I was just at RO on the Trauma unit. It is an excellent place. You have therapy every day and the therapists are excellent and know what they are doing. The educational groups are also outstanding. To be on the trauma unit, you need to have a history of sexual abuse. The focus is on trauma, not ED, even though there is an ED track. That includes a couple groups and may include supervised meals. There is a separate ED unit if that is your primary struggle, and if you are also dealing with trauma, you may be able to attend some groups on the trauma unit. All of this should be arranged prior to your admission so there aren’t surprises. The food is pretty awful, but at least you get some choices if you are ED or have a special diet (I recommend saying that you are a vegetarian, even if you’re not so that you get to select menus vs. getting stuck with what is offered.). The common space is large – there is a ping pong table, a piano and lots of art supplies. The individual rooms aren’t so nice. There are two persons to a room and a bathroom connects two rooms.
Definitely take your own pillow, a nice blanket, and a big fluffy towel. No shoe strings or strings of any type, so before you go, take yourself out to get a pair or two of really comfortable shoes that you really like and that do not have laces. Make sure there are no strings in your sweats or pants, or you will lose them. No hair dryers, curling irons or hairpins/barrets allowed, so plan ahead.
There are a lot of art supplies, but you might like to come with your own art book (not spiral bound), and your own colors if you are a serious artist/writer.
There are men in the program, but when I was there last month, there were only 3 men and 17 women. The men sleep in a separate area.
There are 3 phones on the unit that you are allowed to use whenever there is no group. At this point, you could make calls for free. They may start requiring a calling card soon, so you should check.
None of the psychiatrists are great – go with a clear plan for your meds and make sure that your home psychiatrist will back you up and call on your behalf if needed.
On that note, it is essential that you maintain contact with your home therapist and that if you run into any issues with your care, that your therapist agree to advocate on your behalf. They were very good about letting me talk to my therapist whenever she was able to call – even if it was outside of the regular phone times. My RO therapist was also in frequent contact with my home therapist and they did a great job coordinating my care.
I don’t know what the ED unit is like. The ED treatment plan on the Trauma unit is pretty flexible and you really are on your own. If you aren’t ready to be on your own for food, then you will be admitted to the ED unit.
I stayed for 2 weeks, which was covered at 70% by my insurance. If you are dealing with major trauma/sexual abuse, this is really the place to go.
When were you there:
What were meals like?
Meals ranged from deathly quiet to laughing so hard that my stomach hurt. It all depends on who’s with you at the table. You start out eating meals on the unit, and then get to go to the cafeteria after usually a week or so. There were 3 meals and 2 snacks each day.
6:00a- weights and vitals
6:30a-8a- showers, etc.
8a-9a- breakfast and morning goals group
12p-1p- lunch and post meal
4p-5p- homework, assignments
5p-6p- dinner and post meal
6p-7p- outside time, exercise time
8:30p-9p- snack and wrap up group
10p or 11p-lights out
What sorts of food were available or served?
Food was typical hospital food, except on days that there was a cooking activity or restaurant outing. The menus rotated on a 2 week basis, but there were always items you could write in. Sandwiches and veggie burgers were fallback items. There were not many “dense” options available for when you got on a higher meal plan, which was a bit disappointing. You also never had to eat veggies unless you wanted to. They DO accommodate vegetarians, which limits your choices a little, but not by too much since there aren’t too many anyway.
Did they supplement? How did that system work?
They do supplement with Ensure(+). If you don’t finish/do a meal, they will estimate about how much to give you. Absolute refusal may have been 2 E+, but don’t quote me on that. They do not tube at all any more. If you do not gain your half pound for the day (if on weight gain), you have to add 2 E+s on top of what you are already doing, usually one at 10a and the other between dinner and night snack, but these adds were very frustrating since normally your meal plan would be increased as well.
What privileges are allowed?
You can use your cell phone either very early in the morning or in the evening. No television, no internet, unless on pass. We did have movies though. Because what you are allowed to do is based on whether you gained your 1/2 pound for the day, failure to do so would result in you not being able to use the phone, have no visitors that day, lose your pass, and if you failed to gain enough weight for more than one day in a row, you had to eat on unit, ride in a wheelchair, and were not allowed to do any groups off the unit.
Does it work on a level system?
