The Adult Center at Rogers Memorial Hospital offers intensive, specialized residential treatment for adults with co-occurring diagnoses of severe or chronic eating disorders and difficult-to-treat cases of obsessive-compulsive disorder (OCD) or other anxiety disorders. The primary goal of treatment is to stabilize and significantly reduce symptoms to a
manageable level and noticeably improve daily functioning.

Why Treatment is Effective

1. Treatment services specifically designed to treat co-occurring eating disorders, OCD  and other anxiety disorders
2. Intensive and challenging treatment in a structured, manageable environment
3. Use of graduated exposure hierarchy and strict cognitive behavioral therapy
4. Highly trained staff directed by nationally recognized experts in the treatment of eating disorders, OCD and anxiety disorders
5. Support from other sufferers of eating disorders, OCD and anxiety disorders
6. Comprehensive case management, personalized treatment plan and coordination of continuing care
7. Access to onsite experts for additional clinical consultations

Quick Links:
Admissions
Insurance
Sample Treatment Schedule
Frequently Asked Questions

Treatment Outcomes

The Adult Center conducts ongoing studies to evaluate program effectiveness and increase knowledge in the field. Our current outcome studies have shown that there is a high co-morbidity between eating disorders and anxiety disorders, including OCD and OC-spectrum disorders. Residents complete a series of questionnaires at admission and discharge, and follow-up calls on progress are made periodically after discharge.

Treatment Team

Treatment services are under the direction of Theodore E. Weltzin, MD, a board-certified psychiatrist who practices full-time at Rogers Memorial. Dr. Weltzin, a respected clinician and researcher in the eating disorders field, is the medical director of eating disorder services at Rogers Memorial Hospital. Cognitive behavioral therapy (CBT) services are directed by Bradley C. Riemann, PhD, a licensed psychologist nationally recognized in cognitive behavioral assessment, treatment and research of OCD and anxiety disorders. Dr. Riemann is clinical director of the Obsessive-Compulsive Disorder Center at Rogers Memorial Hospital.

During the week of admission, each resident meets with members of the multidisciplinary treatment team for a comprehensive evaluation, which forms the basis of a personalized plan of care. Members of the treatment team may include:

Treatment Components

Treatment goals are accomplished through a program consisting of individual and group psychotherapy. The program’s experienced staff uses a strict cognitive-behavioral approach. According to the goals and objectives of each patient’s individualized treatment plan, a resident participates in the following components:

Behavior Therapy

The effective treatment of anxiety disorders typically involves a structured program using exposure and, for OCD, ritual prevention. Exposure is the graduated, repeated confrontation of feared situations, objects or ideas.  Ritual prevention targets the compulsive acts the person performs over and over again in an attempt to neutralize their anxiety with skills designed to prevent this ritualistic response.

The program seeks to prolong obsessions until the fear reduces on its own accord. This process is called habituation. To maximize its effectiveness, this process must be done intensively over a period of time. A combination of behavior therapy and medication(s) may produce the best results for most individuals.

Exposure and ritual prevention produces:

1. Noticeable improvement
2. Success rates as high as 80 percent
3. No side effects
4. Low relapse rates
5. Changes in brain chemistry similar to medications found helpful in treating OCD and anxiety disorders

Individual Work Sessions

Each resident is assigned to a core clinical team consisting of psychiatry, nursing and therapy staff that develop the treatment goals and exposure hierarchy, then facilitate and monitor the resident’s progress. Residents meet with a member of their team at least once each week to address treatment issues, refine their exposure hierarchy and discuss the course of treatment.

Cognitive Restructuring Training

Residents will learn how to identify and correct errors in thinking that generate anxiety and depression. This is done through a series of steps including the use of specialized worksheets developed to provide the structure necessary to correct these errors.

Daily Living Skills Training

Residents practice independent living skills by having the responsibility of maintaining their bedrooms, washing their personal laundry and linens, and jointly being responsible for care of the kitchen and living areas. This realistic aspect of living is a crucial component to overcoming their anxiety and creates a sense of belonging to the residential community.

Nutritional Counseling and Meal Plans

With the guidance of a registered dietitian, residents learn about nutritional health and meal planning. They address the goal of accepting food as a nourishing sustenance and learning to make healthier choices in eating food for that purpose. Staff members encourage residents to follow their meal plan, assist in the selection of serving proportions, and encourage healthy choices. The staff provides ongoing support, especially during and after meal times to help residents deal with feelings, fears, and issues of trust, control and powerlessness.

