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.

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.

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.

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.

Pop culture has labeled electroconvulsive therapy as cruel, but in reality it is extremely effective in mood stabilization. Read more.

Program will work to keep patients out of the hospital, while providing intensive mental health treatment in a safe setting

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 will operate 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.

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 you consider partial hospitalization:

  • If you are transitioning from an acute inpatient stay.
  • If your outpatient appointments are not intensive, in-depth or frequent enough to keep you effectively functioning.
  • If you are unable to function socially, professionally or both.
  • If you need more intensive medication management and/or therapy.

Appropriate Patients

Who will benefit from Adult Partial Hospitalization?
The Adult Partial Hospitalization Program (PHP) at Lindner Center of HOPE will benefit 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

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.

An Evening with an Eating Disorders Expert Panel

Mason, OhioFebruary 2,2012 — In honor of Eating Disorders Awareness Week (February 26 – March 3), Lindner Center of HOPE will join with Cincinnati Children’s Hospital Medical Center and Cincinnati Psychotherapy Institute to offer an Evening with an Eating Disorders Expert Panel. The panel will consist of nationally recognized Eating Disorders experts and offer an opportunity for primary care physicians, mental health specialists, school counselors, coaches and family members to learn about the emotional and health consequences affecting over 11 million individuals.

Eating Disorders are biologically based, devastating illnesses that can have potentially life-threatening consequences. They affect a person’s emotional and physical health, productivity and relationships. The panel presentation is part of the Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE’s monthly health series.

Compared with other mental illnesses, eating disorders represent the highest rate of mortality. And to make it more challenging, its identification and treatment can be challenging. Research has shown that with psychiatric management, psychotherapy, nutritional services, and family engagement, success can be experienced. “A coordinated approach to care can return patients, and their loved ones, to more fulfilling lives,” says Scott Bullock, MSW, LISW-S, Family Therapist and Eating Disorders Intake Coordinator at Lindner Center of HOPE. Bullock says to look for these signs indicating a person may be suffering with an eating disorder:

  • Preoccupation with body shape and/or weight
  • Weight disturbances or unexplained weight changes (underweight, overweight or obese)
  • Hoarding high-calorie food
  • Obsession with diets, calories, food, or nutrition
  • Compulsive eating, binge eating, or inability to stop eating
  • Frequent rigorous dieting, regardless of body weight
  • Compulsively arranging food and/or cutting into tiny pieces
  • Eating alone or late night eating
  • Taking laxatives or diet pills or excessive exercising to prevent weight gain
  • Avoiding eating in public and social situations that involve food
  • Repeatedly going to the bathroom shortly after meals
  • Regular fasting

An Evening with an Eating Disorders Panel of Experts

February 2, 2012; 6:30pm-7:45pm
at Lindner Center of HOPE

Harold C. Schott Eating Disorders Treatment Team:
Anne Marie O’Melia, MS, MD, Medical Director
Scott Bullock, MSW, LISW-S, Family Therapist & Intake Coordinator
Sarah Arszman Lavanier, PsyD, Clinical Psychologist
Tracy Early, BA, Med, Group Curriculum Specialist

Cincinnati Children’s Hospital Medical Center:
Laurie Mitan, MD, Director, Eating Disorders Program
Abbey Tissot, PhD

Cincinnati Psychotherapy Institute:
Ann Kerney- Cooke, PhD, Director and national best-selling author

For more information contact: [email protected], or click here.


March Event:
March 1, 2012, 6:30pm-7:45pm

The Role of Nutritional Therapy in Eating Disorder Treatment
Ellen Young, Dietitian & Jessica Barth, Dietitians, Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE


About the Harold C. Schott Foundation Eating Disorders Program
The Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE offers a disciplined approach to eating disorders treatment that combines psychiatric management, psychotherapy, nutritional services, and family engagement throughout the entire process. Board certified clinicians offer the wisdom, compassion and proven treatment modalities to successfully treat complex illnesses such as eating disorders, returning patients, and their loved ones, to more fulfilling lives. Of the patients who received eating disorder treatment, 69% did not need to be readmitted for additional treatment.


About Lindner Center of HOPE:
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, outpatient services, research and adult residential 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.

Newsweek magazine features Sibcy House at Lindner Center of HOPE as a destination of choice for short term residential services. A weekly publication distributed nationally and internationally, Newsweek reaches millions of readers each week.

Visit Newsweek Showcase, click here.


Read about Sibcy House and the state-of-the-science care clinicians deliver, click here.

Presenters address key Issues facing mental health and substance use treatment providers

Mental Illness in Children and Adolescents
Wednesday, March 09, 2011
2:30pm – 4:30pm
Presenter: C. Stephen Edwards, MD, Medical Director Adolescent Services, Lindner Center of HOPE.
Discuss the latest research and trends in diagnosing and treating mental illness in children and adolescents. Review symptoms and assessment strategies pertaining to four key areas of mental illness in children. Discuss latest treatments and approaches in therapy for each area and future trends in diagnosis and treatments.

Assessment and Diagnosis of Behavioral Addictions
Wednesday, April 13, 2011
2:30pm – 4:30pm
Presenter: Chris Tuell, Ed.D., LPCC-S, LICDC, Coordinator of Addiction Services, Lindner Center of HOPE.
Designed for the professional who wants to become more knowledgeable about behavioral addictions. Workshop will highlight internet addiction, sexual addiction, pathological gambling, gaming, and spending addictions. Compare and contrast behavioral and chemical addictions and learn about assessment, diagnosis and treatment techniques.

Bi-polar Disorder
Tuesday, April 26, 2011
6:15pm – 8:15pm
Presenter: John M. Hawkins, M.D., Chief of Psychiatry. Medical Director, Brain Imaging Center, Director, Adult Outpatient Services, Deputy Chief Research Officer, Lindner Center of HOPE.
Understand the challenges in diagnosing bipolar disorder, including the clinical and economic costs of delayed diagnosis and treatment. Recognize the varied presentations of bipolar disorder and other disorders that can mimic bipolar disorder. Learn the latest treatment interventions based on acute and maintenance phases, including pharmacologic and psychological interventions.

CPE hours:
2 hour credit approval from: Ohio Counselor and Social Worker CPE hours approved, #RCST111001, by the Ohio Counselor, Social Worker & Marriage and Family Therapist Board. KY Board of Social Work Continuing education sponsorship number KBSW-SP116. Focus areas: Professional Counselor. Appraisal and Assessment; Clinical Counseling: Diagnosis of Mental and Emotional Disorders; Social Work: SW practice for special populations; Marriage and Family Therapist: Diagnosis and Treatment of Mental and Emotional Disorders.

Location:
All workshops will be held at Mental Health America of NKY, 513 Madison Ave., 3rd Floor, Covington, KY 41011


About Lindner Center of HOPE:
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 11-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]

Lindner Center of HOPE created some brief videos to help families know when behaviors may be more than teen angst.

Adolescence and early adulthood are critical times when physical, cognitive, and social changes allow a teenager to develop the identity that will serve as a basis for their adult lives. Research has indicated that psychiatric illnesses frequently present during the adolescent years, thereby making early diagnosis and effective treatment even more crucial.


Treatment For Teen Depression

Changes in Adolescents That May Cause Concern

Information on Teenager Angst & Depression