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.

October 1, 2014 - 1:20pm

By Theodore E Weltzin, MD, FAED, FAPA

Men with eating disorders conservatively make up approximately 10 percent of anorexia nervosa (AN) and bulimia nervosa (BN) eating disorder patients, with BN being more common than AN. However for binge eating disorder (BED), rates for males are similar to females. While the acute presentations for males and females tend to be the same and include weight loss and malnutrition and/or binge eating with compensatory behaviors such as self-induced vomiting and calorie restriction, significant clinical differences are present between male and female eating disorder patients. Evidence indicates that men are as concerned about body image as women. However, unlike women whose preferred body image is thin, men’s preferred body image is muscular. Exercise and athletic competition, especially sports that require low body fat or extremes of weight loss, represent a risk for developing disordered eating.

Read the rest of the story on Eating Disorder Catalogue

October 1, 2014 - 11:16am

By David M. Jacobi, PhD

Anxiety disorders are among the most common mental health problems, affecting about one out of eight children. While feeling anxious or even afraid at times is a normal part of childhood, anxiety can become problematic if it begins to impair a child’s ability to function at home or at school on a daily basis. The importance of identifying and treating an anxiety disorder is critical not only in relieving the child's current distress, but also in reducing the progression into more serious problems when they are older.

What is the difference between anxiety and fear?

We define anxiety as apprehension about a future threat, a feeling of apprehension when danger isn’t imminently present, whereas fear is a response to an immediate threat or a response to imminent danger. Interestingly, anxiety isn’t all bad. Research has shown that moderate levels of anxiety help us perform better on certain performance based tasks such as taking an exam. And certainly if we are faced with a threatening situation it is essential that our body respond in a way that mobilizes our resources so that we may defend ourselves or flee the situation.

Both anxiety and fear involve physical, psychological, and behavioral responses. Physical symptoms can include sweating, blushing, heart palpitations, shortness of breath, or muscle tenseness. The psychological signs may range from worrying about almost everything, to being restless, irritable, tense, or easily tired, and having trouble concentrating. Behavioral signs can include refusing to go to school, being afraid to sleep alone, or engaging in excessive reassurance seeking.

How do kids manage anxiety? How do I know if my child is having problems with anxiety?

Children deal with anxiety in a variety of ways. One of the more common ways is to seek repeated reassurance from their family. The child may repeatedly ask the same question as a way to ease their uncertainty and reduce their anxiety. Unfortunately, because this reassurance is anxiety based the child typically is unsatisfied with the response and will persist. Anxious children may also tend to avoid situations, places or persons who trigger their anxiety. It is not uncommon for a child to avoid school due to anxieties about school performance, social interaction, separating from a parent or other stressful situations such as bullying. Younger children may be clingier with a parent, express distress about sleeping alone, manifest their anxiety through bodily complaints such as headaches and stomach aches, and may be more irritable and oppositional at times. Older children and teens may tend to distract by using video games or TV, isolate, withdraw from formally enjoyed activities and turn to drugs or alcohol to calm the physical symptoms of anxiety.

Are there ways I can help my child cope with anxiety?

Start with the basics, make sure your child has a regular daily routine that includes the proper diet, exercise and sleep. Avoid giving them repeated reassurance; instead encourage them to share their concern and worries and to work with you to problem solve situations. As a parent it is important to be calm and confident for your child, if you are anxious, they may be as well. Some additional ways to help may be:

  • Teaching your child that anxiety is a normal reaction to uncertainty and can, in moderate amounts, actually help us to be more prepared and perform better
  • Remind them that the physical symptoms of anxiety are normal and are not dangerous anxiety
  • Identify a name your child can give anxiety (e.g., Mr. Meany or bully) so that parents, caregivers, teachers and therapists can work together to defeat the anxiety foe.
  • Thought challenge them by asking questions (e.g. how many times have a I worried about this and it turned out fine or what would I tell a friend to do in this same situation?)
  • Use of positive coping skills such as proper breathing techniques, reading or talking with a friend

One of the most effective ways to help your child manage their anxiety is by encouraging gradual exposure to the feared situation or object. Kids inherently know that to get over any fear they need to confront it. Fortunately anxiety is manageable when you are aware of the symptoms and can respond properly. By providing your child the right tools, they can learn to tolerate their anxiety and recognize when they are worried. With the right information parents and caregivers can assist their child in identifying the problem, work with the child to problem solve potential solutions, increase use of positive coping strategies and turn to professional help if the problem is more severe, complex or impairing than you are able to manage.

