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NEWS

Mental Health Services for the Most Vulnerable

A&C's Homeless Resources Team at a NAMI Summit

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STREET OUTREACH SERVICES AT ADULT AND CHILD HEALTH

Integral to Adult & Child’s organizational mission is delivering “life-enhancing physical, social, and behavioral healthcare services” with hope, compassion, and creativity. The Homeless Outreach team at Adult & Child embodies that mission through the core belief that all persons deserve access to needed health and social services and that no one should fall between the cracks.

“The Outreach Team at Adult & Child Health is responsible for saving lives throughout the year. They are real-life heroes, especially during inclement weather, as their focus is to provide needed supplies and conduct wellness checks on individuals exposed to harsh weather conditions,” said Jennifer Disbro, Vice President of Behavioral Health Services.

Adult & Child began providing outreach services in 2011 with just one staff member providing outreach to individuals experiencing homelessness in Marion County. By the end of 2022, the program had grown to include six full-time positions under two different funding opportunities to meet the growing needs of the community.

The team continues to find new and innovative ways to serve Central Indiana’s unhoused neighbors, which has included forging a partnership with Wheeler Mission. The two agencies welcomed a site visit by Zoe Frantz and LeeAnn Jordan of the Indiana Council of Community Mental Health Centers in fall of 2022 so that Zoe and LeeAnn could see firsthand how the organizations’ partnership has been impactful to persons experiencing homelessness. 

Staff from A&C, Wheeler Mission, and Indiana Council meet for a site visit
Staff from A&C, Wheeler Mission, and Indiana Council meet for a site visit.

“Wheeler Mission is grateful for the long-standing collaborative partnership with Adult & Child Health. Through the years, our relationship has deepened and evolved to address the complex needs of those we serve across a widening spectrum of services and support,” said Colleen Gore, MSW, Chief Program Officer for Women’s Programming at Wheeler Mission and Adult & Child Health Board Member.

“What began as a coordinated outreach approach has expanded to co-located mental health services and now involves discussions to provide supportive housing service. This flexible process is integral in promoting sustainable life change for some of the most vulnerable members of our community.” 

A DAY IN THE LIVES OF OUTREACH STAFF

A typical day begins with a team meeting and the development of a daily plan for outreach. A large part of the day involves following up on referrals, which could come from a number of different sources. Outreach staff can become connected to individuals through city-wide outreach efforts, from staff who have stopped into local camps or locations identified by partnership efforts, through other shelters, and through their established walk-in office hours. Other Adult & Child staff make internal referrals to the outreach team as well. The team packs items for the day, including blankets, water, snacks, and Narcan. They head out into the community prepared to attend to any potential needs of those they serve, from food or medical requests to unplanned crisis scenarios.

During outreach walk-in hours at Adult & Child Health, the team triages the needs of individuals as they arrive, with the goal of creating a coordinated entry access to complete housing assessments. However, during these hours, the team also links individuals to primary care and behavioral health and assists them in accessing crucial identification documents that may include birth certificates, ID cards, social security cards, and more.

EXPANDING SERVICES THROUGH PARTNERSHIPS & EXTERNAL PROGRAMS

The Outreach Team partners closely with a variety of external organizations and programs within the Central Indiana community. Some of these partnerships include the IMPD Homeless Unit, Wheeler Mission Men’s and Women’s Shelter, Horizon House, Homeless Initiative Program (HIP), the Coalition for Homeless Intervention and Prevention (CHIP), Adult Intervention Center (AIC), and the Marion County Prosecutor’s Office’s Quality of Life Program.

A new partnership for the team, the “Wellness in Transit” initiative with IndyGo, began in May of 2023. Through this initiative, staff set up a table at the Carson Transit Center on Tuesdays from 1 to 4 p.m. This functions like a mini clinic, where staff are able to conduct rapid triages, assessments, behavioral health referrals, and more.

TEAM STRENGTHS & PASSION

“Adult & Child’s Outreach team members are incredible at engagement. They have a real ability to connect and build trust with individuals with significant untreated mental health issues,” said Brian Paul, Adult & Child Homeless & Housing Resource Team Leader.

The team is diverse in their past work experience, which helps in the many situations they encounter out on the streets. Individual team members have medical backgrounds, rural outreach experience, legal backgrounds, and mental health/substance abuse treatment experience.

The team is also made up of excellent community collaborators who often provide trainings to many of Adult & Child’s community partners. One recent training involved working with Wheeler Mission’s case managers on how to navigate the legal system.

The Outreach team exemplifies one of Adult & Child’s values of “meeting people where they are”—often very literally. The team regularly meets individuals within the community in locations that include shelters, camps, and other places not meant for human habitation.

Each Outreach team member is an advocate for persons experiencing homelessness as it relates to systems, services, and resources. They know most individuals they serve by name, take time to learn their story through a person-centered approach, and help each individual set goals. When someone is ready to be connected to services or resources, they are quick to respond. The team follows best practices and utilizes harm-reduction approaches.

“It is such a joy to go out and get to know these folks. They are amazing individuals. Their connections to one another; how they allow us to be a part of who they are and their community,” said Susan Hobson, Street Outreach Professional. “We build some really deep, amazing relationships with the folks we serve. It’s a community of care going both ways.”

More To Explore

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.