The Nashotah program at Rogers Memorial Hospital is an intensive dialectical behavioral therapy immersion program designed for adolescent girls, age 13 to 17, who have intense, often painful emotions, and find it difficult to manage interpersonal relationships. This short-term residential treatment program seeks to build a highly validating environment where adolescent girls can become open to exploring change and learning new skills to better manage intense emotions and mood changes, while developing a healthier self-esteem and improving their relationships with family and peers.
The program takes its name from Native American origins; Nashotah is a female name meaning “twin.” Similar to the duality of twins, dialectical behavior therapy (DBT) emphasizes the ability to accept two thoughts seemingly in conflict, at the same time, with the same value.
With Rogers’ patient- and family-centered service model as a guide, the Nashotah program’s treatment team takes pride in establishing and maintaining meaningful communication channels with each resident and her family. Treatment team members work closely together, using a strengths-based, DBT-informed approach and principles of cognitive behavioral therapy (CBT) to hold each resident accountable for making real change in her life while helping to build her acceptance of herself and others. This accountability extends to the program’s treatment team; a weekly DBT consultation team meeting helps all team members maintain a non-judgmental and compassionate stance with residents.
In addition to 30 hours per week of therapy, academic work is incorporated into the overall treatment experience. With parent approval, staff will coordinate with the resident’s school of origin to determine what academic work can be completed for credit while in treatment. The Nashotah program also uses a unique phased system for residents to track their treatment progress and to reinforce the use of their new DBT skills and CBT strategies in a variety of situations.
The FOCUS program at Rogers Memorial Hospital is designed for young adults, ages 18 to 30, who struggle making the transition to adulthood due to depression, bipolar disorder or another mood disorder. Built on Rogers’ strong track record with cognitive behavioral therapy (CBT), the treatment approach used at FOCUS emphasizes behavioral activation (BA) strategies complemented by dialectical behavior therapy (DBT) informed treatment.
This short-term residential treatment program has two goals. The first goal is to provide diagnostic clarity as to what is derailing their efforts at school or work, disrupting their relationships, and keeping them from getting on with their lives. The second goal of FOCUS is to help these young adults develop the skills they need to get back on track to living a more productive and satisfying life.
FOCUS is led by a board-certified psychiatrist and a licensed clinical psychologist who bring extensive experience in depression treatment and research to the overall design of the program. Woven into the treatment experience are a range of evidence-based individual, group and family therapies which are designed to gradually decrease patients’ natural tendency toward isolation and increase their engagement in activities so mood improves. In addition to therapy, education on basic life skills, such as balancing a checkbook, are also provided.
While evidence-based therapy is the crux of FOCUS, patients work on getting into a daily routine by participating in a fully structured schedule that incorporates purposeful activities starting when they get up in the morning until bedtime. The daily schedule provides routine activities to help regulate their sleep and wake cycles, offering balanced meals and providing opportunities to increase their engagement in physical and social activities. Guided by treatment team members, patients work individually and collaboratively to develop the necessary skills, resources and confidence to successfully carry out behavioral changes.
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