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NEWS

Spotlight On: Youth Development

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The tiny seed that grew into Youth Development was first planted in a foster care meeting. Amanda Reuter, a therapist for Therapeutic Foster Care at the time, noticed an emerging pattern of foster youths asking about sex. But they didn’t have a safe, informative space to discuss it.

She wanted to know what Adult & Child Health could do to help. That question set her new career path in motion.

“And that’s kind of where it blossomed,” Reuter said.

After working on that idea and learning about the options available, A&C received a small grant to facilitate a program called Pregnancy Prevention. In addition to her therapeutic work, Amanda led group meetings and talked with adolescent-aged youths about sexual health.

Learn more about Adult & Child Health’s Foster Care Program by clicking here.

It’s not just about sex

Through many conversations with these kids, more needs kept popping up. Reuter knew she wanted to address them.

“Through youth expressing that there was more that they wanted, it grew,” she said. A combination of organic development and hard work was the recipe for the Youth Development team as it stands today. It’s a group of six passionate professionals who educate and advocate for youths.

The group meets in its youth hangout space, brainstorming and filtering through meeting topics. The newly renovated fourth floor of their office at 603 E. Washington St. in Indianapolis houses the Youth Development and Specialty Service offices. It also includes a relaxing, living-room-type area with couches, a coffee table, games, puzzles, markers and yoga mats.

Paper mache ampersands line the window sill, and a jar of condoms marked, “Please take one” sits atop a bookshelf. Team-building is important here. All of the members work on their own programs. To foster a sense of togetherness, however, they also discuss common topics and help each other solve problems. They’ll then cap it off with a group mindfulness exercise like yoga or meditation.

RELATED CONTENT: Learn more about Adult & Child Health’s Open Access program for patients who are seeking mental health services.

How does it work?

Youth Development works within a framework of grants. Each member is responsible for only one. They’re funded through mostly federal money for different types of projects. Currently, the team has three grants: IN-PACT, Project I, and the Serve Project.

These programs all have unique specifications, but employees typically lead group meetings. Groups of adolescents rotate through week-to-week programs. Team members travel to schools and residential facilities to lead one-day groups. Their topics include sexual health, goal-setting and community service, among others.

Any adolescent is welcome to join. The team is enthusiastic about making sure every kid has a voice, and they place those kids in the right program at the right time. They focus a lot of their work around learning, sharing their stories, and creating projects together.

“Our overall mission is the same across all grants,” said Angel Crone, lead youth development specialist. “That’s how we’re able to work together.”

RELATED CONTENT: Helping Foster Kids in School: Therapeutic Foster Care’s Educational Advocate

In Youth Development, the kids have a voice

Anytime this team steps in a new direction, their mission and vision are always at the forefront. They make sure their role, no matter the project, serves to help youths develop personal, social, academic and citizenship competencies through strength-based methods.

In a way, the youths always dictate where to go next. Grants and projects provide funding and structure, but the team exists to help any young person become the best version of themselves.

“We’re not just focused on one aspect of the youth’s lives, we’re trying to have a holistic approach,” Crone said.

This mindset sometimes means stepping away from the grant structure, such as with their Art Night in June. A foster youth voiced a desire to express themselves through their art. Many other artistic teens agreed. It led to a fresh, collaborative project for Youth Development and another avenue for youths to discover their self-worth.

The Youth Development team takes its role as listeners seriously. “We’ve really been challenging this concept of adultism, and just what youth-led, youth-driven really means,” Reuter said.

The concept of adultism means dismissing young people’s opinions based on their age, the classic ‘because I’m older, I know more than you.’ “We’re trying not to lead with that mindset,” Crone said.

This perspective contributes to a partnership between the youth and team instead of a hierarchy. They don’t fight a losing battle with cell phones. They let kids play music that might glorify questionable morality.

“We’ll play the song, but then we might use that to start a conversation about those topics and discuss what they think about them,” Reuter said.

They refer to group rules as ‘agreements.’ By participating, every person agrees to confidentiality, openness, and respect. This way it’s a choice, a core concept of the partnership angle.

Learn more about Adult & Child Health’s Foster Care Team.

The role adults play

But challenging adultism presents a new set of challenges with actual adults in the youth development mix. “Any group we lead also has a parent component,” Reuter said. They welcome biological parents, foster parents, and any other trusted adults in an adolescent’s life.

“It’s not the work with the kids that’s hard, it’s the work with the adults that surround them,” Crone said, laughing. But it’s true, because this team has the important role of fostering communication between those parents and teens, an eternal struggle, especially about tricky topics like sex.

