Author: johnlavelle

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Bipolar disorder evolves differently in patients who also binge eat, a study by Mayo Clinic, the Lindner Center of HOPE and the University of Minnesota found. Binge eating and obesity often are present among bipolar patients, but the mood disorder appears to take a different path in those who binge eat than it does in obese bipolar patients who do not, the researchers discovered. The findings are published online in the Journal of Affective Disorders.

To read the whole article, click here.

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Lindner Center of HOPE served as recruitment site, contributing to study The National Network of Depression Centers (NNDC) presented results of a multi-site, naturalistic study of rTMS (Transcranial Magnetic Stimulation) for major depressive disorder at the May meeting of the Society of Biological Psychiatry in San Francisco. Lindner Center of HOPE, University Cincinnati College of Medicine and Lindner Center of HOPE Chief of Psychiatry, John M. Hawkins, MD, were one of nine key contributors to the study. The conclusion of the study stated that rTMS demonstrates efficacy in clinical practice within the NNDC, although response rates were slightly lower in comparison to a recent community-based sample. The study, sponsored by NNDC, was an open-label ‘registry’ study for patients receiving rTMS treatment for Major Depressive Disorders at 9 participating specialized academic centers. Patients were assessed pre-treatment (baseline) and weekly, up to 4-6 weeks during treatment. Forty-three patients were enrolled. Beyond Lindner Center of HOPE, recruitment sites included Duke University, McLean Hospital, Johns Hopkins University, Medical University of South Carolina, University of Louisville, University of Michigan, University of Pennsylvania and Weill Cornell Medical College.

Click here to view the poster presentation.

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Mason, OH – This May Medpage Today reported, lisdexamfetamine dimesylate (Vyvanse), a stimulant drug used to treat ADHD is showing promise for Binge Eating treatment. The article stated that Vyvanse nearly abolished eating binges in adult patients who had experienced such episodes four times a week.

Dr. Susan McElroy, Lindner Center of HOPE’s Chief Research Officer and lead investigator for the randomized, placebo-controlled trial. Dr. McElroy said that 11 weeks of treatment with the drug cut the mean rate of days with binge eating to as little as 0.1 a week. Patients assigned to placebo in the 270-patient trial had a mean bingeing rate of 1.1 days/week at the end of treatment, Dr. McElroy reported at the American Psychiatric Association’s (APA) annual meeting.

To read the article, visit http://www.medpagetoday.com/MeetingCoverage/APA/39248

Lindner Center of HOPE provides excellent, patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization and partial hospitalization for individuals age 12-years-old and older, outpatient services for all ages, diagnostic and short-term residential services for adults, intensive outpatient program for substance abuse and co-occurring disorders for adults and research. The Center is enhanced by its partnership with UC Health as its clinicians are ranked among the best providers locally, nationally and internationally. Together Lindner Center of HOPE and UC Health offer a true system of mental health care in the Greater Cincinnati area and across the country. The Center is also affiliated with the University of Cincinnati (UC) College of Medicine.

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NNDC Study Shows TMS Demonstrates Efficacy In Clinical Practice

Lindner Center of HOPE served as recruitment site, contributing to study

June 12, 2013, Mason, OH – The National Network of Depression Centers (NNDC) presented results of a multi-site, naturalistic study of rTMS (Transcranial Magnetic Stimulation) for major depressive disorder at the May meeting of the Society of Biological Psychiatry in San Francisco. Lindner Center of HOPE, University Cincinnati College of Medicine and Lindner Center of HOPE Chief of Psychiatry, John M. Hawkins, MD, were one of nine key contributors to the study.

The conclusion of the study stated that rTMS demonstrates efficacy in clinical practice within the NNDC, although response rates were slightly lower in comparison to a recent community-based sample.

The study, sponsored by NNDC, was an open-label ‘registry’ study for patients receiving rTMS treatment for Major Depressive Disorders at 9 participating specialized academic centers. Patients were assessed pre-treatment (baseline) and weekly, up to 4-6 weeks during treatment. Forty-three patients were enrolled.

Beyond Lindner Center of HOPE, recruitment sites included Duke University, McLean Hospital, Johns Hopkins University, Medical University of South Carolina, University of Louisville, University of Michigan, University of Pennsylvania and Weill Cornell Medical College.

