Adults suffering simultaneously from one or more mental health conditions and, at the same time, independently of an additional mental health disorder or addiction may very well benefit from psychiatric evaluation, cognitive therapy, medication adjustments, compliance support, detoxification, or treatment initiation to prepare for the next level of help. But struggles with mental health and addiction issues can be so complex that typical acute inpatient and outpatient treatment options often can’t get to the root of the issues.
Lindner Center of HOPE’s expanded adult residential treatment program offered at Williams House, which started in May, may well be the necessary next step when dealing with such a complex situation.
The Williams House approach, according to Lindner Center of HOPE officials, offers a clinical advantage to patients who are experiencing their first behavioral crisis or have recently been diagnosed with a mental disorder; have struggled with long-standing mental illness and/or multiple diagnoses; experience intermittent or escalating behavioral crises; or have reached an impasse with their current treatment plan.
Perhaps you or a loved one are facing difficulties at work, school or home caused by substance or behavioral addictions. Maybe you’ve had your medication changed three or more times in an attempt to alleviate symptoms, but to no avail. Or there may be multiple underlying issues left undiagnosed or in need of further assessment. When nothing seems to be working, and it’s overwhelmingly difficult to determine what the next steps should be, the expertly trained mental health professionals and plethora of adult residential treatment resources available on the Williams House unit can provide the needed attention not found through typical residential programs.
“Williams House offers patients a stabilizing diagnostic assessment where they’ll receive intensive treatment from our team of experts – a psychiatrist, a doctorate-level psychologist and many other licensed professionals,” explains Paul Crosby, M.D., psychiatrist Chief Operating and Clinical Officer at Lindner Center of HOPE. And the whole purpose is to figure out not only what’s going on, but really stabilize the severe symptoms a patient is experiencing at that time.
“We continue to offer comprehensive diagnostic assessment at Sibcy House, which has been our marquee adult residential offering over the years,” he notes. “Now, we can offer more intensive treatment, at least for the first few months, at Sibcy House, as well.”
With both Williams House and Sibcy House offering state-of-the-science treatment modalities, Lindner Center of HOPE is focusing on meeting patients with exactly the services they need exactly where they are in their mental health treatment journey. They’re positioned to accept the most difficult, complicated cases.
“We want to be flexible when meeting the patients where they are,” adds William Hartmann III, M.D., FAPA, psychiatrist and medical director at Williams House at Lindner Center of HOPE. “One example might be a patient who is considered for discharge from an acute inpatient hospital setting – that threshold might be safe for outpatient care, but perhaps not ideal for that particular patient who may need to be more fully stabilized, who may benefit from the structured treatment setting Williams House offers for a little while longer.”
“The Williams House treatment program is designed to assist patients still really struggling to engage fully in treatment and start to get well,” says Brett Dowdy, Psy.D., Chief of Psychological Services at Lindner Center of HOPE. “We’re getting them ready for the next stage of finding a solution. We’re also trying to help patients’ families navigate and proceed with their loved one through a very complex situation. We’re working to integrate a family therapy component as they encourage their loved ones through recovery.”
A Tale of Two Houses
Williams House formerly housed Lindner Center of HOPE’s adolescent residential program, and Sibcy House offered the adult residential treatment program.
“Around January, we – as a team – looked at our residential program in general,” Crosby recalls. “Even though Williams House was very successful in treating adolescents with difficult mental illnesses, determining the correct diagnoses, getting them started on the right treatment and helping their families, we were underutilizing our beds. We realized we had beds available to help patients, and we wanted to help as many patients as possible.” So, they transitioned from treating adolescents in a residential setting, and created a more expedient and less expensive outpatient diagnostic program for them instead.
Crosby and his team had also come to realize over the years that the Sibcy House adult residential program, while successful, was serving two distinct categories of patients – those who were ready to engage in treatment in meaningful ways because they were ready for a therapeutic experience, and those who were not quite as far in their treatment journeys.
“They were at a place where they were starting to have some struggles in their lives, or their family members or loved ones saw they were struggling and referred them to us for treatment, but they were not ready to engage in that level of therapy. Sometimes the severity of their symptoms prevented them from really becoming engaged, and sometimes it resulted in some of the patients interfering with the work other patients wanted to do. So, we decided to separate the two populations, with Williams House treating the patients with the most complicated, most severe symptoms, who are struggling to just function in their daily lives and are not ready to take advantage of the full therapeutic opportunities Sibcy House offers.”
According to Laurie Little, Psy.D., Director of Therapeutic Services at Sibcy House, research indicates that a combination of medication management and psychotherapy is the most effective treatment for mental illness. “We see a variety of patients at Sibcy House,” she says. Many patients with mood disorders also have a history of trauma, which can worsen the severity and duration of their symptoms. Over time, individuals may start to use unhealthy ways of coping, such as drug or alcohol abuse, eating disorders and avoidance behaviors, to name a few.
“The psychotherapy component at Sibcy House targets those behaviors as well as how to change thinking patterns,” Little explains. “We often use Dialectical Behavior Therapy (DBT) for patients with mood disorders – it’s an offshoot of Cognitive Behavioral Therapy. DBT emphasizes mindfulness and offers strategies to help manage intense emotions.”
Skills for emotion regulation, as taught through DBT, include identifying and labeling emotions, identifying obstacles to change, increasing positive emotional events, and increasing one’s ability to tolerate and accept painful feelings.
“With DBT, we do a deep dive into how patients can apply those skills effectively and consistently in their lives,” Little says.
Williams House Programs
Williams House offers three main programs – a 10-day Stabilizing Evaluation, a 10-Day Detox and Evaluation, and Add-on Neuropsychological Testing and/or Treatment Initiation – when treating a variety of disorders, complex issues, and co-occurring disorders. Disorders diagnosed and treated at Williams House include anxiety, addiction, eating disorders, depression, schizophrenia and mood disorders, and Obsessive Compulsive Disorder (OCD).
Treatment at Williams House at Lindner Center of HOPE is offered in an intimate and stabilizing residential environment for adults, age 18 and older, with the Center’s renowned multi-disciplinary clinical team using state-of-the-science technology, evidence-based treatment modalities and clinical expertise to stabilize and evaluate patients as well as make recommendations for the next identified level of care.
“It’s very gratifying to work with an organization that provides all these different levels of care and adjusts to what the patient needs,” says Marie Rueve, M.D., Chief of Adult Psychiatry. “I’m very pleased with the breadth and depth of services that we can provide for patients. We see amazing recoveries that would be very difficult for people to achieve on an outpatient basis in the same amount of time. We often get feedback from patients and families that it was a tremendous effort on their part doing that kind of work with us, but well worth it. Patients essentially have been given their lives back. And now, with Williams House, it’s exciting to think how many more people will be helped.”
Lindner Center of HOPE is located at 4075 Old Western Row Road, Mason, OH 45040. For more information, call 513.536.HOPE (4673) or 888.536.HOPE (4673). To inquire about Sibcy House or Williams House, call 513.536.0537 or 888.537.SIBCY (4229). Or visit lindnercenterofhope.org.