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NEWS

Spotlight on: Job Links

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Anyone who has conducted a job search knows it’s not easy. The fill-out-an-application, go-to-an-interview, get-hired progression makes it seem simple, but it it’s not.

For the marginalized populations Adult & Child Health serves, a job could mean the first foothold onto a more stable life. Layers of mental illness, disability, or injury, however, are hurdles that are difficult to clear alone. A&C’s Job Links program serves as a link into the employment world. Its mission is to find jobs for those who need both a partner and an advocate.

How does Job Links help your job search?

The Job Links team includes a team leader and a seven-person employment staff. Five employment specialists work in the community along with a full-time career coach, and three of the five employment specialists also work as career coaches.

Employment Specialists manage a caseload of clients. They work with each person to determine and execute the best method to achieve lasting employment through a job search. Though new, the school coaches are an important addition to the team.

After a yearlong process to establish the program, specialists are currently making waves with high school-aged clients. School coaches work with students who have Individualized Education Plans, 504 Plans and disabilities. This helps them prepare for college & careers.

“I get tons of great feedback about the work they’re doing in schools,” Team Leader Carla Orr said. The school coaches have also begun working with School Based teams, encouraging collaboration and generating referrals.

All team members work with clients 1-on-1, building a relationship along with a resume. This often begins with a get-to-know-you phase where a coach digs into a client’s personality, interests, and struggles. They ultimately want to help their clients get their dream jobs. First, however, they focus on each milestone  and manage setbacks as they come. It’s the most sustainable method of working through the program.

Click here to learn more about how to participate in the Job Links program.

How Job Links helped John Witcher

“I spend the majority of my time out in the community,” said John Witcher, an employment specialist who has worked at Adult & Child for more than a year. “I had a client do a work experience session at Goodwill where I go in and observe them on the job for a couple hours. (We want) to see, before we place them, do they have enough stamina? Does it look like they have any knee or back pain? Can they get along with others? I do a lot of work to build relationships with local businesses. You don’t want to set somebody up to fail.”

This work isn’t just a job to Witcher. It’s a calling that’s rooted in personal understanding of how much the team’s job search expertise can offer people.

His A&C journey first started decades ago, as a Job Links client. “I work very very hard at what I do because that used to be me on the other side of the table,” Witcher said. “I take it personally, I’m in it to change lives.”

RELATED CONTENT: Learn more about Adult & Child Health’s Open Access program for patients who are suffering from mental illness

Through working with Job Links as a client, he found and sustained a steady job for 16 years. He then went on to earn an MBA and eventually returned to Adult & Child, this time as a Job Links Employment Specialist to give back to the program that meant so much to him.

“When I first came in contact with Adult and Child in 1994, I was just a scared person with a mental illness,” Witcher said. “A lot of very great people have helped me out along the way and I plan to do the same.”

‘I believe everybody can do something’

Orr describes the client-coach relationship in a job search as a type of partnership. That approach seems to help clients retain the jobs they get more often by helping foster a sense of accomplishment.

“I want to work as hard as you do to find a job,” she said. “There may be things that you can’t do or aren’t able to do for certain reasons, but I believe everybody can do something.”

Orr and Witcher agree that one of the most difficult parts of the job search is battling the stigma around mental illness & invisible disabilities. Disability inclusion has improved in recent years, it could still be better. Breaking down those barriers with employers is imperative to creating opportunities for clients.

Orr said her teammates have a social worker’s heart, but also, “they have a marketing and PR ability that necessitates a lot of the work they do. If you can’t go out and talk to employers or if you’re too shy to present in front of a business, you’re not going to be able to develop a specific niche job for someone or an opportunity to shadow,” she said.

Team members take pride in educating employers, championing their clients, and working creatively to generate unforeseen opportunities.

Job Links’ funding challenges

Historically, Job Links maintained a strong relationship with the state’s Vocational Rehabilitation Program, which provided most of Job Links’ clients and funding. VR funds job-specific services to people who qualify based on disability, injury, and/or mental illness. But recent changes in the VR program have drastically tightened its eligibility and shifted the pay structure, hitting Job Links hard.

“When I first started, I had about 90 percent VR clients,” Witcher said in April. “Now it’s about 50 (percent).”

Currently, Witcher said VR clients account for only about 20 percent of the caseload. They work primarily with A&C clients who are also participating in VR services.

This change shocked the program financially and in a practical sense. VR gives Job Links the opportunity to bill for its exact purpose: career coaching and all career-related items. Working with other funding sources tempers Job Links’ ability to bill directly for career-related coaching.

How Job Links is working around those challenges

The team is using its creativity-driven hustling skills to help the department adapt.