Click here to view the poster presentation.

Lindner Center of HOPE provides excellent, patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization and partial hospitalization for individuals age 12-years-old and older, outpatient services for all ages, diagnostic and short-term residential services for adults, intensive outpatient program for substance abuse and co-occurring disorders for adults and research. The Center is enhanced by its partnership with UC Health as its clinicians are ranked among the best providers locally, nationally and internationally. Together Lindner Center of HOPE and UC Health offer a true system of mental health care in the Greater Cincinnati area and across the country. The Center is also affiliated with the University of Cincinnati (UC) College of Medicine.

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On June 8, 2013, Dayton Daily News featured an article about Lindner Center of HOPE’s growth and upcoming five-year anniversary. The article detailed the Center’s services and new offerings and mentioned the Center’s plans for the future. To read the full article, visit http://www.daytondailynews.com/news/news/lindner-center-grows-services-to-meet-needs-for-me/nYDth/.

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Lindner Center of HOPE will open an Intensive Outpatient Program (IOP) for Substance Abuse and Co-Occurring Disorders for adults on Monday, April 29, 2013.

Approximately 1 in 11 people suffer with an addiction to alcohol or drugs, or roughly 22 million Americans. For many, addiction is fueled by a co-occurring mental health issue. In fact, 60 percent of those with substance use disorders also have another psychiatric disorder. Statistics indicate that 35 to 56 percent of persons with psychiatric disorders also exhibit a drug/alcohol use disorder. To overcome addiction, the pain and loss that is caused by addiction must be replaced by lasting sobriety. To bring about real sober living, underlying issues like mental health disorders must be simultaneously addressed and coping skills and strategies must be exercised to prevent relapse.

The Intensive Outpatient Program (IOP) at Lindner Center of HOPE is an intensive treatment option for the person experiencing challenges with substance abuse and/or co-occurring disorders. The IOP provides a therapeutic and supportive environment for patients struggling with substance use problems and abstinence. The IOP at Lindner Center of HOPE is unique in its ability to work with patients struggling with dual diagnosis or multiple diagnoses. The program can also accommodate patients on medication, including Suboxone.

The structure of the IOP relies on the participation of a group of individuals all of whom are experiencing difficulty resulting from substance use, and are in need of treatment at a moderately high level of care. This program can serve as a step down from residential or a step up from individual therapy. Participants attend 6 to 9 p.m., three evenings per week – Monday, Wednesday and Thursday, returning home between treatment sessions to test skills and abstinence, and to begin to adjust to a substance-free lifestyle. The program duration is customizable to individual need, but in most cases will last 6, 8 or 12 weeks.

Lindner Center of HOPE has built a reputation of excellence and clinical success in the diagnosis and short-term residential treatment of addictions and co-occurring disorders in its Sibcy House unit. The IOP offers an expansion of the continuum of care of addiction and co-occurring disorders services offered at Lindner Center of HOPE.

Lindner Center of HOPE’s IOP programming is evidence-based utilizing Motivational Enhancement Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy and Community Support Facilitation treatment models. Psycho education, group psychotherapy, didactic lectures, individual counseling sessions and homework assignments also are incorporated. Both 12 Step and non-12 Step community support groups are also offered on site at Lindner Center of HOPE for the benefit of IOP participants. Participants will learn about the disease of addiction, as well as other co-occurring disorders and how to treat the disease with therapy, life style changes and behavioral changes.

Patients Appropriate for Lindner Center of HOPE IOP

  • Adults ages 18 and older.
  • Individuals experiencing problems with addiction and/or co-occurring disorders significant enough to affect daily functioning or quality of life, problems maintaining sobriety but not severe enough to need detoxification, hospitalization or residential services.
  • Individuals needing to step down from residential treatment or step up from individual therapy.
  • Individuals with a current substance related diagnosis included in the most current edition of the DSM. Individuals with a secondary diagnosis related to mental health issues may also be present.
  • Program participants must have a referral and an established outpatient provider.

