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.

November 15, 2012 - 1:39pm

Introduction

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

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

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

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

Referral for psychiatry

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

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

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

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


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


November 8, 2012 - 2:20pm

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

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

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

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

November 6, 2012 - 1:19pm

Eating Disorder Hope – EatingDisorderHope.com’s mission is to provide information and resources for patients and families. Since 2005, their philosophy of promotes ending eating disorder behavior and pursuing recovery. Eating Disorder Hope has a very robust social media presence, as well as the following programs in order to assist both people in recovery and families who support those recovering:

Monthly Newsletter - Eating Disorder Hope sends out a monthly newsletter with articles ranging from scientific information about eating disorders studies to inspirational stories of recovery.

College Hope Program - College Hope is a national effort to promote Eating Disorder Awareness and Recovery on college campuses. In order to share ideas between schools and provide easily accessible resources for eating disorder treatment and information, Eating Disorder Hope is gathering resources and counseling center information from different schools to publish for students seeking help.

Article Directory - Eating Disorder Hope has a large group of articles ranging from educational to inspirational which helps patients and families to understand eating disorders and what body image really means to people with an eating disorder.

Events Directory - The eating disorder events and conferences calendar is a unique tool for people who seek real time treatment information to use to find speakers and events about eating disorders. This directory indicates if an event is for the general public or for professionals only.

Rogers Memorial Hospital sponsors Eating Disorder HOPE, contributing the increased awareness ending of eating disorders and collaborating to provide good information resources for individuals with eating disorders and professionals alike.

November 5, 2012 - 9:32am

Eating Disorder Treatment ResourcesAfter recovering from a ten-year-long battle with various eating disorders, Johanna Kandel founded The Alliance for Eating Disorders Awareness in 2000. Based in West Palm Beach, Florida, The Alliance has brought information and awareness about eating disorders to more than 160,000 middle school, high school, and college students nationally and internationally. In addition, The Alliance offers information to those who are seeking information about eating disorders treatment, community awareness, and professional training:

Community Education - The Alliance is committed to increasing education and awareness through educational presentations at public and private elementary schools, middle schools, high schools, colleges, graduate programs, Social Service Agencies, Youth Groups, Healthcare Programs, etc.

Professional Training - The Alliance offers professional training in areas of diagnosis, treatment, advocacy, working with various age groups, co-occurring disorders and the like is available to educators, mental health practitioners, all healthcare providers and other community groups and agencies.

Junior Advisory Committee - The Alliance offers the Junior Advisory Committee as a liaison for students in high school or college to act as advocates for teens and young adults as a school ambassador. School ambassadors promote the interaction between The Alliance and the school body. This also helps to promote stigma reduction and greater involvement in the youth, teens and young adults in the work of The Alliance.

The Alliance also publishes the U.S. Eating Disorders Treatment Referral Guide for colleges which gets disbursed to several thousand schools in the U.S.

November 2, 2012 - 8:00am

Eating Disorders information and treatmentMulti-service Eating Disorder Association – (MEDA): MEDA is a non-profit organization dedicated to the prevention and treatment of eating disorders and disordered eating. Since 1994, their mission has been prevention of the continuing spread of eating disorders through educational awareness and early detection. MEDA is a national level resource and support network for clients, loved ones, clinicians, and educators and the general public.

MEDA STANDS FOR:

  • Mentor the community in its understanding of eating disorders.
  • Empower Individuals to live free of body, food, and weight obsessions.
  • Develop eclectic and diversified treatment teams for clients and loved ones.
  • Assist individuals and their loved ones by offering the training and support needed for recovery.

MEDA also has a variety of resources available for patients and families looking for information:

Educational Presentations - These presentations are aimed at school professionals, students, teachers, and families and while most of these are really geared toward eating disorders, the focus is around how individuals can increase body confidence.

College Networking – MEDA has a strong presence in colleges around the country. These networking opportunities are for students, faculty, clinicians, health educators, and others to discuss prevention and treatment of eating disorders and body image within the college community.

