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Behavioral health crisis services highlighted in study from Indiana Council of Community Mental Health Centers

INDIANAPOLIS – The Indiana Council of Community Mental Health Centers (ICCMHC) is excited to share the findings of a new study conducted by Blue & Co. which showcases the tremendous value and impact that Community Mental Health Centers (CMHCs) have on individuals, families, and communities across the state of Indiana.

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The inside of the Adult & Child Health Crisis Center in Indianapolis features a living room-style area for clients to rest and relax as they undergo assessments and wait for referrals to additional behavioral health services.

The study reveals a compelling return on investment (ROI), demonstrating that for every dollar spent on community mental health services, there is a significant and measurable benefit to society. These findings highlight the critical role CMHCs and crisis units play in improving mental health outcomes, reducing emergency room visits, preventing hospitalizations, major impact on jails, and supporting individuals in living healthier, more fulfilling lives. 

Adult & Child Health operates a crisis center at 8320 Madison Avenue in Indianapolis. It functions like an urgent care center, but for behavioral health events including thoughts of suicide. Treatment occurs in a calm, therapeutic setting. Clients can walk in or be referred by health care providers or by emergency responders.

More than 100 people sought help at Adult & Child’s Indianapolis crisis center in its first six months of operation. Adult & Child operates under its parent company, Brightli.

“Our main priority for crisis services is to save lives,” said Dr. Christine Negendank, Brightli Regional President for Indiana. “Studies like this one from Blue & Co. Show that in addition to reducing barriers to behavioral health care and helping one individual at a time, we are also making positive ripple effects across the communities we serve each time we help a person experiencing a behavioral health crisis.”

Clients at the Adult & Child Health Crisis Center are able to store their belongings in secure lockers while they undergo assessment and treatment for behavioral health crisis events.

The study, which involved a comprehensive analysis of data from CMHCs throughout Indiana, found that these centers are not only essential to mental well-being but also a smart investment in the long-term health of the state’s economy. Key findings from the study include:

  • Reduced healthcare costs: Community mental health centers help decrease the need for emergency room visits and inpatient hospitalizations, reducing overall healthcare spending.
  • Crisis services vs. Inpatient hospitalization: Community mental health centers – crisis services have had an annualized savings of $80,867,002.  This has been accomplished by providing timely, effective mental health interventions, reducing the need for more costly emergency room visits, hospitalizations, and law enforcement involvement. By focusing on community-based care, including mobile crisis units and 988, Indiana has been able to prevent costly institutional care and ensure individuals in crisis receive the appropriate support, ultimately lowering healthcare and criminal justice system expenses.
  • Crisis services vs. Jail: Crisis services in Indiana have saved the state an annualized $45 million in jail services by diverting individuals with mental health crises away from jails and into appropriate care. Through programs like mobile crisis units and mental health treatment, individuals in need of mental health services receive timely interventions that prevent arrests and reduce the need for incarceration. This approach not only improves outcomes for those in crisis but also lowers the financial burden on the criminal justice system.

This study serves as an important reminder of the value of prioritizing mental health and investing in the services that make a real difference in people’s lives.

About Adult & Child Health: Adult & Child Health is a Joint Commission accredited community mental health center and Federally Qualified Healthcare Center Look-alike (FQHC) in Central Indiana. A&C strives for caring communities where all people can live healthy, purposeful lives. Services include behavioral health, primary care, social services and addictions treatment, all of which are designed to provide quick, affordable and efficient access to high quality care. Adult & Child is an affiliate and member organization of Brightli, a network of health providers across the Midwest. Learn more at http://adultandchild.org

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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.