Program Facts:

  • The program operates Monday, Wednesday, and Thursday from 6 p.m. to 9 p.m.
  • Patients and referrers will work with intake professionals by phone to be admitted to IOP.
  • IOP enrollees check in between 5:45 and 6 p.m. and check out between 9 and 9:15 p.m. at the Welcome Center.
  • Program lasts a total of 3 hours a day and participants attend 3 days per week, for a total minimum of 9 hours per week.
  • Each participant must also be receiving individual therapy that addresses alcohol or drug related issues at Lindner Center of HOPE or another qualified provider.
  • The duration of the program is 6 weeks, however, duration may be extended if deemed to be therapeutically necessary.
  • The program is group based, however, supports individual therapy at Lindner Center of HOPE or elsewhere, family therapy, and community support groups.
  • Many insurance plans will reimburse for IOP. The patient will be responsible for the payment of all services not covered by the patient’s insurance.

How to Refer:

  • Patients must have a referral from an outpatient provider.
  • Referrers should complete a referral form (Click Here for Form) regarding the patient. This form can be faxed directly to Intake IOP at 513-536-0509.
  • Or, be prepared to give demographic and brief clinical information to the hospital intake staff when calling (513) 536-HOPE (4673) and asking for intake/admissions for IOP.
  • Patients will then be contacted by staff to discuss benefits and to schedule the full intake assessment with the program coordinator.
  • The referral source will be contacted once a decision is made to admit the patient into IOP.

Call (513) 536-HOPE (4673) and ask for intake for IOP admissions. For program information call (513) 536-HOPE and ask to speak to the IOP coordinator or visit www.lindnercenterofhope.org/iop for more information.

Lindner Center of HOPE provides patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research and voluntary, live-in services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally. Lindner Center of HOPE is affiliated with the University of Cincinnati (UC) College of Medicine.

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Steven F. Kendell, MD

March 21, 2013 – Mason, OH – Steven F. Kendell, MD , has joined Lindner Center of HOPE as a staff psychiatrist.

Dr. Kendell is board certified in general psychiatry. As a staff psychiatrist at Lindner Center of HOPE his principal work is in adult partial hospitalization, adult inpatient care and outpatient services.

Prior to joining the Lindner Center of HOPE, Dr. Kendell served as Director of Research at Blue Horizon International Stem Cell Investigation and Treatment Program in New York, New York. Dr. Kendell’s other clinical positions have included serving as Attending Psychiatrist at Appalachian Behavioral Healthcare, Athens, Ohio; Attending Psychiatrist at Kettering Behavioral Medicine Center in Kettering, Ohio and Attending Psychiatrist at Butte County Department of Behavioral Health in Chico, California.

Dr. Kendell’s academic appointments have included Assistant Professor of Psychiatry at Ohio University College of Osteopathic Medicine in Athens, Ohio; Assistant Professor of Psychiatry at Boonshoft School of Medicine in Dayton, Ohio, and Assistant Professor of Psychiatry at Yale School of Medicine, New Haven, Connecticut.

Dr. Kendell has received a number of awards and honors and has been a member of several professional societies. He also has supervised medical students and has co-authored several original reports, book chapters and scientific abstracts.

Lindner Center of HOPE provides patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research and voluntary, live-in services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally. Lindner Center of HOPE is affiliated with the University of Cincinnati (UC) College of Medicine.

Contact: Jennifer Pierson
(513) 536-0316
[email protected]

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Lindner Center of HOPE’s Adult Partial Hospitalization Program, which opened in May 2012 has just announced that it has doubled capacity for patients in need of this service. Now the program can support 20 individuals at a time.

February 28, 2013 – When an adult’s daily functioning is impaired by mental illness, yet criteria is not met for hospitalization, the Adult Partial Hospitalization Program (PHP) provides intensive treatment in a safe and therapeutic environment, without full hospitalization. Partial hospitalization helps patients progress to the point where standard outpatient appointments can be effective. This program is also used as a step-down program from hospitalization, with the intent of gradually easing an adult back into their home environment.

The program operates Monday through Friday from 8:30 a.m. to 4:30 p.m. and enrollees attend 5 days per week for up to 4 weeks. The program offers some flexibility in design, so that the PHP treatment team and the enrollee can work together to create the right treatment plan for each individual.

This program also just opened to external referrals in mid-February.

