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Adult & Child Health Services Awarded Federal Qualified Health Center Look Alike Status

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Adult and Child Health of central Indiana has announced an award from the United States Department of Health and Human Services. Adult and Child Health’s primary care clinics have received designation as a Federal Qualified Health Center (FQHC) Look A Like program. Under the Health Resources and Services Administration (HRSA), federally designated health centers ensure access to health care for underserved communities and vulnerable populations, regardless of a patient‘s ability to pay.

A long-term provider of mental health, addictions, and child welfare services, Adult and Child is a newcomer to primary care services. Achieving federal designation for primary care allows Adult and Child to better serve the needs of communities by joining primary care, mental health, and addictions services into a single integrated healthcare model. With two designated primary care sites in Indianapolis and Franklin, and a primary care collaboration with Jane Pauley Community Health in Greenwood, Adult and Child Health has three federally qualified community health centers operating in the Indianapolis region.

“Healthcare can no longer afford fragmented and separate physical and behavioral health treatment.” said Allen Brown, CEO. “Our patients’ physical and mental health certainly aren’t separated. Adding primary care and enhanced funding through federal designation means A&C will have a sustainable model for unified, comprehensive, whole health services.”

Through existing Community Mental Health Center and Licensed Child Placement Agency services, Adult and Child’s mental health, addictions and child welfare programs serve 11,000 unique patients per year, but many of those persons face difficulties accessing primary care. After implementing primary care services in early 2017, Adult and Child provided over 4,500 medical visits to medically underserved individuals.

At the Indianapolis community health clinic on Ohio Street, Director of Adult Psychiatry Dr. Christine Negendank sees firsthand the benefits of integrating primary and psychiatric care. “At the downtown clinic we often see patients impacted by mental illness, poverty, substance dependence, and homelessness” said Dr. Negendank. “Our patients typically also have significant physical health issues, but referring these high needs patients to outside clinics presents barriers to optimal care. Having psychiatry and primary care working side-by-side increases access to both systems and provides better outcomes for our patients.”

For further information about Adult and Child services please contact Dan Arens, Chief Strategy Officer at [email protected] or 877.882.5122.

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Agency News

Veteran’s Day 2024

November 11th became a nationally recognized day to honor and acknowledge the contributions of all living American Veterans in any branch of service when Public Law 380 was approved on June 1, 1954. Since then, communities throughout the United States have celebrated with parades and ceremonies to show gratitude for those who served their country. Veterans take many risks in the line of duty that take can take a toll not only on their physical health, but also their mental well-being. Exposure to high-stress situations, long periods of time away from home, Military Sexual Trauma (MST) and difficulties in adjusting to civilian life after service are just some of the factors that can contribute to poor mental health for veterans. An increasing number of veterans experience anxiety, depression, post-traumatic stress disorder (PTSD), and/or substance use disorders, which can sometimes lead to additional difficulties such as poverty or homelessness. Please click here to see statistics provided by the Housing Assistance Council. For over 12 years, Adult & Child Health (A&C) has provided necessary care and resources through the Supported Services for Veteran Families (SSVF) Program, having served over 400 Hoosier veterans and their families this year alone. The purpose of the SSVF program is to promote housing stability among low-income veteran families who reside in, or are transitioning to, permanent housing. In addition to providing housing assistance, the program provides services that include (but are not limited to) the following: case management, assistance to obtaining other VA services/benefits, financial planning, food resources, transportation, childcare, linkages to primary and mental health care, and outreach. Our SSVF teams serve Marion, Johnson, Boone, Clay, Hamilton, Hancock, Madison, Parke, Tippecanoe, Shelby, Sullivan, Vermillion, and Vigo counties. Please click here for an informational flier that includes program qualifications. In addition to serving Indiana veterans, A&C is proud to have several veterans on staff including Emily Pence and NaTasha Allen who have shared their experiences for a special Veterans Day Employee Spotlight. It is with tremendous gratitude that we honor Emily, NaTasha, and the thousands of others who have served our country. Thank you for your service. Employee Spotlight: Emily Pence I was a member of the United States Army (Hoah!) in April 1989 and ended my service in June 1990. I initially began my service in the Delayed Entry Program (DEP), then went to Fort Jackson in North Carolina (as it was named at the time) for basic training. Afterward, I went to Fort Bliss in El Paso, Texas to complete my A.I.T., which job-specific training – my Military Occupational Specialty (M.O.S.) was Patriot Missile Crew Member. I served in this role in Ansbach, Germany for my permanent duty station. While stationed in Germany, I personally experienced an event with one of my leaders, memories of which led to my developing Post-Traumatic Stress Disorder (PTSD). My lived experience as a veteran with a diagnosed mental health disorder has allowed me the unique capability to assist veterans who have gone through similar situations while understanding “veteran talk.” Employee Spotlight: NaTasha Allen I served in the served in the US Army for a total of three years. I entered the military as a Private and later transitioned to a Non-Commission Officer (NCO) with the rank of Sargeant. While stationed at Ft. Campbell, KY, 101st Airborne/Assault Division, I deployed to Iraq during Operation Iraqi/Enduring Freedom and completed two tours in Iraq war zones – Kuwait, Mosul, Q-West, Baghdad, and beyond. My military time taught me strength, courage, and the importance of perseverance despite obstacles. I learned to speak up for myself, to see my worth and value rather than viewing myself as “just a number”. It taught me leadership, compassion, discipline, and the true value friendship. These skills have allowed me to be empathic with Veterans from all walks of life – from Privates to Generals, everyone’s treated with respect and dignity, without judgement of age, race, ethnicity, gender, beliefs.   In my current role at A&C, I have the privilege to meet with Veterans where they are in their journey of healing and recovery to provide support and resources as they work toward adjusting to civilian life.

Agency News

How to care for YOU this election season.

Your vote matters, and so does your mental health. We live in a time of information overload — 24-hour news cycles, unlimited access to social media and our own personal stresses of daily living. Add in a presidential election year and it is no wonder that a survey from the American Psychiatric Association reported that 43% of U.S. adults are feeling more anxious in 2024 than they did in 2023 (American Psychiatric Association, 2024). Feeling more emotions around an election season is normal and can help us stay engaged in the political process. However, living with these intense emotions for too long can take a toll on our well-being. No matter which side of the political spectrum we’re on, many of us feel stressed by the state of American politics. A recent survey showed 73% of U.S. adults feel anxious about the upcoming election, and 53% said it’s affecting their mental health (American Psychiatric Association, 2024). So, how can we stay engaged with politics while also caring for our well-being?How Stress Affects UsOur brains are built to handle and even benefit from short bursts of stress. In small doses, stress can help us focus, tackle challenges, and grow as people. However, when we experience long-term stress, it can negatively affect our brains and bodies. We might start to notice muscle tension, difficulty with sleep or headaches. Over time, stress can even weaken our immune systems, leading to stomach issues, heart disease, weight gain and increased risk of stroke (APA, 2023). How to manage stress this election season. 1. Set boundaries around social media.“Setting boundaries” is a trendy phrase, but how do we limit our social media to help our mental health? Social media is often at our fingertips, so it can be easy to get caught in a doom scroll. Try This: 2. Be mindful of the type and amount of news you take in.We can get news any time, any place and anywhere, but this constant intake can take a toll on us. Try This: 3. Keep it in perspective.It’s easy to find ourselves in information overload and unsure of what we can do to make a difference. This can leave us feeling helpless. Try This: 4. Take care of YOU.When we take care of ourselves, we have more energy to care about what is happening in the world around us. Think about what has helped you manage stress in the past or try a new activity. Try This: References

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.