The Meadows Blog

The Meadows is pleased to announce the awarding of a research grant from the International Society for Traumatic Stress Studies (ISTSS) to The Meadows psychiatrist, Dr. Jon Caldwell.

At this year's annual ISTSS conference in Los Angeles California (November 1-3), Dr. Caldwell was one of only two recipients to be awarded this highly competitive research grant. His research proposal involves assessing the effectiveness of a mindfulness-based workshop for promoting attachment security in adult female survivors of child maltreatment.

In addition to his role as a full-time psychiatrist at The Meadows, Dr. Caldwell conducts research with his colleagues at the University of California at Davis regarding the effects of child maltreatment on attachment relationships and adult emotional/mental health.

"Mindfulness is an important part of many wisdom traditions and involves attending to the present moment with a quality of nonjudgmental acceptance," said Dr. Caldwell. "Research shows that the cultivation of mindfulness in every-day life can lead to better mental, emotional, and physical health. Also, mindfulness can enhance self-awareness and can enrich social relationships."

Dr. Caldwell is pioneering efforts to bring mindfulness meditation and other mindfulness-based techniques to people who have experienced trauma as a way of helping them better regulate their emotions and experience greater satisfaction in their close relationships. He has designed a three-day mindfulness-based workshop aimed at healing past and present wounds related to relational trauma. This free workshop will be offered to female volunteers who are willing to be part of the research study. There will be two dates offered for the workshop, both occurring in the spring of 2013. More details regarding this unique opportunity will be announced in the coming months. Please stay-tuned for those details and join us in congratulating Dr. Jon Caldwell on his accomplishment!

The Meadows is an industry leader in treating trauma and addiction through its inpatient and workshop programs. To learn more about The Meadows' work with trauma and addiction contact an intake coordinator at (866) 856-1279 or visit www.themeadows.com.

For over 35 years, The Meadows has been a leading trauma and addiction treatment center. In that time, they have helped more than 20,000 patients in one of their three inpatient centers and 25,000 attendees in national workshops. The Meadows world-class team of Senior Fellows, Psychiatrists, Therapists and Counselors treat the symptoms of addiction and the underlying issues that cause lifelong patterns of self-destructive behavior. The Meadows, with 24 hour nursing and on-site physicians and psychiatrists, is a Level 1 psychiatric hospital that is accredited by the Joint Commission.

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The Meadows is sponsoring a luncheon and lecture in Walnut Creek, California on Monday, November 5 presented by Dr. Jon G. Caldwell, Psychiatrist at The Meadows, on the topic of how childhood adversity influences health and wellbeing. It will be held at the Prima Ristorante 1522 N. Main Street from noon to 1:30pm. Registration is required by October 31, 2012.
In this presentation Dr. Caldwell will share his thoughts on how his clinical approach has become increasingly flavored by the teachings of the contemplative traditions and the practice of mindfulness meditation.

Dr. Caldwell will discuss his theoretical perspective, influenced during his Ph.D. graduate work at the University of California at Davis, where he researched how early childhood maltreatment and insecure attachment relationships affect cognitive, emotional, and social functioning later in life.

Dr. Caldwell, D.O., is a board certified psychiatrist specializing in the treatment of adults with relational trauma histories and addictive behaviors.

The Meadows sponsors free lectures in various cities throughout the country.  Speakers include local therapists familiar with The Meadows' model. Lectures are free and open to the
public. Attendees can earn 1.5 Continuing Education Credits. For more information and to register for this event, contact Kirk Watson at 415.515.9026 or kwatson@themeadows.com.

The Meadows is an industry leader in treating trauma and addiction through its inpatient and workshop programs. To learn more about The Meadows' work with trauma and addiction contact an intake coordinator at (866) 856-1279 or visit www.themeadows.com.