After the launch of PHP, Lindner Center of HOPE began tracking outcomes by measuring severity of illness at admission versus severity of illness at discharge using the Clinical Global Impressions (CGI) scale. Our results have shown a 1.45 average decrease in severity from admission to discharge. An improvement of 1 point or greater is considered significant and meaningful improvement.

The Adult Partial Hospitalization Program includes:

  • Group therapy
  • Supportive individual therapy
  • Pharmacotherapy and medication management
  • A psychiatrist’s evaluation of the individual patient
  • Lunch in Lindner Center of HOPE’s dining room

When should partial hospitalization be considered:

  • If transitioning from an acute inpatient stay.
  • If outpatient appointments are not intensive, in-depth or frequent enough to keep functioning effective.
  • If there is an inability to function socially, professionally or both.
  • If more intensive medication management and/or therapy is needed.

Who benefits from Adult Partial Hospitalization?

The Adult Partial Hospitalization Program (PHP) at Lindner Center of HOPE benefits individuals, ages 18 and older, who are experiencing emotional or behavioral issues significant enough to affect daily functioning or quality of life. Patients may be suffering with diagnoses including, but not limited to:

  • Mood disorders, such as depression and bipolar disorder
  • Anxiety disorders
  • Eating disorders
  • Adjustment disorders
  • Thought disorders not requiring hospitalization, such as paranoia and hallucinations

How to refer:

A professional referral source may refer a patient to Lindner Center of HOPE’s Adult PHP by calling 513-536-HOPE(4673) and asking for intake. Patients must be referred by a mental health professional.

  • A referral form must be completed by the professional on behalf of a patient and faxed to Lindner Center of HOPE intake at 513-536-0509. (Download referral form.)
  • The PHP clinical team will review the case and intake will inform referrer of acceptance or denial.
  • Intake will call to schedule admission with patient.
  • Benefits will be obtained by Financial Counselor.
  • Preauthorization will be completed by intake first day of program.

About Lindner Center of HOPE: A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research, comprehensive assessment and residential services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally.

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John Hawkins, MD, recognized as an innovator for his work with Transcranial Magnetic Stimulation

February 27, 2013, Cincinnati, Ohio — Dr. John M. Hawkins, Chief of Psychiatry and Deputy Chief of Research, Medical Director of Transcranial Magnetic Services, was named a Health Care Hero by the Business Courier at a February 26 awards dinner at Duke Energy Convention Center downtown.

Dr. Hawkins was named a winner in the Innovator category for his progressive efforts in the delivery of and research in Transcranial Magnetic Stimulation (TMS). Through a rigorous process and evaluation by community leaders, individuals are chosen based on their impact on health care in the community through their concern for patients, their research and inventions, their management skills, their innovative programs for employees and their service to the poor and uninsured.

The very vivid picture of how serious and debilitating mental illness can be drives Dr. Hawkins to deliver greatness. Dr. Hawkins is on the leading edge of advancing the knowledge and possible application of this new TMS technology in mental health treatment. His innovative approach to care shows he doesn’t just stop with traditional models of treatment but pushes forward great opportunities and promise in the treatment of depression and other major mental illnesses. He thinks outside the box when it involves treatment options for patients and best understands the important role innovation plays in offering treatment alternatiaves to those who haven’t had great success with medications and psychotherapy. Furthermore, Dr. Hawkins is responsibly using TMS in a way that combines his attention to safety and evidence-based information, while guided by accessing and utilizng the emerging data that he and his colleagues around the country are discovering as they seek to find new, efficacious and innovative ways to utilize TMS technology.

Wanting to fulfill the mission of the Center, Dr. Hawkins seeks out opportunities to position Lindner Center of HOPE as an innovator and a facility that is on the cutting edge of science and technology. He develops outcomes based delivery processes, such as pathways and protocols directed at patient needs. Using data and evidence based research, Dr. Hawkins collects data regarding TMS efficacy to distribute to third party payors reflecting that this innovation is not only FDA approved and not experiential treatment but part of a national level trend to position mental health treatment in an innovative arena.

People expect in the medical field that researchers and scientists develop new, cutting edge technology, procedures and medications. But in the field of mental health there often isn’t that level of public expectation. Dr. Hawkins wants to change that. The use of TMS is truly innovative in the mental health arena. The use of this innovative modality, right here in our region, can help change the lives of those facing mental illness-thus improving the overall health and wellbeing of our community. Innovation in mental health care, it’s happening right here in our community.

