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Overcoming Trauma: The Power Behind Skills Development and Therapy

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When I first met Angela Wood, it wasn’t surprising how well-spoken, engaging and self-assured she is. Anyone who meets her would tell you the same thing. They certainly wouldn’t notice any skills development needs.

That exterior appearance belies everything she’s endured in recent years. It also inspired her artwork that currently hangs in the lobby of Adult & Child Health’s primary care clinic in downtown Indianapolis.

“I can decorate, but I’m not good at art,” Wood said, even though her artwork suggested otherwise. “I prayed about it, and it was really special. The Lord put a picture in my head of what I could display. I went through some terrible trauma … I’m just so grateful to breathe when I wake up in the morning.”

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The painting and its meaning

Every component of Wood’s painting, “Grace,” is intentional. The heart’s black border represents her trauma. The lighter shade of blue inside the heart “was the Lord showing me that my heart was full of color, light and hope again. So I wanted to make the inside brighter and cheerier,” she said.

Angela Wood’s painting, “Grace.”

Trauma doesn’t seem visible when you meet Angela. But as she tells her story, though, you begin to understand there’s plenty of it.

Angela suffered a traumatic brain injury (TBI) five years ago, the victim of a domestic violence incident, which she said almost killed her. She was hit on the back of her head with a metal base. The injury didn’t seem life-threatening at first, but as time passed, she began to notice cognitive issues.

“I didn’t tell anyone (at first) because I was scared; I didn’t go to the hospital,” Angela said. “Things were getting harder for me. I would freeze up; had trouble showering. My son and sister were trying hard to help me. One morning, I woke up to get ready for work and could not move. I called my boss and went unconscious during the call. I was exhausted; couldn’t think straight. My son and boss came to my house and called the ambulance.”

RELATED CONTENT: I Took Mental Health First Aid Training. Here’s Why You Should, Too.

How skills development improved her life

After Angela was released from the hospital about five years ago, her brain function hadn’t improved enough to make her self-sufficient, so she went to Wheeler Mission. During her time there, she hooked up with A&C and Carla Jones for skills development assistance. She’s still seeing Carla, five years later, about once a week.

“They saved my life,” Wood said of Jones and Kelsey Schrank. Jones serves as Wood’s Skills Development Specialist, and Schrank works as her Therapist. “I could not have recovered without that support. Carla has helped me grocery-shop again and cook. When we first started, I had a lot of trauma reappear. I had a lot of panic attacks and nightmares, but then I started moving forward again. She helped me with the communication piece. I saw trauma affecting my communication. We would go places together, and then we’d evaluate how I did and what I said; not to let my triggers and anxiety affect me when I’m out in society. I feel like I’m doing a lot better now.”

Jones enjoys working with Angela and helping her improve.

“I’m very thankful to even have this opportunity to be her skills development specialist to be able to assist her to build resiliency skills and improve her overall quality of life,” Jones said. “I’m just glad to be here with her through it.”

Schrank admires Wood for acknowledging her issues, and the bravery she’s shown addressing them.

“TBI and trauma are very similar,” Schrank said. “From the outside looking in, someone might not know. To that person, it’s a very real experience and there’s a lot of shame involved in that. She’s doing a great job of describing something that’s a hard thing to survive.”

How therapy is helping alongside skills development

While Jones helped Angela with the practical, everyday-life side, Schrank assisted with the attack’s emotional effects.

“Kelsey helped me so much with confidence and self-care,” Angela said. “I was so used to taking care of others, I didn’t realize how I wasn’t taking care of myself. The (domestic) relationship as it became toxic was taking me. It wasn’t letting me be who I am. I’m healthy. I have peace and joy again. I can be who I was created to be without stress.”

Wood said Shavon Donald has also been instrumental in her ongoing recovery, because she’s felt thankful to have a supportive psychiatrist who believes in her and her recovery process.

Do want to help us help others live healthier lives? Here’s how to donate.

What’s next for Angela

Angela recently reunited with her family. She has two sons and a daughter, all adults, and she hopes to spend time with her two young grandchildren soon.

Angela’s transformation has awed Schrank.

“When we first started working together, I heard Angela often express that backward-looking view. When will I get back to the old me? Recently, I’ve heard such an evolution. She’s excited about the future. You can see how recovery brought about new opportunities for her.”

