Nashotah Program

For any teenager, high school can be a challenging period of life. It’s a time for self-discovery, creating new experiences and encountering new feelings—which can be especially trying if there is difficulty regulating emotions. For girls with strong, unexplainable emotions, severe depression, who might be at risk for self-harm, Rogers Nashotah Program may be the right place. 

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

  • Attention deficit hyperactivity disorder (ADHD)
  • Depression and other mood disorders
  • Anxiety disorders
  • Difficulties in emotional regulation
  • Disordered eating
  • Struggles with managing interpersonal relationships

The Nashotah Program is a small, 12-person program that features individualized treatment and planning. Teens are immersed in dialectical behavior therapy (DBT) and principles of cognitive behavioral therapy (CBT) 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 learn to accept thoughts and feelings.

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 harder 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. 

In this level of care, we can reduce safety risks associated with emotional dysregulation and work to gain skills and knowledge that will help lessen the risk of developing depression, personality disorders, and other more severe symptoms later in life. A typical stay lasts 60 to 90 days. 

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).  In conjunction with cognitive behavioral therapy (CBT) and behavioral activation (BA), 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. Other elements of cognitive behavioral therapy, including prolonged exposure, may 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
Daily goals group Physical activity Recreation
DBT skills group Experiential therapy DBT/CBT skills study
Group therapy   Phone time, family time
    Evening wrap-up group

Nashotah staff

At the Nashotah Program, staff members work closely together using a strengths-based, DBT-informed approach, which gives your daughter accountability for making real change in her life. Her experienced, multidisciplinary team is ready to offer her the guidance she’s looking for.

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 ...

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Nashotah setting and tour

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

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

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.

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