September 24, 2014 - 12:50pm


Led by Christine, Rogers’ spirtual care coordinator and Mick, Rogers’ experiential therapy manager; our staff has been busy designing and building a labyrinth at our Oconomowoc campus. Yesterday, the team completed the labyrinth, located in the lower gardens. It was built so that the entrance of the labyrinth could be viewed from the gazebo. Rogers’ labyrinth spans over 40 feet in diameter and leads those who enter on a journey just short of a quarter mile.

Labyrinths are typically difficult to navigate (we promise ours is navigable). However, like life, they require us to not look in the past and instead focus on where we are headed. Studies have proven the health benefits of walking a labyrinth and there are organizations devoted to promoting labyrinths.

Labyrinths provide patients an opportunity to enter a world of their own and release their thoughts. Upon leaving the labyrinth, patients are re-integrated into a life worth living with a heightened sense of awareness. The labyrinth and gardens will be used by our experiential therapy programming and spiritual care team.

September 18, 2014 - 11:37am

Teen SuicideTeenagers are inundated with expectations in their homes, schools and social lives leading to an estimated half a million attempting suicide each year. It is not uncommon for teens to experience varying degrees of stress, self-doubt, pressure to succeed and worry about their future. Unlike adults, teens struggle with the ability to look at life’s stressful events as temporary. For some, a series of stressful events may lead to a belief that the unhappiness is an overwhelming burden that will go on for the rest of their life. As time goes on they may begin to feel depressed and anxious. At moments, suicide may feel as if it is the only viable solution to their problems and stress.

Common stressors teens experience can include: increasing demands at school, bullying by peers, managing romantic relationships, facing peer pressure to use drugs or alcohol, becoming increasingly independent from their parents and the pressures of finding a job or preparing for college.

Parents should be aware of some of the following signs of teen depression:

  • Significant changes in eating and/or sleeping habits
  • Withdrawal from friends, family and regular activities
  • Feelings of worthlessness, sadness or low self-esteem
  • Neglect of personal appearance or complaints about physical illness (headache, stomachache, etc.)
  • Persistent boredom, significant difficulty concentrating or a decline in the quality of school work
  • Loss of interest in pleasurable activities
  • Thoughts of death
  • Intentional self-harm

Signs you may see from a teenager who is planning to commit suicide (may include, though not limited to):

  • Talking about being a bad person or feeling empty inside
  • Giving verbal hints with statements such as: “Nothing ever works out for me. Everyone would be better off without me. I can’t take it anymore.”
  • Giving away possessions, cleaning his or her room, writing goodbye letters or posting farewells on social media
  • Becoming suddenly cheerful after a period of depression

In general, what should you do if you think that a teen close to you feels suicidal?

Ask them directly whether or not they have been thinking of killing themselves. People often feel uncomfortable talking about suicide, but doing so may save your loved one’s life. It is a myth that talking about suicide “puts the idea” into someone’s head. People who feel suicidal want to know that someone cares and will listen to their pain. Always take statements of wanting to die seriously. Do not leave your child alone.

Seek help immediately. If your teen states that they want to die or if they have thoughts about suicide, seek help from a qualified mental health therapist who can help identify and problem-solve your child’s needs.

With support from family and appropriate treatment, children and teenagers who are suicidal can go forward to feel hopeful and live productive and happy lives. If you feel a teenager you know is exhibiting some of these signs, Rogers Memorial Hospital can help. Our inpatient and day treatment programs provide a safe environment where teens can work on stabilizing their symptoms and identifying ways to manage their emotions when feelings of hopelessness arise.

To schedule a free screening call 800-767-4411 or request one online at rogershospital.org.

The following resources also provide information on teen depression and suicide:

September 4, 2014 - 12:20pm

Experiential Therapy

Art, dance/movement, drama, music, recreation/adventure and relaxation are part of a category of therapies collectively referred to as experiential therapy. At Rogers Memorial Hospital, experiential therapy is thoroughly integrated into our patients’ treatment experience. More than a third of the programming (35%) our patients receive is experiential in nature.