“I am very honored to receive the Health Care Hero Award from the Business Courier in the Innovator category,” said Dr. Hawkins. “The Health Care Hero Award has a long standing tradition of recognizing the best of health care delivery and services in the Cincinnati area, so I am quite humbled by the recognition. The ability to provide a cutting edge treatment technology in Transcranial Magnetic Services at the Lindner Center of HOPE, is really due to so many people, starting with the Lindner family, but also our Board of Directors, Executive Team and our incredibly talented and dedicated staff. It is an honor to be a part of such a wonderful team and to be given an opportunity to provide a unique service to those suffering from depression, which they might not otherwise receive.”

Lynn Gordon, ThD, Lindner Center of HOPE, Spiritual Care Coordinator was also nominated as a Health Care Hero in the provider category.

Lindner Center of HOPE provides patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research and voluntary, live-in services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally. Lindner Center of HOPE is affiliated with the University of Cincinnati (UC) College of Medicine.

Dr. Hawkins Award Picture

To read Dr. Hawkins Business Courier interview, click here.

CONTACT:
Jennifer Pierson
Lindner Center of HOPE
(513) 536-0316
[email protected]

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When an adult’s daily functioning is impaired by mental illness, yet criteria is not met for hospitalization, the Adult Partial Hospitalization Program (PHP) provides intensive treatment in a safe and therapeutic environment, without full hospitalization.

February 13, 2013 – When an adult’s daily functioning is impaired by mental illness, yet criteria is not met for hospitalization, the Adult Partial Hospitalization Program (PHP) provides intensive treatment in a safe and therapeutic environment, without full hospitalization. Partial hospitalization helps patients progress to the point where standard outpatient appointments can be effective. This program is also used as a step-down program from hospitalization, with the intent of gradually easing an adult back into their home environment.

The program operates Monday through Friday from 8:30 a.m. to 4:30 p.m. and enrollees attend 5 days per week for up to 4 weeks. The program offers some flexibility in design, so that the PHP treatment team and the enrollee can work together to create the right treatment plan for each individual.

After the launch of PHP, Lindner Center of HOPE began tracking outcomes by measuring severity of illness at admission versus severity of illness at discharge using the Clinical Global Impressions (CGI) scale. Our results have shown a 1.45 average decrease in severity from admission to discharge. An improvement of 1 point or greater is considered significant and meaningful improvement.

The Adult Partial Hospitalization Program includes:

  • Group therapy
  • Supportive individual therapy
  • Pharmacotherapy and medication management
  • A psychiatrist’s evaluation of the individual patient
  • Lunch in Lindner Center of HOPE’s dining room

When should partial hospitalization be considered:

  • If transitioning from an acute inpatient stay.
  • If outpatient appointments are not intensive, in-depth or frequent enough to keep functioning effective.
  • If there is an inability to function socially, professionally or both.
  • If more intensive medication management and/or therapy is needed.

Who benefits from Adult Partial Hospitalization?
The Adult Partial Hospitalization Program (PHP) at Lindner Center of HOPE benefits individuals, ages 18 and older, who are experiencing emotional or behavioral issues significant enough to affect daily functioning or quality of life. Patients may be suffering with diagnoses including, but not limited to:

  • Mood disorders, such as depression and bipolar disorder
  • Anxiety disorders
  • Eating disorders
  • Adjustment disorders
  • Thought disorders not requiring hospitalization, such as paranoia and hallucinations

How to refer:
A professional referral source may refer a patient to Lindner Center of HOPE’s Adult PHP by calling 513-536-HOPE(4673) and asking for intake.

A referral form must be completed by the professional on behalf of a patient and faxed to Lindner Center of HOPE intake at 513-536-0509. (Download referral form.)
The PHP clinical team will review the case and intake will inform referrer of acceptance or denial.
Intake will call to schedule admission with patient.
Benefits will be obtained by Financial Counselor.
Preauthorization will be completed by intake first day of program.

Click here to view flyer.

About Lindner Center of HOPE: A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research, comprehensive assessment and residential services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally.