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.

Frequently Asked Questions

Obsessive-Compulsive Disorder Services

For OCD, the main emphasis is a technique called Exposure and Response Prevention (ERP). ERP has been found to be the “treatment of choice” for OCD. Exposure refers to the gradual and repetitive exposure of an individual to their feared situations (e.g., someone with contamination obsessions touching a doorknob), or ideas (e.g., someone with contamination obsessions thinking about AIDS).

Exposure work targets the obsessions, and seeks to prolong the obsessional thought, image, or impulse long enough for the process of habituation to occur. Habituation is the natural, normal process of anxiety levels reducing with nothing more than the passage of time. Research has shown that 97% of people experience the process of habituation. Response Prevention is the blocking of the ritual or compulsion that would normally be performed upon exposure (e.g., hand washing, checking).

In addition to ERP, cognitive restructuring strategies are also taught. Cognitive restructuring or ‘thought challenging” is the identification and correction of “errors” in thought that create anxiety. Two errors in thought most focused on are “probability overestimation errors” and “catastrophizing errors.”

A probability overestimation error is when someone overestimates the likelihood of a bad event happening (e.g., the house will burn down if I don’t check the stove). A "catastrophizing error" is when someone blows out of proportion or magnifies how bad fairly likely events really are (e.g., dropping something on the floor for someone with contamination obsessions).

Many individuals with anxiety disorders respond well to a combination of medication and CBT. Research has shown that head to head CBT can be as effective as medications but combined can produce even more positive outcomes. Unlike with the use of medications where symptoms can come back if you discontinue the medication, the positive results of CBT are not lost. We do have skilled psychiatrists to evaluate and monitor the use of medications.

For the treatment of OCD and other severe anxiety disorders, Rogers Memorial Hospital uses a comprehensive Cognitive-Behavioral Therapy (CBT) approach. This is not "talk therapy", but a skill learning approach.

Financing Residential Care

Ask to speak with the care advocate responsible for the residential program in which you are admitted. This staff member is in contact with your insurance carrier throughout your treatment stay and is able to clarify the quoted benefits and confirm the number of authorized days.

Yes. We can accept Visa and MasterCard. (We cannot accept debit cards, as most debit cards have a daily limit which may preclude their use for a deposit.) If you plan to use a credit card, we recommend that you call your bank prior to admission to inform them of the upcoming charge.

Authorization by your insurance carrier is not a guarantee of payment. A portion of the initial deposit may be waived at admission if your carrier guarantees the insurance coverage in writing. In the event your insurance carrier denies your claim, we will notify you of the denial of coverage. At that time, a 30-day prepayment will be required to continue treatment.

Our hospital could not offer residential treatment services without securing fees in advance. To sustain the viability of this level of care for current as well as future patients, we have found it necessary to require prepayment for residential treatment services. Also, we have found it takes the focus of money out of the treatment setting. The length of stay in residential treatment is open-ended; unused portions of the deposit and/or additional prepayments will be refunded to you.

Some insurance plans consider residential treatment a separate level of benefits. If your policy does not have this level of coverage, your plan may allow you to “flex” inpatient days to cover residential care. As part of our screening, we obtain a quote of your insurance benefits and can verify if this is an option. If you have insurance coverage through your employer, you may want to talk to your HR department. In some cases employer-sponsored plans may have the option to make benefit exceptions.

If you are currently being seen by outpatient providers, and have not done so already, be sure to discuss residential treatment with them. They may be able to provide additional clinical information to your insurance carrier about the necessity of seeking this more intensive level of care.

Residential treatment differs from inpatient hospitalization in several ways. Inpatient treatment is short-term care – the average length of stay is three to 12 days – and is geared toward acute stabilization and transition to a less intensive level of care. The focus of residential treatment is on building a solid foundation for sustained recovery, so an average length of stay in one of our residential programs is 45 to 60 days. Our residential treatment centers are licensed by the State of Wisconsin as community-based residential facilities (CBRFs) and residential care centers for youth. This license allows our hospital to offer care that is as clinically intensive as inpatient, yet at a cost that is lower than the daily cost of the average inpatient hospitalization program.

Addiction FAQ

According to ASAM(American Society of Addiction Medicine) there is a short version, listed here, or the complete version.

Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.

Group therapy is the primary method of treatment used by staff to facilitate your process of recovery. The group setting allows you to get feedback not only from the therapist but from your peers as well.

Inpatient Detoxification:
You will be expected to attend group programming as you are physically able to (based on the severity of your physical withdrawal symptoms).

