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.

August 17, 2015 - 3:14pm

Young AdultsAre a lot of people telling your college-bound child that they’re “going to make so many new friends in college” or “have the best time of their lives”? While this may be true for many individuals, for many others the transition to college can be a particularly challenging time. In the face of high expectations, these challenges can be surprising and difficult to navigate.

Sue McKenzie, co-director of Rogers InHealth says, “We tend to guide people around transitions, moving them to the other side of the transitional period with high expectations. For example, we tell our children that college is going to be a blast and that they’re going to have so many opportunities, but we probably need to have a conversation about how the transition is going to be hard at first.”

Many difficulties emerge for students when they realize their new-found freedom. “The college years are difficult for students to figure out how to make decisions about alcohol as it’s so much more prevalent for them in a college environment. So we need to teach ourselves and our students the skills of dealing with uncertainty.”

This uncertainty about the shift into college could stem from what McKenzie describes as the “perfect storm” for young adults. She says, “For many of us, when we make a transition, it’s a time of chaos and we need to figure out that storm, which can lead to problems.”

Besides being a time of increased drug and alcohol accessibility and decreased parental restrictions, “The college years are also a time period in which mental illness has an increased likelihood of revealing itself, if it hasn’t already. Students may be experiencing early symptoms at college without that context of family and people who know what’s normal and typical for that person.”

So what can others do to make this stage of life easier? Rachel Leonard, PhD, behavioral activation specialist and clinical supervisor of Rogers’ FOCUS program, says, “One thing that we can is to normalize this transition and acknowledge that this change can be really tough for a lot of people. Have a conversation with your student if you think they may be struggling with depression, anxiety or even thinking about suicide. Oftentimes, people worry that directly asking about these topics might make them worse, when in fact, it’s actually a really important conversation to have to identify people who may need professional help.”

New roommates, friends and professors aren’t going to be as familiar with your child’s typical behavior as you or their more established relationships may be. For this reason, newer acquaintances may not be as perceptive in spotting problem behaviors that may suggest that your child is having difficulty adjusting to college.

Dr. Leonard says parents, roommates and friends should watch out for these problem behaviors:

  • Spending too much time in the dorm room
  • Sleeping for excessive amounts of time
  • Playing videogames for excessive amounts of time
  • Getting overly-involved in alcohol or drugs
  • Participating in self-harming activities

“If you see some of these behaviors, have a conversation and suggest that the student seek treatment if these behaviors are getting in the way of that person being able to function,” says Dr. Leonard.

Dr. Leonard also suggests that college students balance of the types of the activities they participate in. Some students who go off to college may be overly perfectionistic and have unrealistic expectations for themselves, spending all of their time studying. On the other hand, some students may over-indulge in the social scene. Dr. Leonard explains that neither of these behaviors allow a person to have a healthy balance of activity, which can lead to problems down the road.

Besides being balanced, it’s important that students use college as a time for self-discovery. “Students should be doing the things that really matter to them, not just the things that matter to their parents or to other people. Students need to identify their values and make sure their college major and activities align with their own values so that they can have a more fulfilling life.”

FOCUS, a residential treatment program available at Rogers, “treats young adults suffering from depression and anxiety, which often emerges during these transitions into college or the work force and interferes with their ability to make that successful transition. So FOCUS helps young people reduce depression and anxiety by working with them to make changes in the amount and types of activities they complete, learn to face anxiety-provoking situations, address problematic patterns of thinking and learn skills to help reduce distress,” says Dr. Leonard.

August 11, 2015 - 9:00am

Main GardenThe construction of a new horticultural therapy garden in the courtyard of the Child and Adolescent Centers is quickly making progress! The new addition will provide the space necessary for a new horticultural therapy program, but is also a piece of a larger vision to incorporate nature and the healing powers of the environment into treatment at Rogers Memorial Hospital.

According to Therapeutic Landscapes, research proves that being in contact with nature lowers blood pressure, elevates moods, entices all five senses and contributes to a person’s well-being. A significant body of research confirms and sheds new light on what many people have known intuitively: that a regular connection with nature is beneficial and even vital for maintaining health (Marcus and Sachs, 1).