Family Contact

Realizing that these disorders affect everyone, the family is considered an important part of the resident’s recovery. Family members become involved by learning about the illness, its consequences, and how to support their loved one during his or her ongoing recovery process. Weekly telephone contact is made between the treatment team and a specified family member to update the family on the resident’s progress. Family sessions will be encouraged during the treatment stay.

Patient Education

Our treatment philosophy recognizes education to be an integral part of creating positive change.  Residents receive information and skill building techniques on topics related to their recovery and personal growth, including thought challenging exercises, relaxation skills training, nutritional guidance and learning healthy alternatives.

Body Image Education

Residents will examine their personal development and identity with emphasis on the contradiction between the residents’ perceived physical body and their actual physical body. Understanding this contradiction can help residents to establish healthier expectations for themselves and others.

Recreation/Leisure Activities

A healthy lifestyle includes the exploration of personal interests and recreational activities. Residents are offered experiential programming groups to develop interests and skills that often lead to a healthier leisure lifestyle. Open art studio groups allow the individual pursuit of creative interests and hobbies. Residents have access to the fitness room and gym to address their physical fitness needs. Group team-building experiences foster a sense of social connection and provide an opportunity to apply coping skills. Other experiential group activities may include indoor and outdoor ropes and challenge course experiences and other outdoor recreation activities. These experiences are useful for residents in easing the transition and integration back into his or her home community and allowing him or her to build confidence in successfully utilizing newly acquired coping and self-care skills.

Continuing Care

We are committed to providing smooth transitions for our residents after discharge from our center. With the proper consents, we work closely with the referring professionals to assist in making these plans.

Treatment Schedule

Below is a typical day of programming at the Adult Center. Individual appointments with treatment team members are held throughout the day as needed.

7:00 a.m.	Wake-up and Prepare for the Day, Breakfast
8:30 – 9:30 a.m.	Eating Disorder Group
9:30  – 10:15 a.m.	Supervised Homework
10:15 – 10:30 a.m.	Supervised Snack
10:30 – 12 Noon	Body Image Education or Thought Restructuring Group
12:00 – 1:00 p.m.	Lunch
1:00 – 2:00 p.m.	Individual Sessions or Supervised Homework
2:00 – 2:15 p.m.	Supervised Snack
2:15 – 5:00 p.m.	Cognitive Behavioral Therapy
5:00 – 6:00 p.m.	Dinner
6:00  - 10:00 p.m.	Leisure and Integration Activities  and/or OCD Topic Meetings
10:00 - 11:00 p.m.	Personal Time (Lights Out at 11:00 p.m.)

Individual sessions are conducted a minimum of once per week during program hours.

Saturdays, Sundays and Holidays

Programming is held from 9:00 am until 2:00 p.m., with leisure outings and free time for the remainder of the day.

Admissions

This intensive residential treatment service can effectively treat adults who meet the following criteria:

• Have a primary diagnosis of eating disorders, OCD or other anxiety disorders
  (Individual may have dual or multiple diagnoses)
• Demonstrate a willingness to receive treatment and a desire to recover
• Have a level of cognitive and psychological functioning that allows him or her to benefit from residential treatment
• Be declared medically stable by a licensed physician

An initial telephone screening with the prospective resident starts the admission process.  The clinical director, Bradley C. Riemann, PhD, a licensed psychologist specializing in the cognitive behavioral assessment and treatment of anxiety disorders, reviews each case with Theodore E. Weltzin, MD, medical director, to determine the appropriateness of the center’s programming. History and severity are evaluated as well as related psychosocial factors and recent lab tests. Based on this review, a recommendation will be made for the appropriate level of care.

View/ Print the Adult Center Admissions Information Checklist in Adobe PDF format.

Insurance Coverage

As a courtesy to prospective patients, admissions staff will contact the individual’s insurance carrier to obtain a quote of insurance benefits. Benefit availability, service providers, and medical necessity criteria vary with each insurance plan.  We recommend that potential patients check with their medical insurance carrier to determine what is covered and if there are any exclusions.  After admission, Patient Care Specialists can provide assistance with remaining questions or concerns.

For More Information

To learn more about our eating disorder, OCD and anxiety disorder treatment services or to schedule a free, confidential screening, please call 1-800-767-4411.

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