Rogers has one of the largest experiential therapy programs in the area, with nearly 40 experiential therapists working at our five locations in Wisconsin. Our experiential therapists help patients make stronger, deeper connections to key concepts covered in their ‘talk’ therapy sessions by reframing them in concrete ways. Rogers' therapists provide encouragement and support as well as interpretation and redirection, skill education and non-intrusive observation that help shift patients’ perceptions about their illness to new, recovery-focused ways of thinking.

The Nail Stack

The Nail Stack is a puzzle that is used as an opportunity to identify obstacles and improve a patient’s self-esteem. Participants are told they must balance 14 nails on a single nail head and the nails cannot touch anything except each other. Our patients work as a team to tackle this challenge. Sometimes, the level of frustration rises as the puzzles seems unsolvable. When frustration happens, experiential therapists at Rogers use that moment as a learning opportunity to show patients how to cope with everyday stresses they may encounter. (Scroll Down To See Nail Stack Solution)







 

Nail Stack Solution

 

September 3, 2014 - 9:29am

Each September the Substance Abuse and Mental Health Services Administration (SAMHSA) observes Recovery Month, highlighting the prevention, treatment and recovery services that help individuals celebrate recovery from a mental health or substance use disorder. This fall, Rogers is addressing treatment issues by adding addiction programming at their Brown Deer, Oconomowoc and Madison, Wisconsin locations.

This fall, addiction programs offered by Rogers Memorial Hospital are expanding to include a new dual diagnosis track at the Herrington Recovery Center (HRC) and a dual diagnosis intensive outpatient programs and partial hospitalization programs in Madison and Brown Deer.

“Most addiction programs have little to no psychiatric services and few deal intensively with co-occurring disorders,” said Michael Miller, MD, FASAM, FAPA, medical director of the HRC. “By incorporating 14 hours per week of cognitive behavioral therapy (CBT) for patients in our residential program, we are able to effectively treat addiction and common co-occurring psychiatric disorders like mood disorders, anxiety, OCD and trauma.”

Located at Rogers Memorial Hospital in Oconomowoc, WI, the HRC is part of a top psychiatric hospital, where psychiatric consultation and concurrent treatment of mental health concerns by board-certified psychiatrists is available. This dual track gives HRC the ability to truly integrate addiction and psychiatric care, helping patients suffering from substance abuse and a significant anxiety disorder at one time. The schedule for the dual diagnosis track has been arranged to allow for more specific programming, including sessions with behavioral specialists who provide CBT, and other tools including behavioral activation and exposure and response prevention.

As with the current program, the HRC will offer experiential therapies along with core addiction services, including

12-Step facilitation. The HRC is also addressing tobacco use disorder and offers education and recovery interventions to address nicotine. Abstinence from smoking improves a person’s chances of lasting success in abstaining from other alcohol and addictive drug use. The board-certified addiction specialist physicians at the HRC integrate pharmacological therapies for alcohol, opioid and nicotine addiction into psychosocial therapies for addiction and, when indicated, specialized psychiatric therapies and medication management.

In addition to the new track at the HRC, Rogers’ clinic in Madison is also opening an intensive outpatient dual diagnosis program, while Rogers’ Brown Deer is looking to add both an adult and adolescent dual diagnosis intensive outpatient programs and an adult dual diagnosis partial hospitalization program.

August 25, 2014 - 8:59am

youth sports can lead to eating disordersDid you know that youth sports can lead to eating and weight problems with certain individual kids or teenagers? Did you know that within some youth sports leagues weight restrictions are put on certain positions within a sport? Many popular sports are known to be "weight sensitive" including ballet, gymnastics, figure skating, wrestling, track/cross-country, and horse-back riding.

Did you know that football and rowing also have weight restrictions? Youth football leagues typically put caps on weights for entering the league and for certain positions. For instance, in certain leagues you must weigh 80 pounds to carry the football, and you cannot carry the ball if you weight over 100 pounds. Football and other sports typically have weight limits for safety reasons, however, in certain situations these types of weight restrictions can be detrimental to children’s health.

