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NEWS

Mission Moment: School Based Interventions Lead to a Major Comeback

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When a high school student was experiencing anxiety, depression, and trauma symptoms in January of 2023, Adult & Child’s School Based Services and Lola Mahner, LSW, were there to provide support. Lola quickly learned that despite the past trauma, current trauma was still ongoing. This client and their family were facing possible homelessness, along with a lack of access to healthcare and food.

Considering all of these experiences, Lola’s first goal was to help the client regain a baseline and control over their emotions. This involved psychoeducation, providing their family with weekly case management and family sessions (which led to stable housing, healthcare, and food access), targeting peer and social functioning, and utilizing components of CBT and DBT to target thought monitoring and emotional control. This required the client to test their limits, to learn new coping skills and communication strategies, and to develop a different outlook on life.

“This was no easy task and resulted in the client leaving the office due to intense emotions more than once, and them wanting to quit therapy on several occasions,” explained Lola. “I never gave up on them. Eventually, I was able to help the client learn that it is okay to have bad days, but these bad days did not define them. Through our therapeutic relationship, they learned how to cope, to communicate, to have more control over their thoughts and emotions, and this hard work paid off.”

This client was nominated by their school for the “Comeback Kid” Award, given each year to a student who faced adversities and hardships that impacted their school functioning and abilities, and who demonstrated resilience in overcoming these obstacles by remaining successful in their academic career. Lola had the honor of being one of three individuals present at the award ceremony to support her client.

“The smile on their face when they saw me there to support them is something I will never forget. When they gave their acceptance speech after receiving their award, my client introduced me proudly and stated, ‘My therapist is here for me today, and I just want to thank her for all the things she has helped me with over the past year. There were a lot of things I didn’t think I would make it through, and I did it with her help.’ This recognition is rarely something that mental health providers receive, and it will be a moment that I will remember forever,” said Lola.

“This moment encompassed all the hard work that we did together. The validation and recognition that my client and I felt that day reminded me of my purpose in this job and was certainly a mission moment for both of us.”

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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.