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.

April 15, 2013 - 11:22am

Alcoholism, rehab, treatmentWhen thinking about excessive alcohol consumption most people picture the typical adverse effects such as slowed reaction times, poor decision making and even liver problems. But what are the hidden costs of excessive alcohol consumption and can it have a lasting effect on health or even your pocketbook?

A study released in 2012 by the Centers for Disease Control found that the economic cost of excessive alcohol consumption was $223.5 billion in 2006. These numbers included losses in workplace productivity and healthcare expenses, as well as law enforcement and criminal justice costs.

In addition to the economic impacts, excessive alcohol consumption and misuse has lasting health impacts. A review published in the journal Cortex discusses how alcohol misuse in young people can lead to deficits in visual learning and memory. While older adults may see an increase in blood pressure, damage to the pancreas or heart disease.

Michael M. Miller, MD, FASAM, FAPA, Medical Director at the Herrington Recovery Center, stresses that people need to have access to treatment for this condition, as easily as they have access to treatment for heart disease or cancer. In addition, the ready availability of psychiatric consultation and concurrent treatment of mental health concerns, as is found at Rogers offers the opportunity to address broader aspects of a person’s condition. By continuing to embrace and enhance the existing treatment framework, addiction can move into remission, and the economic and health impacts can be greatly reduced.

1. Daniel F. Hermens, Jim Lagopoulos, Juliette Tobias-Webb, Tamara De Regt, Glenys Dore, Lisa Juckes, Noeline Latt, Ian B. Hickie. Pathways to alcohol-induced brain impairment in young people: A review. Cortex, 2013; 49 (1): 3 DOI: 10.1016/j.cortex.2012.05.021
2. Economic Costs of Excessive Alcohol Consumption in the U.S., 2006 Ellen E. Bouchery, Henrick J. Harwood, Jeffrey J. Sacks, Carol J. Simon, Robert D. Brewer American journal of preventive medicine 1 November 2011 (volume 41 issue 5 Pages 516-524 DOI: 10.1016/j.amepre.2011.06.045)

April 1, 2013 - 1:35pm

Addiction treatment can be the single most powerful time in someone’s life. Those in recovery often cite experiences within their first days if treatment as life changing and an experience that saved their lives. All over the country people belong to a fellowship called Alcoholics Anonymous or AA. These people meet to attain and maintain sobriety. The only requirement is a desire to stop drinking. Shortly after AA began, the Oxford Group, a Christian organization influenced the early members of AA about the spiritual principals needed for recovery. Bill Wilson, co-founder of AA, wrote what would become known as “the Big Book”. He recognized that people struggling with addiction need a simple, yet powerful, program to become the crux of recovery. Today the original 12 steps have been modified very little, only edited down to include less reference to God.

Since then, the 12 steps have become synonymous with AA. Many treatment providers use the 12 step program as a basis for achieving and maintaining recovery from all types of addiction, not just alcohol. Additionally, the 12 step program is used to help people deal with certain emotional disorders.

The 12 steps begin by challenging the notion that no matter what a person has free choice and ends with the closing of the loop and giving back to those who can use this deep spiritual experience to improve their lives. Today’s 12 steps are recognized as:

  • Step 1 - We admitted we were powerless over alcohol—that our lives had become unmanageable.
  • Step 2 - Came to believe that a Power greater than ourselves could restore us to sanity.
  • Step 3 - Made a decision to turn our will and our lives over to the care of God as we understood Him.
  • Step 4 - Made a searching and fearless moral inventory of ourselves.
  • Step 5 - Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
  • Step 6 - Were entirely ready to have God remove all these defects of character.
  • Step 7 - Humbly asked Him to remove our shortcomings.
  • Step 8 - Made a list of all persons we had harmed, and became willing to make amends to them all.
  • Step 9 - Made direct amends to such people wherever possible, except when to do so would injure them or others.
  • Step 10 - Continued to take personal inventory and when we were wrong promptly admitted it.
  • Step 11 - Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His Will for us and the power to carry that out.
  • Step 12 - Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

While the 12 steps are widely recognized as a treatment program, they are not a stand-alone solution or cure for addiction. Professionals agree that addiction is not something with definite cure, but a constant series of activities designed to keep a person abstaining and improving their life and spiritual health. The ideal role of the 12steps is one facet in a multi modal approach. Other types programs like behavioral therapy, group therapy, and one on one counseling, all used together to help heal the whole person.

The addiction treatment services at Rogers Memorial Hospital are geared to help those who want recovery and are ready to accept change in their lives, to begin this process contact the admissions department with questions at 800-767-4411, or request a screening online.

March 25, 2013 - 10:04am

Treatment for depressionCognitive-behavioral therapy, or CBT, for depression really started in the 1960’s with behavioral therapy treatments focusing on activity scheduling. CBT today still includes many of these early interventions. Activity scheduling, and its modern form, called behavioral activation, is based on the idea that individuals’ moods and activities are highly related. That is, when people become depressed, they tend to change what they do. For instance, individuals with depression might start to sleep more, spend more time isolating from others, and generally engage in less activity overall. Treatment, then, works to gradually increase individuals’ engagement in certain types of activities that have been found to relate to improved mood. These activities include activities that the individual enjoys (or used to enjoy before becoming depressed), important activities for general functioning (e.g., showering, paying bills, etc.), and activities that the individual values (e.g., spending time with their children, work-related activities, etc.). Treatment works by gradually increasing engagement in these types of activities, starting with activities that the individual does not find to be too overwhelming or difficult given their current level of functioning.