This is particularly true for kids who may be pursuing a certain position within a sport, or become obsessed with reaching a target weight for the sport in order to participate. This ultimately can lead to unhealthy weight loss, poor nutrition, disordered eating habits, and eating disorders.

Kids may restrict their food intake, increase their activity level, and exercise more to reach a desired weight to get a desired position. These behaviors become dangerous when they lead to dehydration, unnatural weight loss, and possibly abnormal body functions including low potassium.

These days our children have vast opportunities to participate in sports, whether it’s through school, local parks or recreations departments, sports leagues or athletic clubs. There are also multiple levels of sports in which children and teenagers compete including recreational, intramural, league, and even select. This is all in an effort to keep kids active with their peers, within their community, and for their health. What a wonderful thing!

Here's some advice for moms and dads…

Listen to your kids! Talk to coaches if you have concerns. Watch your child’s eating, sleeping, and activity patterns. Allow one activity per semester so kids don’t get too overwhelmed. Remember, health comes first!

What to watch for:

  1. Increasing discussion about weight limits in sports. This may come up as a nonchalant topic after a weight check at the doctor’s office, or a health check. Ask questions and get a good understanding of your child’s thought process.
  2. Changing habits – changes in eating patterns: eating less, paying close attention to calories or food labels, restricting intake, avoiding certain high fat/carb/calorie foods, restricting/over eating cycle, laxative use, or purging.
  3. Obsessing: Frequent weighing of self or obsessions regarding a certain measurement.
  4. Over-exercising: your child/teen should not have to exercise much more above and beyond their athletic practice times. If you notice that they are exercising before and/or after their practices, a red flag should go up!

What to do:

  1. Talk with your child and get a good idea of what is going on.
  2. Call your primary health care provider and schedule an appointment.
  3. If you have concerns that your child has an eating disorder, call Rogers Memorial Hospital at 800-767-4411. We can provide free telephone screenings or additional information about our specialized programs. We also offer an online screening.
July 24, 2014 - 11:15am

If you or someone you know suffers from Posttraumatic Stress Disorder (PTSD), you may benefit from a type of therapy called prolonged exposure, or PE, which helps you process single or multiple/continuous trauma in a way that reduces your symptoms.

This cognitive behavioral therapy treatment for adult men and women diagnosed with PTSD consists of a course of individual therapy and therapist-directed assignments which help reduce specific PTSD symptoms as well as depression, anger and general anxiety.

PE therapy has three components:

  1. psychoeducation about common reactions to trauma and the cause of chronic post-trauma difficulties
  2. imaginal exposure, a revisiting or repeated recounting of the traumatic memory in your imagination
  3. in vivo exposure, gradually approaching trauma reminders, such as situations and objects that are feared and avoided despite being safe.

At the PTSD partial hospitalization program at Rogers Memorial Hospital-West Allis Lincoln Center location, PE Treatment is individualized and conducted by therapists and behavioral specialists trained in this technique. After your initial assessment, you will work with a highly trained therapist or behavioral specialist to design a hierarchy of exposures, working one-on-one on imaginal exposures and complete assignments under supervision.

A patient's ability to engage in these procedures in a health manner primarily determines how long treatment lasts. While group therapy is part of PTSD treatment, all PE work is individual and not done in the groups.

June 24, 2014 - 3:25pm

Paddle Boarding to Recovery at Rogers Memorial HospitalAt Rogers Memorial Hospital, our treatment consists of many components. What makes our treatment approach unique is the multiple levels of therapy we provide including family, group, individual -- and experiential.

Often an overlooked piece, experiential therapy can be essential to a healthy recovery. This type of therapy involves a range of activities from art and music to recreation. With a ropes course, a climbing wall, access to multiple lakes and acres of trails through a beautifully wooded setting, Rogers is an ideal location to practice this form of treatment.



Something new: Paddle boarding

One of the most recent additions to the many experiential therapy activities offered at Rogers is paddle boarding. Paddle boarding utilizes a traditional surf board and a paddle, which is used to propel the boarder across the top of the water while standing on the board.

Paddle boarding offers many benefits, both physically and mentally. As in all experiential therapy activities, attempting and accomplishing a new task will build confidence. With an activity like paddle boarding, we remind our patients of their capabilities and strengths, while providing support as they challenge themselves to overcome fears and self-doubt. That’s empowering!