Residential and Day Treatment Services:
Components of the 12-step program provide the framework for patients to learn about the nature of their addictive illness and to begin (or restart) their recovery process. Group therapy sessions are augmented with individual weekly session with the primary therapist as well as a separate session with the attending physician. Ancillary contact with family members, employers and others may be scheduled.

The first step toward sobriety is to understand the necessity of abstinence from all mood-altering chemicals. To assist patients to remain chemically free, the staff will perform random urine screens for drugs and/or Breathalyzer tests for alcohol. Patients are expected to comply with these screens, as a missed screen will be taken as a ‘positive’ screen. Refusal could result in discharge from the program.

The items that you can and can’t bring vary depending on the level of care. As part of your orientation to the unit, staff will thoroughly check all of your belongings when you arrive. Please note that no alcohol-based personal hygiene products are allowed. Any inappropriate items will be returned to your family or secured by Rogers Memorial staff until your discharge.

Inpatient Hospitalization
Please note that, for safety reasons, all belongings you bring with you will be put in locked storage until they can be inspected by staff. The staff will then go through these items with you. Some items will be returned to you right away; some will have to stay in storage until the staff have time to assess your safety; some items will have to stay in storage but you may check them out if needed.

All electrical appliances brought in must be checked and tagged by a hospital electrician prior to use and will be kept in locked storage. Please note that cell phones and laptops are not allowed. Anything that you bring which cannot be on the unit will either be sent home with family members or kept in storage until discharge.

 

Adult Services

The items that you can and can’t bring vary depending on the level of care. As part of your orientation to the unit, staff will thoroughly check all of your belongings when you arrive. Please note that no alcohol-based personal hygiene products are allowed. Any inappropriate items will be returned to your family or secured by Rogers Memorial staff until your discharge.

Inpatient Hospitalization
Please note that, for safety reasons, all belongings you bring with you will be put in locked storage until they can be inspected by staff. The staff will then go through these items with you. Some items will be returned to you right away; some will have to stay in storage until the staff have time to assess your safety; some items will have to stay in storage but you may check them out if needed.

All electrical appliances brought in must be checked and tagged by a hospital electrician prior to use and will be kept in locked storage. Please note that cell phones and laptops are not allowed. Anything that you bring which cannot be on the unit will either be sent home with family members or kept in storage until discharge.

 

No. You must arrange or provide your own transportation to and from the partial hospitalization program. If you drive, your vehicle must be parked in the designated hospital parking lot.

You are expected to attend the program on your scheduled days from beginning to end unless prior arrangements have been made. If you are unable to attend the program on your scheduled day or will arrive late, please call your social worker/counselor by 9:00 a.m. If you do not call Rogers Memorial Hospital, staff will call your residence. If you are not available, the person listed as your emergency contact will be called. If we are unable to contact you within two hours, we will also notify your physician of your absence.

Group therapy is the primary method of treatment used by staff to facilitate your process of recovery. The group setting allows you to get feedback not only from the therapist but from your peers as well. Most groups have a general mental health theme that is not specific to a certain diagnosis. While patients have been admitted for a variety of behavioral health concerns, they share a common need to learn about topics such as healthy coping skills, recognizing patterns of behavior, and building a support system.

Rogers Memorial Hospital has a dining room/cafeteria for patient and staff use. Visitors who wish to eat in the dining room/cafeteria with patients need to check with the staff first and then may purchase a ticket for meals at the reception desk.

Inpatient Hospitalization:
All patients begin eating meals on the unit. These meals are prepared by kitchen staff and sent to the unit on individual trays. You cannot leave the unit until your physician has seen you and assessed your safety risk. Once your physician approves, you may take meals in the hospital cafeteria during the scheduled unit meal times.

Partial Hospitalization:
If you choose, you may purchase breakfast in our cafeteria. Lunch is included as part of the partial hospitalization program. Other dietary needs may be discussed with your physician, dietitian, and social worker.

Bring essential items only, as storage space for personal items is limited. We suggest you bring a change of casual clothing (without strings or belts) for 3 - 4 days, along with proper footwear (closed toe shoes or slippers), sleepwear (pajamas, robe, slippers), personal hygiene products (comb, brush, shampoo, conditioner, soap, deodorant, toothbrush, toothpaste, cosmetics – no glass containers are allowed) and either a pre-paid phone card or credit/debit card for the pay phone.

Please note that, for safety reasons, all belongings you bring with you will be put in locked storage until they can be inspected by staff. The staff will then go through these items with you. Some items will be returned to you right away; some will have to stay in storage until the staff have time to assess your safety; some items will have to stay in storage but you may check them out if needed.

