{"id":4687,"date":"2016-07-20T00:00:00","date_gmt":"2016-07-20T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/07\/20\/after-a-decade-cedar-salutes-the-past-points-to-the-future\/"},"modified":"2023-03-29T10:50:10","modified_gmt":"2023-03-29T16:50:10","slug":"after-a-decade-cedar-salutes-the-past-points-to-the-future","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/after-a-decade-cedar-salutes-the-past-points-to-the-future\/","title":{"rendered":"After a decade, CeDAR salutes the past, points to the future"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><h5><\/h5>\n<p>The leafy grounds of the Center for Dependency, Addiction and Rehabilitation (CeDAR) at University of Colorado Hospital might be mistaken for a section of a botanic garden, with ancient trees spreading protective shade over benches and flower beds awash in color.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-2999\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144705\/EXT_072116_CeDAR.webp\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144705\/EXT_072116_CeDAR.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144705\/EXT_072116_CeDAR-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144705\/EXT_072116_CeDAR-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144705\/EXT_072116_CeDAR-200x133.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The peaceful portrait belies the emotional turmoil of the lives of patients within CeDAR\u2019s walls. \u00a0But it also symbolizes the themes of birth and rebirth that are at the heart of CeDAR\u2019s mission to help people recover from addiction.<\/p>\n<p>\u201cWe see patients move from being miserable to having hopefulness and a sense of purpose,\u201d said Bari Platter, MS, RN, PMHCNS-BC, a clinical nurse specialist who has been with CeDAR since it opened its doors in 2005. \u201cAnyone can follow a path to a healthy life.\u201d<\/p>\n<p>This month, CeDAR will celebrate its first decade by acknowledging its past while pointing to the future. The July 26 \u201cBest Day Kick-off\u201d at the Denver Center for the Performing Arts Seawell Grand Ballroom will launch CeDAR\u2019s endowment and capital campaign. Special musical guests The Fray will perform.<\/p>\n<p><strong>Toward the next decade<\/strong><\/p>\n<figure style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144705\/EXT_072116_CeDAR20Greenery.webp\" alt=\"CeDAR Greenery\" width=\"300\" height=\"200\" \/><figcaption class=\"wp-caption-text\">The greenery around CeDAR\u2019s grounds suggests the possibility of new beginnings.<\/figcaption><\/figure>\n<p>The event is also an opportunity to acknowledge and thank the Anschutz Foundation and University of Colorado Hospital, which contributed $3 million and $5 million, respectively, toward the endowment and capital necessary to fund the facilities, research and education, and infrastructure necessary to extend integrated care to thousands of people seeking recovery, said Steve Millette, CeDAR\u2019s executive director.<\/p>\n<p>A total of more than 8,000 people have been served by CeDAR\u2019s residential and outpatient treatment and family programs since 2005, thanks to steady growth and increased capacity. Data from CeDAR\u2019s Recovery Management team show strong percentages of patients still sober one year after treatment at CeDAR, Millette added.<\/p>\n<p>\u201cThe Anschutz family, the Anschutz Foundation and UCH understand the importance of addressing addiction and behavioral health issues,\u201d he said. \u201cThis event is a celebration of the many lives we have changed. We have lost some along the way. But we have saved many more than we have lost.\u201d<\/p>\n<p><strong>Building on the past<\/strong><\/p>\n<p>The pillars supporting CeDAR\u2019s mission have not changed since its opening, Platter said. It began with the support of Philip Anschutz for an addiction treatment center that would wed evidence-based medical practice with behavioral health, self-help, wellness, and spiritualism. The holistic approach guided the late Robert Harmon, MD, a psychiatrist with the University of Colorado School of Medicine who served as CeDAR\u2019s first medical director.<\/p>\n<p>\u201cHis vision was to create a culture of recovery that encouraged people to take care of themselves emotionally, spiritually and interpersonally,\u201d Platter said.<\/p>\n<p>Harmon brought that view to life even before a shovel turned the soil on the Quentin Street site. Frank Lisnow, CeDAR\u2019s first executive director, recalled that on his job interview in 2004, CeDAR was nothing more than a design on paper. Lisnow was nonetheless intrigued.