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NEWS

Our Foster Care Services Are Still Here For You During COVID-19. Here’s How We’re Doing It.

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As the COVID-19 pandemic spread, it turned our lives upside down. Fortunately, our Therapeutic Foster Care team adjusted so the foster care services they offer won’t suffer.

From virtual meetings to more flexible training, the team maintained services, and improved them in some instances.

“We have the ability to be more flexible with our trainings as they are able to be offered virtually,” said Julie Stewart, Adult & Child Health’s Director of Child Welfare Services. “This has given us the opportunity to review our training schedule and see where we might be able to make some additions and/or adjustments with trainings that are being offered.”

Here’s a look at the services that remain available, some new resources and how the team changed some foster care services:

Foster care services virtual meetings

“We continue to provide our full spectrum of services,” said Lynn Farmer, Community Outreach Development Specialist. “From licensing new homes, to maintaining certification/license, to providing the clinical/support services determined necessary.”

The virtual trainings will be more convenient for foster families, even in a post-COVID world.

“We are offering more trainings online, making it easier for parents to attend,” Farmer said. “We have also started offering an online version of CPR/First Aid (pictured above). This allows parents to take the classroom portion of the training online, and then they only need to be tested on the physical maneuvers (chest compressions).”

Virtual training and service provision is new to most, but it offered unforeseen benefits, according to at least one Therapeutic Foster Care team member. Dakota Reynolds, Therapeutic Care Specialist, said some youth and parents could focus more during the sessions together. She also enjoyed sharing a more personal side of herself with clients by introducing them to the pets she has in her home.

What’s new?

The team recently set up a virtual support group for foster parents. They offer the meetings multiple times during the day to try to gauge what fits best into people’s schedules.

Therapeutic Foster Care also can allow foster parents to assist directly with virtual supervised visitations with biological family members. That assists in building bridges for youth.

“Having the opportunity to provide services virtually has allowed us to figure out creative ways to make connections that might otherwise be difficult due to scheduling/location of siblings and/or biological families,” Stewart said.

In addition, the foster care services licensing process has become more virtual out of necessity. “We have the ability to send forms electronically and can also drop off/pick up paperwork through ‘no contact’ methods,” Stewart said.

COVID-19 specific foster care services resources

In addition to this one-stop shop of resources, the team offered this frequently asked questions list for foster parents to utilize. Among the examples:

Q: “What if someone in the household has a fever? If they have no known connection to the coronavirus, is a fever alone enough to stop visits?

A. You should notify Adult & Child Health and the Indiana Department of Child Services (DCS) immediately. Any individual with a fever should be treated as if they are potentially positive for COVID-19, and quarantined until fever-free for 48 hours. Continuously monitor the person’s condition. If symptoms worsen, seek medical assistance as previously outlined.

Stewart said the team will treat COVID-19 cases in foster homes on a case-by-case basis.

“We are working with our foster parents to help them come up with individualized plans about how to help them in this case,” she said.  “For example, if a foster parent contracts the virus and becomes too ill to care for the child, we work with them to develop a child care plan to ensure that the youth’s need will continue to be met.”

Whether a family member contracts COVID-19 or not, Farmer emphasized self-care during the current stressful environment.

“As the stressors mount, from isolation, home schooling, work/financial pressures, it is imperative that foster parents take care of themselves,” he said. “We recently started a virtual support group that meets at 11 a.m. and 5 p.m. every other Tuesday.”

Want to learn more about becoming foster parent through our Therapeutic Foster Care program? Learn the basics, call 317-893-0207 or email Lynn Farmer.

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Agency News

Parental Mental Health Tips

Across the behavioral health field, we recognize the importance of offering support to caregivers, whether they sought our help on behalf of their children or for themselves. We also know there are many caregivers who don’t walk through our doors who need and deserve help.  In August, U.S. Surgeon General Vivek Murthy issued an advisory on the mental health and well-being of parents and guardians.   “(Caregivers) are navigating traditional hardships of parenting — worrying about money and safety, struggling to get enough sleep — as well as new stressors, including omnipresent screens, a youth mental health crisis and widespread fear about the future,” Dr. Murthy wrote in a New York Times opinion column at the time of the advisory’s release.  When caregivers come to us with these concerns, Brightli’s partners help the full families of the clients we serve to thrive. Whether that’s by providing childcare in recovery services inpatient facilities, connecting caregivers of youths in substance use recovery with family support specialists, offering safe and judgment-free group therapy options tailored to caregivers’ issues or through other avenues, we strive to help. Below, you’ll find tips and support opportunities from our behavioral health experts that can help anyone address some of the key issues presented in the surgeon general’s advisory.  Ways to build community and address loneliness among caregivers  Two-thirds of parents say they don’t talk about their stress for fear of burdening others, according to an American Psychological Association study cited in the advisory. At the same time, parents and guardians – and especially single parents and guardians – experience loneliness at higher rates than other U.S. adults.  Loneliness is a challenge many autism caregivers can experience as they address situations that are new to them, said Seth Allen, a leader in Autism Services at Brightli.   “It is really important for autism caregivers to get connected with supports for their own well-being and self-confidence,” Allen said. His team works to create support groups among clients and to also point clients to groups in the communities he serves.   Intentional connections can benefit any caregiver experiencing loneliness. Here are some ways caregivers can build them:   Building your child’s self-worth can help you build your own  Keylee Tesar, who helped establish a program that strengthens relationships among foster and adoptive parents and their children, said that empowering children to believe in themselves also helps caregivers nurture their own sense of self-worth.   “When we show children love, respect and encouragement, we remind ourselves of our own strength and value,” Tesar said.   The program features an element called “character praise,” in which caregivers highlight and celebrate behaviors they see in their children that they want to flourish. Some examples include:   Character praise not only enhances positive behaviors in children, but also provides immediate rewards for caregivers by activating the brain’s reward system through the release of dopamine and oxytocin. This practice boosts mood and reinforces positive behavior while fostering connection and well-being for caregivers and children. Practicing character praise with the caregivers in your life can provide similar rewards. As the surgeon general’s advisory reminds us, “Caregivers need care, too.”  Practice the six elements of self-care  Amy Hill, a leader in youth learning and development, has worked with caregivers for years to address their stress levels and improve mental well-being. She encourages caregivers to practice these six elements of self-care (with examples included):   As a whole, Hill said, they can help you practice mindfulness and become more aware of thoughts, feelings and the surrounding environment in the moment. Mindfulness has been shown to reduce stress, improve mental focus and boost compassion, among its benefits.  It takes a village to care for a child; we want to contribute to yours  Our Be Well team offers a monthly Self-Care Challenge, an activity designed to help you improve your mental health through intentional practices. November’s challenge is tailored to caregivers and offers a Bingo card filled with activities that offer caregivers time to take care of themselves so they can continue to best support our youth. They include items like:   You can access the full November Self-Care Challenge anytime you need it by clicking this link. And you can keep up with the latest Be Well efforts by bookmarking bewellcommunity.org.  It’s OK to seek professional help.  Caregivers are doing the best they can with the information, resources and experiences they have had in their lives. Giving parents a safe and judgement-free space to learn, grow and heal benefits them, their children and the community. That space is available in a therapeutic behavioral health setting. If you need help, please reach out to our professional team to learn about the many options we offer. If you need immediate help in a crisis, it is only a call or text away by dialing the 988 Suicide and Crisis Line.  

