, but for prescription drugs available in a physician’s workplace—especially drugs used in the operating room—rates of addiction in physicians significantly outpace the rates in the general population.

We’ve known for years that anesthesiologists, emergency medicine physicians, and psychiatrists have higher likelihood of having addiction than physicians in other specialties. There have been interesting ‘self-report’ survey studies done of surgical residents, including at the University of Wisconsin. This nationwide survey of practicing surgeons, conducted by the University of Washington, is one of the first of its kind.

How do we reduce the rates of addiction among physicians? One way is the way other employment sectors do it: try to ‘screen out’ persons at greater risk or who already seem to have the condition, at the point of job entry (pre-employment screening). But that approach is an odd twist on the human-nature approach to problems of “not in my back yard”-it doesn’t try to address the problem and improve treatment of human beings, it just says “let’s find those with the problem and make sure they go somewhere else and don’t work here!”

I think we should stipulate that addiction (and depression, and other conditions) happens among physicians. We’re in denial if we contend otherwise. Physicians are people first, after all—vulnerable to all aspects of “the Human Condition.”

What do we do about it? Physicians who have worked in the area of Physician Health—like Dr. Oreskovich, the author of this study—know that creating a hostile, scorning, “kick em out” environment, actually sustains the problem or lets it get worse, because physicians don’t come forward and acknowledge their difficulties, they ‘go underground’ to avoid detection and sanctions. The way to reduce the number of practicing physicians who have active addiction, is to identify cases and compassionately refer those persons to treatment at treatment centers like the Herrington Recovery Center at Rogers Memorial Hospital.

When there is a mechanism other than a punitive mechanism that can evaluate issues of physician health and outline a path to recovery for the person, refer the person to treatment, and then , the status of recovery over time (several years) after successful completion of the initial treatment encounter, then physicians will enter treatment, even by self-referral. When physicians know that s in addiction is identified, they can still practice and not lose their license just because of a diagnosis they have, then it is safe for them to step forward.

The topic of drug testing for surgeons and other physicians is an interesting one. American culture on the whole views drug testing as a way to engage in ‘gotcha’ endeavors: let’s find the person who is using drugs, and who has not been honest about that, and when we have ‘proof’ of drug use, let’s kick ‘em out—of extracurricular activities at school, of public housing, of eligibility for food stamps or student loans, of the opportunity to be offered an open employment slot, or of a hospital medical staff. This punitive approach makes people, including doctors, leery about pre-employment or random drug testing regiments.

If drug testing were used under a true public health rubric—true screening for unrecognized disease so that early intervention and referral to necessary treatment could reduce the incidence of new disease, the duration of existing disease, and the disability and death from established disease—then it could truly generate benefits for society, from the secondary school to the professional school level, and in the area of physician health and patient safety. Helping docs who are ill is the way to go; punishing them for being detected as having a disease, is the best way to keep them “hidden,” untreated, and still treating patients even while they are sick.”

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