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NEWS

National Foster Care Month: “Engaging Youth. Building Supports. Strengthening Opportunities.”

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May is National Foster Care Month

This year’s National Foster Care Month theme, “Engaging Youth, Building Supports, Strengthening Opportunities” emphasizes the importance of a child welfare system that authentically engages and supports young people who are preparing to leave foster care. At Adult & Child Health— and nation-wide— we are urgently searching for foster parents willing to open their homes and act as mentors to older youth.

Foster Parents as Youth Mentors

Due to past trauma and system involvement, youth in foster care often struggle to trust adults. Foster parents have the ability to be stable and consistent people in youths’ lives. By showing unconditional care and support, setting boundaries, and allowing youth to have a voice in their own stories, they help youth to rebuild their trust in others.

Many of A&C’s foster parents support youth from foster care well after they have “aged out” of the system. By providing long-lasting and permanent relationships with youth, these mentors help the youth cope with past trauma and learn how to heal. These relationships also provide a guide for what healthy relationships can look like for them in the future. Foster parents help youth with little to no family support access resources such as financial aid for college, resources for safe and stable housing, practice interviewing for jobs, and support and encouragement to make positive decisions that will help them achieve success in adulthood.

Pursuing Permanency: Upstream Preventions

In the context of child welfare, permanency means that a child has “a safe, stable and secure home and family, love, unconditional commitment, and lifelong support in the context of reunification, adoption, or legal guardianship.” 

The first step toward achieving permanency is ensuring that adults have the supports and services they need to care for the children in their lives. At Adult & Child Health, we know the value of the continuum of care that our staff are able to provide to our patients and clients. Our comprehensive, wide-ranging services touch the whole health journey, from prevention and outreach to treatment and management/enabling services. The ultimate goal of A&C’s services in regards to permanency would be to eliminate the need for a child to be removed from their home due to unsafe circumstances.

The continuum of care is crucial in creating a safe, healthy, and care-free childhood for children in our communities. Service lines that don’t directly work with youth have the capability to positively impact adults, lifting them up and enabling them to care for the children in their lives in more effective and compassionate ways. Youth placed in A&C-licensed foster homes also have connections to the support our staff offer. 

Primary Prevention: Programs and services designed to promote the general welfare of children and families.

Secondary Prevention: Services identified and provided to families who have identified risk factors for maltreatment.

Tertiary Prevention: Services provided after the occurrence of abuse or neglect. These services are designed to prevent the recurrence of abuse.

Most of Adult & Child Health’s services fall under primary prevention. It’s even described in our value statement:

“We strive for caring communities, where every child, adult, and family have opportunities to live healthy, purposeful lives.”

Our child welfare and wraparound teams play a large role in secondary prevention, with therapeutic foster care and behavioral health/therapy services stepping in to provide additional tertiary prevention.

The ability to focus on upstream efforts to build stronger families is a major positive outcome of Adult & Child’s continuum of care. According to Prevent Child Abuse Indiana, “by focusing especially on primary prevention, we can help mitigate the necessity of the other two.”

Fostering as a Community Support 

In cases where it is unsafe for a child to remain in their home of origin, a foster family steps in to provide appropriate care and a loving, temporary home. The foster family is connected to an array of resources to support themselves and the child, while the parent(s) of origin are also supported in taking steps toward reunification whenever possible. 

Permanency is vital for nurturing the safety and well-being of children and youth in foster care. Permanency might look like: 

  • Reunification with a child’s family
  • Being placed with members of their extended family in guardianship or adoption
  • Becoming members of new families through adoption

As youth in foster care age, it is imperative to provide them with the supports they need to transition into adulthood.

Many youth in the foster care system experience multiple episodes (removal from their home) of foster care. Many also experience multiple placement changes over an episode of foster care. This instability can lead to poor overall outcomes for the youth.

In the state of Indiana in 2021, only 62% of youth who existed the foster care system were doing so due to permanency. 

According to a study done by the Annie E. Casey Foundation, youth who had faced foster care experienced higher rates of incarceration, unemployment, and young parenthood by the age of 21 compared to their peers who had not experienced the foster care system. They were also less likely to have health insurance, a high school diploma or GED, and stable housing. 

Studies show us that a person’s brain experiences a period of major growth and development from ages 14 to 25. Vital skills and tools like planning, decision-making, judgment, and coping skills are developed during this time. Adolescence is also a crucial time to counteract the harm that may have been caused by stressful and traumatic experiences in one’s youth. Exposing the adolescent brain to developmentally healthy experiences helps it “rewire” itself.

Supportive, age-appropriate social services and resources— like many of those provided by the staff at Adult & Child Health— are instrumental in setting system-impacted youth on a path to a bright future.

You can learn more about the roles of our staff who work with foster youth, including their insights and advice for parents and caregivers, through spotlight interviews with SierraChris and Lindsay

If you’re interested in learning more about opening your home to youth in need of a safe temporary home and a compassionate mentor, please call 317.893.0207 to talk to a licensing specialist or fill out an inquiry form here

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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.