With increased exposure to the different activities offered, including paddle boarding, we often find this helps decrease the avoidance and anxiety surrounding experiential therapy for those who are hesitant to participate. Any physical activity can provide relief from anxiety and stress. While a patient is focusing on accomplishing the task at hand rather than on the therapy itself, he or she can let their guard down and feel free to be themselves.

With more confidence and a sense of relaxation, paddle boarding and experiential activities can invoke positive moods and give patients an uplifted outlook. And, by trying new and different leisure activities, patients find healthy interests to pursue in their free time.

Getting mentally and physically fit

In addition to the mental benefits of paddle boarding, this activity in particular also promotes a healthy lifestyle and physical fitness. Paddle boarding requires balance, coordination, strength and even patience. It can truly test an individual’s ability to persevere and once they have conquered the task, it will provide an undeniable sense of accomplishment.

Paddle boarding is rapidly increasing in popularity, and working its way up to one of the top water sports. Rogers Memorial Hospital is proud to be able to introduce this unique opportunity as both a form of therapy and an exciting new wilderness experience for our patients.

June 3, 2014 - 9:05am
Kristin Miles, PsyD

By Kristin Miles, PsyD


Kristin Miles, PsyD, is an attending psychologist at Rogers Memorial Hospital-West Allis’s Child and Adolescent Day Treatment program. Learn more at rogershospital.org.

Media in its multiple and ever-changing forms – TV, Internet, Facebook, Twitter, computer and video games – plays a prominent role in our lives. With this unprecedented 24/7 access, many children and teens have difficulty managing their media use. So what is the danger in multi-tasking multiple streams of entertainment and information?

Developmentally, the brains of pre-teen and younger teens have yet to develop self-regulation skills, and this impacts their ability to identify when it is too much. Research from the University of Bristol found that children and teens that spent more than two hours a day in front of a screen had a 60 percent higher risk of psychological problems. These findings are part of a growing body of evidence that indicates there is a connection between media use and children’s mental health.

How can media affect my child’s mental health?


Media can have both a positive and negative effect during the growth years, depending on how the medium is used. It can be a positive experience for shy children in helping them develop interpersonal skills, create a sense of community or, in others, teach empathy or tolerance.

However, research also shows that when media is overused it can become a significant distraction for children, which can impede learning or cause short-term memory problems, cause a decrease in attention span, disrupt sleeping patterns, or cause excessive moodiness or aggression and other behavioral issues. As children enter their teenage years, they find themselves more susceptible to peer influence which may make them more likely to engage in risky behaviors like skipping school, drinking or drugs.

What is an appropriate amount of time for my child to engage in media?

A study by the Kaiser Family Foundation stated that children as young as eight years old are spending nearly 7.5 hours a day consuming media. A 2013 policy statement from the American Academy of Pediatrics (AAP) offers guidelines which cover all media avenues including television, movies, video games and Internet or tablet applications. The AAP policy statement suggests screen time should be limited to less than one or two hours per day. Kids that had more than two hours per day were more likely to experience a drop in school performance, short attention spans and even increased belligerence.

Besides time limits, how can I help guide my child’s media experience?

Parents need to strike a balance in their children’s media experience that minimizes potential health risks and fosters appropriate and positive media use. If you are finding it difficult to enforce media limits for your children, consider the following suggestions:

  • Create “screen-free” zones at home
  • Make meal and family times technology free
  • Offer non-electronic activities like books, puzzles or board games
  • Develop a family media agreement where children and parents agree to communicate openly on media use

When my child is using media what can I do to ensure it’s safe and age appropriate?


The immediacy of media means your child or teen will probably be exposed, whether it’s with parental guidance or away at a friends or families. However, you can limit their exposure by:
  • Keep the computer in a public part of the house
  • Know and understand the media your children are using
  • Utilize a kid-safe browser and search site such as Zoodles, Kido’z, or KidZui
  • Create a code of conduct to follow (i.e. don’t share passwords or personal information, avoid strangers)
  • With older kids, discuss various media messages and advertising
Sources: Common Sense Media

Pages


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


Levels Of Care

Locations

Free Screening