RELATED CONTENT: Learn more about Adult & Child Health’s Youth Development program

“We’ve tried to turn it around into something positive,” Orr said. “The good thing that has come from this is that we’re excited to reach out and work even more collaboratively, even more than we used to with the individuals that are served here [at Adult & Child.]”

Medicaid billing structure and other types of insurance can pay for job search services related to career coaching, such as skills development in areas like interpersonal communication, conflict resolution and self-sufficiency. It doesn’t pay for directly career-related tasks like filling out applications, resume development or work experience supervision.

Though these realities seem uncomfortable, the team is optimistic, treating the big changes like big challenges. While Job Links has always taken A&C-referred clients, it’s becoming more of a primary focus as VR pulls away and the team adjusts to a new rhythm.

Getting a chance to hear multiple perspectives on the challenges and barriers the clients face has been difficult to receive with VR cases. The team is ready to “come to the table” and participate in multi-layered supports for A&C clients.

“With the seven folks here, we’re ready to partner,” Orr said “Now can we serve everybody at the agency who wants to find a job? I hope so. One day,” said Carla. “I’m not so naïve to think that seven people can do it all, but seven people can start to make a difference for some folks.”

Cynthia successfully worked through our Job Links program. 

This is an updated version of an article that originally published April 11, 2018.

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Agency News

KENDRICK FOUNDATION ANNOUNCES SCHOOL-BASED MENTAL HEALTH INITIATIVE 2.0

The Kendrick Foundation is pleased to announce the school-based mental health initiative (SBMHI) 2.0. This is a continuation of a successfully established partnership between Adult & Child Health, Centerstone, Youth First, and the county’s four public school systems. This initiative furthers our commitment to improving the mental health of all Morgan County residents. “SBMHI 2.0 has involved an extension of a tremendous amount of work by our grantees and schools over the last few years,” said Amanda Walter, M.D., Kendrick Foundation Board President. “We launched the initial three-year SBMHI in July 2021 to address increased mental health challenges heightened by the pandemic and greater societal issues. Based on the success and continued community benefits of this initiative, we are excited to continue building upon and supporting this effort for another three years.”In December 2021, the U.S. Surgeon General issued an advisory highlighting the urgent need to address the nation’s youth mental health crisis, outlining the pandemic’s unprecedented impacts on the mental health of America’s youth and families, as well as the mental health challenges that existed long before the pandemic. According to the U.S. Surgeon General, recent national surveys of young people have shown alarming increases in the prevalence of certain mental health challenges. Mental health is shaped by many factors, from genes and brain chemistry to relationships with family and friends, neighborhood conditions, and larger societal forces and policies. In Morgan County, adults report an average of 5.3 poor mental health days per month and 17% report frequent mental distress. Morgan County has higher rates of death by suicide than the state. Many Morgan County residents also lack adequate access to mental health providers. According to the National Alliance on Mental Illness, many mental health conditions first appear in youth and young adults, with 50% of all conditions beginning by age 14 and 75% by age 24. One in six youth have a mental health condition, such as anxiety or depression, but only half receive any mental health services. Early treatment is effective; it can help young people stay in school and on track to achieving their life goals. In fact, the earlier the treatment, the better the outcomes and lower the costs. Untreated or inadequately treated mental illness can lead to high rates of school dropout, unemployment, substance use, arrest, incarceration, and early death. Schools can play an important role in helping children and youth get help early. Schools also play a vital role in providing or connecting children, youth, and families to services. School-based mental healthservices bring trained mental health professionals into schools; this helps individual youth and also serves to connect youth and families to more intensive resources in the community. “Our grantees and local educational institutions continue to go above and beyond to support the mental health needs of youth and families by providing mental health services, supports, and resources to thousands of Morgan County residents, reducing stigma, and creating a culture that supports mental health and wellbeing for all,” said Keylee Wright, M.A., Kendrick Foundation Executive Director. “Maintaining healthy children and families requires all of society—including policy, institutional, and individual changes in how we view and prioritize mental health.” As part of the SBMHI 2.0, students across each public school district in Morgan County will continue to have access and opportunity to participate in supportive voluntary mental health services consisting of individual, family, group, and/or case management provided by: Adult & Child Health – Mooresville Consolidated School Corporation, Metropolitan School District (MSD) of Martinsville, and Monroe-Gregg School District Centerstone – Eminence Community School Corporation Youth First – Mooresville Consolidated School Corporation and MSD of Martinsville School-based and school-linked mental health services reduce barriers for youth and families in obtaining needed treatment and supports, especially for communities with decreased access to mental health providers. School-based mental health programs are a voluntary service approved through caregiver consent and delivered by trained mental health professionals, such as psychologists, counselors, and social workers. Funding for the SBMHI includes: Initial Project Period (July 1, 2021 through June 30, 2024) Total expenditure: Nearly $4 million Kendrick Foundation contribution: Over $1.6 million SBMHI 2.0 (July 1, 2024 through June 30, 2025) Total expenditure: Nearly $1.8 million Kendrick Foundation contribution: Over $620,000 Funding Sources Kendrick Foundation Collaborating mental health grantee organizations Morgan County educational institutions Government grants and contracts Private funding Formed from the proceeds of the sale of the Kendrick Memorial Hospital in 2001, the Kendrick Foundation invests in conditions that support the physical and mental health of all Morgan County residents. To learn more about how the Kendrick Foundation is leading health initiatives for Morgan County, please visit kendrickfoundation.org.

