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How Our Assertive Community Treatment Team is Helping the Homeless

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When Cory Britton was 5 years old, he already knew he was different from the other kids. But not in a physical or obvious sense. It certainly didn’t look like a homeless life awaited him.

“I felt I was different from everyone else,” said Cory, who’s now 22. “My mood swings, and how I would cope with different things. My mom didn’t know how to deal with it. She told me to pray and hope for the best. It was pretty rough. I didn’t understand me and what was going on, but I knew something was wrong.”

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Cory Britton

Cory was looking up ADHD at age 10, thinking that might have been his issue. He came from a family that encouraged prayer and working through problems. That wasn’t working for Cory.

By age 17, he was diagnosed with depression. He received a bipolar disorder diagnosis shortly thereafter.

Cory was well-adjusted enough that he was able to enroll at Central State University in Wilberforce, Ohio, but that didn’t last. He dropped out of school, and was homeless for about four and-a-half months.

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How A&C helped Cory and other homeless clients

Eventually, Indianapolis’ Coordinated Entry System referred Cory to A&C, where he met our Assertive Community Treatment (ACT) team. The group was formed in 2020 and serves clients with significant mental health needs that have impairment in their functioning. “It’s a barrier to them being able to access things that you and I would take for granted,” said Tiffanie Barnes, Team Leader.

The team currently has 39 clients, including Cory. The team of nine has helped house about half of its caseload so far. “It’s amazing that we are able to do that,” Barnes said. “We want to continue to introduce people to housing and we would like to grow our caseload and offer our services to more individuals.”

Each client is a team effort, but Alison Ruess and Abigail Wainman work most closely with Cory, and both have been amazed at his progress. “It’s been inspiring to see Cory reach a goal,” Ruess said. “He wanted to spend more time with his mother and he’s spent multiple weekends with her since then. He’s working with the employment specialist in the team to help him find a job.”

Alison Ruess

“It’s very inspiring,” Wainman said. “I’m the same age as Cory and I could not imagine going through what he has been through. I love working with Cory.”

The team helped Cory obtain an ID and Social Security card, but his therapists credit him with most of the improvements he’s made.

“He’s been meeting us consistently on a weekly basis to do these IMR (Illness, Management and Recovery) sessions,” Ruess said. “Cory has done his home practice where you talk about what you’ve learned with someone. He’s really accomplished all of that.”

Abigail Wainman

What’s next for Cory

Now, Cory is affiliated with the Blue Triangle Program, which is designed to provide safety, security and comprehensive health care for people who are experiencing homelessness, and help them rebuild their lives. He’s looking for permanent housing, and he eventually wants to return to college and start his own marketing firm.

“Just be open to it,” he said, offering advice to anyone who’s homeless and considering getting help. “When I first heard about it, I was very reluctant because I don’t like talking to people as much. It can change your life and put you in better places. They help with anything and everything I need.

“I was homeless before coming here. That really shaped me a lot. I was on the street for 4.5 months. When I first met with A&C, they were commending me on how strongly I handled the situation. I definitely had help, but no one’s supposed to survive in those circumstances. I came out stronger than I was.”

Do you know someone who’s experiencing homelessness? Our Homeless and Housing Resource Team could help. Call 1-877-882-5122 to learn more.

Would you like to donate to our mission? Here’s how you could help our homeless or other programs.