Rogers is utilizing all of its natural resources for the holistic health of its patients. At our original campus in Oconomowoc, set on 50 acres of natural beauty around two lakes, the landscape offers beautiful vistas for all patients to enjoy, through both inside sweeping views as well as outside activities. All summer, patients, visitors and staff have enjoyed an explosion of color and variety of the beautiful landscaped gardens which include original plantings of Mrs. Theresa Rogers. But there is more, walks on nature trails, boating and swimming complement our patients’ full therapeutic programming.

Building on this legacy, Rogers is implementing a master plan for therapeutic landscapes for specific clinical programing on each campus. The Guidelines for Design and Construction of Healthcare Facilities includes “Access to Nature” as one of eight key elements in the physical environment component of the Environment of Care.

Rogers plans to develop intentional landscape designs with specific therapeutic results in mind. Based on the clinical needs of the patients, the gardens—both landscaped or as wild natural settings—will benefit individuals as they seek to restore their overall health.

Therapeutic gardens can vary from vegetable gardens to planting natural meadows with native flowers, all of which have the same purpose: to promote health and healing. The clinical staff is working with the landscape architects in the design process, ensuring that the gardens are specific to their patients’ needs. Evidence-based design goes into each gardening area to ensure the best plan is chosen.

By incorporating nature to help our patients reach their therapeutic goals, Rogers hopes to create new lifestyle skills for patients to take with them and use throughout their lives.

August 3, 2015 - 9:11am

On August 1, John H. Greist, MD, medical director of clinical trials at Rogers Behavioral Health, received the Patricia Perkins Lifetime Achievement Award at the International Obsessive Compulsive Disorder Foundation (IOCDF) Conference. Each year, one award is presented to a behavioral health professional who has offered a major contribution to the foundation and the obsessive-compulsive disorder (OCD) community.

The award’s namesake is a co-founder of the Obsessive-Compulsive Foundation, known today as the IOCDF. Perkins suffered from severe OCD symptoms herself and has dedicated her life to promoting awareness for the disorder and helping others with OCD find the resources they need. The award was created as a way to recognize her contributions and her previous efforts as the IOCDF board president.

Besides Dr. Greist’s supervisory position with the Rogers Center for Research and Training, he has also been a long-time contributor to the IOCDF newsletter, providing valuable research and articles to the IOCDF and the OCD professional community, as well as countless journals and chapters in books. Dr. Greist is considered a vanguard in psychiatry for being one of the first professionals to promote exposure and response prevention (ERP), what is now considered the “treatment of choice” for OCD among many professionals in the mental health world. Besides Dr. Greist’s valuable involvement with OCD, he is also the co-founder of the Lithium Information Center in Madison, WI and is considered a pioneer for bipolar disorder due to his revolutionary research on the lithium.

July 21, 2015 - 9:17am

CBT for Dual diagnosisRogers Behavioral Health is a national leader in the use of cognitive behavioral therapy (CBT), a widely accepted treatment approach for people with obsessive compulsive disorder (OCD) and anxiety. As the foundation of our treatment programs, studies show that CBT delivered in a highly structured, yet managed approach, empowers our patients to gain control over their symptoms and learn effective strategies they can use throughout their lives. 

While CBT has been successfully used for a number of years in the treatment of OCD and anxiety disorders, its use at Rogers has now been extended. The Herrington Recovery Center, our addiction residential program, now includes a dual diagnosis track to simultaneously treat OCD, OC-spectrum and anxiety disorders with substance use disorders. Research shows that for persons with co-occurring disorders, the most successful recovery is achieved when their conditions are addressed concurrently. At least fourteen hours per week of CBT, directed by two program dedicated behavioral specialists, has been added to the daily schedule. This allows for effective treatment of alcohol or other drug addiction as well as the psychiatric disorder, resulting in a more attainable, long-term successful recovery. 

While the dual diagnosis program addresses both OCD and addiction concerns, the daily schedule also includes traditional elements of addiction treatment. For example, patients in the dual program continue to follow the twelve-step model, complete homework assignments, meet regularly with a sponsor and receive treatment with an emphasis on AA to overcome addiction.