<\/p>\n<p>\u201cWe clicked immediately,\u201d Lisnow remembered in a 2011 interview shortly before his retirement. \u201cWe had the same passion and love for helping people get into recovery. Our philosophy was the same \u2013 that people change when they decide their behavior needs to change. We both wanted to help people in recovery through a commitment to behavioral change.\u201d<\/p>\n<p>From that philosophical foundation, CeDAR emerged and grew organically. The main building, residential cottages, and the Spiritual Center, completed in 2009, feature elements of wood, stone and glass, reflecting a \u201crustic charm,\u201d as Platter put it. The quiet, manicured grounds reinforce the sense of a self-contained community dedicated to reflection and finding a sense of purpose. And many of those working at CeDAR to help others turn from addiction <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144703\/cedar20alumni20ftes.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">are themselves in recovery<\/a>. A strong <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144703\/cedar20alumni.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">alumni program<\/a> \u2013 now called Recovery Management Support \u2013 was a core element of CeDAR\u2019s program early on and reflects the principle that recovery is a lifelong process that frequently requires helping hands.<\/p>\n<p><strong>Both sides now<\/strong><\/p>\n<p>Linnea Lindroth is among the group who has seen CeDAR from multiple perspectives. As a 19-year-old student at the University of Colorado in 2008, Lindroth drank heavily, got a DUI and overdosed on Tylenol PM. With the encouragement of her mother, Lorna Prutzman, RN, MSN \u2013 then director of the Emergency Department at UCH; now executive director of Cardiac &amp; Vascular Services \u2013 Lindroth checked into CeDAR on Mother\u2019s Day weekend in 2008.<\/p>\n<figure style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144704\/EXT_072116_Bari20Platter.webp\" alt=\"Bari Platter\" width=\"300\" height=\"200\" \/><figcaption class=\"wp-caption-text\">Bari Platter, a 28-year employee at UCH, is one of five who have been with CeDAR since its opening in 2005.<\/figcaption><\/figure>\n<p>\u201cIt was terrifying,\u201d Lindroth recalled. \u201cBut I escaped by the grace of God and was given a second chance at life. I am alive today because of CeDAR.\u201d<\/p>\n<p>She completed 30 days at CeDAR and credits, among many, Platter for teaching her behavioral therapy techniques for coping with stress. After extended care in California and a period of employment there, Lindroth returned to Colorado in 2011 and began volunteering in CeDAR\u2019s women\u2019s cottage, which had recently opened. Three months later, she was an admissions assistant at CeDAR, then moved on to a series of jobs at UCH to gain different experiences in health care.<\/p>\n<p>This past spring, though, she returned to CeDAR, where she is now intake and access coordinator with the admissions team. \u201cI was missing the connection of being a part of something bigger than me,\u201d Lindroth said. \u201cI needed the connection with patients and families.\u201d<\/p>\n<p>Next month she\u2019ll write another chapter in her life of recovery as she begins the CU College of Nursing\u2019s <a href=\"http:\/\/www.ucdenver.edu\/academics\/colleges\/nursing\/programs-admissions\/undergraduate-programs\/integrated-nursing-pathway\/Pages\/default.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Integrated Nursing Pathway<\/a> program, a route to earning her bachelor of science in nursing degree. Wherever her career takes her in the future, the principles of recovery will provide a foundation, Lindroth said.<\/p>\n<p>\u201cFor me, recovery is about restoring family relationships, developing spiritual connections, continuing to leave things better than I found them, contributing to society and my community, and being available to anyone at any time who is struggling with addiction,\u201d she said.<\/p>\n<p><strong>Family affair<\/strong><\/p>\n<p>That struggle affects more than those who are addicted, as the <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144703\/cedar20family20week.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Family Program<\/a> at CeDAR recognizes. Jody James can attest to that. She applied for a job at UCH in 2005 and was taken aback when she saw an opening in admissions at a new facility called CeDAR. James\u2019s grandmother, ex-husband and older brother had all struggled with alcoholism and substance abuse.