Privileges are based on a system. There is cafeteria privilege, different levels of observation after meals and snacks (2hr+1hr, 1hr+30mins, and 0+0). You also get bathroom privileges (ie-flushing your own toilet, being able to take a shower at night). You also earn privileges to go on passes, grocery outing, and restaurant outing. Once mid weight range, you can get exercise privileges.
What sort of groups do they have?
There are TONS of groups- process, art, movement, body image, DBT, CBT, relaxation, thoughts and feelings, anger management, motivation enhancement, ceramics, ED letter writing, family systems, nutrition, yoga, psychodrama, relapse prevention, males had their own daily group, and more that I’m forgetting
What was your favorite group?
I really liked art and movement. Who led the group had a big influence on whether I liked it.
What did you like the most?
You get 3 individual and 2 family sessions per week here (as an inpatient). Also 2 meetings with the nutritionist. I liked that there was lots and lots of structured time (although weekends could get boring). When I was there, there were anywhere from 4 people to 11 people (on a unit that holds 15 or 16 I think), so it was nice when it was smaller since everyone got a chance to talk in groups.
What did you like the least?
The nutritionists and weight gain philosophy! Having been to other programs, I have done much better with other places that base weights on weekly, not daily requirements. The nutritionists also don’t seem to understand EDs very well.
Would you recommend this program?
I would recommend this program, especially if you are motivated to get better. The groups are usually really good, and the program has quite a bit of structure built in. I would recommend another program if you are looking to step down from IP to PHP to OP gradually–there are much better programs out there.
What level of activity or exercise was allowed?
None unless you had privileges.
What did people do on weekends?
Passes, therapy assignments, and movies. A few groups. Ceramics!
Do you get to know your weight? No, but I did see mine in my chart multiple times.
How fast is the weight gain process?
1/2 pound per DAY.
What was the average length of stay?
For IP, 1-2 months usually.
What was the average age range?
early teens to mid forties
What kind of aftercare do they provide? Do they help you set up an OP treatment team?
Some people do PHP. They do help you set up an OP team and you do transition sessions before you leave.
How many IP beds? How many patients in PHP or IOP?
I think there were 15 or 16 IP beds. We were never filled to capacity. There was maybe one person that did PHP while I was there. I don’t think the program can accommodate more than 12 people (total) at a time due to staffing issues.
When were you there:
I actually have only been home a week and a half December 2008-January 2009
Describe the average day:
Wake up between 5:30am or 6:00am depending on the overnight nurse in charge. Weights were done in a hospital gown blind. You had to use the restroom and empty your bladder before being weighed or you were put on warning automatically. If you didn’t gain enough or lost the first day you were put on warning and were supplemented 10am and bedtime snack in addition to meals and if it happened again you were put on R and R (Rest and Recovery) and had to be wheeled in a wheelchair to conserve calories and couldn’t attend groups off the unit. Showers if you weren’t on BRS were 6:30am to 8:00am and if you were on BRS you had to take them at night with the door cracked and staff outside listening. If you were on BRS you couldn’t flush your own toliet and had to have the door cracked at all times
What were meals like? They were decent I guess. Breakfast got borning to me real fast…bagels, english muffins, toast, cereal, milk, eggs, yogert, lunch and dinner were always hard for me and then snacks twice a day unless you were supplemented for not gaining or not finishing 100% of your meal. Once you were eating better you got privleges to go to cafe with a prep tray, cafe with menu, and then on your own. You had your own table and a staff sat with you
Did they supplement? How did that system work? If you were on weight gain you had to eat 100% of your meal or you were supplemented, some had supplements with thier meals regardless, and some who were on maintance only had to eat 90% before they were supplemented…one was on a supplement diet for awhile and day 12 ensure plus a day…i felt so bad for her
What privelages are allowed? You could smoke until New Year’s Day when the psychiatrist stopped all smoking on the Ed Unit because he thought some were using it as an appetite suppressant. It made ppl more depressed irratable if you ask me. Tv only during theaupetic movie times and was wheeled out in a cart. You could listen to music, do assignments, art, write letters, have vistors as long as you weren’t on R and R and you could have your phone during phone times….some got computer privleges for theraupetic reasons only
Does it work on a level system? yeah. SVC (strict visual contact)-you had to stay in the day room all day pretty much two hours after meals and 1 hour after snacks until you moved up a level…bathrooms with staff outside the door MVC (modified visual contact)-day room most of the day and it seemed like the same as the first level to me MVC-CO ) like MVC, but can sleep in own room and go to bathroom by self. CO (close observation)- will remain on unit and be checked on…I was on and off this alot due to asthma issues FTP (full therapeutic privilages)- can go on passes, restraunt outings, grocery outings etc
What sort of groups do they have? CBT, DBT, nutrition, psychodrama, art, relapse prevention, process (with head psych, discuss concerns of the unit), music, ceramics (every sat and sun morning), Yoga, Expressive Therapy, Body Image, Life Skills, Thoughts and Feelings, Cooking Activity, Restraunt Challenge, Mind, Body and Spirit, Motivation Enhancement, Family Communication, and Anger Management.