July 20, 2015 - 12:41pm

Sibling RivalryNow that summer’s in full swing, your children are probably spending a lot more time playing together or doing other fun activities than they might during the school year. However great this extra bonding time is while it lasts, sibling rivalry can almost always be counted on to sneak its way into your summer plans. Although some sibling rivalry can be expected, is there a point where it can become a cause for concern?

Sibling rivalry is a common occurrence in any home with two or more children and usually occurs once the second child is born. Often times, siblings will switch back and forth between adoring each other and detesting each other, which can become very frustrating for parents. So why does it happen?

The answer is not that simple; there are many reasons as to why siblings fight. Siblings often become jealous of each other. They have a hard time sharing their parent’s attention and time, which can become especially difficult during the busy summer months. If your first child is having a hard time sharing your time and attention with a new sibling, he or she may start to feel left out and blame their sibling.

If children are constantly comparing their skills and abilities with each other, such as during summer sports, one child may feel inferior to another, possibly leading to feelings of frustration and anger. For this reason, it’s important for parents to provide equal attention, time and praise to all of their children.

However, it’s important to note that not all children seek out as much attention or reassurance from their parents as others do. For example, a laid back child may be satisfied with “doing their own thing” and not having their parent by their side, but an anxious child may need their parent to reassure him or her that things are okay more frequently.

Having a child with special needs may also impact sibling rivalry. Your child with special needs may not know how to gain positive attention from you and may engage in negative attention-seeking behaviors. Your child’s negative behaviors, in turn, may frustrate your other children to the point that they take this frustration out on your child with special needs, or using externalizing behaviors, which are commonly disruptive behaviors that may include poor anger management or defiant behavior.

If you believe your children may be struggling with an unhealthy level of sibling rivalry which may affect regular family functioning, or possibly their mental or physical health, contact Rogers Memorial Hospital for information on Child and Adolescent Day Treatment programming. Call 800-767-4411 for admissions or request a screening.

July 15, 2015 - 9:21am

Racing For KidsOn July 10, several children from Rogers Memorial Hospital participated in the Racing for Kids and YMCA Fun Fair event held at Pabst Farms in Oconomowoc, WI. Children with behavioral or physical challenges from hospitals around the community were invited for the fun gathering.

Racing for Kids is a national charity which uses the popularity of auto racing and the following their drivers have to raise awareness and generate funding for the health care needs of children and child health institutions. IndyCar Series drivers donate their time by visiting children’s hospitals in the cities where they race. For the Oconomowoc event, drivers made their way off the track of the Milwaukee Mile into southeastern Wisconsin’s lake country.

The children from Rogers joined in an array of exciting activities with IndyCar Series drivers and mascots including: face painting, a baseball game, touring a fire truck, posing in an IndyCar and enjoying a delicious variety of snow cone flavors and other snacks. Children from Rogers showcased particular athletic ability and teamwork during the baseball game, even outperforming some of the drivers. The drivers posed for pictures with the kids and signed autographs, helping to give each child a memorable and personal experience.

Since the charity’s inception, Racing for Kids has visited more than 28,000 children in more than 550 hospitals in six countries.The Fun Fair at the YMCA at Pabst Farms highlights its belief that all people have the right to take an active role in the Y community. The event was a great opportunity to promote teamwork and understanding among those attending

June 25, 2015 - 1:32pm
PTSD awareness month

Chad Wetterneck, PhD
Clinical Supervisor, Cognitive Behavioral Specialist

People who have been diagnosed with posttraumatic stress disorder (PTSD) are often subjected to intense reoccurring anxiety concerning a traumatic event they experienced or witnessed. Sometimes, individuals living with PTSD feel an overwhelming shame about their persistent fears.

PTSD often causes an individual to numb their anxiety regarding their specific event; however, when a person tries to numb their emotions, they have no control over which ones they can deaden. In effect, a person desensitizes all of their emotions— including joy, compassion and love. When a person does this to their emotions, it can have a detrimental effect on any relationships they may have in their life.