Agency News

Veteran’s Day 2024

November 11th became a nationally recognized day to honor and acknowledge the contributions of all living American Veterans in any branch of service when Public Law 380 was approved on June 1, 1954. Since then, communities throughout the United States have celebrated with parades and ceremonies to show gratitude for those who served their country. Veterans take many risks in the line of duty that take can take a toll not only on their physical health, but also their mental well-being. Exposure to high-stress situations, long periods of time away from home, Military Sexual Trauma (MST) and difficulties in adjusting to civilian life after service are just some of the factors that can contribute to poor mental health for veterans. An increasing number of veterans experience anxiety, depression, post-traumatic stress disorder (PTSD), and/or substance use disorders, which can sometimes lead to additional difficulties such as poverty or homelessness. Please click here to see statistics provided by the Housing Assistance Council. For over 12 years, Adult & Child Health (A&C) has provided necessary care and resources through the Supported Services for Veteran Families (SSVF) Program, having served over 400 Hoosier veterans and their families this year alone. The purpose of the SSVF program is to promote housing stability among low-income veteran families who reside in, or are transitioning to, permanent housing. In addition to providing housing assistance, the program provides services that include (but are not limited to) the following: case management, assistance to obtaining other VA services/benefits, financial planning, food resources, transportation, childcare, linkages to primary and mental health care, and outreach. Our SSVF teams serve Marion, Johnson, Boone, Clay, Hamilton, Hancock, Madison, Parke, Tippecanoe, Shelby, Sullivan, Vermillion, and Vigo counties. Please click here for an informational flier that includes program qualifications. In addition to serving Indiana veterans, A&C is proud to have several veterans on staff including Emily Pence and NaTasha Allen who have shared their experiences for a special Veterans Day Employee Spotlight. It is with tremendous gratitude that we honor Emily, NaTasha, and the thousands of others who have served our country. Thank you for your service. Employee Spotlight: Emily Pence I was a member of the United States Army (Hoah!) in April 1989 and ended my service in June 1990. I initially began my service in the Delayed Entry Program (DEP), then went to Fort Jackson in North Carolina (as it was named at the time) for basic training. Afterward, I went to Fort Bliss in El Paso, Texas to complete my A.I.T., which job-specific training – my Military Occupational Specialty (M.O.S.) was Patriot Missile Crew Member. I served in this role in Ansbach, Germany for my permanent duty station. While stationed in Germany, I personally experienced an event with one of my leaders, memories of which led to my developing Post-Traumatic Stress Disorder (PTSD). My lived experience as a veteran with a diagnosed mental health disorder has allowed me the unique capability to assist veterans who have gone through similar situations while understanding “veteran talk.” Employee Spotlight: NaTasha Allen I served in the served in the US Army for a total of three years. I entered the military as a Private and later transitioned to a Non-Commission Officer (NCO) with the rank of Sargeant. While stationed at Ft. Campbell, KY, 101st Airborne/Assault Division, I deployed to Iraq during Operation Iraqi/Enduring Freedom and completed two tours in Iraq war zones – Kuwait, Mosul, Q-West, Baghdad, and beyond. My military time taught me strength, courage, and the importance of perseverance despite obstacles. I learned to speak up for myself, to see my worth and value rather than viewing myself as “just a number”. It taught me leadership, compassion, discipline, and the true value friendship. These skills have allowed me to be empathic with Veterans from all walks of life – from Privates to Generals, everyone’s treated with respect and dignity, without judgement of age, race, ethnicity, gender, beliefs.   In my current role at A&C, I have the privilege to meet with Veterans where they are in their journey of healing and recovery to provide support and resources as they work toward adjusting to civilian life.

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.