We are THRILLED to announce that the Commission on Accreditation of Rehabilitation Facilities (CARF) just awarded Castlewood Treatment Center a 3 year full accreditation for all service levels of care (Residential, Partial Hospitalization, Day Treatment, and IOP). This achievement is an indication of the our organization’s dedication and commitment to improving the quality of the lives of individuals receiving services from Castlewood.

Any organization seeking CARF accreditation for a behavioral health program must demonstrate the following through policy and practice:

Partnership with the persons served in the development of treatment services and individualized program goals.

Service design and delivery that focus on the needs of the persons served.

A service delivery process that uses a multi-disciplinary approach.

Program accessibility and assignment of qualified staff members to provide behavioral health services.

A system of accountability that evaluates the outcomes achieved by the persons served as a measure of the success of the behavioral health programs.

Choosing Castlewood Treatment Center as a CARF accredited treatment program means we have passed an in-depth review by CARF specialists of our services, staff, as well as policies and procedures. These reviews occur every 3 years and ensure that Castlewood Treatment Center is complying with all CARF guidelines and continuing to provide exceptional treatment services. All of Castlewood’s treatment programs  and levels of care have demonstrated that we meet internationally recognized standards and that Castlewood Treatment Center has made a commitment to continually enhance the quality of its programs as well as to enhance the lives of the client’s we serve.

This article was written by one of our alumni about the differences between rehab and recovery.

Rehab is easy. Recovery is hard.

Rehab is easy. Recovery is hard.

At least, that’s been my experience. Throughout the the years I struggled with anorexia, bulimia, self-harm, drug abuse, and bipolar I had a very distinct pattern: get sick, make people worry, get very sick, go to therapy, get extremely sick, go to residential treatment. Once there, I’d battle the people who were trying to help, then slowly acquiesce, then start to be semi-okay, get my weight up, get my symptoms down, and get discharged. Then, I’d get sick.

And around and around we go.

I did this for about ten years. I went to hospital after hospital, RTC after RTC, therapist after therapist. I was kicked out of treatment in several places for various reasons: not cooperating, hindering other patients’ recovery efforts, refusing therapies or medications. At one point, I was even kicked out of my small private high school because I was so sick I was “disturbing” the other students.

There is a time in my illness when I would have been proud of these things. I would have seen them as showing how tough I was, how strong in my cause, how determined to go down fighting. Now, however, remembering these things only brings a sense of sadness, and heart-wrenching compassion for the pain that this girl was in, how much she had to have been hurting to continue to put herself in that situation.

At a certain point though, the cycle stopped. I had been to this one treatment center twice in one year- and been asked to leave both times. Finally, the person who had been funding my psychiatric revolving door decided that was the last time he was paying for inpatient care. The next time I decided to get super sick, I was on my own.

After getting out of inpatient that very last time, I continued to relapse. However, knowing that no one was going to swoop in and save me, toss me in treatment, and keep up my game, created a shift in my thinking. I didn’t really have the option of continuing to get sick; at least, if I wanted to live. Wanting to live was something I went back and forth on often. I went through two very uncomfortable, joyful, horrible, painful, gratifying, terrifying, and ultimately life-saving years in outpatient therapy stumbling my way towards recovery. That time was like a dance, getting sicker then better, back and forth, until little by little the better days outnumber the sicker ones. I don’t have a “clean date” like many people; I couldn’t tell you the last day I skipped a meal or purged or cut myself. All I know is that I’m recovered.

It took a long time and a lot of work to get here. And all those years that I spent in treatment did NOT go to waste, despite how it may sound. I think for me- for many people- inpatient treatment lays foundation for recovery, plants the seeds of new behaviors, thoughts, and coping strategies. But it’s not until you leave that safe, rarefied environment that those seeds will sprout, and recovery can begin to flower. I always had this idea that RTC was supposed to cure me; that I should be able to walk out all whole and healed, no problems at all. And I was always pissed when it didn’t happen that way. Finally I figured out that’s not how it works. Treatment just gives you the tools and materials for recovery. YOU are responsible for building it.

I wish someone had told me that the very first time I went to inpatient. It’s an important thing to remember throughout the treatment process; the more you understand that you alone are accountable and responsible for your own health and recovery, the more likely you are to achieve it.

