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Adult & Child Health Partners with Jane Pauley Community Health Center for Integrated Care

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Indianapolis Healthcare Providers Combine to Create Unique Integrated Care Program for Persons in South Marion County

Research has demonstrated people with mental illness die 25 years younger than those without mental illness, primarily due to unmanaged chronic disease and reduced access to primary care. The National Healthcare Disparities Report states that, for persons with mental illness, “health care quality and access are suboptimal, especially for minority and low-income groups and while overall quality is improving, access is getting worse and disparities are not changing.”

Adult and Child Health Services and The Jane Pauley Community Health Center, two Indianapolis area nonprofit healthcare organizations, have recently partnered to address this alarming trend. As a certified mental health center, in 2015 Adult and Child Health began looking for new ways to facilitate primary care for persons in its South Marion County service area. Allen Brown, CEO of Adult and Child Health, explains that “our Southside clinic is one of the busiest mental health centers in Indianapolis. Persons served at this location have a very difficult time accessing primary care, so rather than continuing to refer clients elsewhere, we decided it would be better to bring primary care providers into the mental health center.”

In The Jane Pauley Community Health Center, Adult and Child found a partner with equally strong interest in behavioral health and primary care service integration. As a Federally Qualified Health Center dedicated to helping the medically underserved, Jane Pauley CHC provides comprehensive family practice services to patients in 15 clinics throughout the Indianapolis area. The two organizations share similar mission of providing affordable, high quality healthcare to individuals and families regardless of ability to pay.

In 2016, following months of planning between agencies, The Jane Pauley Community Health Center won federal approval to open a primary care clinic within Adult and Child’s Mental Health Center at 8320 Madison Avenue. In this unique program, psychiatrists, family practice physicians, and nurses work side by side in close coordination, supporting persons with mental health and physical health needs. Marc Hackett, CEO of the Jane Pauley Community Health center explained, We’re a big believer in integrated approaches to patient care.” “Through our own behavioral health services within Jane Pauley clinics, and now in partnership with Adult and Child at the 8320 Madison Ave. location, this unified approach to patient care means better outcomes and less cost for the patients we serve.”

On September 21, 2016, Indianapolis native and well known NCB new anchor Jane Pauley, after whom the Jane Pauley Community Health Centers are named, visited the site of this unique healthcare partnership to share words of inspiration and recognition for the efforts being taken to help persons with mental illness.

Adult and Child Health, accredited by the Joint Commission, is a leading provider of behavioral health services in Central Indiana. The Jane Pauley Community Health Center is a Federally Qualified Health Center that provides high quality medical services to the Indianapolis area. For more information about this program contact: Dan Arens, MBA FACHE, at 317-893-0336 or [email protected]

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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.