Nashotah Program

For any teenager, high school is a challenging period of life. Emotions are experienced most intensely than in other period of life. For girls who may have difficulty regulating these emotions, who are experiencing severe depression, or who might be at risk for self-harm or have attempted suicide, Rogers' Nashotah program may be the right place. 

The Nashotah program is a small, 12-person program that features individualized treatment and planning. Teens are immersed in dialectical behavior therapy (DBT) to effectively reduce symptoms. These skills lead to improved personal safety, relationships, self-esteem, quality of life and resilience—all within our validating environment, where girls are safe to explore change, express genuine emotions and better tolerate thoughts and feelings.

For motivated high school girls up to age 18, this program can address severe:

  • Self-harm, nonsuicidal self-injurious behavior
  • Depression and other mood disorders
  • Anxiety disorders
  • Difficulties in emotional regulation
  • Perfectionism
  • Disordered eating
  • Struggles with managing interpersonal relationships
  • Attention deficit hyperactivity disorder (ADHD)

Nashotah is a female name for “twin” in the Potawatomi Native American language. Our Nashotah patients may struggle with dual, conflicting thoughts, while valuing both. With our focus on DBT, we help patients accept doing the best they can, while acknowledging the need to try hard and make healthy changes. Open since 2014, our outcomes are demonstrating the positive impact of our evidence-based approach to care. 

At Rogers, we understand if you are considering the Nashotah Program, there is a need for the intensive level of care only available in a residential setting. While here, the teens live on campus at Rogers’ Oconomowoc, Wisconsin, location, in a comfortable, homelike setting. A typical stay lasts 60 to 90 days. 

In this level of care, we can reduce safety risks associated with emotional dysregulation and work to gain skills that will help teens learn how to manage personal conflict and symptoms of personality disorders, and decrease the risk of future traumas such as abusive relationships.

In addition to medical management, treatment includes 30 hours per week of skills training, group therapy, DBT-based experiential therapy and more within an individualized treatment plan. 

Immersion in DBT 

Led by a board-certified child and adolescent psychiatrist, a dedicated team of professionals is trained in the Marsha Linehan Institute’s model of dialectical behavior therapy (DBT). These DBT skills serve as a foundation of care. Here teens build distress tolerance, improve emotional regulation, maintain safety, and learn non-judgmental personal acceptance and mindfulness in managing life’s challenges. DBT prolonged exposure may also be part of the individualized treatment plan. 

Other components of care at Nashotah include:

Family involvement is another key part of treatment, allowing for more effective treatment and easing the transition back home and to work or school. This includes family therapy and Rogers’ Parent University, a program that educates parents about treatment, recovery, and how to best support their children’s mental health needs. Parent University occurs twice a month for three hours per each session.

Here’s what an average weekday in the Nashotah program is like:

 

Morning Afternoon Evening
Vital/weights; medications Supervised lunch Supervised dinner
Supervised breakfast Education services Therapy assignments; schoolwork
DBT homework review Physical activity Recreation
DBT skills group Experiential therapy DBT skills study
Group therapy   Phone time, family time
Mindfulness   Evening wrap-up group, mindfulness

Our treatment team members

Within the Nashotah program, treatment team members work closely together using a strengths-based, DBT-informed approach that allows patients to experience emotions with more awareness and acceptance so that can develop healthier relationships and make real change in their lives. 

The entire clinical team is engaged in ongoing training in DBT therapy by Behavioral Tech, LLC, an internationally recognized training organization under the direction of Dr. Marsha Linehan, PhD. Staff participate in a weekly DBT consultation group, which ensures your child receives effective and compassionate care throughout her treatment stay. 

Members of the treatment team may include:

  • Board-certified child and adolescent psychiatrists
  • Licensed clinical psychologists
  • Pediatric, family practice and internal medicine physicians
  • Registered psychiatric nurses
  • Registered dietitians
  • Master’s level social workers/counselors
  • Therapeutic specialists
  • Experiential therapists
  • Art therapists
  • Certified teachers
  • Child and adolescent-trained residential counselors

 

  • Erik J. Ulland, MD, Medical Director, Nashotah Program; Director of DBT Services

    Erik J. Ulland, MD

    Medical Director, Nashotah Program; Director of DBT Services

    Erik J. Ulland, MD, is a board-certified general psychiatrist and child and adolescent psychiatrist who serves as medical director of the residential Nashotah Program on the Rogers Memorial ...

    Read More

Nashotah setting and tour

Treatment Location 
Oconomowoc, WI


The Nashotah Program is part of our residential services located on the more than 50 acres within a wooded and lakeside setting in the lake country of Oconomowoc, Wisconsin.

The 12-bed facility is found on an updated wing of the main building. A soothing color scheme, inspiring photography on the walls and comforting décor create a homelike setting which includes semi-private bedrooms, group rooms and welcoming lounge area. The campus grounds feature walking trails, a ropes challenge course, labyrinth and a multipurpose and indoor experiential therapy buildings as an extension of programming.  

CLICK ON THE IMAGES TO VIEW LARGER.

Bedroom

Day Room

Hallway

Central Gatering Space

Day Room

Day Room

Reading Nooks

We want to help

Contact us to request a free confidential screening and learn more.

Call 800-767-4411

Free Screening

Successful Clinical Outcomes

Data collected before and after treatment shows Rogers' treatment works. View more successful outcomes.

Difficulties in Emotional Regulation Scale

Jenna's Story

“It felt like I was with a group of girls who were the same as me with similar emotions.”

Before receiving residential treatment ... Read More

Share your Rogers experience

Have you or a loved one spent time at Rogers? We’d like to hear about your experience with us. Share your story here.

Next Steps

Inpatient services

We offer inpatient care to help you gain stability before safely entering lower levels of care.

Learn More

Mood disorder residential services

You have options for structured treatment for depression and other mood disorders.

Learn More

Mood disorder outpatient services

Daytime programs for your mood disorder help you improve symptoms and return to family.

Learn More

Call 800-767-4411 or go to rogersbh.org to request a free screening.