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NEWS

A&C Foster Care Team

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In the wide scope of Adult and Child, at times it can seem that the Therapeutic Foster Care team exists its own bubble. The team has a separate brand and a separate website and answers to an outside entity (DCS). But in reality, foster care is deeply intertwined with several other service lines, from home-based services working with biological families to primary care looking after children’s medical needs. Housed on the seventh floor of 603 E Washington St, the TFC team is fortunate to have such easy access to various other A&C service lines. In Indianapolis, there are around eight foster care agencies, but Adult & Child is the most comprehensive. “Most agencies have to refer out for services, but A&C can literally take care of all that under the same roof,” said Alicia Harding, a TFC team leader. This type of open communication is often a resource for getting quick answers to questions or being able to streamline care for children with trauma and/or other health problems.

The integrated care aspect and novelty of child therapy can be a draw for prospective foster parents looking for a support system when embracing such a challenging role. TFC is always working to keep its foster parents afloat in uncertain waters. “As an agency we really are striving to support and work with foster parents in an ongoing process, to work hand in hand for the benefit of the child,” said Amanda Vipperman, licensing specialist and team leader. Amanda also keeps track of much of the data on how many foster parents are coming into the agency. Currently, there is an average of 10 new inquiries a month from prospective foster parents and an average of two certifications per month. Alicia Harding commented on the disparity of these numbers: “It is a long process and it feels very invasive at times… You do feel vulnerable throughout the process and I don’t think a lot of people like to feel vulnerable.” In this process, foster parents must go through background checks and be prepared to discuss in great detail: their finances, their home life, their relationship, etc. It also takes a lot of effort and time to become a licensed foster parent. The entire paperwork and interviewing process alone takes roughly 20 hours. But at its heart, all these hurdles are in place to make absolutely sure that the home is a stable and safe environment for children. Through the process, the TFC team tries very hard to make sure prospective foster parents feel comfortable and supported in an attempt to keep them moving toward their goal. “There is a huge, huge need for foster parents right now for kids in our community,” said team leader Jodi Kelley, referencing the fact that there are currently more foster kids than there are homes to put them in. There has been a push from the agency to spread this message and to encourage people in the community to reach out for more information if they have ever considered fostering.

Being a foster parent can be a wonderful and life-enriching experience for many, but there are darker realities that prospective parents should prepare for when looking into the process. Many people come to fostering with the desire to give back and help a child, “but what they don’t realize is that it takes a lot of working with what feels like a broken system,” said Alicia. “And it’s never going to be a perfect system when you take a child and traumatize them further by removing them from the only home they know.” She noted that to make the best of it and stay positive, foster parents must also practice self-care and to not take themselves too seriously. She notes that foster care looks different for everyone and it’s so important to be adaptable. “It’s hitting a moving target always, but it can definitely be done.”

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Agency News

A&C 75th Anniversary and Irvington Clinic Grand Opening

Integrated health care is a concept that recognizes how a person’s physical health and behavioral health affect their overall wellness and quality of life. Adult & Child Health celebrated integrated health at a combined celebration of history and growth at its Irvington clinic in Indianapolis April 30.  The event served as both a 75th anniversary celebration for the Adult & Child Health organization, and as a grand opening for the clinic on Washington Avenue, which opened in early 2025.  Adult & Child operates three clinics in Indianapolis and one clinic in Franklin. At the Irvington clinic, primary care providers, psychiatric care providers and licensed therapists see patients in the same building.  “Our goal is to help people live happy and healthier lives and have them be able to succeed in whatever it means for them,” Dr. Christine Negendank, President and Chief Medical Officer at Adult & Child Health said. “Many of our patients have been stigmatized — even in the health care setting — so we are very careful to make sure everyone is welcome here, no matter their circumstance and no matter their level of illness.”  Clients of all ages come to the Irvington clinic for psychiatric and primary care. “Integrated care clients,” as they are called, can come to the Irvington clinic to have multiple needs addressed in one place. It’s a combination of providing the best practices and ease of care for each client.  “It’s so wonderful to see a patient who tells me, ‘I’m out of my blood pressure meds,’ or ‘I have a severe headache,’ and I can say, ‘Well, you know, we have primary care across the hall; why don’t we go get you connected?’” Negendank explained.  A client can get primary care, psychiatric care, therapy and connections to housing programs in a single trip to the Irvington clinic.  “They leave with so much more hope,” Negendank said. “We really try to make it easy for our patients when we can. We offer someone a safe place to come, to feel welcome, to leave feeling better and to leave feeling better about themselves.”  A&C offers addictions treatment at the Irvington clinic. Addictions treatment involves one-on-one therapy, medication assisted treatment (MAT), activities of daily living support, psychoeducation, peer recovery services and case management. The average wait time for a new patient to schedule their first appointment is less than three weeks.  Be Well Bell art installation  The Be Well Community movement is designed to ring in a new narrative about brain health through a variety of programs, including the public display of ceremonial bells that symbolize hope and healing. The bell in Indianapolis was unveiled to the public during Adult & Child’s 75th Anniversary event April 30. Be Well Initiatives works with community partners to bring visibility to the mental wellness movement. The Be Well Bell program offers blank bells to be painted with a meaningful design by an artist(s) or as a community arts project.    Brightli Director of Be Well Initiatives Bailey Pyle, LPC, explained that the art installation includes a QR code that smartphone users can scan to access information on the Be Well program and on mental health services available at Adult & Child in the Indianapolis metro area.  “These aren’t just bells that we’re creating and plopping down into a community, but they are truly reflective of the community in which they exist,” Pyle said. “We know from lots of research that that’s when the bells are the most impactful and meaningful.” The Be Well Bell at the Irvington clinic is the 21st for the program and the first Be Well Bell in Indiana.  Adult & Child Health’s history  Photo Gallery

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.