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.

September 25, 2012 - 9:43am

Addiction affects not only the patient, but also the entire family. The clinicians at Roger’s believe in educating and supporting families to develop healthier, more satisfying ways to communicate. Michael Miller, MD, FASAM, FAPA, Medical Director of the Herrington Recovery Center, emphasizes that involving families during treatment helps them come to a shared understanding about the complex nature of addiction. “While I think it’s crucial for families to understand what the disease called addiction is, it’s equally important for them to understand what recovery is – not only for the person who has this illness, but also what recovery is for them as a family.”

At the Herrington Recovery Center, Ron Housseye, MA, LMFT, SAC-IT, a certified marriage and family therapist, coordinates family therapy sessions. “It’s important that both patients and family members are willing to get down to personal honesty and humility before recovery can take place. Through education, we help family and friends to learn more about the disease and the ways their actions impact the user. It’s also important that patients begin to understand how their disease affects those around them.”

As an adjunct to family therapy sessions, Housseye leads a Family and Friends Program on two Saturdays each month. “The program allows them to be a part of the treatment process, which is ideal. With the support and encouragement of family and friends, we’re hopeful that patients will get – and stay – on track with recovery.”

In Rogers’ day and evening treatment programs, family recovery is emphasized through education sessions and by connecting family members with community support groups like Al-Anon. “We talk about family recovery and what they need to do through Al-Anon family groups or Families Anonymous,” notes Beth Shaw, APSW, CSAC, the primary therapist for Chemical Dependency Services at Rogers’ Milwaukee location. “Making sure that the family understands addiction and knows how to provide support, without enabling the addiction, is an important piece of the puzzle as patients put their life back together.”

August 31, 2012 - 12:47pm

The observance of National Recovery Month, according to SAMHSA(Substance Abuse and Mental Health Services Administration), promotes the societal benefits of prevention, treatment, and recovery for mental and substance use disorders, celebrates people in recovery, lauds the contributions of treatment and service providers, and promotes the message that recovery in all its forms is possible.

By: Cindy Suzek – Clinical Services Manager of the Herrington Recovery Center

Addiction is classified as an illness and most people who don’t understand treatment for addiction also don’t realize that. The definition of addiction is as follows:
*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.

Recovery is generally a life-long process which people who are experiencing recovery will tell you that it usually starts with a realization that this disease has taken over the thought process of the addicted person. At Rogers’ Herrington Recovery Center, the Herrington team shares the clinical expectations for those in their care and demonstrated gains for residents from admission to discharge. The graphic shows the criteria for care so that the expectations of the treatment team and patient are clearly defined throughout the treatment process. At Rogers we are dedicated to recovery and exist to assist the individuals and families in our care in achieving it.

*Definition according to ASAM(American Society of Addiction Medicine)

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 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


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