© Sarah Henderson 2010

If you would like to share any of your writings with Castlewood Treatment Center please contact Deanna James at info@castlewoodtc.com

Due to our current expansion, Castlewood is looking to fill the following positions:

Senior Level ED/Trauma Therapists:

Castlewood is seeking full time senior level therapists. LPC, LCSW, LMFT, PHD or equivalent required. Applicants must have significant experience treating clients suffering with eating disorders and facilitating trauma resolution work. Any experience with Internal Family Systems Model is preferred. Castlewood needs applicants that have experience with group and individual therapy and desire to work with a clinical team. Job responsibilities include facilitating individual and group therapy sessions, treatment planning, case management, and some documentation. Please email your resume to Castlewood’s program director Nancy Albus at nancy.albus@castlewoodtc.com.

Family Therapist:

Castlewood is seeking a full or part time senior level family therapist. LPC, LCSW, LMFT, PHD or equivalent required. Applicant must have experience treating clients and families suffering with eating disorders.  Any experience with Internal Family Systems Model is preferred.  Job responsibilities include facilitating family therapy sessions, some treatment planning,  and some documentation. Please email your resume to Castlewood’s program director, Nancy Albus at nancy.albus@castlewoodtc.com.

Art Therapist:

Castlewood is seeking an art therapist to facilitate group and individual art therapy with our clients. Applicants should have Masters degree and be eligible for LPC or equivalent. Job responsibilities include facilitating group and individual art therapy sessions, treatment planning, and working with clinical team. Please email resume to Castlewood’s program director, Nancy Albus at nancy.albus@castlewoodtc.com

Direct Care Staff:

Castlewood is seeking direct care staff. CNA, Nursing / medical background, or counseling / social work experience required. Job responsibilities include overseeing clients during shift, medication management, taking weights and vitals, and documentation. Please email your resume to Castlewood’s program director Nancy Albus at nancy.albus@castlewoodtc.com

Full Time/Part Time Nurses:

Castlewood is seeking RN’s that have experience with psychiatric and or eating disorder clients. Job responsibilities include medication and medical supervision of clients, completing nursing assessments, and collaborating medical care with Castlewood psychiatrist. Please email your resume to Castlewood’s program director Nancy Albus at nancy.albus@castlewoodtc.com

Insurance Utilization Review Staff

Due to our current expansion, Castlewood Treatment Center is seeking a part-time or full-time Insurance Utilization Review specialist. Applicants should have RN or LPC and be detailed oriented, organized and able to handle multiple tasks simultaneously. Responsibilities include initial pre certification, concurrent and discharge reviews as well as appeals/denials. Applicants should be willing to work closely with our Physician on appeals/denials and with the finance department regarding self pay accounts. Experience preferred but willing to train. Please email resume to Castlewood’s program director Nancy Albus at nancy.albus@castlewoodtc.com  

Castlewood is an equal opportunity employer.

Below is another beautifully written article by one of our alumni. Please feel free to join the conversation about this topic.

“Health” and Meaning: What Are We Saying?

by Sarah Henderson

I think if I hear anyone mention “health” when talking about weight again, my ears will start bleeding.

That’s what everyone says, isn’t it? Don’t lose weight to be skinny, lose weight to be healthy. Or, don’t worry about losing weight, just be healthy!

What does that even mean??

I think perhaps in the drive to be politically correct about not saying the “F” word (fat) and trying to avoid promoting eating disorders we’ve lost sight of what health really is. Is health something measured by doctors, in terms of blood pressure, pulse, and lab work? Is it a balance between your weight and height and how much you eat and exercise? Or is it something less tangible, less definable, something individual to each person?

I remember a time during my eating disorder when I thought “health” was a four-letter word. I thought “healthy” equaled “fat” and anytime someone told me I looked healthier I dove right back into being sick. Years later and and post-eating disorder, I sincerely value my health. I no longer define the word in terms of weight. To me, health is a state of peace; a state where my mind is not at war with my body; where I can tolerate emotions without using symptoms; where my spirit is present in my body; where my Self is present and engaged with life and other people and experiences.

This is what health means to me. What does it mean to you?

Below is a beautifully written narrative from an alumni of Castlewood. Thank you Sarah for sharing about this topic!

 Hi, my name is Sarah. I’m Anorexic, Bulimic, and a Cutter.