Support Groups – MEDA’s support groups, called Connect to Recovery (CTR), are led by individuals who are supervised and trained by an LISCW (Licensed Independent Clinical Social Worker), many of which are in recovery from and eating disorder or have higher training in the field.

November 1, 2012 - 10:37am

eating disorder resources and informationThe National Association of Anorexia Nervosa and Associated Disorders, Inc. - (ANAD): Since 1976, the National Association of Anorexia Nervosa and Associated Disorders, Inc. has had a mission to prevent and alleviate the problems of eating disorders, specifically anorexia nervosa, bulimia nervosa and binge eating disorder. Their mission is to advocate for the development of healthy attitudes, bodies, and behaviors, and to promote eating disorder awareness, prevention and recovery through supporting, educating, and connecting individuals, families and professionals.

ANAD has a variety of resources that patients and families can chose from in order to gain valuable information about eating disorders, treatment, and recovery:

Support Groups – ANAD offers support group accreditation in every state and internationally, Rogers Memorial Hospital is accredited by ANAD for its eating disorders support groups in Milwaukee and Madison.

Online Forum – Being exposed to un-edited web content can be graphic, however, this is a great tool for people looking for the experiences of others who have had eating disorders and family members or friends with eating disorders.

Scientific and Medical Advisory Board – ANAD has corralled some of the top eating disorders physicians to assist in producing ANADS eating disorders studies and information including Rogers very own Dr. Theodore Weltzin, MD.

ANAD is also very active in issues relating to insurance coverage and has detailed information for people who have been denied coverage and provides information on how to appeal and coping with coverage issues.

ANAD continues to be a source of education, hope, and inspiration to those affected by eating disorders and even those that encourage real health in all people. ANAD is a beacon of hope that recovery is possible and wellness is attainable. As more and more people are affected by eating disorders, or disordered eating, this message is imperative.

October 31, 2012 - 10:32am

Eating disorders require treatment and there are thousands of people in the U.S. who have made it their life’s work to make treatment more effective, make recovery easier and readily available. There are very strong organizations related to the treatment and care of eating disorders that help patients and families not only find a path to recovery, but also resources to stay healthy and keep those who remain in recovery on the right path. This 5 part series will focus on some of the resources available to patients and families that help make a difference in the treatment of eating disorders:

National Eating Disorders Association – (NEDA):

The National Eating Disorders Association (NEDA) is a non-profit organization dedicated to supporting individuals and families affected by eating disorders. NEDA campaigns for prevention, improved access to quality treatment, and increased research funding to better understand and treat eating disorders. NEDA works with partners and volunteers to develop programs and tools to help everyone who seeks assistance. NEDA has several programs that serve the public:

Helpline Services - Information & Referral HELPLINEresponds to many thousands of requests for help by phone, fax and email each year and is staffed by volunteers and professionals looking to assist those seeking answers.

Education and Prevention - NEDAwareness Week is a collective effort of mostly volunteers, including eating disorder professionals, health care providers, students, educators, social workers, and individuals committed to raising awareness of the dangers surrounding eating disorders and the need for early intervention and treatment. This event is national in scale and includes several regional and city-wide events that all work together.

Media and Legislative Advocacy - Toolkits are available for download on the NEDA website in book-form, which have a variety of information on issues surrounding eating disorders which can prove to be highly valuable for parents, educators, coaches, and anyone who can assist someone with an eating disorder.

Family and professional Conferences - NEDA is responsible for a national conference on eating disorders which attracts thousands of people from around the nation who desire to learn, advocate, treat, and assist patients and families. This conference offers CE events, Training, and networking opportunities.

Join us over the next several days to highlight other resources for individuals and families looking for information about eating disorders and recovery.

October 17, 2012 - 9:16am

In addition to abnormal eating and weight issues, people with eating disorders have an increased risk of developing other psychiatric illnesses. Studies show that depression occurs in up to 50 percent of people with eating disorders and appears to be strongly linked to the abnormal eating behavior. Depression is difficult to treat in someone with an eating disorder if his or her eating disorder is not treated at the same time. However, when the eating disorder is treated, 75 percent of the time depression symptoms improve as well.