<\/p>\n<p>James first encountered addiction in the late 70s and early 80s, a time when there weren\u2019t many sources of support for those like her who had been affected by it. But she found Al-Anon and attended meetings regularly for 13 years. In speaking to others and educating herself, she came to the realization that addiction is a brain disease that can\u2019t be written off as the result of a lack of individual willpower. She also learned to deal with the damage that addiction inflicts on family members and loved ones.<\/p>\n<figure style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144704\/EXT_072116_Linnea20Lindroth.webp\" alt=\"Linnea Lindroth\" width=\"300\" height=\"200\" \/><figcaption class=\"wp-caption-text\">Linnea Lindroth has seen CeDAR as a patient and as an employee.<\/figcaption><\/figure>\n<p>\u201cThere is a lot of fear because you don\u2019t know what\u2019s going to happen,\u201d James said. \u201cAn alcoholic is going to die. There is a lack of security.\u201d Her efforts to fix the problems only enabled the negative behavior, she ultimately realized. \u201cAddiction is a manipulative disease,\u201d she said. \u201cI found out that I\u2019m stronger and can walk away. I hadn\u2019t realized that was my choice.\u201d<\/p>\n<p>With that as background, she experienced a first when she interviewed for the job at CeDAR. \u201cI was asked, \u2018What do you know about addiction?\u2019\u201d she said. \u201cIt\u2019s the only interview I ever cried at.\u201d<\/p>\n<p>When the doors opened on Oct. 10, 2005, CeDAR admitted two patients. It ended the year with 33 admissions. By comparison, fiscal year 2016 ended June 30 with 527. James, who is now clinical office operations lead, has seen firsthand the fine line CeDAR walks in a field that requires emotional sensitivity and business sense in equal measure. Payment options are slowly changing to include insurance coverage, but until recently the vast majority of patients had to pay a steep price for services out of pocket.<\/p>\n<p>\u201cIn many of the first calls we got, people were angry about the cost of the program,\u201d James said. The Anschutz Foundation helped with money for scholarships, and positive word-of-mouth from alumni about the care they received, along with marketing of the unique mix of services, contributed to steady growth.<\/p>\n<p>As an admissions assistant, James learned to balance CeDAR\u2019s financial realities while she spoke to individuals and families in crisis. \u201cI worked with them to understand the value of the treatment and take the emotion out.\u201d And she could always relate to families. When an angry wife said, \u201cYou don\u2019t know what I\u2019m dealing with,\u201d James could truthfully say she did.<\/p>\n<p><strong>Forging the future<\/strong><\/p>\n<figure style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144704\/EXT_072116_Jody20James.webp\" alt=\"Jody James\" width=\"300\" height=\"200\" \/><figcaption class=\"wp-caption-text\">Jody James, another CeDAR original, brings the perspective of one who has dealt with the addictions of family members and loved ones.<\/figcaption><\/figure>\n<p>With the close of its first decade, CeDAR can look back on growth that goes beyond increased capacity and rising admissions volume. With <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144703\/cedar20executive20director-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Millette\u2019s arrival in 2011<\/a>, the center has increased its emphasis on research and on forging a stronger relationship with the School of Medicine. Patients now have access to <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144703\/cedar20outpatient20program.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">integrated outpatient services<\/a>, broader extended-care programs, and <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144703\/cedar20professional20track.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">tracks for professionals<\/a> and athletes. CeDAR hosts <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144702\/cedar20chaplain20resident20program.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">chaplain resident<\/a> and addiction medicine fellowship programs and has developed gender-responsive training for staff. It\u2019s now in the midst of joining with primary care and mental health professionals to build a <a href=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28144702\/BehavioralHealthServiceLine-June2015.pdf\">behavioral health service line<\/a> for UCHealth.<\/p>\n<p>But the times demand that innovations continue, Millette said. One of the most important, he said, is a digital platform CeDAR is developing to help patients and staff in recovery management stay connected through computers and mobile devices. The idea is not to replace \u201cthe primacy of face-to-face contact,\u201d but rather to help patients access coaching and education, sustain relationships with staff, create online communities and build other connections as they progress \u201ctoward this thing we call recovery,\u201d Millette said. Patients admitted to CeDAR began receiving the app in December.