What was your favorite group? Art Therapy, DBT, and Body Image…they helped me the most
What did you like the most?I liked that we got more individulaized attention vs larger programs…there was 10 at most there at a time, individual therapy three times a week, nutrition twice a week helped alot too
What did you like the least? I didn’t like that some were there and motivated to recover and others didn’t want to be there…why were they there then? I hated family therapy but they may be just an indivial thing for me…and didn’t like early morning wake up
Would you recommend this program? definately. most definately.
What level of activity or exercise was allowed?you could do yoga or walk around the quad five times a week for thirty minutes and they watched you to make sure it didn’t get out of control
What did people do on weekends? Cooking activity, groups, assignments, theraupetic movies, vistors, restraunt outings, it was less intense than the week day
Do you get to know your weight? no, they just told you if you made progression or not…if you were on warning or r and r
How fast is the weight gain process? 1-2lbs a week
What was the average length of stay? It depended on the person and thier insurance. One was there three months…most about a month or so and went into iop went they got home like i did
What was the average age range? 16-43.
other stuff: individual therapy three times a week, nutritionist twice a week, psychiatrist three times a week, I really liked the program and it really helped me I was on the ED track only! Some were from Canada, Alabama, Mississippi, South Carolina, Georiga, and some local
i was in the trauma unit (new orleans institute).
it was purely the trauma unit, but understand that the trauma unit DOES have an ED track, so even if you go to the trauma unit for only trauma work, there may be other people there for mainly trauma work, but working on recovery from an ED on the side (ED table, hunger/fullness checks, eating 100%, a couple ED groups). there also might not be anyone there on the ED track. it just depends. but make sure you are ready for that.
basically, i think the trauma program there is really good. you have individual therapy 5x per week, meet with your psychiatrist 3x per week, have trauma group (smaller group of people-usually like 5- that you share more intimately with) 4x per week, relapse prevention 6x per week, DBT 2x per week, art therapy 1-2x per week, psychodrama 2x per week, ceramics 1x per week, then other groups randomly throughout the week, such as sexual healing, inner child, body image (even for those w/out EDs), scrapbooking group, different modules, process group (brought up issues on the unit w/ the head psych). they also have a compulsive behavior program, so if you had issues with that, you would attend compulsive behavior groups as well (i did for self-injury. they did things like covert sensitization and ammonia aversion therapy).
The day is very busy. not much free time until like after dinner, then most people use that time to do assignments (from their therapists) or journal or call family (cannot have cell phones w/ cameras, but have have regular ones. they also have wall phones- that are not pay phones- that you can use, even to call long distance). most of the people there were from out of town, so there weren’t many visitors. there isn’t any TV, except they wheel one in during the weekend, but most people are busy during the evening anyways. if people didn’t have assignments, they would read, do collages (they had millions of magazines), talk to other people, and i must say we had quite the trivia games and card games going.
they do allow smoking (don’t know if you do). you get 12 breaks a day (10 minutes each usually, but if there are no groups afterwards, like at night, some staff will stay out longer). 2 of the breaks are “fresh-air breaks” and you cannot smoke during them, but all the others you can. no limit on # of cigarettes during each break (if you run out of cigs, you might be able to sweet talk the staff into going to the store for you to get more). if you do not smoke, you are still allowed to go outside during all of the breaks.
they also have people trained in EMDR and an “anger room” where you can go and … be destructive (?) i guess. i never went to the anger room, but the people who went seemed to be helped by it. for meals, if you are not on the ED protocol, you get breakfast on the unit (they have breakfast-y stuff in the unit kitchen), and for lunch and dinner you go to the cafeteria and go through the line and eat there.