For over 35 years, The Meadows has been a leading trauma and addiction treatment center. In that time, they have helped more than 20,000 patients in one of their three inpatient centers and 25,000 attendees in national workshops. The Meadows world-class team of Senior Fellows, Psychiatrists, Therapists and Counselors treat the symptoms of addiction and the underlying issues that cause lifelong patterns of self-destructive behavior. The Meadows, with 24 hour nursing and on-site physicians and psychiatrists, is a Level 1 psychiatric hospital that is accredited by the Joint Commission.

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Meadows' Senior Fellow, Dr. Jerry Boriskin, was recently interviewed for the "Chronic Pain Solutions' podcast. Dr. Stephen Grinstead talks with Dr. Boriskin about his insights around people living with chronic pain who also have an unresolved trauma history and/or an addictive disorder. In this interview Dr. Boriskin brought his 30 years of expertise to focus on this population. They also covered the importance of taking the stigma off the different diagnoses that the people they serve have developed- sometimes through no fault of their own.

To listen to this this one hour podcast, visit http://www.addiction-free.com/Guest-Podcast-Interviews.html.  To read the Chronic Pain Solutions Newsletter, visit http://www.addiction-free.com/Sept-2012-newsletter.html.

Jerry Boriskin, Ph.D, a Senior Fellow at The Meadows, has been at the forefront of the treatment of PTSD, addiction, and co-occurring disorders for more than 30 years. He is the author of several books, including PTSD and Addiction: A Practical Guide for Clinicians and Counselors and At Wit's End: What Families Need to Know When a Loved One is Diagnosed With Addiction and Mental Illness. For more information about Dr. Boriskin, please visit his website at http://www.jerryboriskin.com/.

For more about The Meadows' innovative treatment program for PTSD and other disorders, see http://www.themeadows.com  or call The Meadows at 800-244-4949.

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The following is an interview conducted by Alcoholism & Drug Abuse Weekly in its September 10, 2012, issue with Jim Dredge, The Meadows CEO, regarding The Meadows' new pricing model.

Treatment Program Profile

Arizona center with trauma focus moves to up-front pricing model

Among the many uncertainties that addiction treatment patients and their families encounter when they initiate a treatment stay, the cost of services often becomes the greatest moving target and one of the most troubling aspects of the experience. Finding out after the fact that numerous services that appear central to the program were not included in a treatment center's quoted price at admission could result in an individual having to make treatment decisions based on financial considerations rather than therapeutic value.

Determined to keep financial concerns out of the picture for both patients and the clinical staff, The Meadows in Wickenburg, Ariz., decided as of July 1 to move to a virtually all-inclusive pricing model that gives patients and their families a clear sense of the cost of treatment from the outset. Primary treatment at The Meadows, typically lasting 35 days, costs a total of $44,000. Extended care, usually involving a 60-day stay beyond the original five weeks, costs $500 a day.

The center, which in its 36-year history has acquired a national reputation for its clinical focus on healing from trauma, codependency and process addictions, has retained a limited set of variable costs that are not part of the quoted price for treatment. These include the cost of some medications for illnesses such as HIV, diabetes and arthritis; pharmacy co-payments; and services rendered by off-site providers. Outside of that, all on-site services and amenities are included in the pricing that is quoted to patients at the start of treatment.

"Our overriding issue has to be patient care," Jim Dredge, The Meadows' CEO, told ADAW. "All too often the issue of finances gets in the way. We want our staff only to be focused on outcomes."

Decision-making process

Dredge, who has been with The Meadows for a little over two years, said the center's executive team made the decision to initiate all-inclusive pricing after about seven months of deliberation. In order to inform the decision-making process on the subject of pricing, administrators spoke with patients, staff and referral sources. Around 60 percent of the center's referrals come from clinicians who are familiar with The Meadows' areas of focus, particularly its expertise in trauma that is reinforced by the presence of a team of clinical advisers/fellows that includes Pia Mellody, John Bradshaw and Jerry Boriskin.

"For our staff and our referral sources, this has been a relief," Dredge said of the decision to move to all-inclusive pricing.