All electrical appliances brought in must be checked and tagged by a hospital electrician prior to use and will be kept in locked storage. Anything that you bring which cannot be on the unit will either be sent home with family members or kept in storage until discharge.

Adolescent Center

Based on a review of this screening, a physician or psychologist will be contacted by admissions staff to review the information to determine if our treatment services will meet your needs. After this clinical review, admissions staff will contact you and share the physician’s recommendation.

Each child’s stay at the hospital is dependent upon the level of care, their personalized treatment plan and progress toward achieving their treatment plan goals. Your child’s physician or social worker/counselor can answer more specific questions about your child’s length of stay.

The activities that your child is involved in vary depending on the level of care. Components of the treatment program include: goal setting group, school/homework, written assignments and journaling, social work processing and specialty education groups, experiential and art therapy groups, and play therapy (if appropriate).

If the attending physician feels it is necessary to make an adjustment to your child’s current medication(s), he/she will discuss this with you. No psychiatric medications will be started without the consent of the parent/guardian, except in an emergency situation. Information about any new medication prescribed will be provided to both you and your child. Specific questions you have about medications can be answered by the physician or nursing staff.

The admission day process is detailed, including sign-in paperwork followed by a full assessment with a registered nurse and your first session with your psychiatrist. We also want you to meet with your primary therapist and other clinicians on your treatment team prior to your departure from the area.

For that reason, please plan to have at least one parent stay overnight in the area on the admission day to ensure that initial contact meetings with the clinical team are concluded correctly by the following day.

When your child is admitted you will receive a packet that includes a weekly schedule with visitation hours and phone times. If these times conflict with job responsibilities and/or child care arrangements, alternative times may be arranged. Please discuss arrangements with your child’s social worker/counselor. Please note that the Child and Adolescent Center’s families are expected to participate in the treatment process by attending family sessions and therapy sessions held during the week.

Since each child is admitted for individual behaviors and each child has personalized treatment goals, this question should be addressed by your child’s social worker/counselor. Specific strategies will be provided by the physician, social worker/counselor and other members of the treatment team.

Child and Adolescent Services

The screening information is given to the appropriate program psychologist for their clinical review within the next one to two business days. You can expect to be contacted by admissions staff within three to five days of completing the screening.

Based on a review of this screening, a physician or psychologist will be contacted by admissions staff to review the information to determine if our treatment services will meet your needs. After this clinical review, admissions staff will contact you and share the physician’s recommendation.

Each child’s stay at the hospital is dependent upon the level of care, their personalized treatment plan and progress toward achieving their treatment plan goals. Your child’s physician or social worker/counselor can answer more specific questions about your child’s length of stay.

When your child is admitted you will receive a packet that includes a weekly schedule with visitation hours and phone times. If these times conflict with job responsibilities and/or child care arrangements, alternative times may be arranged. Please discuss arrangements with your child’s social worker/counselor. Please note that the Child and Adolescent Center’s families are expected to participate in the treatment process by attending family sessions and therapy sessions held during the week.

If the attending physician feels it is necessary to make an adjustment to your child’s current medication(s), he/she will discuss this with you. No psychiatric medications will be started without the consent of the parent/guardian, except in an emergency situation. Information about any new medication prescribed will be provided to both you and your child. Specific questions you have about medications can be answered by the physician or nursing staff.

Since each child is admitted for individual behaviors and each child has personalized treatment goals, this question should be addressed by your child’s social worker/counselor. Specific strategies will be provided by the physician, social worker/counselor and other members of the treatment team.

Child Center

Based on a review of this screening, a physician or psychologist will be contacted by admissions staff to review the information to determine if our treatment services will meet your needs. After this clinical review, admissions staff will contact you and share the physician’s recommendation.

The activities that your child is involved in vary depending on the level of care. Components of the treatment program include: goal setting group, school/homework, written assignments and journaling, social work processing and specialty education groups, experiential and art therapy groups, and play therapy (if appropriate).

When your child is admitted you will receive a packet that includes a weekly schedule with visitation hours and phone times. If these times conflict with job responsibilities and/or child care arrangements, alternative times may be arranged. Please discuss arrangements with your child’s social worker/counselor. Please note that the Child and Adolescent Center’s families are expected to participate in the treatment process by attending family sessions and therapy sessions held during the week.

Each child’s stay at the hospital is dependent upon the level of care, their personalized treatment plan and progress toward achieving their treatment plan goals. Your child’s physician or social worker/counselor can answer more specific questions about your child’s length of stay.