For foster kids with so many different adults assigned to support them, it can be challenging to navigate every adult’s opinion while simultaneously developing your own. “I think we’re trying to use our unique position of privilege and power, working in a mental health organization, to amplify the youth voice … we work with youth to identify ways that they can be their own advocate,” Reuter said.

Since the team is so young, its larger impact is still somewhat unknown. But the anecdotal support is strong. This past month, a youth called who overcame suicidal tendencies through the Teen Outreach Program and started working on new goals, a former foster child returning to help mentor teens in the “Power Through Choices” group, and a pile of handwritten Thank You cards from a group at a Bartholomew County residential facility.

“Just hearing the youth say, ‘no one talks to us about this, thank you for talking about it.’ That’s my favorite thing to hear,” Crone said.

Learn more about Adult & Child Health’s School Based team and its philosophy.

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Adult & Child Health, a leading community mental health center in Central Indiana, is thrilled to announce it has been designated as a Certified Community Behavioral Health Clinic (CCBHC). This designation is announced alongside the exciting news that Indiana was selected as one of 10 new states to join the CCBHC Medicaid Demonstration Program. By becoming a CCBHC, Adult & Child Health can unlock critical resources to address the growing need for mental health services in Indianapolis. This includes crisis care, improved staff recruitment and retention thanks to sustainable funding, and the ability to expand their service offerings. CCBHC will allow Adult & Child Health to offer competitive compensation and top-of-market wages, making them a more attractive workplace for qualified providers. With the rich history and commitment of Adult & Child Health to making a difference, they can achieve even greater impact through this transformation. “Indiana’s selection for the CCBHC program is a major step forward in strengthening mental health resources for residents,” said C.J. Davis, CEO, Adult & Child Health. “This designation allows us to make a significant impact by expanding access to essential mental health services in Central Indiana. We’re committed to ensuring our community members have the resources they need to live healthy and fulfilling lives.” The Biden-Harris Administration announced the additional states being added to the CCBHC program earlier today. Adult & Child Health had been selected by the state to be a CCBHC if Indiana was selected, but the decision of which states would be selected to join the program had been pending until today. CCBHC is a transformational program that provides sustainable funding for designated organizations and has been shown to increase access to mental health and substance use care, reduce homelessness and substance use, decrease use of emergency rooms and hospitalizations and improve overall health outcomes. It requires that designated CCBHC organizations provide 24/7 crisis services, outpatient care within 10 business days, medication-assisted treatment for opioid use disorder, care coordination and support services, as well as other evidence-based treatments.

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Homeless Resource Team Celebrates Outstanding Scores & Client Outcomes

Adult & Child Health’s Homeless Resource Team (HRT) is celebrating the recent achievement of outstanding Continuum of Care (CoC) scores. The Indianapolis scoring metrics are aligned with those developed by the Department of Housing and Urban Development (HUD) and are meant to evaluate project performance and rank projects based on CoC priorities. Homeless resource and housing projects are evaluated on areas such as data quality, length of time individuals are in the program, cost effectiveness, returns to homelessness, mainstream benefits (i.e. whether clients have been connected to food/food stamps, phone, and other resources), insurance access, and client source of income. A&C’s projects ranked first and third in Permanent Supportive Housing (PSH) and second in Rapid Rehousing (RRH), with zero exits to homelessness. Two areas in which A&C’s projects scored especially well were data quality and severity of barriers, which are testaments to HRT staff’s efforts to accurately and thoroughly track their data and to connect their clients with the resources they need to remain housed. “People not returning to homelessness is important; that’s why we retitled ‘Case Manager’ to ‘Housing Stability and Engagement Coordinator,’ said Brian Paul, Team Leader. This shift in language helps emphasize the team culture of striving to connect clients to services and ensuring that they’re able to meet their basic needs. “Ten years ago, we were not where we are now,” Brian said, explaining that the team utilized the CoC metrics to target and focus on challenges they could solve and areas where they could improve. The team’s hard work, attention to detail, and focus on client outcomes continues to pay off as they rank at the top of homeless resource projects in the Indianapolis area. Below: HRT Street Outreach Professionals Chad Hunter and Kristi Petrey purchase outreach supplies with an Aldi gift card donation. Click here to support HRT’s mission by helping to provide resources for Central Indiana’s unhoused neighbors. You can also support A&C’s 2024 National Health Center Week Drive here.

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.