Angela wants to teach a yoga class or own a yoga studio someday, or possibly reach out to others on their own recovery journey. “That’s kind of my new passion.”

But not artwork?

“My first response was, ‘Oh no, my artwork isn’t going to be amazing, but it’s not what it looks like, it’s what it meant to me,” Wood said. “I hope my artwork touches someone else that there’s a light at the end of the tunnel.”

Are you having a mental health crisis, or do you know someone who is? Call our Open Access Crisis Line at 1-877-882-5122.

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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.

Agency News

A&C Aligns with Leadership Model of Parent Company Brightli

Integrated healthcare provider Adult & Child Health, a Brightli affiliate, has announced the promotions of Dr. Christne Negendank, MD, MBA, CCHP to Indiana Region President and Dr. Jessica Stembel, PsyD, HSPP, IMH-E to Indiana Region Chief Operating Officer. Adult & Child joined Burrell Behavioral Health, Preferred Family Healthcare, Southeast Missouri Behavioral Health, and other subsidiaries under the Brightli umbrella in March 2024, boosting the parent organization’s employee count to over 6,000 individuals across seven regions. The promotions of Dr. Negendank and Dr. Stembel align A&C with Brightli’s regional leadership model, which provides operational autonomy for each region to ensure services and operations are meeting the unique needs of the community. As President, Dr. Negendank provides strategic direction and leadership of A&C and the Indiana Region, assisting in the execution of short-term and long-term goals while engaging with community partners and leaders to help drive A&C’s continued success and growth in Central Indiana. “I am honored to have been given the opportunity to serve as President of Adult & Child Health. I look forward to continuing to work with Adult & Child’s dedicated staff who strive daily to provide compassionate and high-quality whole health care.  Adult & Child Health is well-positioned to continue its 75-year legacy of excellence and innovation in health care and social services. We look forward to expanding our services and programming through strategic initiatives, community partnerships, and advocacy efforts. Our goal is to not only provide treatment to those in our local communities but also to help advocate for improved health care for all Hoosiers,” said Dr. Negendank. Dr. Negendank recently celebrated seven years of employment at A&C having joined the organization in 2017 as Associate Medical Director of Psychiatry before moving into the role of Chief Medical Officer. During her tenure, Dr. Negendank led the development and implementation of A&C’s Medication Assisted Treatment (MAT) program for substance use disorders. She has also helped A&C make tremendous strides in integrating primary and psychiatric care by strengthening working relationship among prescribers and fostering collaboration between medical and therapy staff. As Chief Operating Officer, Dr. Stembel oversees the day-to-day operations of A&C and the Indiana Region, facilitating teamwork across the organization’s leaders to ensure effective delivery of top-quality services to Central Indiana communities. “As Chief Operating Officer, I am incredibly excited about A&C’s opportunity to be a leader in the state’s transformation to the Certified Community Behavioral Health Clinic (CCBHC) model, and the evolution of mental health, substance abuse treatment and primary healthcare. Emphasizing community partnerships through CCBHC is not just a strategic interchange but a commitment to holistic care. Together, we can foster a system of care where our Hoosiers and communities can thrive,” said Dr. Stembel. Dr. Stembel joined A&C in 2015 as a clinical psychologist providing oversight to multiple service lines and treatment teams while continuing direct clinical care. Since 2018 she has served A&C as Chief Clinical Officer, overseeing continuous quality improvement, behavioral health, primary care accreditation and corporate compliance. During her tenure, Dr. Stembel led the development of the Response and Resilience in Stressful Events team to respond to critical incidents both internally and within the community and organized the agency’s response during the COVID public health emergency. She has also increased A&C’s 340B Drug Discount Program revenue to 12 million dollars, enabling the organization to stretch scarce federal resources to provide comprehensive and integrated health services to eligible patients who may not otherwise receive care.  “Dr. Negendank and Dr. Stembel’s exceptional leadership, combined with their deep industry knowledge, will be instrumental in driving our organization’s ability to serve our mission and the Indianapolis community. Their contributions are invaluable, and I am confident in their ability to lead our teams toward increased access to the quality care our communities deserve,” said A&C and Brightli CEO C.J. Davis.

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.