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iHOST Collaboration Targets Homelessness

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Indianapolis Community  Mental Health Centers Announce New Program Targeting Homelessness

Eskenazi Health Midtown Community Mental Health (Midtown) and Adult & Child Health, two leading central Indiana community mental health centers, are partnering with key human services agencies in a new collaboration to combat homelessness. Their proposal to streamline and coordinate services among area homeless intervention provider agencies has been awarded $2.4 million, three-year SAMHSA grant for the Indianapolis Homelessness Outreach and Services Team (iHOST).

Comprised of staff from Midtown, Adult & Child Health, The PourHouse, Inc., Outreach Inc., and Horizon House, iHOST team members are combining their efforts to build a unified service approach for homeless persons also experiencing mental health and substance use disorders. By sharing information and coordinating services among the participant organizations, iHOST is able to achieve much greater efficiency than when working independently without coordination.

Nationally and locally, the relationship between homelessness and mental illness is well known. The Office of National Drug Control Policy reveals approximately 30 percent of the chronically homeless population has a serious mental illness and around two-thirds have a primary substance use disorder or other chronic health condition. A 2015 Point-in-Time count identified 1,666 Marion County citizens as experiencing homelessness, one-fifth of the homeless population of the Hoosier state. Above and beyond barriers the homeless already face, the added challenge of addressing behavioral health needs can be overwhelming.

“We have effective services for homeless persons in Indianapolis, but they’re not always in the same place or with a single agency,” said Margie Payne, Midtown CEO and Vice President of Mental Health Services. “iHOST is needed for the most complicated cases that involve multiple agencies.”

A&C’s Brian Paul providing outreach to persons in an Indianapolis homeless camp.

Supported by the Coalition for Homelessness Intervention and Prevention (CHIP), iHOST is developing efficient assessment, intervention planning, and service delivery workflows among the member agencies. Persons enrolled in the program are supported by an individualized, strengths-based intervention plan. Medical care, mental health, and addictions services are linked to community housing and employment resources. The core of the project and organization of services, including data collection of evaluation measures, will rely on service providers communicating daily via real-time shared cloud-based client tracking software system, email, telephone and face-to-face meetings.

“No one agency can do it all,” said Allen Brown, CEO of Adult & Child Health, “but when you refer to another provider, communication and duplication of efforts can be a problem. We appreciate now being at the table with other homeless providers, working smarter through technology so that persons get he absolute most out of available resources.”

iHOST population of focus will be individuals who have (1) a substance use disorder (SUD), serious mental illness (SMI), serious emotional disturbance (SED), or co-occurring mental and substance use disorders (CODs); and (2) are either youth under 18 years of age, young adults between 18 and 24 years of age, or the chronically homeless, including those residing in jail or in the process of re-entry.

Both Adult & Child Health and Midtown are accredited by the Joint Commission and leaders in the provision of behavioral hand primary health services in Central Indiana. For more information about this program contact: Dan Arens, MBA, FACHE, at 317-893-0336 or [email protected].

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Agency News

A&C 75th Anniversary and Irvington Clinic Grand Opening

Integrated health care is a concept that recognizes how a person’s physical health and behavioral health affect their overall wellness and quality of life. Adult & Child Health celebrated integrated health at a combined celebration of history and growth at its Irvington clinic in Indianapolis April 30.  The event served as both a 75th anniversary celebration for the Adult & Child Health organization, and as a grand opening for the clinic on Washington Avenue, which opened in early 2025.  Adult & Child operates three clinics in Indianapolis and one clinic in Franklin. At the Irvington clinic, primary care providers, psychiatric care providers and licensed therapists see patients in the same building.  “Our goal is to help people live happy and healthier lives and have them be able to succeed in whatever it means for them,” Dr. Christine Negendank, President and Chief Medical Officer at Adult & Child Health said. “Many of our patients have been stigmatized — even in the health care setting — so we are very careful to make sure everyone is welcome here, no matter their circumstance and no matter their level of illness.”  Clients of all ages come to the Irvington clinic for psychiatric and primary care. “Integrated care clients,” as they are called, can come to the Irvington clinic to have multiple needs addressed in one place. It’s a combination of providing the best practices and ease of care for each client.  “It’s so wonderful to see a patient who tells me, ‘I’m out of my blood pressure meds,’ or ‘I have a severe headache,’ and I can say, ‘Well, you know, we have primary care across the hall; why don’t we go get you connected?’” Negendank explained.  A client can get primary care, psychiatric care, therapy and connections to housing programs in a single trip to the Irvington clinic.  “They leave with so much more hope,” Negendank said. “We really try to make it easy for our patients when we can. We offer someone a safe place to come, to feel welcome, to leave feeling better and to leave feeling better about themselves.”  A&C offers addictions treatment at the Irvington clinic. Addictions treatment involves one-on-one therapy, medication assisted treatment (MAT), activities of daily living support, psychoeducation, peer recovery services and case management. The average wait time for a new patient to schedule their first appointment is less than three weeks.  Be Well Bell art installation  The Be Well Community movement is designed to ring in a new narrative about brain health through a variety of programs, including the public display of ceremonial bells that symbolize hope and healing. The bell in Indianapolis was unveiled to the public during Adult & Child’s 75th Anniversary event April 30. Be Well Initiatives works with community partners to bring visibility to the mental wellness movement. The Be Well Bell program offers blank bells to be painted with a meaningful design by an artist(s) or as a community arts project.    Brightli Director of Be Well Initiatives Bailey Pyle, LPC, explained that the art installation includes a QR code that smartphone users can scan to access information on the Be Well program and on mental health services available at Adult & Child in the Indianapolis metro area.  “These aren’t just bells that we’re creating and plopping down into a community, but they are truly reflective of the community in which they exist,” Pyle said. “We know from lots of research that that’s when the bells are the most impactful and meaningful.” The Be Well Bell at the Irvington clinic is the 21st for the program and the first Be Well Bell in Indiana.  Adult & Child Health’s history  Photo Gallery

Sarah Miller, PMHNP-BC

Sarah Miller works with the addictions team, general psychiatry for adolescents and adults, and the competency restoration team. She is board-certified as a Psychiatric Mental Health Nurse Practitioner. Her specialties are working in addictions and with people who experience serious mental illness.

Miller graduated from Indiana University with a psychology degree and went back to school for nursing. She received her nursing degree from Indiana Wesleyan University and worked in a nursing home and also spent time working in a group home with adolescents. She received her master’s degree from Vanderbilt University.

She enjoys hanging out with her family and her two dogs, and going to sporting events.

Joanna Chambers, MD

Dr. Joanna Chambers is a psychiatrist who began seeing Adult & Child Health patients in November 2021. She graduated from Medical College of Georgia with her Doctorate of Medicine in 1996 and completed her residency in psychiatry at Yale University School of Medicine. In addition to bringing a wealth of experience, she currently serves as an associate professor at Indiana University School of Medicine where she teaches Clinical Psychiatry. She is certified in Addiction Medicine and has a special interest in treating pregnant and postpartum women. She is President of the American Academy of Psychoanalysis and Dynamic Psychiatry Organization as well as a sitting member of many medical association boards. Recently, she has won the Residents’ Award for Teaching Excellence in 2020 from Indiana University and has received “Best Doctors Award” in 2010, 2011, and 2014. Dr. Chambers is incredibly active in the medical, academic, and research realms of medicine. She is currently accepting new patients on Wednesdays.