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Agency News

SHAPE – A Live Arts Event | April 26

Indianapolis band, Frederic and Ronza are partnering with numerous agencies, groups and artists to bring to you, Shape on Saturday April 26th at the Athenaeum Theater, 401 E. Michigan, Indianapolis. The art show starts at 6p.m. and the live performance at 7p.m.  The arts are proven to support positive mental health. “Shape has been in the works for over a year with numerous artists and partners coming to the table with their ideas, talent and resources. This event will show how we have transformed lived experiences into art in a way that celebrates the resilience of those impacted by mental health and substance use issues,” said Kelly Fischer, senior lecturer at Ball State University.  Ball State University has formed a community partnership with Frederic and Ronza and the Consortium of Artists allowing their students to earn course credit as they participate in the process of creating this event, and there are also numerous artists and partners are involved. Through passionate music performances, spoken word, dance and a juried art show, the participating artists will render works that encourage the audience to listen, learn, gain perspective, be empathetic and gain a deeper understanding of these issues. The goal is to reduce stigma, elevate the voice of those affected, and bring hope to all who attend. The show will feature soul band Frederic and Ronza who will share original music. In addition, dancers from Dance Kaleidoscope will share a piece about grief that was choregraphed by Kristin Toner of the Indianapolis ballet.  Her work was inspired by watching a friend grieve the suicide of her brother, using dance to express emotions and inspire others. Toner said, “Art has helped me express my own feelings and thoughts about grief in order to provide a moment of emotion as the dancers connect with the audience.” Additionally, there are numerous others involved including poets and singers who will share their own passion and support for these issues.  All of the music, dance, poetry and spoken word were created or chosen based on the stories we heard during listening sessions. “The listening sessions were an opportunity to hear the stories of those impacted by these issues,” said Frederic and Ronza.  Through the numerous listening sessions, several themes emerged, including the need to reduce stigma, how everyone can help support recovery, and that mental health and substance use disorders can be likened to a storm.  “You will see the storm theme emerge throughout the show as we honor the feedback shared during the listening sessions,” said Frederic and Ronza.  Before the live performance, attendees can enjoy an art exhibit starting at 6p.m.  The art was selected by a jury panel for its excellence in artistic quality and its depiction of the Shape theme.  “We were impressed and moved by the artwork submitted and are sure attendees will be too,” said art juror Cierra Johnson. Artwork is also available for sale.  The event is being presented by Adult & Child Health. Matt Bane, Adult & Child Health, is working closely on the event said, “Having the privilege to be myself and share my personal story of my lived experience with having multiple mental health diagnoses and a substance use disorder has provided me the amazing connection with the SHAPE event.” The organizers, Frederic and Ronza are passionate about issues of mental health and substance use disorders. Knowing the pain and impact on so many, and even the danger of these issues, Frederic and Ronza’s concern led them to collaborate with all of these amazing partners to produce Shape.  “We want people to leave with a willingness to do something, whether that be learning more, talking more, or empathizing more, our goal is to reduce stigma by bringing these issues to light through the power of the arts,” said Frederic and Ronza.  Click here to purchase tickets online.

Agency News

Mental Health America recognizes Adult & Child Health will Gold Bell Seal

Adult & Child Health received the national Gold-level Bell Seal certification from Mental Health America, which recognizes policies, practices and benefits supporting employee mental health and wellbeing.  Every year since 2019, Mental Health America has recognized employers for implementing policies and practices to improve employees’ mental health. Companies across all sectors undergo a 54-point evaluation that includes surveys of employees.  Adult & Child Health employs more than 600 people in southern Indiana, with areas of focus on behavioral health, primary care and treatment for substance use addictions.  “The work our team members perform on a daily basis is challenging, but they continue to live our mission of providing access to quality care for all who need it on a daily basis,” said Dr. Christine Negendank, Adult & Child Health Regional President and Chief Medical Office. “This recognition from Mental Health America is a testament to our team members and the work they do in order to make Adult & Child a great place to work.”  Part of Adult & Child’s recognition comes from a three-pronged strategy to address employee mental health:  1) Adult & Child’s employee assistant program provides mental health services, including short-term counseling and provider referrals. The average time between an employee inquiry and their first session with a provider is five business days. The EAP program provides up to five free in-person or virtual therapy sessions.  2) The HOPE Taskforce is a safe place for non-managerial staff members to convene to discuss work stressors, life stressors, mental health resources and coping strategies in a space that encourages colleagues to support one another.  3) The GROW committee is for leaders to convene and develop support systems for one another.  Mental Health America is the nation’s leading national nonprofit dedicated to the promotion of mental health, well-being, and illness prevention. Its Bell Seal awards recognize an average of fewer than 300 American companies per year.

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.