Agency News

Adult & Child Health, Mental Health America of IndianaAdvancing Peer Recovery Efforts Statewide

Integrated healthcare provider Adult & Child Health (A&C), ICAADA, and MHAI Stanley W. DeKemper Training Institute (MHAI SWD TI) have entered into an Agreement for Educational Partnership to advance the recovery support workforce within the state of Indiana by increasing training opportunities through MHAI Stanley W. DeKemper Training Institute for Indiana residents to become certified as  Certified Peer Recovery Coaches (CPRCs) or Certified Recovery Coaches (CRCs) through ICAADA. This effort is one of the commitments made by A&C as a recipient of the DMHA Workforce Recruitment and Retention Innovation Grant through which A&C was awarded $750,000 in fall of 2023. “This groundbreaking partnership between Adult & Child, ICAADA and MHAI SWD Training Institute shows their passion for increasing the recovery support workforce and, most importantly, increasing accessibility to care across Indiana. By using trusted, and vetted, recovery support training and credentialing organizations, along with a respected recovery support provider such as Adult & Child, we will be able to create a workforce development structure that increases the recovery support workforce while supporting sustainability of the recovery support profession,” said MHAI Vice President of Education and Credentialing Justin Beattey. In January 2023, the annual National Survey on Drug Use and Health (NSDUH) reported 9.2 million people aged 12 years or older had misused opioids in 2021, 94 percent of which did not receive any treatment; additionally, adults aged 18 to 25 had the highest rate of mental illness yet the lowest rate of treatment. The need for addictions recovery and mental health services is tremendous and increasing the number of people who are trained and qualified to provide those services through the peer support approach is critical to closing the gap. Additionally, peer support is proven to be an affective form of recovery treatment, resulting in reduced re-hospitalizations, fewer days spent in inpatient care and increased quality of life (Evidence for Peer Support, MHA, 2019). CPRCs provide recovery support and care for individuals who are experiencing challenges with mental health and/or substance use disorders by connecting with others through a direct lived experience of similar challenges. While CRCs do not have direct lived experience, they have often been indirectly affected by addiction or mental illness through a family member or friend. Direct nor indirect experience is a requirement for individuals to become CRCs – many folks in this role simply have a passion for helping those in need. “I am beyond proud and incredibly honored to become an adjunct trainer with MHAI. As an individual living in recovery, there was a time in my life when I was in such a dark, scary and stigmatizing place within my mental health and substance abuse. It is now my passion to provide as much education, resources, and hope to anyone who may need it. This new program not only provides me with another opportunity to do just that, but it also helps to emphasize the importance of peers in behavioral health throughout the state. As a representative of my amazing employer Adult and Child Health and of MHAI, it is my mission to act as a voice for anyone who might not yet have found theirs and to do this to the best of my ability every single day – it is a great honor to be able to do so,” said Matt Bane, A&C, who will be one of two training facilitators. # # # About Adult & Child Health Adult & Child Health, a Joint Commission accredited community mental health center and Federally Qualified Healthcare Center Look Alike (FQHC) in Central Indiana, strives for equitable, caring communities where all people can live healthy, purposeful lives. Services include behavioral health, primary care, social services, and addictions treatment, all of which are designed to provide quick, affordable, and efficient access to high quality care. Adult & Child is an affiliate and member organization of Brightli, a network of health providers across the Midwest. Please visit adultandchild.org for more information.  About ICAADA ICAADA, a subsidiary of Mental Health America of Indiana, provides credentialing for behavioral health professionals. ICAADA provides behavioral health professionals with credentials, membership, and advocacy that validate the professionals’ competencies to provide person-focused, evidence-based behavioral health services. About MHAI Stanley W. DeKemper Training Institute The MHAI Stanley W. DeKemper Training Institute is our partner in providing quality education for behavioral health professionals and the community. The Training Institute works tirelessly to ensure that the education provided meets the standards and competencies required for aspiring and current behavioral health professionals, to maximize the outcomes for the populations they serve.

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.