If the attending physician feels it is necessary to make an adjustment to your child’s current medication(s), he/she will discuss this with you. No psychiatric medications will be started without the consent of the parent/guardian, except in an emergency situation. Information about any new medication prescribed will be provided to both you and your child. Specific questions you have about medications can be answered by the physician or nursing staff.

The items that you can and can’t bring vary depending on the level of care. As part of your orientation, staff will thoroughly check all of your child’s belongings shortly after arrival. Any inappropriate items will be returned to you or secured by Rogers Memorial staff until discharge. If you have more specific questions, please contact our admissions department.

Inpatient Hospitalization
Plan on bringing enough clothes for seven days. Your child will need clothes and shoes suitable for indoor and outdoor activities. At least one pair of shoes should completely cover your child’s foot from toe to heel. Your child should bring his/her own personal hygiene items; however, we do have some items on the unit in case of an emergency. You may bring schoolwork for your child to complete during his/her stay if necessary. Most kids feel more comfortable with their own blanket, pillow and a favorite stuffed animal. (Children under age 12 are allowed to bring a few additional toys based on the program level.) Electronic toys, cell phones, CD/tape players, iPods and computers are not allowed.

 

Since each child is admitted for individual behaviors and each child has personalized treatment goals, this question should be addressed by your child’s social worker/counselor. Specific strategies will be provided by the physician, social worker/counselor and other members of the treatment team.

Eating Disorders Services

The items that you can and can’t bring vary depending on the level of care. As part of your orientation to the unit, staff will thoroughly check all of your belongings when you arrive. Any inappropriate items will be returned to your family or secured by Rogers Memorial staff until your discharge.

Inpatient Hospitalization
Please note that, for safety reasons, all belongings you bring with you will be put in locked storage until they can be inspected by staff. The staff will then go through these items with you. Some items will be returned to you right away; some will have to stay in storage until the staff have time to assess your safety; some items will have to stay in storage but you may check them out if needed. All electrical appliances brought in must be checked and tagged by a hospital electrician prior to use and will be kept in locked storage. Please note: no cell phones or laptops are allowed. Anything that you bring which cannot be on the unit will either be sent home with family members or kept in storage until discharge.

Residential Eating Disorder Center
We suggest you wear casual seasonal clothing and proper footwear (closed toe shoes and socks) suitable for both indoor and outdoor activities. Please bring a pen or pencil for journaling and assignments.

During your stay

We value your feedback; if you have concerns, compliments or additional information you think could improve our treatment services, please share that directly with your therapist or program manager prior to your discharge. Customer Feedback Forms are available at the staff office if you would prefer to express yourself in writing. Your suggestions will help us continuously improve the hospital for our patients and their families.

As part of your initial evaluation, the attending physician will review your current medication(s). If your attending physician feels it is necessary to make an adjustment to your current medication(s), he or she will discuss this with you.

The length of stay is open-ended and has many variables (such as past history, current status and stage of your illness, the support systems in place for continuing care, risk factors, response to treatment, etc.) which is evaluated by the treatment team throughout your stay.

Due to lack of computer jacks and limits on Internet access, laptop computers are not allowed. Personal video gaming equipment, PDAs, iPods and any other electronic equipment are strongly discouraged. Rogers Memorial Hospital will not provide reimbursement if these items are damaged, lost or stolen during the treatment stay.

There are four primary levels of care for people with mental illness or chemical dependency. The first three levels – inpatient hospitalization, residential treatment and partial hospitalization – are available at Rogers Memorial Hospital.

Inpatient Hospitalization:
This intensive level of treatment requires 24-hour care in a safe and secure unit of the hospital. Inpatient treatment is necessary for those who need constant nursing care, those who are severely depressed or suicidal, and those who are unable to break the cycle of their illness in a less restrictive treatment setting. Because of the short-term nature of inpatient treatment, a major focus is to stabilize symptoms and develop a plan for continued treatment of the illness outside the inpatient program. This level of care is offered at our Oconomowoc and Milwaukee (West Allis) locations.

Residential Treatment:
The residential treatment centers at Rogers Memorial Hospital’s Oconomowoc campus offer an intensive and structured treatment program similar to the hospital’s inpatient units, but in a more home-like environment. While each of the residential centers utilizes medical staff, it is not on a 24-hour basis; therefore, residents must be declared medically stable prior to admission. Some individuals are admitted directly to residential treatment while others first go through inpatient treatment and then transfer to a residential program. Individuals in our residential centers benefit from 24-hour supervision and treatment as their disordered behaviors have become so habitual or addictive that trying to eliminate them on an outpatient basis can be nearly impossible.