Anxiety disorders also occur frequently in people with eating disorders. Anxiety about food and weight are characteristic of these illnesses, however, studies show that people with eating disorders have increased rates of social anxiety and obsessive compulsive disorder. As opposed to depression, anxiety disorders frequently predate the onset of the eating disorder and in that sense, may represent a trait for those who are at risk for developing an eating disorder.

October 16, 2012 - 1:45pm

The awareness of eating disorders in males is growing. The behavioral characteristics of anorexia, bulimia and binge eating disorder in men are similar to those of women. Like women, males with anorexia will develop symptoms of weight loss and fear of weight gain. With bulimia and binge eating disorder men and women both develop binge eating symptoms with or without compensatory behavior to purge food. Again, like women, males with eating disorders also are at increased risk for depression, anxiety disorders and alcohol and substance abuse.

Important differences exist between males and females with eating disorders. Studies show that males are less likely to seek help for emotional problems in general, and this is true among those with an eating disorder. Because eating disorders are typically seen as “female problems,” males are often even more reluctant to seek help, often struggling for years before seeking aid. However, delaying treatment can reduce treatment effectiveness and increase the risk of depression and problems with school, work and relationships.

Males with eating disorders often do not want to simply lose weight; they tend to focus on developing a more muscular physical shape. Males with eating disorders typically become preoccupied with how muscular they are physically and a male’s eating disorder may begin with compulsive exercising in addition to dieting. Historically, males who participate in athletic activities with a high degree of emphasis on weight and shape, including wrestling and gymnastics have an increased risk of developing eating disorders.

Eating and body image problems in males do not always clearly fit into a specific category of eating disorders. Compulsive exercisers (in which exercise becomes like an addiction) will often become anxious if they cannot exercise. They tend to feel frustrated and believe they have “not exercised enough” rather than a sense of well-being following. This feeling prompts them to exercise, rather than spend time with family or friends. As a result individuals may see decreased work performance or damaged relationships.


Call 800-767-4411 for admissions or request a screening online


October 15, 2012 - 1:43pm

Eating disorders – including anorexia nervosa, bulimia nervosa and binge eating disorder – affect as many as 5 million Americans every year. While eating disorders typically affect females, males make up as much as 25 percent the total population of people with eating disorders.

In the last decade, employers have had an increased awareness of the cost of mental illness in the workplace; eating disorders are no exception. Depression and irritability, which often accompany eating disorders, can lead to increased conflict at work. Treatment for eating disorders is widely available and highly successful if you recognize there is a problem and deal with it quickly.

Because of the destructive nature of the psychological and physical problems associated with eating disorders, these disorders can have a major impact on a person’s ability to function in the workplace. This creates challenges employers who have an employee with an eating disorder. Problems such as, tardiness, sick days and decreased productivity, due to employees engaging in abnormal eating behavior, can be signs of ongoing eating disorder symptoms or relapse in an eating disorder.

Denial and concealment of eating disorders symptoms occurs almost universally. Since most people are uniquely aware about the eating habits of their coworkers, it is not uncommon for co-workers to make observations about someone’s weight or eating habits. In the case of bulimia, employees may be caught binge eating or purging by co-workers. With improving employee assistance programs, it is not uncommon for employees to seek help from someone in the workplace as a first step in seeking recovery.

Directing an employee to an evaluation by a medical provider should be the first step to assure medical stability. The medical provider, often times in conjunction with an organization’s insurance plan, will then refer the patient to a psychotherapist specializing in eating disorders. This can be particularly difficult with males as fewer professionals have experience with male patients’ eating disorders.

An increased awareness of eating disorders and their treatment can assist employers in helping their staff receive effective treatment that can lead to recovery. For a majority of patients, treatment will greatly reduce medical and psychiatric risk for other problems, decrease risk in the work-place and improve employee productivity.


Call 800-767-4411 for admissions or request a screening online


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