You could call me these things. But they wouldn’t be accurate. Because I am not these things, these labels. And I am not in recovery from these things.

I am recovered.

From those things, I am recovered. I have bipolar, which requires ongoing management. But you wouldn’t know it if I didn’t tell you. I am not the stereotype, I am not the crazy person we all think of, ranting and raving on some street corner. I am like anyone else, except I take a few pills before I brush my teeth in the morning.

And yet.

I still catch flak all the time. For the taking meds, for going to therapy, for the eating disorder history, for the visible scars from years of cutting. People comment on them, I’ve lost jobs because of them. It’s like, what do you want? I used to cut myself. I don’t anymore. I used to starve and binge and purge. I don’t anymore. So eat lunch with me and stop looking at me like I’m going to vomit on the table any second. Deal with me as I am now, not as I was then.

And yes, I take medication for a chemical imbalance. Guess what? So do diabetics. Only their imbalance is in the pancreas, and mine is in my brain. That’s the difference that makes people freak. That’s where the stigma lies.

If you ask a poet, he’ll tell you the seat of the soul lies in the heart. If you ask a neurologist, he will rightly tell you that the seat of the soul lies in the brain. And anyone who’s ever experienced dementia will testify to that. It’s very possible to exist in your body without living in it. And it’s possible for the person you love to die long before their heart stops.

I believe that stigma comes from people’s instinctual knowledge that when you mess with the brain, you mess with the soul. It can be disturbing, it can be terrifying, it can be cruel. And most people just aren’t up for facing that. However, when you don’t face it, you also miss out on everything the other side has to offer: healing, resilience, clarity, and courage. And while they are some people who don’t come back from mental illness, the vast majority of us do. The other side is a beautiful place. And if you can get past the stigma, you can join us.

© Sarah Henderson 2010

Castlewood Treatment Center is starting a series of blog posts about the recovery process. Specifically the process a few of our alumni have encountered 3 or more years down the line. If you are an alumni of Castlewood and would like to share your journey please feel free to contact Deanna James at deanna.james@castlewoodtc.com Below if our first post by one of our alumni!

My Journey to Recovery:

You know, I can recall a time, a lot of times, when I felt that recovery was not possible, that I somehow didn’t deserve to have recovery. Recovery from ED, recovery from anything. I felt I needed to punish myself for what had happened to me in the past, being molested at age 9, and raped at 16. Both traumas I had kept deep inside of me for many years and hid them well. I was the queen of facades. Nobody knew anything was wrong because of my mask that I have always worn. Anyways, I can remember when recovery just wasn’t for me.

    I had began restricting at age 10 after being molested. At age 13, I read an article in a YM magazine about a girl who struggled with Bulimia. The article explained what she weighed before and what she got down to, and HOW she did it. Well, I began that cycle of binging and purging…My self esteem, depression and isolation began very young, and continued to get worse day by day. I attempted suicide at age 15. Began my years of laxative abuse at 16.

    I began using drugs, Meth and marijuana at 16, after being passed out from alcohol and raped at 16. After that, I was not myself . I hid a lot of stuff that had happened to me for many years. Hid behind my ED, alcohol, drugs, and a mask.

    I had been to treatment numerous times by the time I hit 30. On June 15th 2007, while at Castlewood Treatment Center, I was asked (for the hundredth time) “How long have you had your ED?”  And after numerous times of saying 20 yrs…this time I again said, “20yrs.” This individual asked how old I was, I said almost 30. They asked how old was I when I started struggling with ED. I said age 10. It hit me right then, THAT IS OVER HALF MY LIFE! I did not want to be 50 and have been struggling with ED for 40 yrs!! Right then and there, I decided no more purging, no more laxatives, and that I would work really hard on the restricting. After that I worked really hard on the recovery process. I came to realize that I do deserve recovery and that recovery could possibly be attainable for me.

     The foremost thing I  had to work on and still am working toward everyday is the positive self talk; countering the negative thoughts that may pop in.  When a negative body image thought or a distorted thought would pop up I can now say to myself things such as … I am beautiful the way I am, I am healthy now, I am OK… I can now counter those negative thoughts when I, at one time, didn’t think that was possible. I still have to catch myself on those distorted thoughts and put into place positive self talk every now and then, but it has truly gotten easier.  As I have a few decades of telling myself all this negative talk, I have had to ‘retrain’ my brain, so to speak.  I’ve had to learn/realize this doesn’t happen overnight. I have had to fight with the “I want this all done NOW, over with NOW, get through this NOW” mentality, but have had to tell myself what therapists were constantly telling me…its gonna take time.

