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Preparations for NEW Behavioral Health Crisis Center Underway at Adult & Child Health

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In an effort to decrease unnecessary emergency room visits and jail incarcerations, integrated healthcare provider Adult & Child Health (A&C) will use its recently awarded Vitality Grant of $500,000 to implement a Behavioral Health Crisis Center at the organization’s Indianapolis clinic. This crisis stabilization program will provide adults experiencing a mental crisis with a safe, comfortable, monitored care environment, and access to an array of mental health, addictions, and primary care services, including an on-site behavioral health prescriber.

The launch of A&C’s crisis center aligns with Indiana’s plan to implement the SAMHSA Certified Community Behavioral Health Center (CCBHC) service continuum statewide.  A&C was one of eight Indiana community mental health centers recently selected to serve as a proposed pilot site in the Division of Mental Health and Addictions (DMHA) application for a federal CCBHC Demonstration Project. In the CCBHC model of care, crisis centers in the community play a prominent role in assuring individuals have timely access to services when urgent needs arise.   

Located at 8320 Madison Avenue in Indianapolis, the new program is scheduled to open in March 2024. Services will be available to immediate walk-ins, persons brought by family or friends, and those referred by healthcare providers, mobile crisis teams, and/or law enforcement officers, who are often first on the scene when a mental health crisis occurs.

Hospital emergency rooms, where patients often experience long wait times, historically have been the only available option for those experiencing a mental health crisis – most crises happen during evenings and weekends. A&C’s Behavioral Health Crisis Center will be open during these hours, providing access to care when it is most needed while alleviating pressure on local emergency rooms. “Time is always critical in a mental health crisis, and the quicker we can intervene, the better,” said Lauran Canady, Vice President of Integrated Health. “We know our hospitals are there should we need them, but this program will be a tremendous benefit for persons in need of a more appropriate level of care.”

Utilizing a “Living Room” approach to assessment and stabilization, persons treated at the Crisis Center will receive individualized support and services from a peer recovery specialist, masters-level therapist, and an APRN who can prescribe medication, if necessary, in a calming therapeutic setting. Individuals also will have access to the entirety of A&C’s services, including aftercare to ensure services continue after discharge.

“On behalf of Adult & Child Health, I would like to thank Mental Health America of Indianapolis and the City of Indianapolis for the Vitality grant that has allowed us to build a crisis receiving and stabilization program – this is a desperately needed resource in our community and one we are so grateful to be able to develop,” said Chief Medical Officer Dr. Christine Negendank, A&C.   

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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.