CBT for depression also often involves cognitive restructuring, which is the breaking down of cognitive distortions that allow persons to maintain negative beliefs about themselves and their environment. When individuals become depressed, they tend to see themselves, the world, and the future in very negative ways. CBT for depression restructures these automatic thoughts to be more positive, helping the patient to understand that feelings of negativity are unwarranted and, at times, simply incorrect.

CBT for depression has been examined extensively and is empirically supported, which has helped more treatment providers recognize it as a therapy that provides positive outcomes.

Treatment for depression may include more than CBT, such as antidepressant medications. Treatment plans vary from individual to individual depending on their unique symptom presentation. Family members and friends can have a very positive effect on treatment by encouraging patients to complete important parts of their treatment plan and praising them for the work they do in treatment.

Like any mental illness, there are barriers to treatment. Stigma, lack of insurance coverage, and availability of care all have an impact on the overall quality of treatment available for those with a depression diagnosis. Rogers Memorial Hospital exists to provide the best care possible for those with depression by providing numerous levels of care intensive outpatient care to inpatient acute care.

If you or someone you know is interested in depression treatment call 800-767-4411 or you can request a screening online.

February 26, 2013 - 3:07pm

OCD is treatable, but because it is hard to treat a select few organizations really understand OCD and how to treat the person instead of their symptoms. There are three main treatment methodologies for OCD medication, psychotherapy or a combination of the two. If you or a loved one have OCD symptoms controlling your daily life, it’s highly recommended you get a screening which may include a full YBOCS test that details the depth and severity of OCD symptoms.

Medication is one method for treating OCD. Commonly anti-depressants are tried to increase the levels of serotonin in the brain. Lacking serotonin is common in patients with OCD diagnosis.

Psychotherapy is also successful in most people with OCD. Utilizing a therapy called (CBT) Cognitive Behavioral Therapy; patients re-learn the proper response to anxiety situations in ways that reduce the compulsions they have in reacting to negative stimuli. CBT also is learned which is something patients can practice on their own making it highly effective even after the patient is discharged from their level of care.

At Rogers, our treatment teams also use a method called Exposure and Response Prevention (ERP) which is exposure to the feared stimuli, then re-enforced evidence that the feared results really don’t happen. Rogers Memorial Hospital has an array of treatment options for OCD:

  • Intensive Outpatient – In Madison, Milwaukee and Oconomowoc, Wisconsin these programs generally run 3 hours a day, a few times per week for up to 4 weeks, at which time each patient is extensively evaluated for further care or discharge.
  • Residential Treatment - This type of care happens at both the OCD center and in the child and adolescent centers, in Oconomowoc. As one of the largest single providers in the world, Rogers is known for comprehensive, quality of care for OCD.

Rogers has an extensive anxiety treatment program as well and treats people from ages 8 and up for:

  • Generalized Anxiety Disorder
  • Panic Disorder
  • Social Anxiety Disorder
  • PTSD (post-traumatic stress disorder)

If you would like to learn more about the OCD treatment options at Rogers, please don’t hesitate to call 1-800-767-4411 or visit our website screening form to make an appointment to discuss admission to one of Rogers’s programs.

February 21, 2013 - 3:28pm

OCD, Addiction, Eating Disorders, Depression, Bi-Polar Disorder, PTSD the list of mental health illnesses people are diagnosed with is incredibly complex. Unlike a typical medical hospital, when patients come to Rogers for help, they may not know exactly what is bothering them, or why. With broken arms or the flu it is fairly easy to see the problem. However, when someone is suicidal or in the midst of mental illness, one may not even understand the symptoms, let alone the diagnosis. At Rogers we are well known for our ability to get to the core of what is wrong and diagnose a mental illness successfully.

Rogers excels at helping and diagnosing people because of our screening process. It is Rogers’s mission to treat patients and families through patient centered care. Patient centered care means taking the time to get the right diagnosis from the start. From there, every person on the treatment team from the nurses, counselors, psychiatrists, medical doctors or experiential therapists, understands the individual’s exact diagnosis and plan. This leads to the highest levels of care, as well as reliable outcomes.

Screenings can take 45 minutes to an hour and in more complex cases even longer. The questions asked in a screening are important to an accurate needs assessment. Being honest is vital, as it is the short and long term treatment for the patient that matters. Once a complete needs assessment is achieved, Rogers has the specialized care and expertise to treat a myriad of mental illness. In fact, no place in the Midwest and maybe the country can treat a wider variety of behavioral issues at one location.

Roger’s own Dr. Miller talks about being fortunate to have access to nationally recognized experts, making more complex cases treatable when other providers would not be able to provide care on such a level. This availability can make the difference in the lives of people who come to Rogers.

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.

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