    I have had to let therapists, doctors, psychiatrists into my bubble. Ive had to give up trying to control me, and do it all on my own, and turn some of this stuff into their hands to allow them to help me. I had to give up trying to control the outcomes of situations that I had no control over or trying to control the future. I’ve had to Let Go and Let God. Be willing, not willful, open my clenched hands to HIM. I’ve had to give a lot over to God and put it in His hands. And allow Him to help me, guide me, and sometimes carry me.

    I’ve had to give up trying to control my emotions. I would hold those tears inside like nothing else. Quickly wipe away the tears before anyone notices. I wouldn’t cry in front of others, too embarrassing, I had to be strong. I have recently opened up and shed the tears that I have desperately needed/wanted to shed for many years.

    I’ve been working on new coping skills to take the place of the old, bad coping skills. Walking my dog, staying busy, wrapping myself in a blanket (comfort), writing pro/cons lists, relaxation (yes, I am doing that as well..something else I thought for sure wouldn’t work for me), listening to music, something to distract me for the time I had urges.

    Another step I have had to take in recovery of ED was to step back for awhile from a few friends who were/are still active in their ED’s. It was/is soo hard to do, to step back, but in the early recovery I realized I needed to do that for my own recovery. To keep me in recovery and not slip back into ED’s strong grasp. Because it wouldn’t have been hard to get back into old/bad habits, old/bad routines, back to ED. I’ve had to stop watching model reality shows and would switch the channel for diet commercials for awhile, until I felt I was comfortable and able to watch them without them being triggered.

    October 26, 2007, only 4 months after starting my recovery process of ED, I quit drugs. Soo.. I have had to cut a lot of people out of my life, and pretty much had to spread my Eagles wings and fly!  Soaring towards recovery of ED and sobriety, while working on trauma and self harm. It has been quite a rocky journey. Boy, it has been 3 long, bumpy, frightening; yet rewarding and the most growing years of my life! I have really grown as a person, as a survivor.

    I have truly gotten to know myself, not pretending to be someone I’m not. Be myself, stop hiding from my feelings, my thoughts, myself. Stop wearing a facade, a mask. I still work on that everyday, but it too has gotten easier as I have let a few friends  into my bubble…my world. I have allowed myself to feel joy, happiness, to smile and laugh, a TRUE laugh, not just a nervous or forced laugh, but a true laugh.

    Again, there was a time when I didn’t think recovery was ever possible…. I’m here to tell you now that IT IS POSSIBLE!

Kim E.

This Sunday June 13th, Castlewood II opened for business. The new facility is only a few miles away from the current Castlewood in Ballwin, Mo. The Castlewood staff admitted 7 new clients.  The new facility is gorgeous, with plenty of space to grow and expand. We are so very excited about this new program and the opportunities it will provide to help even more clients. We are thrilled  to be able to develop our sub-specialty programs. Castlewood II will start with a sub-specialty program treating clients who suffer with Eating Disorders and co-occurring OCD and Anxiety Disorders. Many of our current staff are moving over to Castlewood II so that we have a good mix of old and new staff at both Castlewood I and Castlewood II. Look for pictures of Castlewood II to be up on the website soon.

Castlewood’s expansion to an additional Residential treatment facility, Castlewood II was featured in the Saint Louis Business Journal this last month. You can check out a portion of the article by clicking the link below. The entire article can be viewed by those subscribing to the business journal. We are so excited about Castlewood II and cannot wait to open!

Saint Louis Business Journal

Check out our May 2010 Newsletter:

At Castlewood, we are always looking for new information and websites that empower women to believe in themselves and overcome any obstacles they may face. This website by Jess Weiner does just that. This is website is all about developing a culture of women who love their bodies, who encourage one another, and challenges the “diet mentality.” You can find inspiring posts about other women who are changing how the world and our culture view women. Jess is also an activist for young girls and helps them to LOVE themselves and their bodies. On this website you can give advice to young girls to help them face the challenges of adolescence. Check out her website  at : www.jessweiner.com

http://www.jessweiner.com/