Partial Hospitalization (Day Treatment):
This level of care is designed for individuals who need structured programming but do not need 24-hour supervision. Rogers Memorial Hospital offers partial hospitalization or day treatment services at four locations in southeastern Wisconsin. Our treatment services are designed to provide support, education, medical monitoring and accountability during the hours of the day often identified as most troublesome for patients. Patients participate in therapeutic groups, structured activities and discharge planning similar to those offered in the inpatient and residential programs. Many patients who have been in an inpatient or residential program can “step down” to this level of care because it continues to provide a high amount of structure and support.

Outpatient Treatment:
The majority of people with mental illness and chemical dependency are treated on an outpatient basis, where they see treatment providers one to three times a week for ongoing counseling and support. Rogers Memorial Hospital does not provide outpatient treatment services; instead, we work closely with your current outpatient providers or assist you with finding an outpatient therapist to help maximize the gains made during your stay.

The treatment team works with each patient to develop a continuing care plan. The plan will include specific goals that will support your recovery after leaving Rogers Memorial Hospital. A continuing care plan may include outpatient therapy with a physician, counselor, family therapy, and/or support groups.

Admissions

We look forward to answering your questions, if you don't see what you need here don't hesitate to call our friendly admissions staff at 800-767-4411 they are always glad to address your questions and concerns.

Please visit the what to expect page for more specific information about what to wear, what to pack and what items aren’t allowed.

During your admission, you will be offered the chance to complete and sign a consent form, which gives Rogers staff permission to speak to the people you have listed on the form about your care. Without a signed consent form, the hospital staff must maintain complete confidentiality and will not be able to even confirm or deny that you are here. You can change your mind at any time during the hospital stay if you decide that you would like your family or supporters to visit or be involved in your care.

To ensure effective communication with patients, their family members, and companions who have limited English proficiency, or are deaf or hard of hearing, we will work with patients to assess and determine the level of services best suited to their particular circumstances.

In Oconomowoc and West Allis, Rogers’ Admissions Department is open 24 hours a day. At Rogers’ other Wisconsin locations, an admissions staff member is available Monday through Friday, 8 a.m. to 4:30 p.m. Central Time.

Your length of stay depends on which treatment program you are to be admitted to as well as your past history, current symptoms, support systems, resources and risk factors. We estimate the average length of stay to be approximately three to 12 days for inpatient hospitalization, 45 to 60 days for residential treatment, and four to eight weeks for partial hospitalization and intensive outpatient programs. Please keep in mind that these are estimates; you may potentially need a shorter or longer length of stay.

Because every plan has its own rules, you should contact your insurance carrier to see if you need pre-approval before scheduling your admission. Please visit the insurance coverage page for more information.

Each county and state has its own process to have a person brought into treatment against their will. To get further information it might be helpful to contact the health and human services department of the county you live in. The Admissions Department at Rogers can discuss this with you should you have further questions. However, if you are concerned about somebody's health or safety, do not hesitate to call 9-1-1 or take them to the nearest emergency room.

You should plan on the entire admissions process taking several hours to complete. When you arrive at Rogers, please check in with a receptionist in the lobby: Simply say your name and state that you are here for an admission. The receptionist will give you a clipboard with a form to complete. A short time later, an intake specialist will greet you and take you to a private office to complete the rest of your admission paperwork. To make sure that we have the most current clinical information, the intake specialist may ask you additional questions about your symptoms.

Depending on which program you are admitting to, the intake specialist may then leave the office to contact your insurance carrier for authorization (this is typical for most residential admissions). The authorization process can take anywhere from 30 minutes to several hours, depending on how long it takes the insurance carrier to identify somebody who can review your case. Unfortunately, we have little control over the authorization process with your insurance carrier, but our intake staff will work diligently to get a response back from them as soon as possible. Please visit the insurance coverage page for more information.

Finally, the intake specialist will then explain the admitting paperwork to you and obtain your signature on the required forms. The intake specialist will then leave the office to make copies of the admitting forms for you, enter your information into the electronic health records system and notify the program staff of your arrival. The intake specialist will then escort you to the program and introduce you to one of the program staff who will begin your program orientation.

To respect the privacy and confidentiality of the people who are currently receiving treatment at Rogers, tours of specific residential treatment programs are given weekdays during designated times. Generally, the tour is scheduled after completion of a screening and is led by one of Rogers' community outreach staff.

Unless you have a court order for treatment, you may request discharge at any time; however, a doctor’s order to discharge is needed before you can leave. For some programs you may be held for further evaluation if there are safety concerns.

Levels Of Care

Locations

Free Screening