He believes that too often in addiction treatment settings, individuals who seek healing are led to believe that a quoted price covers major services, only to find out later that services such as psychiatric visits or mind-body therapies are considered extra costs. He believes this can carry damaging consequences for individuals who already struggle to trust others, and also can result in patients declining certain services that could have benefited them.

"Common sense is going to tell you that if you're leaving treatment and you have unexpected bills, you're going to feel violated," Dredge said. "If you feel that you had been in a trusted environment and then this happens, I don't think that's going to contribute to your overall healing."

Dredge said the response from patients and staff to the change in how the cost of treatment is presented has been outstanding. "Our milieu has been stable," he said. Perhaps the most compelling piece of evidence supporting this has been that the pricing change took effect at a time of year when Arizona's temperatures well in excess of 100 degrees would indicate the
likelihood of having some empty beds in the facility for a period. Instead, the center remained full and carried a wait list throughout the first month of implementation in July, Dredge said.

Independent judgment

Dredge said the move to all-inclusive pricing took place independently of any other business decision making or planning within the organization, and was executed mainly to retain an emphasis on clinical issues in treatment. "The focus of the staff and patients has to be on healing, not the dollars," he said.

Dredge added that the move does not have a major impact on the center's day-to-day financial management practices. The Meadows is a Joint Commission-accredited facility that operates as a psychiatric hospital with on-site medical services and 24-hour nursing.

The Meadows does not bill insurance directly, and all but about 10 percent of services (those that are set aside for military families covered by the TriCare program) are self-pay. About 25 percent of patients who complete primary treatment move on to the two-month continuing-care program at the center.

As ADAW was going to press, The Meadows was announcing another shorter-term initiative in the pricing area. To commemorate Recovery Month in September, it announced the availability of a discounted primary treatment rate of $36,000 for the first 15 individuals who initiate the treatment process on or after Sept. 1 and are admitted to The Meadows by Sept. 30. "We are pleased to recognize National Recovery Month with this exceptional offer," Dredge said in a news release announcing the September discount. "Recovery is our number one priority at The Meadows."

Reprinted with permission by John Wiley & Sons, Inc.

Published in Blog
Thursday, 06 September 2012 20:00

The Meadows Announces New Clinical Director

The Meadows is pleased to announce Dr. Nancy Bailey as the new Clinical Director at The Meadows. Bailey returns to The Meadows after recently completing her doctoral studies to receive her Ph.D.

Bailey began her career at The Meadows in 2008 as a facilitator for The Meadows' workshops. She then transitioned to Intake Interventionist in 2010 and Senior Clinical Liaison in 2012. Bailey's passion and commitment to working in the field of addiction and mental health began in 1994 at The Caron Foundation. In addition to her dedication to working with patients, Bailey's focus has been on families whose lives have been impacted by dysfunction, particularly women's sexual assault, domestic violence, and eating disorder related issues.

"We are very pleased that Nancy Bailey has assumed her new role as Clinical Director at The Meadows," said Sean Walsh, Executive Director for The Meadows. "Nancy will be an integral part of the clinical leadership team and we know that she will continue to provide excellence in service to all constituents."

The Meadows is an industry leader in treating trauma and addiction through its inpatient and workshop programs. To learn more about The Meadows' work with trauma and addiction contact an intake coordinator at (866) 856-1279 or visit www.themeadows.com.

For over 35 years, The Meadows has been a leading trauma and addiction treatment center. In that time, they have helped more than 20,000 patients in one of their three inpatientcenters and 25,000 attendees in national workshops. The Meadows world-class team of Senior Fellows, Psychiatrists, Therapists and Counselors treat the symptoms of addiction and the underlying issues that cause lifelong patterns of self-destructive behavior. The Meadows, with 24 hour nursing and on-site physicians and psychiatrists, is a Level 1 psychiatric hospital that is accredited by the Joint Commission.

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