Over time, friends, family and partners may find it difficult to connect to their loved one who appears to be emotionally unresponsive and the relationship can even fade away. If a person with PTSD does lose many of their previously stable relationships, the isolation can be devastating to their support system and behavioral health.

Given the stigmatizing nature of many traumatic events (e.g., sexual assaults, combat-related losses or harm) many people develop a strong sense of shame. Living with shame for an extended amount of time may feel the need to shield their emotions from loved ones or their medical professionals. The lesson here is: just because a person’s anxiety may appear to be healed, their wellbeing could still be in danger if they feel ashamed about their actions or experiences. For this reason, a patient’s shame should be taken just as seriously as their psychiatric symptoms.

At Rogers Memorial Hospital, our PTSD partial hospitalization program offered at the West Allis and Brown Deer locations is cognitive behavioral therapy based and emphasizes prolonged exposure, which allows patients to devote equal portions of their time toward reducing their symptoms and defining meaning in their lives. By defining meaning in their lives, we mean that patients are discovering their own values and actively pursuing them. A patient’s values and goals could be based in their career, family, romantic relationship or an array of other facets of their lives.

What is important is that patients and their psychiatric team are investing their time in the correct areas that will help promote a patient’s self-love and reduce personal shaming tendencies—making life worth living.

June 25, 2015 - 9:14am

By Jody Pahlavan, PsyD

Could it be ADHD?Dr. Pahlavan is a licensed clinical psychologist and clinical director of the child and adolescent day treatment and partial hospitalization services at Rogers Memorial Hospital.

Attention Deficit Hyperactivity Disorder (ADHD) is a condition that is often first noticed during the preschool and early school years. One of the most common childhood disorders, ADHD affects 5 to 8 percent of school age children.

What is ADHD?

ADHD symptoms can be categorized into two groups: inattention and hyperactivity and impulsivity. In early childhood, these behaviors are common; however, in children with ADHD these behaviors occur more frequently and are more severe. Some of these characteristics may be:

  • Highly distracted
  • Losing and forgetting things
  • Always on the “go”
  • Difficulty sitting still
  • Easily bored
  • Lack of self-control
  • Difficulty waiting for turn/standing in line
  • Daydreaming or “zoning out”

These difficulties can be observed in free play settings, but as the child grows and is required to show focused attention on tasks, such as school work, the symptoms may be seen more frequently. With ADHD, hyperactivity/impulsive behaviors are often noticed in early childhood, while inattentive behaviors become more apparent when a child enters school.

How is ADHD treated?

While the most recognized method of treating ADHD is through medication, successful ADHD treatment is multidimensional and includes evidence-based therapeutic techniques. The two most important elements of treatment include medication management and behavior therapy.

When first diagnosed there may be a process of trial and observation to determine the right medication and dosage; however, 70 to 80 percent of kids have an excellent initial response. The most common medications prescribed for ADHD are stimulants. While it seems odd, the drugs stimulate the areas of the brain that are responsible for attention and impulse control and help a child to focus.

In addition, behavior therapy can be used to address specific behaviors or teach a child new skills to help him or her manage their behavior. For example, therapy may include social skills training to improve communication, interpersonal skills or self-esteem.

Another facet of behavior therapy can include parent-child interaction therapy (PCIT) which teaches parents how to encourage desired behaviors and minimize the impulsive or inattentive ones.

As a parent, how can I help ensure success for my child with ADHD?

Children with ADHD may have a more difficult time during the school year than children without ADHD. The following are some suggestions for parents to help the school year go smoothly and successfully:

  • Create a routine – a chart or outline of activities and times that your child can see provides familiarity and comfort.
  • Stay organized – highlight important things on a calendar or cork board, plan the night ahead by laying out clothes, shoes and backpacks.
  • Communicate – with the school and your child’s teacher. Discuss the diagnosis and ask for the teacher to provide updates on how your child is doing in the classroom.
  • Connect – with your child. Encourage them, teach them to reward themselves, understand their needs and offer support.

If your child’s behavior makes you question if it is ADHD or just a normal part of growing up, begin by talking to your child’s teacher, many times they will be the first to notice. A pediatrician is another option and can even recommend you to a mental health professional that has expertise in ADHD.

