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NEWS

Mission Moment: Reducing Anxiety to Help a Student Stay in the Classroom

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Late in September of 2023, Dorian Villanueva, Skills Development Specialist, received a referral for a student experiencing severe separation anxiety that was impacting their ability to come to school and allow their parents to leave. The student eventually stopped attending school altogether.

During this student’s intake, Dorian involved the student in coming up with a plan to attend school and spend a couple of hours with her for skills sessions. After a challenging first session, they worked out a schedule that utilized classroom visits where the student’s parents remained in the A&C office and Dorian attended class with the student. Over time, they were able to increase the student’s classroom time and school time, while decreasing Dorian’s classroom and session time and the parents’ presence in the building.

“There really wasn’t anything we didn’t try with this student and their family,” Dorian said. She and the student worked together to build up coping skills and implement them into a morning routine to reduce anxiety before school. They modeled a classroom environment and completed activities to improve self-awareness, self-esteem, positive thinking, identifying triggers, self-calming ability, and problem-solving. Dorian was also able to coach the student’s parents on positive and negative reinforcement, extinguishing behaviors, psychoeducation on anxiety, and possible reasons for the student’s increase in anxiety.

As of late January 2024, the student had been attending full school days without reporting any separation anxiety and even asked to go to bed earlier so school could come sooner.

“This is really a testament to how much students across all backgrounds might benefit from our service,” said Dorian of the student’s success.

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Agency News

Adult & Child Health Receives CCBHC Designation

Adult & Child Health, a leading community mental health center in Central Indiana, is thrilled to announce it has been designated as a Certified Community Behavioral Health Clinic (CCBHC). This designation is announced alongside the exciting news that Indiana was selected as one of 10 new states to join the CCBHC Medicaid Demonstration Program. By becoming a CCBHC, Adult & Child Health can unlock critical resources to address the growing need for mental health services in Indianapolis. This includes crisis care, improved staff recruitment and retention thanks to sustainable funding, and the ability to expand their service offerings. CCBHC will allow Adult & Child Health to offer competitive compensation and top-of-market wages, making them a more attractive workplace for qualified providers. With the rich history and commitment of Adult & Child Health to making a difference, they can achieve even greater impact through this transformation. “Indiana’s selection for the CCBHC program is a major step forward in strengthening mental health resources for residents,” said C.J. Davis, CEO, Adult & Child Health. “This designation allows us to make a significant impact by expanding access to essential mental health services in Central Indiana. We’re committed to ensuring our community members have the resources they need to live healthy and fulfilling lives.” The Biden-Harris Administration announced the additional states being added to the CCBHC program earlier today. Adult & Child Health had been selected by the state to be a CCBHC if Indiana was selected, but the decision of which states would be selected to join the program had been pending until today. CCBHC is a transformational program that provides sustainable funding for designated organizations and has been shown to increase access to mental health and substance use care, reduce homelessness and substance use, decrease use of emergency rooms and hospitalizations and improve overall health outcomes. It requires that designated CCBHC organizations provide 24/7 crisis services, outpatient care within 10 business days, medication-assisted treatment for opioid use disorder, care coordination and support services, as well as other evidence-based treatments.

Agency News

Homeless Resource Team Celebrates Outstanding Scores & Client Outcomes

Adult & Child Health’s Homeless Resource Team (HRT) is celebrating the recent achievement of outstanding Continuum of Care (CoC) scores. The Indianapolis scoring metrics are aligned with those developed by the Department of Housing and Urban Development (HUD) and are meant to evaluate project performance and rank projects based on CoC priorities. Homeless resource and housing projects are evaluated on areas such as data quality, length of time individuals are in the program, cost effectiveness, returns to homelessness, mainstream benefits (i.e. whether clients have been connected to food/food stamps, phone, and other resources), insurance access, and client source of income. A&C’s projects ranked first and third in Permanent Supportive Housing (PSH) and second in Rapid Rehousing (RRH), with zero exits to homelessness. Two areas in which A&C’s projects scored especially well were data quality and severity of barriers, which are testaments to HRT staff’s efforts to accurately and thoroughly track their data and to connect their clients with the resources they need to remain housed. “People not returning to homelessness is important; that’s why we retitled ‘Case Manager’ to ‘Housing Stability and Engagement Coordinator,’ said Brian Paul, Team Leader. This shift in language helps emphasize the team culture of striving to connect clients to services and ensuring that they’re able to meet their basic needs. “Ten years ago, we were not where we are now,” Brian said, explaining that the team utilized the CoC metrics to target and focus on challenges they could solve and areas where they could improve. The team’s hard work, attention to detail, and focus on client outcomes continues to pay off as they rank at the top of homeless resource projects in the Indianapolis area. Below: HRT Street Outreach Professionals Chad Hunter and Kristi Petrey purchase outreach supplies with an Aldi gift card donation. Click here to support HRT’s mission by helping to provide resources for Central Indiana’s unhoused neighbors. You can also support A&C’s 2024 National Health Center Week Drive here.

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.