<\/p>\n<p>The digital technology is part of what Millette sees as a necessary transformation of health care delivery for addiction treatment. This includes providing preventive services before people need intensive treatment of the type the CeDAR residential experience provides, and offering the most convenient and accessible support possible for those who have completed treatment. Building more treatment centers can\u2019t possibly address the need, Millette said.<\/p>\n<p>\u201cWe have to find new ways to keep people in recovery and moving toward wellness,\u201d he said. \u201cWe\u2019re building products and services that meet people where they are.\u201d<\/p>\n<p>Millette also noted that CeDAR will continue to strengthen its academic medical base \u2013 not at the expense of longstanding self-help approaches like the 12-Step program, but as a necessary component of recovery. He said CeDAR is engaged with the <a href=\"https:\/\/medschool.cuanschutz.edu\/psychiatry\" target=\"_blank\" rel=\"noopener noreferrer\">Division of Substance Dependence<\/a> in the CU School of Medicine\u2019s Department of Psychiatry to create an infrastructure for evaluating treatment outcomes. The \u201cBest Day\u201d endowment will help to support that.<\/p>\n<p>\u201cThis will allow us to lead the field in the advancement of evidence-based practices and train the next generation of clinicians in these practices,\u201d Millette said.<\/p>\n<figure style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28144704\/EXT_033016_Millette20and20Pade-1.webp\" alt=\"Millette and Pade\" width=\"300\" height=\"200\" \/><figcaption class=\"wp-caption-text\">CeDAR Executive Director Steve Millette (shown here with CU Addiction Medicine Fellowship Program Director Patty Pade, MD) says the center is poised to enter the next phase of its evolution as a leader in addiction recovery.<\/figcaption><\/figure>\n<p>The start of CeDAR\u2019s second decade coincides with rising public awareness of the human and financial toll of addiction, notably highlighted by soaring rates of opioid addiction. An area of health care once scorned and stigmatized is now attracting billions in private equity and attention from the political arena, <a href=\"https:\/\/obamawhitehouse.archives.gov\/the-press-office\/2016\/03\/29\/fact-sheet-obama-administration-announces-additional-actions-address\" target=\"_blank\" rel=\"noopener noreferrer\">including the White House<\/a>, Millette said. The <a href=\"https:\/\/www.congress.gov\/bill\/114th-congress\/senate-bill\/524\" target=\"_blank\" rel=\"noopener noreferrer\">Comprehensive Addiction and Recovery Act of 2016<\/a>, approved by the U.S. Senate this month, includes \u2013 among many other measures \u2013 a provision that aims to increase access by expanding prescribing authority for medications to treat \u201copioid use disorder\u201d to licensed and trained nurse practitioners and physician assistants.<\/p>\n<p>\u201cThe conditions are ripe for new ideas,\u201d Millette said. \u201cWe have news of the epidemic of addiction along with science saying there are solutions in treatment and recovery. There is recognition that addiction is not an acute problem. It\u2019s a chronic health care problem and a public health issue.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The leafy grounds of the Center for Dependency, Addiction and Rehabilitation (CeDAR) at University of Colorado Hospital might be mistaken for a section of a botanic garden, with ancient trees spreading protective shade over benches and flower beds awash in color. The peaceful portrait belies the emotional turmoil of the lives of patients within CeDAR\u2019s [&hellip;]<\/p>\n","protected":false},"author":2143,"featured_media":2999,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[159,17,207,2148],"class_list":["post-4687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-addiction-and-rehabilitation","tag-addiction-treatment","tag-cedar","tag-uchealth-center-for-dependency-addiction-and-rehabilitation"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>After a decade, CeDAR salutes the past, points to the future - UCHealth Today<\/title>\n<meta name=\"description\" content=\"The leafy grounds of the Center for Dependency, Addiction and Rehabilitation (CeDAR) at University of Colorado Hospital might be mistaken for a section of a botanic garden, with ancient trees spreading protective shade over benches and flower beds awash in color. 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