Sources: Child Mind Institute

June 18, 2015 - 8:42am

OCD Wisconsin WalkThe first OCD-Wisconsin Walk was held Saturday, June 13th. The two-mile walk around Fowler Park in Oconomowoc, WI was organized by OCD-Wisconsin, an affiliate of the International Obsessive Compulsive Disorder Foundation (IOCDF). Rogers Memorial Hospital was a major sponsor for the event. The goal of the walk was to raise awareness for Obsessive Compulsive Disorder (OCD).

According to the American Psychiatric Association, OCD is linked to impairing multiple realms of an individual’s life. This means that OCD can impact a person’s work, school, family life and overall quality of life. Rogers strives to make every life worth living and raising awareness about OCD is the first step towards positively impacting someone’s life.

Our very own David Jacobi, PhD, clinical supervisor, started the event with a few opening words about the prevalence of OCD, which currently affects about 3 million adults and over 500,000 children and adolescents nationally. Jacobi also discussed effective treatment methods available, as well as the advocacy work of the IOCDF, OCD-Wisconsin and Rogers Memorial Hospital. Jacobi made special notice of the newly-created Barry Thomet Scholarship and said a few words about its namesake.

At the walk, the first Barry Thomet Scholarships were awarded to two deserving high school students. Each student was awarded $500 to contribute towards their secondary education. The students were nominated by their school counselors for overcoming obstacles they face due to their OCD.

The scholarship’s namesake, Barry Thomet, has been a devoted Rogers employee for more than 20 years. Thomet has shown exemplary devotion to those suffering from OCD, as well as passionate commitment to their families.

Rogers had the largest team of employees represented at the walk. The total number of attendees was between 150 and 160 people— a substantial turnout considering a poor weather was forecast for this first-ever event.

Between registration and sponsorship fees, the event generated about $10,000, which OCD- Wisconsin will then use to help provide valuable resources and support to those with OCD, their families and their communities. Additionally, the funds will help raise awareness about successful OCD treatment methods and research for those affected.

May 8, 2015 - 10:47am

Balloon LaunchBy: Jenifer Waite Wollenburg, MS-ATR, Manager of Inpatient Clinical Programming and Experiential Therapy
West Allis Campus

On Thursday, May 7th, Rogers Memorial Hospital joined 1,100 communities and 140 national collaborating organizations across the country to commemorate the 10th anniversary of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Children’s Mental Health Awareness Day. The goal is to raise awareness about the needs of children, adolescents and young adults diagnosed with mental health or substance use challenges.

To show our support for children’s mental health and well-being, Rogers invited our inpatient child and adolescent program in West Allis and the child and adolescent day treatment programs in West Allis and Kenosha to launch lime green (the color representing mental health) balloons carrying handwritten messages of hope and support. Balloon releases occurred throughout the day, so that all the children would have the opportunity to participate in this important event.

Some of these messages of hope were:

  • "I know I’m good for something I just haven’t found it yet”
  • “In the end we only regret the chances we did not take”
  • “Life is about the journey, not the destination”
  • “Never forget who you are, you are what you love not who loves you”
  • “Stars don’t shine without a little darkness”
  • “Don’t be the you that you don’t want to be, be the person you want to be”

The Rogers-Oconomowoc campus celebrated Children’s Mental Health Day by holding a small ceremony dedicating a green space that will be developed into a therapeutic courtyard and sanctuary for patients, their families, staff and wildlife in the near future. Patients were encouraged to share their personal journeys and after everyone was able to plant flowers and decorate flower plots that will be kept on the patio in the courtyard.

The national Awareness Day balloon launch event will take place in Washington, D.C., and in the past has featured special general sessions of the National Council for Behavioral Health annual conference, workshops, and speakers. SAMHSA’s annual observance provides an opportunity to celebrate the positive impact we can have on the lives of young people.

National Children’s Mental Health Awareness Day is near and dear to Rogers, our patients, families and staff. Visit our Facebook page to see photos of our celebration or to leave a comment on how you celebrated!


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